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Simple, intermediate, complex repairs Simple-only simple, one layer, primary suturing is required also used when the wound is superficial involving primarily epidermis or dermis, or subcutaneous tissues without significant involvement of deeper structures, and requires simple one layer closure. This includes local anesthesia and chemical or electro cauterization of wounds not closed The repair of webbed fingers would be an example of a simple repair

Intermediate- one of the deeper layers of subcutaneous tissues and fascia are involved, also includes the repair of wounds that in addition to the above, require layered closure of one or more of the deeper layers of subcutaneous tissue and superficial –non-musclefascia, in addition to the skin epidermal and dermal closure, single-layer closure of heavily contaminated wounds that have required extensive cleaning or removal of particulate matter also constitutes intermediate repair The repair of an umbilical hernia would be an example of an intermediate repair

Complex- requiring more than layered closure e.g.-revision, debridement, creation of a defect, or preparation of the site, also includes the repair of wounds requiring more than layered closure, scar revision, debridement e.g.-traumatic lacerations or avulsions; extensive undermining, stents or retention sutures. Necessary preparation includes creation of a defect for repair or the debridement of complicated lacerations or avulsions. Complex repair does not include excision of benign or malignant lesions An imperforated anus repair would be an example of a complex repair