Factors Which Delay Healing.

RE: Factors Which Delay Healing.

shelly jefferies — Sun, 23 Aug 2020 20:06:53 GMT

Fantastic James - these are great. I will list them all in a separate post with examples!

RE: Factors Which Delay Healing.

James Colver Cert. Ed, RVN — Fri, 21 Aug 2020 00:46:26 GMT

- Patient interference / pain

- Poor choice of type/size of suture material

- Poor choice / application of dressing material

- Post op seroma formation

- Anatomical location of wound

- Concurrent disease e.g. protein losing nephropathy, sepsis, severe GI disease, anything that causes hypoalbuminaemia, low WBCC

- Medication (particularly steroids)

- Age of patient

- Ability / technique of surgeon / tissue handling

RE: Factors Which Delay Healing.

shelly jefferies — Sat, 25 Jul 2020 11:39:17 GMT

A few good answers here, but still some more to go. The perio-operative hypothermia will fit into a couple of causes of delayed healing, such as paucity of blood supply. It is a great "out of the box thought" James Colver.

I'll give you another one....

Poor nutritional status - animals who are malnourished will obviously have delayed healing, but it is also important to consider the type of diet and nutrients an animal is receiving with a large wound such as a degloving injury, as extra nutrients will be needed to help heal the wound, so the patients nutritional needs should always be assessed.

RE: Factors Which Delay Healing.

James Colver Cert. Ed, RVN — Thu, 16 Jul 2020 03:38:58 GMT

perioperative hypothermia

RE: Factors Which Delay Healing.

Georgie Hollis — Wed, 15 Jul 2020 08:23:52 GMT

I think this fits into Local Factors and YES a great point. More to come on this in November - a really key factor in surgical site infection i was discussing recently with Denis Verwilghen. Turns out an extra 30 minutes decision making on the table can make a massive difference to infection risk..... Great point Sal the 1st!

RE: Factors Which Delay Healing.

Sal the 1st — Wed, 15 Jul 2020 03:16:27 GMT

length of surgical time

RE: Factors Which Delay Healing.

Cyonica — Mon, 13 Jul 2020 21:17:58 GMT

3 - Foreign material / debris - anything that shouldn't be there will slow down healing or cause wound breakdown or sinus formation. That's why it's so important to flush and debride thoroughly, and not to leave necrotic tissue covering a wound.

RE: Factors Which Delay Healing.

Olivia Coulton — Mon, 13 Jul 2020 15:10:20 GMT

I am not going to name all to allow others to have a go but here is one :D

Movement and pressure - wounds that are subject to tension, shearing or compression forces such as those over joints. Shock absorbing wounds sites such as the main pad is subject to a tearing motion.

RE: Factors Which Delay Healing.

shelly jefferies — Mon, 13 Jul 2020 14:53:45 GMT

I'll start you off with one of the less common factors.....

1 - Altered local pH - the physiological pH of a wound can be altered by the presence of bacteria, it can also be affected by urine contamination, and some over the counter remedies can effect the pH.

Only another 11 to go!!