1 MCQs in Surgery for NEET PG
A 65-year-old diabetic patient with poor glycemic control (HbA1c 10.2%) undergoes emergency laparotomy for perforated peptic ulcer. The wound is closed primarily with interrupted silk sutures. On postoperative day 14, the wound shows minimal tensile strength and histologically demonstrates sparse collagen deposition with predominantly type III collagen. Which of the following best explains the delayed collagen maturation in this patient?
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