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How to Deal with: Skin Wounds of the Upper Limb
P. Pollock
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Wounds are one of the most commonly encountered injuries in equine practice. Indeed it seems that of all the species dealt with by veterinary surgeons, the horse is particularly prone to wounds. The conditions in which horses are kept, the type of work that they are involved in, and the potentially ‘flighty’ equine temperament probably all contribute to the high incidence of such injuries.
Healing is an orderly biological process of repair that restores continuity to injured tissue. Healing occurs by first intention when union or restoration of continuity of tissue occurs directly without the production of granulation tissue. Wounds are sutured with the intent that they will heal by first intention. Wounds left unsutured heal by second intention. Third-intention healing occurs when closure is delayed to allow treatment (delayed closure). Wounds move predictably down a common pathway of healing, and knowledge of events of healing can be used to decide steps in wound management. The sequence of events progresses through 4 overlapping phases:
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Inflammatory phase
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Debridement phase
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Repair phase
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Maturation phase
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