Equine Wound Healing

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Equine Wound Healing"

Transcription

1 Equine Wound Healing Michael Thomassen, D.V.M. Nebraska Equine Veterinary Clinic Horses seem to find ways to injure themselves even when many precautions are taken to make their environment as safe as possible. It is recommended to have lacerations and wounds examined by a veterinarian to determine how serious the injury is and if the wound can be sutured closed. However, there are many times that a wound cannot be sutured or the sutured wound opens up and has to heal on its own. This article will talk about the major stages of wound healing, show picture examples of a wound as it was healing and discuss what the wound may look like. Keep in mind that these wound healing periods overlap. Once you get through the article, you will be able to see a wound that we cared for earlier this year. Following a traumatic injury, the inflammatory period is characterized by the local redness, heat, and pain caused by palpation. This period can last several days to weeks and takes longer in large, contaminated wounds. The next phase is called the debridement phase. This period is characterized by large numbers of white blood cells moving into the wound. These white blood cells help to clear the wound of dead tissue and bacteria. Again, the larger and more contaminated the wound is, the longer this period lasts. The proliferation period occurs when new tissue deposition occurs. Granulation tissue is the main type of tissue that proliferates. This granulation tissue has a lot of blood vessels. You may notice that a wound that has not been bleeding much when cleaned, now will bleed when cleaned. The granulation tissue helps the wound to contract and become smaller. Proud flesh is when granulation tissue becomes excessive. Once the wound has mature granulation tissue, epithelialization can begin. When excessive granulation tissue develops, wound healing is delayed. Proud flesh can be treated with topical medication or by surgically removing the extra tissue. The epithelium is what we like to think of as skin and begins along the outer margins of the wound and progresses toward the inside of the wound. During the maturation phase, the wound strength increases and tissue production and tissue destruction occur at the same rate. And now for the interesting part of this article1the pictures.

2 The horse in these pictures is Scooter, who is a 10 year old Quarter Horse gelding that injured both of his front legs on April 15, There are multiple pictures of his legs throughout the entire healing process. You will see that the wound was repaired with sutures but unfortunately the primary closure did not stay together. There are multiple reasons for this happening and they include tension along and across the repair, poor tissue strength due to compromised blood flow and excessive motion due to its location on the body. The wounds were then treated as open wounds with both topical and systemic medications. As you will see, Scooter had a very successful outcome. The reasons for this include a very willing patient who did not need sedation for any of his treatment at home and a very committed owner. During the early stages, the wound was being cared for twice per day. As you can imagine, this was very time consuming. We were also very blessed that Scooter did not develop any serious infection from either wound. This is a picture of the initial injury which occurred on April 15, after both wounds were cleaned thoroughly and closed with sutures.

3 This is a picture of the wound on the right front leg 4 days after the wounds were repaired. There is discharge from the center of the repair. This was an indication that the repair would likely not remain intact. This is 7 days after injury. This is a picture of the right front leg. This picture shows a lot of discharge and necrotic tissue. The long process of open wound care began and included both systemic antibiotics and topical wound care. This picture is taken 13 days after the initial injury and 5 days after discharge from the clinic. As you can see, both wounds are completely open at this point. There is a noticeable change in wound appearance with healthy granulation tissue present in both wounds.

4 on May 9th, 24 days post injury. This is the first picture that shows very noticeable wound contraction. Much less discharge would be expected from a wound in this stage of healing. This picture is a close up of the previous picture. Notice the filled in, flat appearance of the left front wound. If you look closely around the perimeter of the wound, you can see new epithelium. In this picture and several of the following it shows up as a thin pale pink to white line. on May 22nd, 37 days post injury. Note the continued contraction and epithelialization of the wound.

5 on May 29 th, 44 days post injury. on June 8 th, 54 days post injury. on July 5 th, 81 days post injury. Notice now that the right is completely healed and hair is covering nearly the entire wound. The left wound is close behind.

6 on September 9th, 147 days post injury. It is hard to believe but this is truly the same horse. He is being ridden now and has no lameness from the injuries.

