Wound Treatment Options in Large Animals

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Which technique can be used for managing granulated tissue in horses?

Quill grafting

Penrose drain

Skin grafting

Punch grafting (correct)

What is the purpose of using a Penrose drain in a wound with deep pockets?

To close the dead space (correct)

To remove tension in the wound

To provide a good vascular supply

To promote granulation tissue formation

In what direction would vertical mattress sutures be used in association with quills and stands?

Superoinferior

Dorsoventral (correct)

Proximodistal

Mediolateral

What is the primary goal of using a bandage material around a Penrose drain?

To allow fluid to move by capillary action Signup and view all the answers

When would active drains be used in wound management?

In some circumstances Signup and view all the answers

What is the most dependent part for fluid accumulation in the wound?

Located in most dependent part Signup and view all the answers

What is the purpose of using vertical mattress sutures in wound closure?

To remove tension in the wound Signup and view all the answers

What must be ensured for successful skin grafting?

Healthy wound bed with good vascular supply Signup and view all the answers

Which technique involves implanting small sections of skin into the wound bed?

Pinch grafting Signup and view all the answers

What is the purpose of using quills and stands in wound closure?

To remove tension in the wound Signup and view all the answers

Which suture pattern is commonly used to combat tension in large animal wounds?

Vertical mattress patterns Signup and view all the answers

What is the purpose of using drains in large animal wounds?

To accelerate the debridement stage Signup and view all the answers

What type of drain is commonly used in large animal wounds?

Penrose drain Signup and view all the answers

What is the purpose of primary closure in large animal wounds?

To promote wound healing Signup and view all the answers

What is the first consideration in the treatment of large animal wounds?

Debridement Signup and view all the answers

What is the purpose of using mattress suture patterns in large animal wounds?

To combat tension Signup and view all the answers

What is the role of tension in large animal wounds?

To hinder wound healing Signup and view all the answers

What is the purpose of using a stent/quill in horizontal mattress patterns in large animal wounds?

To combat tension Signup and view all the answers

What is the purpose of secondary closure in large animal wounds?

To promote wound healing Signup and view all the answers

What is the purpose of using drip tubing threaded with suture material in large animal wounds?

To combat tension Signup and view all the answers

Which type of suture pattern is commonly used to combat tension in large animal wounds?

Vertical mattress patterns Signup and view all the answers

What is the purpose of using a Penrose drain in large animal wounds?

To prevent fluid accumulation Signup and view all the answers

What is the first consideration in the treatment of large animal wounds?

Debridement Signup and view all the answers

What is the purpose of primary closure in large animal wounds?

To remove necrotic tissue Signup and view all the answers

What is the purpose of using drains in large animal wounds?

To accelerate the debridement stage Signup and view all the answers

Which technique can be used for managing granulated tissue in large animal wounds?

Lay primary closure Signup and view all the answers

What is the purpose of using a stent/quill in horizontal mattress patterns in large animal wounds?

To combat tension Signup and view all the answers

What is the role of tension in large animal wounds?

To delay wound healing Signup and view all the answers

What is the purpose of using quills and stands in wound closure?

To combat tension Signup and view all the answers

What type of drain is commonly used in large animal wounds?

Penrose drain Signup and view all the answers

Which technique can be used to manage granulated tissue in horses?

Pinch grafting Signup and view all the answers

What is the most common type of drain used in large animal wounds?

Penrose drain Signup and view all the answers

What is the primary goal of using a bandage material around a Penrose drain?

To allow fluid movement Signup and view all the answers

In which direction would vertical mattress sutures be used in association with quills and stands?

Dorsoventral Signup and view all the answers

What must be ensured for successful skin grafting?

Good vascular supply Signup and view all the answers

What is the purpose of using mattress suture patterns in large animal wounds?

To remove tension Signup and view all the answers

What is the purpose of using quills and stands in wound closure?

To remove tension Signup and view all the answers

What is the purpose of using a stent/quill in horizontal mattress patterns in large animal wounds?

To remove tension Signup and view all the answers

What is the purpose of using a Penrose drain in a wound with deep pockets?

To close dead spaces Signup and view all the answers

What is the most dependent part for fluid accumulation in the wound?

Ventral aspect of the antebrachium Signup and view all the answers

Which type of suture pattern is used in large animal practice to combat tension?

Vertical mattress patterns Signup and view all the answers

What is the purpose of using drains in large animal wounds?

To create a portal for fluid to exit the wound Signup and view all the answers

Which type of drain is commonly used in large animal wounds?

Penrose drain Signup and view all the answers

What is the first consideration in the treatment of large animal wounds?

Debridement Signup and view all the answers

What is the purpose of using a stent/quill in horizontal mattress patterns in large animal wounds?

To distribute tension Signup and view all the answers

Which technique can be used to manage granulated tissue in horses?

Punch grafting Signup and view all the answers

What is the purpose of using a Penrose drain in a wound with deep pockets?

To close a dead space Signup and view all the answers

What is the primary goal of using a bandage material around a Penrose drain?

