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Questions and Answers
Which technique can be used for managing granulated tissue in horses?
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?
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?
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?
What is the primary goal of using a bandage material around a Penrose drain?
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When would active drains be used in wound management?
When would active drains be used in wound management?
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What is the most dependent part for fluid accumulation in the wound?
What is the most dependent part for fluid accumulation in the wound?
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What is the purpose of using vertical mattress sutures in wound closure?
What is the purpose of using vertical mattress sutures in wound closure?
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What must be ensured for successful skin grafting?
What must be ensured for successful skin grafting?
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Which technique involves implanting small sections of skin into the wound bed?
Which technique involves implanting small sections of skin into the wound bed?
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What is the purpose of using quills and stands in wound closure?
What is the purpose of using quills and stands in wound closure?
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Which suture pattern is commonly used to combat tension in large animal wounds?
Which suture pattern is commonly used to combat tension in large animal wounds?
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What is the purpose of using drains in large animal wounds?
What is the purpose of using drains in large animal wounds?
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What type of drain is commonly used in large animal wounds?
What type of drain is commonly used in large animal wounds?
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What is the purpose of primary closure in large animal wounds?
What is the purpose of primary closure in large animal wounds?
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What is the first consideration in the treatment of large animal wounds?
What is the first consideration in the treatment of large animal wounds?
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What is the purpose of using mattress suture patterns in large animal wounds?
What is the purpose of using mattress suture patterns in large animal wounds?
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What is the role of tension in large animal wounds?
What is the role of tension in large animal wounds?
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What is the purpose of using a stent/quill in horizontal mattress patterns in large animal wounds?
What is the purpose of using a stent/quill in horizontal mattress patterns in large animal wounds?
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What is the purpose of secondary closure in large animal wounds?
What is the purpose of secondary closure in large animal wounds?
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What is the purpose of using drip tubing threaded with suture material in large animal wounds?
What is the purpose of using drip tubing threaded with suture material in large animal wounds?
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Which type of suture pattern is commonly used to combat tension in large animal wounds?
Which type of suture pattern is commonly used to combat tension in large animal wounds?
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What is the purpose of using a Penrose drain in large animal wounds?
What is the purpose of using a Penrose drain in large animal wounds?
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What is the first consideration in the treatment of large animal wounds?
What is the first consideration in the treatment of large animal wounds?
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What is the purpose of primary closure in large animal wounds?
What is the purpose of primary closure in large animal wounds?
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What is the purpose of using drains in large animal wounds?
What is the purpose of using drains in large animal wounds?
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Which technique can be used for managing granulated tissue in large animal wounds?
Which technique can be used for managing granulated tissue in large animal wounds?
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What is the purpose of using a stent/quill in horizontal mattress patterns in large animal wounds?
What is the purpose of using a stent/quill in horizontal mattress patterns in large animal wounds?
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What is the role of tension in large animal wounds?
What is the role of tension in large animal wounds?
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What is the purpose of using quills and stands in wound closure?
What is the purpose of using quills and stands in wound closure?
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What type of drain is commonly used in large animal wounds?
What type of drain is commonly used in large animal wounds?
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Which technique can be used to manage granulated tissue in horses?
Which technique can be used to manage granulated tissue in horses?
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What is the most common type of drain used in large animal wounds?
What is the most common type of drain used in large animal wounds?
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What is the primary goal of using a bandage material around a Penrose drain?
What is the primary goal of using a bandage material around a Penrose drain?
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In which direction would vertical mattress sutures be used in association with quills and stands?
In which direction would vertical mattress sutures be used in association with quills and stands?
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What must be ensured for successful skin grafting?
What must be ensured for successful skin grafting?
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What is the purpose of using mattress suture patterns in large animal wounds?
What is the purpose of using mattress suture patterns in large animal wounds?
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What is the purpose of using quills and stands in wound closure?
What is the purpose of using quills and stands in wound closure?
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What is the purpose of using a stent/quill in horizontal mattress patterns in large animal wounds?
What is the purpose of using a stent/quill in horizontal mattress patterns in large animal wounds?
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What is the purpose of using a Penrose drain in a wound with deep pockets?
What is the purpose of using a Penrose drain in a wound with deep pockets?
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What is the most dependent part for fluid accumulation in the wound?
What is the most dependent part for fluid accumulation in the wound?
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Which type of suture pattern is used in large animal practice to combat tension?
Which type of suture pattern is used in large animal practice to combat tension?
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What is the purpose of using drains in large animal wounds?
What is the purpose of using drains in large animal wounds?
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Which type of drain is commonly used in large animal wounds?
Which type of drain is commonly used in large animal wounds?
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What is the first consideration in the treatment of large animal wounds?
What is the first consideration in the treatment of large animal wounds?
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What is the purpose of using a stent/quill in horizontal mattress patterns in large animal wounds?
What is the purpose of using a stent/quill in horizontal mattress patterns in large animal wounds?
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Which technique can be used to manage granulated tissue in horses?
Which technique can be used to manage granulated tissue in horses?
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What is the purpose of using a Penrose drain in a wound with deep pockets?
What is the purpose of using a Penrose drain in a wound with deep pockets?
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What is the primary goal of using a bandage material around a Penrose drain?
What is the primary goal of using a bandage material around a Penrose drain?
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Which suture pattern is commonly used to combat tension in large animal wounds?
Which suture pattern is commonly used to combat tension in large animal wounds?
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What must be ensured for successful skin grafting?
What must be ensured for successful skin grafting?
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• Another way we can consider managing granulated tissue is to ______
• Another way we can consider managing granulated tissue is to ______
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• Pinch and punch grafts are easy in ______
• Pinch and punch grafts are easy in ______
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• ______ sedation will be required for pinch and punch grafts
• ______ sedation will be required for pinch and punch grafts
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• We can use ______ grafting to provide donor cells directly into the wound
• We can use ______ grafting to provide donor cells directly into the wound
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• This allows ______ expansion from epithelial cells during the re-epithelialization phase
• This allows ______ expansion from epithelial cells during the re-epithelialization phase
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§ 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 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.
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