FUNCTIONS OF THE SKIN

FUNCTIONS OF THE SKIN FUNCTIONS OF THE SKIN Skin is the largest organ of the body. The average adult has 18 square feet of skin which account for 16% of the total body weight. Skin acts as a physical barrier for you to the

More information

Toenail Removal , The Patient Education Institute, Inc. po Last reviewed: 10/27/2014 1

Toenail Removal , The Patient Education Institute, Inc.  po Last reviewed: 10/27/2014 1 Toenail Removal Introduction Toenail removal is often done for severe fungal nail infections or for ingrown toenails. Part or all of the toenail may be removed. The procedure can be done in your health

More information

Wound Care on the Field. Objectives

Wound Care on the Field. Objectives Wound Care on the Field Brittany Witte, PT, DPT Cook Children s Medical Center Objectives Name 3 different types of wounds commonly seen in sports and how to emergently provide care for them. Name all

More information

Chapter 11. Everting skin edges

Chapter 11. Everting skin edges Chapter 11 PRIMARY WOUND CLOSURE KEY FIGURE: Everting skin edges In primary wound closure, the skin edges of the wound are sutured together to close the defect. Whenever possible and practical, primary

More information

TAKING CARE OF WOUNDS KEY FIGURE:

TAKING CARE OF WOUNDS KEY FIGURE: Chapter 9 TAKING CARE OF WOUNDS KEY FIGURE: Gauze Wound care represents a major area of concern for the rural health provider. This chapter discusses the treatment of open wounds, with emphasis on dressing

More information

Definition, types and examples for each type and factors affecting the process.

Definition, types and examples for each type and factors affecting the process. Repair, Regeneration, and Fibrosis By Prof. Dr. Maha M.Abuhashim 2013-2014 Objectives:- Definition, types and examples for each type and factors affecting the process. Repair means replacement of damaged

More information

Chapter 7. Expose the Injured Area

Chapter 7. Expose the Injured Area Chapter 7 GUNSHOT WOUNDS KEY FIGURES: Entrance/exit wounds This chapter describes how to treat the external, surface wounds caused by a bullet. The evaluation for underlying injury related to gunshot wounds

More information

DeKalb Medical North Decatur Quality Measures for Surgical Care Improvement Project September 2011

DeKalb Medical North Decatur Quality Measures for Surgical Care Improvement Project September 2011 DeKalb Medical North Decatur Quality Measures for Surgical Care Improvement Project September 2011 Why does this matter? Surgical wound infections can be prevented. Medical research shows that surgery

More information

الكلب عضة = bite Dog Saturday, 09 October 2010 18:56 - Last Updated Wednesday, 09 February 2011 06:07

الكلب عضة = bite Dog Saturday, 09 October 2010 18:56 - Last Updated Wednesday, 09 February 2011 06:07 Dog bite Almost 75 million dogs live in the United States, and since many victims of dog bites don't seek medical care or report the attack, it may be that the U.S. Center for Disease Control and Prevention

More information

Lymph Node Dissection for Penile Cancer

Lymph Node Dissection for Penile Cancer Lymph Node Dissection for Penile Cancer Exceptional healthcare, personally delivered Removal of Lymph Nodes Why are the Lymph Nodes so important when I have penile cancer? Lymph nodes are small bean shaped

More information

Chapter 10. Extended Healing Period. Wound Location

Chapter 10. Extended Healing Period. Wound Location Chapter 10 SECONDARY WOUND CLOSURE KEY FIGURE: Dead space under skin closure Secondary wound closure is also referred to as closure by secondary intention. The skin edges of the wound are not sutured together;

More information

41 Assisting with Minor Surgery

41 Assisting with Minor Surgery Learning Outcomes 41.1 Define the medical assistant s role in minor surgical procedures. 41-2 CHAPTER 41 Assisting with Minor Surgery 41.2 Describe types of wounds and explain how they heal. 41.3 Describe

More information

Information for patients following closure of a wound with stitches

Information for patients following closure of a wound with stitches Oxford University Hospitals NHS Trust Department of Dermatology, Churchill Hospital Information for patients following closure of a wound with stitches This leaflet aims to answer any questions you may

More information

CLPNA Pressure Ulcers ecourse: Module 3 Quiz II page 1

CLPNA Pressure Ulcers ecourse: Module 3 Quiz II page 1 CLPNA Pressure Ulcers ecourse: Module 3 Quiz II 1. Healthcare organizations should have procedures in place to identify at risk patients and residents as soon as possible after they enter their facility.

