By David Fowler, John M. Williams
Handbook of dogs and tom cat wound administration and reconstruction КНИГИ ;ЕСТЕСТВЕННЫЕ НАУКИ Название: guide of dogs and tom cat wound administration and reconstruction Автор: Fowler D., Williams J.M. Издательство: BSAVA Год: 1999 Страниц: one hundred sixty Формат: pdf Размер: sixteen mb Язык: English Краткое описание книги: Руководство по эстетической и пластической хирургии собак и кошек.Скачать c Скачать c Uploadbox.com zero
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Additional resources for BSAVA Manual of Canine and Feline Wound Management and Reconstruction
The two most important factors in determining the suitability of any wound for closure are: • • The degree of wound contamination The extent of wound ischaemia. Level of contamination Wounds are classified as: clean; clean-contaminated; contaminated; or dirty/infected. Clean wounds These are made under sterile conditions without invasion of gastrointestinal, respirator}', genitourinary or oropharyngeal cavities. By definition, clean wounds are limited to surgical procedures. Clean-contaminated wounds These have minimal contamination, which is readily removed or reduced to a biologically insignificant level.
Wound powders also significantly delay healing as they are essentially foreign particles which must be cleared by inflammatory cells, and they predispose to foreign body granuloma formation. (i) Pack wound with sterile swabs or tape (ii) Partially close wound with simple interrupted sutures and then start excision with a scalpel SURGICAL DEBRIDEMENT Following copious lavage of the wound, further gross necrotic material and debris should be removed by carrying out surgical debridement. This can be defined as the removal of dirt, foreign objects, damaged tissue and cellular debris from a wound, so as to minimize infection and promote healing.
It has two positive effects: it is bacteriostatic and it helps with wound cleansing. 7) which is achieved at the wound surface; this has been shown to kill and inhibit strep tococci and coagulase-positive staphylococci. Honey has been shown to take 3-6 days to render a wound sterile in human clinical studies. The cleansing effect of honey is due to its high osmotic pressure which draws fluid from the tissues. It is likely that honey has a role to play in wound management, though there are few reports of its use in veterinary wounds.