Primary intention is the principal closure of a wound during the time of surgery when the actual wound is created. Pictured above is a wound that has been closed by subcuticular sutures, where the sutures dissolve underneath the skin and the patient does not need suture removal. You can see above the process of epithelialization and cicatrization (scar formation), the last phase of wound healing. Dry scabbing above the wound is most likely dried blood from the initial time of surgery. This wound was created after surgical mole excision.