More information

BANDAGES AND BANDAGING TECHNIQUES

BANDAGES AND BANDAGING TECHNIQUES BANDAGES AND BANDAGING TECHNIQUES Your role as a veterinary assistant is to understand the theory behind bandaging, as bandaging is the veterinary technician s and the veterinarian s role. You ll need

More information

Managing cavity wounds Journal of Community Nursing March 1998 Author: Rosemary Pudner

Managing cavity wounds Journal of Community Nursing March 1998 Author: Rosemary Pudner Managing cavity wounds Journal of Community Nursing March 1998 Author: Rosemary Pudner It has been seen in recent years, that an increasing number of patients are being discharged early into the community,

More information

Wound Healing. Healing is a matter of time, but it is sometimes also a matter of opportunity. Hippocrates

Wound Healing. Healing is a matter of time, but it is sometimes also a matter of opportunity. Hippocrates C HAPTER 9 Wound Healing Healing is a matter of time, but it is sometimes also a matter of opportunity. Hippocrates As the above quote suggests, conduct regular and systematic wound assessments, and seize

More information

Wound Classification Name That Wound Sheridan, WY June 8 th 2013

Wound Classification Name That Wound Sheridan, WY June 8 th 2013 Initial Wound Care Consult Sheridan, WY June 8 th, 2013 History Physical Examination Detailed examination of the wound Photographs Cultures Procedures TCOM ABI Debridement Management Decisions A Detailed

More information

*In order to successfully manage wounds in horses, we must first understand the normal process of wound healing.

*In order to successfully manage wounds in horses, we must first understand the normal process of wound healing. BASIC WOUND MANAGEMENT OF HORSES -The basic nature of horses seems to put them at risk for traumatic injuries. One of the most common reasons that clients present their horses to the veterinarian is trauma

More information

Management of Burns. The burns patient has the same priorities as all other trauma patients.

Management of Burns. The burns patient has the same priorities as all other trauma patients. Management of Burns The burns patient has the same priorities as all other trauma patients. Assess: - Airway - Breathing: beware of inhalation and rapid airway compromise - Circulation: fluid replacement

More information

PRESSURE SORES INTRODUCTION OBJECTIVES. When the student has finished this module, he/she will be able to: WHAT IS A PRESSURE SORE?

PRESSURE SORES INTRODUCTION OBJECTIVES. When the student has finished this module, he/she will be able to: WHAT IS A PRESSURE SORE? PRESSURE SORES INTRODUCTION Pressure sores (also known as bed sores, decubitus ulcers, or pressure ulcers) are open wounds in the skin that are caused by immobility. People who cannot move perhaps because

More information

Plantar Fascia Release

Plantar Fascia Release Plantar Fascia Release Introduction Plantar fasciitis is a common condition that causes pain around the heel. It may be severe enough to affect regular activities. If other treatments are unsuccessful,

More information

CR09 Haemorrhoidectomy

CR09 Haemorrhoidectomy CR09 Haemorrhoidectomy Further information You can get more information about this procedure from www.aboutmyhealth.org Local information You can get information locally from: Medway Hospital main switchboard

More information

Understanding Debridement of Sores

Understanding Debridement of Sores Understanding Debridement of Sores Introduction Some sores have trouble healing on their own. Sores that will not heal are also known as wounds or chronic wounds. A chronic wound is a sore that is having

More information

Endoscopic Plantar Fasciotomy

Endoscopic Plantar Fasciotomy Endoscopic Plantar Fasciotomy Introduction Plantar fasciitis is a common condition that causes pain centralized around the heel. It may be severe enough to affect regular activities. Health care providers

More information

Oncology Service WELCOME TO THE UTCVM VETERINARY TECHNICIANS VETERINARY ASSISTANTS

Oncology Service WELCOME TO THE UTCVM VETERINARY TECHNICIANS VETERINARY ASSISTANTS WELCOME TO THE UTCVM Oncology Service During your visit, you will meet a variety of the members of the UTCVM Oncology Service team. The Oncology service is staffed by a group of faculty, residents, interns,

