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Glossary entry

Dutch term or phrase:

wondranden wijken

English translation:

wound edges gap; wound gaps

Added to glossary by Barend van Zadelhoff
Sep 16, 2016 14:34
8 yrs ago
5 viewers *
Dutch term

Wondranden wijken

Dutch to English Medical Medical (general)
This is in the middle of a document about medicaal observations of a wound, not my area at all, thanks for any help.

snijwond aan volaire zijde van de onderarm tot halverwege ulnaire zijde handpalm tot in de subcutis. Wondranden wijken, ogen vitaal.
Proposed translations (English)
3 open wound edges
4 +4 Gaping wound (..., edges appear vital)
3 +2 wound edges show retraction
3 Wound has not closed.
Change log

Sep 16, 2016 17:16: Barend van Zadelhoff changed "Language pair" from "Dutch to English" to "English to Dutch"

Sep 16, 2016 19:38: writeaway changed "Language pair" from "English to Dutch" to "Dutch to English"

Sep 20, 2016 09:20: Barend van Zadelhoff Created KOG entry

Sep 20, 2016 09:28: Barend van Zadelhoff changed "Edited KOG entry" from "<a href="/profile/133080">Barend van Zadelhoff's</a> old entry - "wondranden wijken"" to ""wound edges gap""

Votes to reclassify question as PRO/non-PRO:

Non-PRO (1): freekfluweel

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Discussion

Richard Purdom (asker) Sep 20, 2016:
Thanks everyone for the help and suggestions :)
Barend van Zadelhoff Sep 19, 2016:
Mooie afsluiting... ...met een open wond, in een andere dimensie.
Maja Keizers (X) Sep 19, 2016:
En nog een laatste om het af te leren.... http://anishkapoor.com/327/flesh
Maja Keizers (X) Sep 19, 2016:
Ha ha, oké, ik geloof je. Google translate zei dat het Russisch was en Login betekende. Wat gek dan dat ik een Russische login krijg als het een USA-based site is!
Barend van Zadelhoff Sep 19, 2016:
Overigens... ...zitten we hier op dezelfde golflengte:


De wijkende wondranden...

Klinkt als een Suske en Wiske.

:-):-):-)
Barend van Zadelhoff Sep 19, 2016:
Russisch??

Klinkt me als Chinees in de oren. :-)

What are you referring to?

Ik weet nooit wat ik aan je heb. :-)

Medical website
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http://data.danetsoft.com/aibolita.com
Maja Keizers (X) Sep 19, 2016:
De wijkende wondranden... Klinkt als een Suske en Wiske. Wat doen eigenlijk die Russische letters bovenaan de site van jouw link, Barend? Mijn Russisch is niet zo goed, maar de foto's zijn prachtig!
Barend van Zadelhoff Sep 19, 2016:
@Maja - wound edges gap

= my preferred solution in this context. Nice description.

We are dealing here with an incised wound (snijwond):

The edges of an incised wound tend to separate or gap. The extent to which the wound gaps and the shape it subsequently assumes depend on whether it is parallel, transverse, or oblique to the direction of the elastic fibers in the skin (Langer’s lines). Thus, an incised wound parallel to the contractile fibers will gap less than one made at a right angle or obliquely across the fibers because the fibers will pull the skin apart and evert the edges.

http://aibolita.com/sundries/11757-incised-wounds.html
Maja Keizers (X) Sep 19, 2016:
Alright, best to avoid any confusion, then.
Barend van Zadelhoff Sep 19, 2016:
Maja, Please have a look at all of these.
What do you think open edges means here:

A sutureless closure for drawing together and closing the open edges of a wound while retaining such edges in an approximated and everted condition during the healing process

and here:
http://tinyurl.com/ha2whef

and here
http://tinyurl.com/hlj9vrf

and here:
http://tinyurl.com/jnezyr5

and here:

http://tinyurl.com/gwrclla

Finally, the example in my answer:

Laceration:  open wound edges are often jagged, irregular edges. Often from accidents that made by glass or barbed wire .

I think it can have at least two meanings.
Kitty Brussaard Sep 19, 2016:
Oh dear ... I'll leave it to the experts from here on :-)
Maja Keizers (X) Sep 19, 2016:
open/closed wound edges Thanks for this great link, Richard/Barend, but you may want to read this, too:

https://woundcareadvisor.com/causes-prevention-treatment-epi...

