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Managing Horse Wounds Either Presenting or not with Exuberant Granulation Tissue Using an Innovative Wound Dressing: A Retrospective Non-Controlled Study
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Volume 1, 2014
Issue 2 (July)
Pages: 6-16   |   Vol. 1, No. 2, July 2014   |   Follow on         
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Fiorella Carnevali, Enea CR Casaccia, Via Anguillarese 301, 00123 Rome Italy.
Marco Argentieri, Veterinary Infirmary Service of the Mounted Regiment of Carabinieri, Viale Tor di Quinto 155, 00191, Rome Italy.
Graziano Ippedico, Veterinary Infirmary Service of the Mounted Regiment of Carabinieri, Viale Tor di Quinto 155, 00191, Rome Italy.
Carlo Alberto Minniti, Veterinary Service of Corazzieri Regiment of the President of the Italian Republic, via XX settembre, 00196 Roma.
Luigi Amodio, Veterinary Infirmary Service of the Mounted Regiment of Carabinieri, Viale Tor di Quinto 155, 00191, Rome Italy.
Luigi Mellano, Military Veterinary Hospital, Via Montelibrettese snc, 00010 Montelibretti, Italy.
Stephen Andrew van der Esch, Enea CR Casaccia, Via Anguillarese 301, 00123 Rome Italy.
Reasons for performing study: Because we used a different innovative protocol for treating equine traumatic wounds, it was decided to analyse retrospectively all the cases treated during the years 2005-2012. Objective: Evaluate the healing performances of traumatic horse wounds, either presenting or not with exuberant granulation tissue (EGT) or exposed bone, using an innovative plant-derived wound dressing and restricting the systemic antibiotic administration only to the first week after trauma. Methods: A retrospective analysis was conducted of all horses (n = 57) presenting with accidental wounds and treated with a plant-derived wound dressing. Classification of Wounds using COW score (Simple Wounds –SW- or Wounds presenting with Exuberant Granulation Tissue – EGT-W), Time To Heal (days), Epithelialisation Rate (cm/days), Health Of Wounds score, Time of First Epithelium appearance (TFE), Cosmetic Aspect of the final Scar (CAS), ease of handling, pain and complications were recorded and evaluated. Results: COW score determined 32 Simple Wounds (SW) with mean size varying from 12,72±6.48 cm2 (< 25 cm2), 50,76± 14,20 cm2 (25 and 100 cm2) to 310,023±132,(> 100cm2) and 25 EGT-Wounds (EGT-W) with mean size varying from 12,90±4,51cm2 (<25 cm2) to 62,76±26,55 cm2 (25 and 100 cm2). The SW healed faster than the EGT-W showing significant differences in the evaluated parameters (58,06±39,44 vs 79±54,32 days) (SW=0,14±0,06 vs EGT-W 0,0742±0,0342 cm/day) and in the TFE (of 7 vs of 18 days). CAS showed no significant differences between SW and EGT-W both presenting high quality of final scar. The dressing was able to keep the EGT formation under control without using surgical resection. Conclusions: This retrospective non-controlled analysis confirmed that equine wound complicated by the EGT have a lower healing performance but the EGT formation can be kept under control with a high quality of final scar. The treatment is simple to use and safe; it enables to reduce the intake of antibiotic and consequently limiting the risk of onset of antibiotic/antimicrobial resistance.
Horse Wound Healing, Exuberant Granulation Tissue, Proud Flesh, Keloid, Hypergranulation, Primary Dressing
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