More information

MOHS MICROGRAPHIC SURGERY

MOHS MICROGRAPHIC SURGERY MOHS MICROGRAPHIC SURGERY UMass Memorial Medical Center 55 Lake Avenue North Worcester, MA 01655 (508) 856-1666 Dr. Mary Maloney This booklet is intended to explain Mohs surgery to you. It is not, however,

More information

Skin Graft Your Operation Explained

Skin Graft Your Operation Explained Skin Graft Your Operation Explained Patient Information Introduction This leaflet has been written to help you understand the skin graft you are about to have. We hope it will answer some of the questions

More information

Position Statement: Pressure Ulcer Staging

Position Statement: Pressure Ulcer Staging Position Statement: Pressure Ulcer Staging Statement of Position The Wound, Ostomy and Continence Nurses (WOCN) Society supports the use of the National Pressure Ulcer Advisory Panel Staging System (NPUAP).

More information

THERAPEUTIC USE OF HEAT AND COLD

THERAPEUTIC USE OF HEAT AND COLD THERAPEUTIC USE OF HEAT AND COLD INTRODUCTION Heat and cold are simple and very effective therapeutic tools. They can be used locally or over the whole body, and the proper application of heat and cold

More information

Wounds and Lacerations. Jennifer Brown DVM, DACVS Clinical Assistant Professor in Equine Surgery and Emergency Care

Wounds and Lacerations. Jennifer Brown DVM, DACVS Clinical Assistant Professor in Equine Surgery and Emergency Care Emergency Care for Equine Wounds and Lacerations Jennifer Brown DVM, DACVS Clinical Assistant Professor in Equine Surgery and Emergency Care Be Prepared! Being Prepared Know what is normal for your horse

More information

TOWN CENTER ORTHOPAEDIC ASSOCIATES P.C. Meniscus Tears

TOWN CENTER ORTHOPAEDIC ASSOCIATES P.C. Meniscus Tears Meniscus Tears The knee is a complex, mobile joint. It can bend and it can rotate slightly. The knee joins the upper and lower leg bones (femur and tibia). The ends of the bones are covered by smooth articular

More information

Long-term urinary catheters: prevention and control of healthcare-associated infections in primary and community care

Long-term urinary catheters: prevention and control of healthcare-associated infections in primary and community care Long-term urinary catheters: prevention and control of healthcare-associated infections in primary and community care A NICE pathway brings together all NICE guidance, quality standards and materials to

More information

No two knees are alike. That s why we personalize your surgery just for you. Zimmer Patient Specific Instruments. For Knee Replacement Surgery

No two knees are alike. That s why we personalize your surgery just for you. Zimmer Patient Specific Instruments. For Knee Replacement Surgery No two knees are alike. That s why we personalize your surgery just for you. Zimmer Patient Specific Instruments For Knee Replacement Surgery Table of Contents Here s how it works....2 Why does my knee

More information

ROTATOR CUFF REPAIR. Rotator Cuff Repair

ROTATOR CUFF REPAIR. Rotator Cuff Repair ORTHOPAEDIC UNIT: 01-293 8687 /01-293 6602 UPMC BEACON CENTRE FOR ORTHOPAEDICS: 01-2937575 PHYSIOTHERAPY DEPARTMENT: 01-2936692 GUIDELINES FOR PATIENTS HAVING A ROTATOR CUFF REPAIR Please stick addressograph

More information

MELANOMA INSTITUTE AUSTRALIA GROIN LYMPH NODE CLEARANCE

MELANOMA INSTITUTE AUSTRALIA GROIN LYMPH NODE CLEARANCE MELANOMA INSTITUTE AUSTRALIA GROIN LYMPH NODE CLEARANCE PATIENT INFORMATION WHAT IS GROIN (INGUINAL) LYMPH NODE CLEARANCE? A groin lymph node clearance involves the removal of all the lymph nodes and possible

More information

Shoulder Arthroscopy

Shoulder Arthroscopy Copyright 2011 American Academy of Orthopaedic Surgeons Shoulder Arthroscopy Arthroscopy is a procedure that orthopaedic surgeons use to inspect, diagnose, and repair problems inside a joint. The word

More information

Do what you can, with what you have, where you are.

