56 Questions
Which technique can be used for managing granulated tissue in horses?
Punch grafting
What is the purpose of using a Penrose drain in a wound with deep pockets?
To close the dead space
In what direction would vertical mattress sutures be used in association with quills and stands?
Dorsoventral
What is the primary goal of using a bandage material around a Penrose drain?
To allow fluid to move by capillary action
When would active drains be used in wound management?
In some circumstances
What is the most dependent part for fluid accumulation in the wound?
Located in most dependent part
What is the purpose of using vertical mattress sutures in wound closure?
To remove tension in the wound
What must be ensured for successful skin grafting?
Healthy wound bed with good vascular supply
Which technique involves implanting small sections of skin into the wound bed?
Pinch grafting
What is the purpose of using quills and stands in wound closure?
To remove tension in the wound
Which suture pattern is commonly used to combat tension in large animal wounds?
Vertical mattress patterns
What is the purpose of using drains in large animal wounds?
To accelerate the debridement stage
What type of drain is commonly used in large animal wounds?
Penrose drain
What is the purpose of primary closure in large animal wounds?
To promote wound healing
What is the first consideration in the treatment of large animal wounds?
Debridement
What is the purpose of using mattress suture patterns in large animal wounds?
To combat tension
What is the role of tension in large animal wounds?
To hinder wound healing
What is the purpose of using a stent/quill in horizontal mattress patterns in large animal wounds?
To combat tension
What is the purpose of secondary closure in large animal wounds?
To promote wound healing
What is the purpose of using drip tubing threaded with suture material in large animal wounds?
To combat tension
Which type of suture pattern is commonly used to combat tension in large animal wounds?
Vertical mattress patterns
What is the purpose of using a Penrose drain in large animal wounds?
To prevent fluid accumulation
What is the first consideration in the treatment of large animal wounds?
Debridement
What is the purpose of primary closure in large animal wounds?
To remove necrotic tissue
What is the purpose of using drains in large animal wounds?
To accelerate the debridement stage
Which technique can be used for managing granulated tissue in large animal wounds?
Lay primary closure
What is the purpose of using a stent/quill in horizontal mattress patterns in large animal wounds?
To combat tension
What is the role of tension in large animal wounds?
To delay wound healing
What is the purpose of using quills and stands in wound closure?
To combat tension
What type of drain is commonly used in large animal wounds?
Penrose drain
Which technique can be used to manage granulated tissue in horses?
Pinch grafting
What is the most common type of drain used in large animal wounds?
Penrose drain
What is the primary goal of using a bandage material around a Penrose drain?
To allow fluid movement
In which direction would vertical mattress sutures be used in association with quills and stands?
Dorsoventral
What must be ensured for successful skin grafting?
Good vascular supply
What is the purpose of using mattress suture patterns in large animal wounds?
To remove tension
What is the purpose of using quills and stands in wound closure?
To remove tension
What is the purpose of using a stent/quill in horizontal mattress patterns in large animal wounds?
To remove tension
What is the purpose of using a Penrose drain in a wound with deep pockets?
To close dead spaces
What is the most dependent part for fluid accumulation in the wound?
Ventral aspect of the antebrachium
Which type of suture pattern is used in large animal practice to combat tension?
Vertical mattress patterns
What is the purpose of using drains in large animal wounds?
To create a portal for fluid to exit the wound
Which type of drain is commonly used in large animal wounds?
Penrose drain
What is the first consideration in the treatment of large animal wounds?
Debridement
What is the purpose of using a stent/quill in horizontal mattress patterns in large animal wounds?
To distribute tension
Which technique can be used to manage granulated tissue in horses?
Punch grafting
What is the purpose of using a Penrose drain in a wound with deep pockets?
To close a dead space
What is the primary goal of using a bandage material around a Penrose drain?
To promote capillary action
Which suture pattern is commonly used to combat tension in large animal wounds?
Vertical mattress
What must be ensured for successful skin grafting?
Healthy wound bed
• Another way we can consider managing granulated tissue is to ______
skin grafting
• Pinch and punch grafts are easy in ______
standing horses
• ______ sedation will be required for pinch and punch grafts
moderate
• We can use ______ grafting to provide donor cells directly into the wound
punch
• This allows ______ expansion from epithelial cells during the re-epithelialization phase
inside to outside
§ 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
Test your knowledge on treatment options for wounds in large animals! Learn about primary closure, combating tension, and different suture patterns compared to small animal practice. Discover how to use mattress suture patterns and distribute tension with a stent/quill. Don't miss the images of vertical and horizontal mattress patterns. Get ready to improve your skills in wound treatment!
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