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To Help the Healing Process of Acute Wounds in Horses What Can We Offer and at What Time?
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When a horse is presented with an acute wound, measures should be taken to reduce contamination and the inflammatory response should initially be stimulated rather than inhibited. When possible, the practitioner should follow some of the following recommendations.
A. Preparation of the wound
After grooming the patient, the preparation of the surgical site should include hair removal (clipping) and cleansing to remove dirt and to reduce resident skin flora. The hair should be clipped 10 to 20 cm further distal or proximal from the wound and circumferentially if a limb is involved. Antiseptics are best used around the wound on the skin but not in the wound. Surgical scrub with 5% povidone-iodine solution or 4% chlorhexidine diacetate are applied to an area starting at and around the wound and moving outward in expanding concentric circles. Different scrubs will alternate with alcohol rinse for an approximate period of 10 minutes.
B. Debridement
Debridement is the best and most effective way to reduce most of the bacterial load within a wound and to minimize necrotic tissue. Although, the way the veterinarian will debride may have some negative consequences on wound healing and this explain the importance to select the best suitable technique.
Sharp (surgical) debridement
When it is possible, sharp debridement is recommended to start a therapeutic wound approach. It is performed with a scalpel or scissors either on a standing, sedated horse with local anaesthesia or under general anaesthesia. It is the least traumatic method especially when a scalpel is used. [...]
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