Every wound and patient is different so there is no single method for the management of acute wounds. However, there are some guiding principles that can assist in the decision-making process. Most wounds are suitable for primary closure, for example with sutures, while for other wounds closure is either delayed or not attempted (healing by secondary intention). Atiyeh et al (2002) provide a list of the principles of wound care that must always be observed in order to avoid sepsis and to achieve optimal wound healing (Box 1).