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Objective To evaluate the effect of a non-occlusive dressing incorporated in a 3-layer bandage on second intention healing of wounds of the distal portion of the limb.
Study Design Untreated wounds in 33 adult horses used in four studies using the same wound-healing model conducted over 5 years.
Methods 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. 相似文献
Study Design Untreated wounds in 33 adult horses used in four studies using the same wound-healing model conducted over 5 years.
Methods 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. 相似文献
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The objectives of the present study were to investigate the bacteria accompanying hydrosalpinx of the buffalo cow and investigate the correlation between bacterial infection of the uterus and hydrosalpinx. Buffalo cows’ reproductive tracts were collected from Mosul abattoir. A total 385 uterine samples were examined of which 25 were having hydrosalpinx. Swabs for bacteriology, fluid for cytology and biopsies for histopathology were collected from the hydrosalpinx and the uterus from each samples included in this study. Results of this study indicated high prevalence of hydrosalpinx (6.5%) including unilateral (n = 19; 76%) and bilateral (n = 6; 24%) hydrosalpinx. Although 16 samples (64%) of the hydrosalpinx samples had no bacterial growth, the most prevalent bacteria recovered from hydrosalpinx were Corynebacterium hemolyticum and Actinomyces bovis, 42.8% and 28.6%, respectively. The most prevalent bacteria in the uterus were Archanobacterium pyogenes (18.5%), Staphylococcus aureus (14.8%), and Listeria monocytogenes (11.0%). Higher rates of leukocytes infiltration (p < 0.01) were observed in the uterine discharge than hydrosalpinx. A significant (p < 0.01) increase in lymphocytes was found in uterine discharge. Microscopic examination of the hydrosalpinx showed mucosal atrophy and dilatation of oviductal lumen without any signs of inflammation. It could be concluded that there is no correlation between bacteria isolated from uterus and hydrosalpinx. No association was found between bacteriological cultures and hydrosalpinx. Inflammation of the uterine tissue could be extended to utero‐tubal junction producing local inflammation resulting in fibrosis and tubal obstruction. The obstruction in the lumen of the oviducts resulted in accumulation of fluid. 相似文献
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Resection and anastomosis of the small colon was performed on 4 horses with vascular lesions (strangulating lipoma, mesenteric tear, dissecting haematoma) or functional obstruction (stricture) of this area of the bowel. The anastomoses were performed using a variety of suture materials in 2 layers. An appositional, full-thickness, simple, interrupted pattern was used in the first layer in all cases and oversewn with either a Cushing pattern (3 cases) or a Utrecht pattern (1 case). Post-operative complications associated with suture material and surgical technique were not seen. All horses were discharged from the hospital and all were alive more than one year after discharge. 相似文献