Severe contamination (during laparotomy for faecal peritonitis) |
Old laceration (>12 - 24 hours; depends on amount of contusion) |
Shock (of any cause but usually haemorrhagic) |
Devitalisation (poor local tissue perfusion) |
Foreign body (either external or known dead tissue) |
Kinetic energy (in wounds caused by explosions; implies presence of dead tissue and foreign material) |