Do what you can, with what you have, where you are. HOW TO MANAGE OPEN WOUNDS IN WILDLIFE BSc (Vet) (Hons), BVSc, MACVSc (Avian Health) Torquay Animal House Veterinary Clinic 120 Geelong Road, Torquay VIC 3228 INTRODUCTION Do what you can, with what you

More information

TREATMENT 1. Control bleeding by applying pressure over wound with Gauze Pads (Surgical Supply-4). 2. Contact Surgeon for laceration repair options.

TREATMENT 1. Control bleeding by applying pressure over wound with Gauze Pads (Surgical Supply-4). 2. Contact Surgeon for laceration repair options. Page 1 of 8 pages NOTE Contact Surgeon before giving any medication marked with an asterisk. In an emergency or during Loss of Signal, begin appropriate treatment; then call Surgeon as soon as possible.

More information

Adult Forearm Fractures

Adult Forearm Fractures Adult Forearm Fractures Your forearm is made up of two bones, the radius and ulna. In most cases of adult forearm fractures, both bones are broken. Fractures of the forearm can occur near the wrist at

More information

OPERATION:... Proximal tibial osteotomy Distal femoral osteotomy

OPERATION:... Proximal tibial osteotomy Distal femoral osteotomy AFFIX PATIENT DETAIL STICKER HERE Forename.. Surname NHS Organisation. Responsible surgeon. Job Title Hospital Number... D.O.B.././ No special requirements OPERATION:..... Proximal tibial osteotomy Distal

More information

ARTHROSCOPIC HIP SURGERY

ARTHROSCOPIC HIP SURGERY ARTHROSCOPIC HIP SURGERY Hip Arthroscopy is a relatively simple procedure whereby common disorders of the hip can be diagnosed and treated using keyhole surgery. Some conditions, which previously were

More information

Orthopaedic Spine Center. Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs

Orthopaedic Spine Center. Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs Orthopaedic Spine Center Graham Calvert MD James Woodall MD PhD Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs The cervical spine consists of the bony vertebrae, discs, nerves and other structures.

More information

Laparoscopic Donor Nephrectomy (donating a kidney to a friend or family member who needs a kidney transplant)

Laparoscopic Donor Nephrectomy (donating a kidney to a friend or family member who needs a kidney transplant) Laparoscopic Donor Nephrectomy (donating a kidney to a friend or family member who needs a kidney transplant) A simple guide to help answer your questions What are your kidneys? The kidneys are two fist-sized

More information

Minimally Invasive Kidney Cryotherapy

Minimally Invasive Kidney Cryotherapy Minimally Invasive Kidney Cryotherapy [ mini mal ly in va sive ] minimally: [adv] to a minimal degree; the least or smallest possible invasive: [adj ] relating to a technique in which the body is entered

More information

Why my doctor is suggesting treatment with

Why my doctor is suggesting treatment with Why my doctor is suggesting treatment with OR Not an actual patient. WHY IS MY DOCTOR SUGGESTING TREATMENT? Your doctor has asked you to read this information because your vocal cords are weak or are not

More information

Incisional, Ventral Hernia Repair

Incisional, Ventral Hernia Repair Incisional, Ventral Hernia Repair Introduction Hernias are common conditions that affect men and women of all ages. Your doctor may have recommended a hernia operation. The decision whether or not to have

More information

Total knee replacement

Total knee replacement Patient Information to be retained by patient What is a total knee replacement? In a total knee replacement the cartilage surfaces of the thigh bone (femur) and leg bone (tibia) are replaced. The cartilage

More information

Vacuum-assisted closure (VAC) is a noninvasive, active, closed

Vacuum-assisted closure (VAC) is a noninvasive, active, closed P r o c e d u r e s P r o W O U N D C R E / S U R G E R y Peer Reviewed THE ESSENTIL WOUND CRE SERIES Vacuum-ssisted Wound Closure This is the third installment of The Essential Wound Care Series, which

More information

Pilonidal Sinus. Information for patients

Pilonidal Sinus. Information for patients Pilonidal Sinus Information for patients Information for patients 2 What is a pilonidal sinus? A pilonidal sinus is a small hole or tunnel in the skin, usually at the top of the cleft between the buttocks.