According to this explanation, closed wound edges (as opposed to open ones) refer to problematic healing or 'epibole', rather than the wound being open or closed; open wound edges is what you see when there is no problem in healing. The Dutch 'wijken' clearly refers to the wound being retracted by skin tension and in no way refers to its healing process. Two different concepts, entirely, I would say.
Kitty Brussaard Sep 19, 2016:
@Richard That's indeed a pretty convincing reference, thanks for sharing!
Richard Purdom (asker) Sep 19, 2016:
Wound edges open from http://surveyor.vo.llnwd.net/o45/data/1007/42304ho3.pdf

Tbh everyone I'm inclined to use this based on BvZ's suggestion
Richard Purdom (asker) Sep 19, 2016:
It's actually about reporting domestic violence, and this is a fictional incident where someone who has smashed a window goes to the doctor.. this bit is just what the doctor sees and writes down, objectively.

Later on it says the wound was sutured.
Barend van Zadelhoff Sep 18, 2016:
Richard You were probably looking for a technical term for this observation.
I don't think it exists.
Which means you would need a descriptive translation.

There is one for wound edges that were initially closed, which is called 'dehiscence'.

What is wound dehiscence?

Let’s talk a bit about wound dehiscence. It simply means the wound edges open up again following wound closure by suturing.

http://www.theapprenticedoctor.com/13-reasons-for-wound-dehi...
Maja Keizers (X) Sep 16, 2016:
@Barend I do believe you're right, Barend. Thx for pointing this out to me!
Barend van Zadelhoff Sep 16, 2016:
By the way, Maja. I think 'vitaal' should be translated as 'viable'.

the wound edges to remove non-viable tissue but minimize removal of viable ...

http://tinyurl.com/z6cthdc

Debridement of a thin margin of the wound edges with a scalpel is usually all that is required to produce viable wound edges;

http://tinyurl.com/jmwayxn

Does this make sense to you, 'vital wound edges'?

Anyway, they mention it in the context of the type of wound care that might be needed (debridement).
Maja Keizers (X) Sep 16, 2016:
Gaping vs gapes open? To avoid the impression of a giant wound (even if it is), as Barend rightfully commented, you could say: the wound gapes open. To me, this would sound less horrific. What does writeaway think, being a native speaker?
Maja Keizers (X) Sep 16, 2016:
Love this one: http://manuetcorde.org/2013/05/07/to-suture-or-not-to-suture...
Barend van Zadelhoff Sep 16, 2016:
Richard Could you say a bit more about the context.

My assumption was what the wound looked like at presentation, which your sentence suggest:

snijwond aan volaire zijde van de onderarm tot halverwege ulnaire zijde handpalm tot in de subcutis. Wondranden wijken, ogen vitaal.

=> wound examination

Lianne seems to think of an assessment of the healing process.

I mean why should it have closed at the time when it is first examined?

Proposed translations

50 mins
Selected

open wound edges


I think I would use this here.


--------------------------------------------------
Note added at 55 mins (2016-09-16 15:29:04 GMT)
--------------------------------------------------

As opposed to çlosed wound edges.

Example:

Laceration:  open wound edges are often jagged, irregular edges. Often from accidents that made by glass or barbed wire .

Abrasion:  open wound involving skin only, painful, due to surface scrape

http://www.slideshare.net/AliMohamedAziz/lect-6-wound-mangem...

--------------------------------------------------
Note added at 3 hrs (2016-09-16 17:36:34 GMT)
--------------------------------------------------

open edges

Acute wounds: an overview of the physiological healing process

Basal keratinocytes from the epidermis begin to move along the open edges of the wound to protect the deeper exposed tissues (Staiano-Coico, 2000).

https://www.nursingtimes.net/clinical-archive/wound-care/acu...

The cut on Merlin’s arm was badly infected. It was raw and red and swollen, and there was greenish pus lining the open edges of the wound, which peeled back in a way that made Arthur feel sick.

https://archiveofourown.org/works/326753

--------------------------------------------------
Note added at 3 hrs (2016-09-16 18:02:23 GMT)
--------------------------------------------------

Example with 'closed edges'

Step 2: Push the sides of the wound together. Keep fingers well away from the wound so they do not stick to the glue. A helper can use a couple of clean sticks to hold the sides together.

Step 3: Squeeze a line of glue along the closed edges of the wound.

http://en.hesperian.org/hhg/New_Where_There_Is_No_Doctor:Wou...

--------------------------------------------------
Note added at 21 hrs (2016-09-17 11:47:07 GMT)
--------------------------------------------------

FWIW:

bruto number of G-hits

"open wound edges" --> 48 G-hits
"wound edges are open" --> 29 G-hits

"gaping wound edges" --> 33 G-hits
"wound edges gape" --> 19 G-hits

"retracted wound edges" --> 3 G-hits
"wound edges show retraction" --> 0 G-hits

--------------------------------------------------
Note added at 22 hrs (2016-09-17 12:38:00 GMT)
--------------------------------------------------

Lianne's link: http://www.sharinginhealth.ca/biology/wound_healing.html

I fail to see how 'wound retraction' would endorse in any way 'the wound edges show retraction' :

Wound Retraction - Although not considered part of the healing process, the first immediate change in the wound is usually enlargement through contraction of the surrounding musculature and an increase in resting tissue tension. This may give the illusion of tissue loss when there actually is not any.

