I had a very bad wound that was deep and wide.
The doctors told me that it’s much better to let it heal from the *deepest* part first, and not to sew the surface shut right away. Let it “fill in from the bottom”, if you will.
If the packing is not too tight, then it will allow this to happen.
If you just sew the surface shut, you may be trapping bacteria in there.
The packing also has a wicking effect, and keeps the pus from pooling in the wound, and allows you to remove that seepage regularly.
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