More information

INFORMED-CONSENT FACELIFT (Rhytidectomy)

INFORMED-CONSENT FACELIFT (Rhytidectomy) INFORMED-CONSENT FACELIFT (Rhytidectomy) INSTRUCTIONS This is informed consent document that has been prepared to help plastic surgeon inform you concerning facelift surgery, its risks, and alternative

More information

Wound management can be exciting and

Wound management can be exciting and P r o c e d u r e s P r o Peer Reviewed S U R G E R Y / W O U N D M A N A G E M E N T Karen M. Tobias, DVM, MS, DACVS, & John Ayers, DVM University of Tennessee THE ESSENTIAL WOUND CARE SERIES Wound Management

More information

OASIS-C Integument Assessment: Not for Wimps! Part I: Pressure Ulcers

OASIS-C Integument Assessment: Not for Wimps! Part I: Pressure Ulcers OASIS-C Integument Assessment: Not for Wimps! Part I: Pressure Ulcers Presented by: Rhonda Will, RN, BS, COS-C, HCS-D Assistant Director, OASIS Competency Institute 243 King Street, Suite 246 Northampton,

More information

Objectives. Why is this important? 5/1/2012. By: Rhonda Trexler, BS RN COS-C CCP

Objectives. Why is this important? 5/1/2012. By: Rhonda Trexler, BS RN COS-C CCP By: Rhonda Trexler, BS RN COS-C CCP Objectives Verbalize the ability to determine if a surgical wound exists when documenting in OASIS-C Describe would healing phases related to wounds healing by primary

More information

Pelvic Organ Prolapse. Supplemental Patient Information

Pelvic Organ Prolapse. Supplemental Patient Information Pelvic Organ Prolapse Supplemental Patient Information What is Pelvic Organ Prolapse? Pelvic organ prolapse occurs when the tissues that support the pelvic organs become weak or torn, resulting in the

More information

Tendon Injuries. By Kelli Taylor, DVM

Tendon Injuries. By Kelli Taylor, DVM Tendon Injuries By Kelli Taylor, DVM If you have a performance horse, you probably know that tendon and ligament strains and sprains are very common in the lower legs. During a full gallop or when landing

More information

Abdominal Hernia Repair (page 1 of 4) i

Abdominal Hernia Repair (page 1 of 4) i Abdominal Hernia Repair (page 1 of 4) i If you need this information in another language or medium (audio, large print, etc) please contact Customer Care Team on 0800 374 208 or send an email to: customercare@

More information

Chapter 12. Anatomy of Skin. Epidermis. Dermis

Chapter 12. Anatomy of Skin. Epidermis. Dermis Chapter 12 SKIN GRAFTS KEY FIGURES: Skin anatomy with graft thickness Humby knife Using the dermatome Using the Humby knife Mesher Skin graft Tying the dressing in place Defatting the FTSG A skin graft

More information

Nursing college, Second stage Microbiology Dr.Nada Khazal K. Hendi L14: Hospital acquired infection, nosocomial infection

Nursing college, Second stage Microbiology Dr.Nada Khazal K. Hendi L14: Hospital acquired infection, nosocomial infection L14: Hospital acquired infection, nosocomial infection Definition A hospital acquired infection, also called a nosocomial infection, is an infection that first appears between 48 hours and four days after

More information

HOW MANY PATIENTS SUFFER FROM POST-OPERATIVE SEPSIS? WHAT IS SEPSIS?

HOW MANY PATIENTS SUFFER FROM POST-OPERATIVE SEPSIS? WHAT IS SEPSIS? SEPSIS: Information About Post-Operative Sepsis for Patients and Relatives WHAT IS SEPSIS? Sepsis is a life threatening condition that arises when the body s response to an infection injures its own tissues

More information

Heat and Cold Application. Heat and cold are applied to the body for local and systemic effects.

Heat and Cold Application. Heat and cold are applied to the body for local and systemic effects. Dr. Karima Elshamy Learning Objective Define heat and cold application List the indication of using heat and cold application. Enumerate the contraindication for heat and cold application. Explain the

More information

Lower Extremity Arterial Disease (LEAD)

Lower Extremity Arterial Disease (LEAD) Lower Extremity Arterial Disease (LEAD) Lower Extremity Arterial Disease (LEAD) Lower extremity arterial disease May also be referred to as: Peripheral vascular disease (PVD) Peripheral arterial obstructive

More information

Pelvic Floor Reconstruction

Pelvic Floor Reconstruction Pelvic Organ Prolapse Your Guide to Pelvic Floor Reconstruction Upsylon Y-Mesh What is Pelvic Organ Prolapse? When an organ becomes displaced, or slips down in the body, it is referred to as a prolapse.

