ISSN 2398-2942      

Wound: management - overview

icanis

History

  • Obtaining a complete history should be delayed if the patient is unstable at the time of initial presentation.
  • It is important to take a good general history to establish if the patient has any co-morbidity that may affect wound healing or be relevant if the patient is sedated or anesthetized:
  • Is the patient currently receiving any medication and if so what:
    • Long term glucocorticoid administration can delay wound healing.
    • Cytotoxic agents may delay wound healing.
  • Historical information relating to the wound(s) of importance include:
    • The time between the traumatic event leading to wounding and patient examination. This will influence whether a traumatic wound is considered contaminated or dirty.
    • Was the wound witnessed? If so a description of the trauma should be obtained, eg was the wound caused by a sharp object or as a consequence of blunt trauma?
    • What, if any treatment has already been given?

Initial assessment

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Wound lavage/debridement

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Delayed primary closure

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Secondary closure

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Second intention healing

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Further Reading

Publications

Refereed papers

Other sources of information

  • Reconstructive Surgery and Wound Management of the Dog and Cat. (2013) Kirpensteijn J & ter Haar G. Manson Publishing, London.
  • Atlas of Small Animal Wound Management and Reconstructive Surgery. 3rd edn (2010) Pavletic M M, Wiley-Blackwell, Ames, Iowa.
  • BSAVA Manual of Canine and Feline Wound Management and Reconstruction. 2nd edn (2009) Williams J & Moores A. BSAVA Cheltenham.
  • Small Animal Wound Management. 2nd edn (1997) Swaim S F & Henderson R A, Williams & Wilkins, Baltimore.

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