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Dermatology Home DERMATOLOGY
BANDAGING AND SECOND INTENTION WOUND HEALING IN HORSES WITH DISTAL LIMB WOUNDS
Wounds on the distal limbs of horses often tend to secondary infections, delayed healing or healing with excessive granulation tissue. Bandaging has always been strongly recommended even of small wounds in this area. Is this still true and what kind of bandage should be used? A very interesting Australian study on 33 adult horses with untreated wounds which were treated with a non-occlusive dressing incorporated in a 3-layer bandage.

Standardised, full-thickness wounds were made in the skin overlying the dorsomedial aspect of the mid-metacarpus; 17 horses were bandaged with a non-occlusive dressing covered by gauze-coated cotton wool that was compressed with adhesive tape; 16 horses were left unbandaged.

Wounds were photographed weekly for 9 weeks and the images were analysed electronically.

Results: There were significant effects associated with bandage (P < 0.0001), week (P < 0.001), and bandage by week interaction (P < 0.0001).

There was no difference in wound area at the first time-point after wound creation (P = 0.38).

After week 1, there was a difference between bandaged and unbandaged wounds in wound area at each measurement until the end of the study.

Bandaged wounds showed greater and more prolonged retraction.

Unbandaged wounds retracted for 2 weeks before beginning to contract, whereas bandaged wounds continued to retract for 3 weeks.

In bandaged wounds excess granulation tissue required regular trimming, but not in unbandaged wounds.

There was no difference between groups in the total days to healing or the overall rate of healing.

Conclusions: These results should be treated with caution until validated with contemporaneous, controlled studies.

Covering a wound with a non-occlusive dressing in a 3-layer bandage led to greater wound retraction, modulated the rate of wound contraction and promoted excessive granulation tissue. If excessive granulation tissue is excised regularly, bandaging has no effect on total time to healing.


Source: AJ Dart, NR Perkins, CM Dart, LB Jeffcott, P Canfield (2009): Effect of bandaging on second intention healing of wounds of the distal limb in horses. In: Australian Veterinary Journal
Volume 87 Issue 6, Pages 215 - 218




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... hautnah dran
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