www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=92&contentid=p08292
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In a closed amputation, the wound will be stitched closed right away. This is usually done if there is little risk of infection. In an open flap amputation, the skin will remain drawn back from the amputation site for several days so any infected tissue can be cleaned off. At a later time, once the stump tissue is clean and free of infection, the skin flaps will be stitched together to close the wound.
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