Firstly, 'wound retraction' = retraction of the wound rather than 'the wound edges show retraction'

But let's start from 'retraction of the wound edges'

This describes a physiological process, something that is happening, a process that may be (but not necessarily is the only factor) the cause of 'wijkende wondranden'.

Here we want to describe what we see rather than describing the cause of what we see or what has taken place.

'retraction of the wound edges' sounds far-fetched to me, to put it differently.

I am looking for a descriptive term for what I see when examining the wound: wijkende wondranden / wondranden wijken, rather than for an explanation of what I see.

Peer comment(s):
disagree Maja Keizers (X) : Hate to be nitpicking, but how can edges be open or closed? It is the wound that is either open or closed.
1 hr
Just try "open edges" or "closed edges" on Google. I don't see the problem. //I do think you think somehow too literally here, Maja. Given the evidence, you can't be this positive.
agree Kitty Brussaard : A belated agree, triggered by Richard's ref in the D-box. This option seemed ambiguous to me when I first saw it (i.e. it could also be read as implying that the wound hasn't been treated/closed yet).
2 days 18 hrs
Niet langer in de rode cijfers in ieder geval. :-) Much obliged.
Something went wrong...
4 KudoZ points awarded for this answer. Comment: "I used 'wound edges open' in the end, thanks for your help"
+4
1 hr

Gaping wound (..., edges appear vital)

I think there is a difference between open wound and gaping wound: basically, all wounds are open until healing/healed or stitched, but if “wondranden wijken”, it means the skin edges don’t reach: they gape.
An open wound is an injury involving an external or internal break in body tissue, usually involving the skin. (http://www.healthline.com/health/open-wound#Overview1)
Gaping wounds should be closed with stitches, glue, or sticky tape. Even small gaping wounds on the face are best dealt with by a doctor to keep scarring to a minimum. (http://patient.info/health/cuts-lacerations)
Peer comment(s):
agree Barend van Zadelhoff : You have open and closed wounds http://tinyurl.com/hq69cdo but that's not the point here. You could also use 'separated wound edges', if you like. On second thoughts, ''gaping" might be an option. I don't think, however, 'open edges' is wrong'.
1 hr
"Gaping" may sound truly ominous to a lay ear, I agree. However, "separated" suggests there is a problem with a wound that was already stitched.
agree Lianne van de Ven
7 hrs
agree Kitty Brussaard : Indeed, 'gaping' or 'wound edge retraction' may occur after skin injury (due to natural/static and dynamic skin tension), see f.i. http://tinyurl.com/hh27ucm.
19 hrs
agree freekfluweel : K.I.S.S.
3 days 3 hrs
Grx! Gfe2e.
Something went wrong...
+2
4 hrs

wound edges show retraction

Definitely not my area either but somehow 'wijken' for this intriguing term was not an option :-).

As far as I can see, this seems to be about 'wound edge retraction'.

http://tinyurl.com/jroh929

http://tinyurl.com/j3w87pd

http://tinyurl.com/jkx72z9

Peer comment(s):
agree Maja Keizers (X) : Good find, Kitty!
13 mins
Thanks, Maja!
neutral Barend van Zadelhoff : I have my doubts about this one. Seems to be scientific term rather than a term used in the context of describing a wound. Also, only 30 unverified G-hits./Among these 30 in many cases meaning: active retraction of wound edges./Also, implies a time factor
53 mins
Based on my refs, I don't understand your doubts really. Also, in this context, I think it will be clear to the reader that this is not about surgical retraction but about wound edges retracting after skin injury (due to static and dynamic skin tension).
agree Lianne van de Ven : Retraction often seems used in the context of intentional wound retraction (wound retraction system), but I did find this link too. http://www.sharinginhealth.ca/biology/wound_healing.html
5 hrs
Thanks, Lianne!
Something went wrong...
1 hr

Wound has not closed.

I would use a full sentence, although the meaning is similar to what Barend says.

--------------------------------------------------
Note added at 9 hrs (2016-09-16 23:58:32 GMT)
--------------------------------------------------

@Barend in D-box: This would indeed apply to wound healing and not first assessment. Didn't read the full context well enough.
Something went wrong...
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