By David Fowler, John M. Williams
Handbook of dogs and tom cat wound administration and reconstruction КНИГИ ;ЕСТЕСТВЕННЫЕ НАУКИ Название: guide of canines and tom cat wound administration and reconstruction Автор: Fowler D., Williams J.M. Издательство: BSAVA Год: 1999 Страниц: a hundred and 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 gel is rinsed or wiped out with sterile swabs after clipping 4. The clipped area should be prepared with a suitable antiseptic. No alcohol or detergent-based antiseptic solutions should be used as they may delay the healing process. Detergents should never be used in conjunction with povidone-iodine as they may combine to form surfactants which damage tissue and enhance infection.
Early after the trauma such a wound may appear wide and difficult to repair primarily, but swelling often makes the tissue defect appear wider than it actually is. Once swelling subsides, in 3-5 days, a definitive closure can be planned. Attempts to close extremity wounds early after trauma can result in circumferential tension and obstruction of lymphatic and venous return from the distal regions of the limbs. In the absence of exposed vital structures, it is appro priate to consider delaying wound closure until swell ing subsides.
Wound contraction is delayed by: • • • • Wound infection Desiccation Exposed bone Exuberant granulation tissue. The normal process of wound contraction can be facilitated by: • Presuturing lesions prior to excision • Placement of tension sutures • Using skin stretching devices across open wounds. Closure of large trunk wounds, or smaller wounds of the extremities, may be difficult without excessive tension. The elastic properties of skin can be used to advantage in these situations. Presuturing of wounds, by the placement of several mattress sutures adjacent to the area of excision, can be used to mobilize skin for subsequent wound reconstruction in planned exci sions.