Large granulating wound

Re: Large granulating wound

Vicky RVN — Mon, 30 Aug 2010 10:48:35 GMT

[quote user="Phrin SVN"]

I'm no expert on wound management, but have seen intrasite and allyven used a lot in referral places, with great results!

[/quote]

Snap! Not been in referral but seen it used in the hosp i work in and works well.

Re: Large granulating wound

Donna France — Sun, 15 Aug 2010 15:56:04 GMT

[quote user="Nick 'BATFINK' Shackleton"]Have you tried Silver dressings![/quote]

I think once its started to reduce in size then will probably use some silver dressings.

He's having his dressing removed tomorrow post biosist so fingers crossed...... cant wait to see what it looks like!

Re: Large granulating wound

Nick Shackleton — Sat, 14 Aug 2010 21:19:39 GMT

Have you tried Silver dressings! Have seen these used in cases of non-healing infected wounds

Re: Large granulating wound

Cat_blonde — Sat, 14 Aug 2010 15:23:56 GMT

We have had some good response from the filta-bac cream!

Re: Large granulating wound

Cat Woman — Sat, 14 Aug 2010 14:56:17 GMT

I have just started using manuka honey on a horrible wound (following tumour removal & unable to fully close the wound) with brilliant results. Now able to leave dressing changes longer & the size of the wound is now decreasing rapidly. We will definitely be using it again.

Re: Large granulating wound

Fiona Leathers — Fri, 13 Aug 2010 18:56:31 GMT

Just remember to not use hibiscrub when flushing out the wound because it actually causes the new epithelial cells to be stripped away too. Best just to use sterile water or one of the F10 products but I can't remember which one just one. Email Georgie Hollis if you have any doubts or questions as she is a fountain of wound management knowledge!

Re: Large granulating wound

Phrin Vernon RVN — Thu, 12 Aug 2010 23:05:22 GMT

Hehe Nick - that book is next on my wish list!

Well, after the BSAVA anaesthesia and analgesia manual, but we have that in work, so I can't justify buying it until a new edition comes out

Re: Large granulating wound

Nick Shackleton — Thu, 12 Aug 2010 23:01:27 GMT

My current part time head nurse is a fountain of knowledge when it comes to wounds!

http://www.amazon.co.uk/Wound-Management-Small-Animals-Technicians/dp/0750688319/ref=sr_1_6?ie=UTF8&s=books&qid=1281650473&sr=8-6

Re: Large granulating wound

Phrin Vernon RVN — Thu, 12 Aug 2010 22:53:13 GMT

I'm no expert on wound management, but have seen intrasite and allyven used a lot in referral places, with great results!

Would love to learn more - had a look at the vet wound library site a while ago- don't you have to pay?

Re: Large granulating wound

StephSVN — Thu, 12 Aug 2010 19:38:15 GMT

We recently had a dog with a massive lump removed from its tail - problem of wound not being able to close etc fully explained to owner and ampution discussed as alternative but they wanted to try (being aware it may result in amputation later) - we ended up with wound extending 75% circumference of tail and a large section of the length of the tail - can't really remember how big in cm's but was a small/medium crossbreed and we needed a 10X10cm allevyn to cover it. - we dressed with allevyn and honey for first 2 changes then allevyn and intrasite. The wound has healed amazingly and we have hair growing around the edges despite the middle not being quite healed yet.

(We did lose the very tip of the tail, but not sure if that is from lack of blood suplly due to such a large area being removed or an occaision early on when there was a miscomunication and a dressing left too long which had slipped).

Re: Large granulating wound

Donna France — Tue, 10 Aug 2010 21:59:42 GMT

[quote user="Dawn Seabrook"]We have had really good results with granuflex recently[/quote]

whats Granuflex?

Re: Large granulating wound

Donna France — Tue, 10 Aug 2010 21:58:29 GMT

The 'pig skin' or pig collagen, Biosist has gone on today, it needs to be dressed now for a minimum of 5 days, preferbly 10 days, Ive never seen the stuff so fingers crossed!

Re: Large granulating wound

Nick Shackleton — Tue, 10 Aug 2010 20:59:50 GMT

I personally only use melolin on wounds with a primary closure

Re: Large granulating wound

Dawn Seabrook — Tue, 10 Aug 2010 20:26:33 GMT

[quote user="S-J"]

[quote user="shelly jefferies"]

The manuka honey dressings are a great idea!