To promote capillary action Signup and view all the answers

Which suture pattern is commonly used to combat tension in large animal wounds?

Vertical mattress Signup and view all the answers

What must be ensured for successful skin grafting?

Healthy wound bed Signup and view all the answers

• Another way we can consider managing granulated tissue is to ______

skin grafting Signup and view all the answers

• Pinch and punch grafts are easy in ______

standing horses Signup and view all the answers

• ______ sedation will be required for pinch and punch grafts

moderate Signup and view all the answers

• We can use ______ grafting to provide donor cells directly into the wound

punch Signup and view all the answers

• This allows ______ expansion from epithelial cells during the re-epithelialization phase

inside to outside Signup and view all the answers

§ Tension needs to be combatted • Suture patterns are different to those in small animal practice • Tension is a problem • Mattress suture patterns to combat • Image B = vertical mattress patterns • Image A = horizontal mattress patterns with a stent/quill to distribute tension ○ Drip tubing 1cm in length, threaded with suture material Secondary closure and ______: • Won't attempt to fix immediately • Inflammatory process results in increased WBC to remove bacteria and necrotic tissue • Debridement is first consideration (accelerates wound healing process) • End result occurs faster by bringing proliferation stage of wound healing in earlier • Lay primary closure = intermediate process which is more referral based. Natural debridement process followed by closure. In this state we allow the body to naturally debride itself. Use of Drains for Large animal wounds: • We also use a lot of drains in large animal. ○ This is because there is a lot of dead space in these wounds. ○ We create a portal for any fluid and potentially any of the inflammatory exudate to exit the wound and this allows it to heal and accelerate the debridement stage without compromising the wound any further. • We tend to use passive drains: ○ Penrose drain - which is applied in two separate positions not related to the wound. § Alternatively we could do one incision of the base of the wound.

tension Signup and view all the answers

Wound Treatment Options in Large Animals

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Questions and Answers

Which technique can be used for managing granulated tissue in horses?

What is the purpose of using a Penrose drain in a wound with deep pockets?

In what direction would vertical mattress sutures be used in association with quills and stands?

What is the primary goal of using a bandage material around a Penrose drain?

When would active drains be used in wound management?

What is the most dependent part for fluid accumulation in the wound?

What is the purpose of using vertical mattress sutures in wound closure?

What must be ensured for successful skin grafting?

Which technique involves implanting small sections of skin into the wound bed?

What is the purpose of using quills and stands in wound closure?

Which suture pattern is commonly used to combat tension in large animal wounds?

What is the purpose of using drains in large animal wounds?

What type of drain is commonly used in large animal wounds?

What is the purpose of primary closure in large animal wounds?

What is the first consideration in the treatment of large animal wounds?

What is the purpose of using mattress suture patterns in large animal wounds?

What is the role of tension in large animal wounds?

What is the purpose of using a stent/quill in horizontal mattress patterns in large animal wounds?

What is the purpose of secondary closure in large animal wounds?

What is the purpose of using drip tubing threaded with suture material in large animal wounds?

Which type of suture pattern is commonly used to combat tension in large animal wounds?

What is the purpose of using a Penrose drain in large animal wounds?

What is the first consideration in the treatment of large animal wounds?

What is the purpose of primary closure in large animal wounds?

What is the purpose of using drains in large animal wounds?

Which technique can be used for managing granulated tissue in large animal wounds?

What is the purpose of using a stent/quill in horizontal mattress patterns in large animal wounds?

What is the role of tension in large animal wounds?

What is the purpose of using quills and stands in wound closure?

What type of drain is commonly used in large animal wounds?

Which technique can be used to manage granulated tissue in horses?

What is the most common type of drain used in large animal wounds?

What is the primary goal of using a bandage material around a Penrose drain?

In which direction would vertical mattress sutures be used in association with quills and stands?

What must be ensured for successful skin grafting?

What is the purpose of using mattress suture patterns in large animal wounds?

What is the purpose of using quills and stands in wound closure?

What is the purpose of using a stent/quill in horizontal mattress patterns in large animal wounds?

What is the purpose of using a Penrose drain in a wound with deep pockets?

What is the most dependent part for fluid accumulation in the wound?

Which type of suture pattern is used in large animal practice to combat tension?

What is the purpose of using drains in large animal wounds?

Which type of drain is commonly used in large animal wounds?

What is the first consideration in the treatment of large animal wounds?

What is the purpose of using a stent/quill in horizontal mattress patterns in large animal wounds?

Which technique can be used to manage granulated tissue in horses?

What is the purpose of using a Penrose drain in a wound with deep pockets?

What is the primary goal of using a bandage material around a Penrose drain?

Which suture pattern is commonly used to combat tension in large animal wounds?

What must be ensured for successful skin grafting?

• Another way we can consider managing granulated tissue is to ______

• Pinch and punch grafts are easy in ______

• ______ sedation will be required for pinch and punch grafts

• We can use ______ grafting to provide donor cells directly into the wound

• This allows ______ expansion from epithelial cells during the re-epithelialization phase

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