Wound healing

Emergency First Aid- What you can do:

  1. Restrain and calm the horse. Limit movement until a close examination has been carried out!
  2. Control any bleeding with direct pressure. This is best done by Applying short term pressure bandage to area.
  3. Cold hose to help remove any dirt. Solution to Pollution is Dilution

Common wound types seen

  1. Puncture wounds
    Penetrating wounds that look minor but can cause significant trauma beneath.Most puncture wounds are complicated by infection, because contamination is introduced deep into the wound. Often, the skin heals before the underlying tissue.
  1. Incised wounds
    Slicing type wounds that have smooth and clean edges. After thorough cleaning, these wounds are usually best suited for primary closure (suturing, stapling, or gluing).
  1. Lacerations
    Traumatic injuries that leave rough, jagged edges of skin and possibly underlying soft tissue damage.  At greater risk for infection due to contamination and generally require some debridement. Often require healing by secondary intention or open wound management.IMPORTANT : ANY penetrating wound should be examined for location and extent as infection deep into the wound can be very serious especially if located in the region of a synovial structure i.e. a joint!
  1. Abrasions
    Non-penetrating wounds of the skin. These wounds are generally minor, and other than cleaning, require minimal treatment.

Wound treatment choices

As most wounds we see are often contaminated, Antibiotic therapy is advised in combination with wound management.

Primary intention

Wound edges are brought together so that they are adjacent to each other (re-approximated) involves epidermis and dermis of the skin with healing by the process of epithelialization.Minimizes scarring. Most surgical wounds heal by primary intention healing.

Wound closure is performed with sutures (stitches), staples, or adhesive tape.

When primary closure is not possible

Secondary intention

  • When there is a tissue/skin deficit
  • The wound is allowed to granulate
  • Granulation results in a broader scar
  • Healing process can be slow due to presence of infection
  • Wound care must be performed more frequently to encourage wound debris removal to allow for granulation tissue formation

With careful Treatment and Monitoring under Veterinary guidance a satisfactory result can be achieved.

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