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Wound Care Management for the Equine Practitioner

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Table of Contents

Section1 Wound Care Dressings Introduction Some Helpful Hints Dressings used for Cleaning and Prepping Dressings Used for Debridement Dressings Used for Packing Dressings Used for Absorption Dressings Used for Compression Dressings Used for Support Dressings Used for Protection Dressings Used for Moisture Methods of Dressing Application Splint Application Emergency Transport Section2 Wound Preparation, Cleaning, and Debridement Wound Preparation Wound Infection Wound Cleaning Agents Scrubbing Lavage Saline Antiseptic Agents Povidone Iodine Chlorhexidine Hydrogen Peroxide Acetic Acid (Vinegar) Dakin's Solution Topical Antibiotics Silver Nitrofurazone Triple Antibiotic Surfactant Based Agents Wound Debridement Mechanical Methods Sharp Debridement Physical Debridement Chemical Debridement Chemicals Hypertonic Saline Dressings Natural Methods Autolytic Debridement Enzymatic Debridement Section3 Wound Exploration Head Wounds Neck and Back Wounds Chest Wounds Abdominal Wounds Leg Wounds Important Anatomical Considerations Foreign Body Detection Exploration Ultrasound Plain Radiology Contrast Radiography Computed Tomography and Magnetic Resonance Imaging Section4 Primary Wound Closure Appropriate Wounds for Primary Closure Closure Techniques for Primary Wound Closure Suture Closure Needle Type Absorbable versus Non-Absorbable Monofilament versus Multifilament Suture Patterns Appositional Simple Interrupted Simple Continuous Interlocking Intradermal Tension Relieving Cruciate Near-Far-Far-Near Vertical Mattress Horizontal Mattress Knot Types Staple Closure Suture/Staple Removal Tissue Adhesive Closure Other Tension Relieving Techniques Wound Protection and Immobilization Section5 Delayed Primary Wound Closure Appropriate Wounds Intermediate Wound Care Preparation for Closure Section6 Second Intention Wound Healing Moist Wound Healing Concepts Dressing Choices Hypertonic Saline Dressings Antimicrobial Dressings Hydragel Dressings Calcium Alginate Dressings Topical Dressings: Collagens, Maltodextrans Replacement Tissue Dressings Growth Factors Semi-Occlusive Dressings Steroids Summary Caustic Agents Excess Granulation Tissue Non-Healing Wounds Section7 Skin Grafting Immediate Wound Care Bed Preparation Types of Grafts Healing Stages of Grafts Skin Graft Types Grafting Techniques Skin Graft Donor Sites Animal Positioning, Anesthesia, and Sedation Pinch Grafting Punch Grafting Tunnel Grafting Mesh Grafting Pedicle Grafting Grafting Aftercare Dressing Choices Frequency of Dressing Changes Wound Immobilization Reasons for Graft Failure Inappropriate Type of Graft Inadequate Graft Preparation Inadequate Recipient Bed Preparation Infection Separation of Graft from Wound Bed Graft Movement Section8 Specific Wound Considerations Heel Bulb Lacerations/Hoof Wall Avulsions Lacerations of Synovial Structures Tendon and/or Ligament Lacerations Chest Lacerations Abdominal Wall Lacerations Head Lacerations Lacerations to the Axillary Region Index Recommended Readings

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