However using intrasite and allevyn together is kind of pointless as intrasite tries to keep wound moist whilst allevyn are designed to absorb mositure from wound!!

[/quote]

oops that was me, i ment melolin with the intrasite

[/quote]

You can use intrasite with alyvin it will not dry your wound but will absorb any exudate that is produced. Melolin is not great to use with intrasite as it is not permeable so you just create an environment that doesn't allow the intrasite to do its job.

We have had really good results with granuflex recently

Re: Large granulating wound

S-J — Tue, 10 Aug 2010 13:16:50 GMT

[quote user="shelly jefferies"]

The manuka honey dressings are a great idea!

However using intrasite and allevyn together is kind of pointless as intrasite tries to keep wound moist whilst allevyn are designed to absorb mositure from wound!!

[/quote]

oops that was me, i ment melolin with the intrasite

Re: Large granulating wound

shelly jefferies — Tue, 10 Aug 2010 09:21:21 GMT

The manuka honey dressings are a great idea!

However using intrasite and allevyn together is kind of pointless as intrasite tries to keep wound moist whilst allevyn are designed to absorb mositure from wound!!

Perhaps try registering to the www.vetwoundlibrary.co.uk - is an annual membership but you send in details of your case and type of injury and they will provide you with free appropriate dressings and advice on dressing and treatments.

Good luck - nothing more satisfying as sorting out a big wound.

Re: Large granulating wound

Wispa — Mon, 09 Aug 2010 20:53:36 GMT

had a great wound management case a couple of months ago, a westie crss with chemical burns under its jaw and down its front. we wet to dried it by suturing a swab in place then changed it everyday and lavaged with hartmanns. it took about 6 weeks to finally heal but her now has a full bed of skin with fur growing!

Re: Large granulating wound

Donna France — Sat, 07 Aug 2010 15:23:29 GMT

[quote user="Nick Shackleton DipAVN(Surgical)VN MBVNA"]

Get some photos donna!

[/quote]

I will try! the vet took some this morning so I can try and get those off him.

Re: Large granulating wound

Nick Shackleton — Sat, 07 Aug 2010 11:05:33 GMT

Get some photos donna!

Re: Large granulating wound

Donna France — Sat, 07 Aug 2010 08:13:58 GMT

Thanks guys, at least we havnt missed anything we should be doing. in my 12 years I have never seen a wound like it.

Anyway off to see the little dude now and redress him again. poor little man.

Re: Large granulating wound

Celine — Sat, 07 Aug 2010 00:11:15 GMT

I'm also not a wound management expert but one greyhound case really sticks with me - awful decubitous (sp?) on elbow ulcer caused by slightly dim owner (and v poor vet communication!!!) not realising he had to bring the dog in for bandage changes rather than waiting the full 6 weeks with a robert jones on... (you can only imagine the smell...)

Anyway we saved the leg but it got to a point where it was trying to heal, but even the dressings that are supposedly best for wound healing would peel a fine layer of cells off each time we changed it and we had a period where the healing just became static for about 2 weeks.

I'm not sure if its appropriate to your wound-site (maybe not) but the only way we got this one to heal was to create a massive "doughnut" dressing, which was placed around the area in such a way that no part of the bandage covering it was in contact with the wound - it was essentially in an air pocket but kept protected by the over-bandage. We saw results by the next bandage change and absolutely enabled the healing to resume. Not particularly sophisticated (James Herriot stuff probably) but I'd do it again in a heartbeat.

C x

Re: Large granulating wound

S-J — Fri, 06 Aug 2010 23:41:41 GMT

we are treating a ckcs at the moment after being attacked it basically had no skin on its back at all, completly ripped of didnt even bleed, we managed to pull the skin pretty tight to cover and its looking really well, one section did break down initially but after a month of daily dressing changges its looking good.

started off with full body bandage using allevyn and intracite, daily lavage with saline, now downt to saline lavage and a primapore over it.

i know it doesnt sound particularly technical but its worked really well, the skin has granulated really well and now only approx 7cm - 7cm defect hoping to use biosist next week to help finish it off

Re: Large granulating wound

Steph Worsley — Fri, 06 Aug 2010 19:48:42 GMT

I'd probably just carry on with how you are going, cant think of another way but i'm sure other people my help better