More information

Patient Information Leaflet. Information prior to having a skin biopsy or skin excision. Produced By: The Beacon Centre

Patient Information Leaflet. Information prior to having a skin biopsy or skin excision. Produced By: The Beacon Centre Patient Information Leaflet Information prior to having a skin biopsy or skin excision Produced By: The Beacon Centre Date: December 2013 Review due: December 2016 1 Information prior to having a skin

More information

Basal Cell Carcinoma Affecting the Eye Your Treatment Explained

Basal Cell Carcinoma Affecting the Eye Your Treatment Explained Basal Cell Carcinoma Affecting the Eye Your Treatment Explained Patient Information Introduction This booklet is designed to give you information about having a Basal Cell Carcinoma near your eye and the

More information

How does Diabetes Effect the Feet

How does Diabetes Effect the Feet How does Diabetes Effect the Feet What Skin Changes May Occur? Diabetes can cause changes in the skin of your foot. At times your foot may become very dry. The skin may peel and crack. The problem is that

More information

Chapter 29. Initial Care

Chapter 29. Initial Care Chapter 29 FINGERTIP AND NAIL BED INJURIES KEY FIGURES: Digital tourniquet Bone rongeur Fingernail with hematoma Thenar flap Repair of nail bed Hand injuries are commonly encountered by health care providers

More information

SCRIPT NUMBER 102 PNEUMONIA-2 (TWO SPEAKERS)

SCRIPT NUMBER 102 PNEUMONIA-2 (TWO SPEAKERS) SCRIPT NUMBER 102 PNEUMONIA-2 (TWO SPEAKERS) PROGRAM NAME: HEALTH NUGGETS PROGRAM TITLE: PNEUMONIA-2 PROGRAM NUMBER: 102 SUBJECT: SYMPTOMS, PHYSIOLOGY, CAUSES, PREVENTION OF PNEUMONIA KEY WORDS: MUCUS,

More information

IN THE CIVIL DIVISION OF THE HIGH COURT AT LABASA ORIGINAL JURISDICTION. CASE NUMBER: HBC 29 of 2004 BETWEEN:

IN THE CIVIL DIVISION OF THE HIGH COURT AT LABASA ORIGINAL JURISDICTION. CASE NUMBER: HBC 29 of 2004 BETWEEN: IN THE CIVIL DIVISION OF THE HIGH COURT AT LABASA ORIGINAL JURISDICTION CASE NUMBER: HBC 29 of 2004 BETWEEN: ADI NOMAI VOTIMAISIRU as administratrix in the ESTATE OF MARIKA SAULAKI PLAINTIFF AND: THE GENERAL

More information

Periodontal disease and DIABETES

Periodontal disease and DIABETES Periodontal disease and DIABETES By: Professor Philip Preshaw Specialist in Periodontics School of Dental Sciences Newcastle University PERIODONTAL DISEASE & DIABETES What is periodontal disease? Periodontal

More information

3M Steri-Strip S Surgical Skin Closure. Commonly Asked Questions

3M Steri-Strip S Surgical Skin Closure. Commonly Asked Questions 3M Steri-Strip S Surgical Skin Closure Commonly Asked Questions What are the indications for use of 3M Steri-Strip S Surgical Skin Closure? Steri-Strip S Surgical Skin Closures are indicated as a primary

More information

Breast Lumpectomy and Sentinel Lymph Node Biopsy

Breast Lumpectomy and Sentinel Lymph Node Biopsy Breast Lumpectomy and Sentinel Lymph Node Biopsy Introduction Breast cancer is a common condition that affects millions of women every year. It usually shows up as a lump that can be felt and/or seen on

More information

Total hip replacement

Total hip replacement Patient Information to be retained by patient What is a total hip replacement? In a total hip replacement both the ball (femoral or thigh bone) side of the hip joint and the socket (acetabular or pelvic

More information

E. coli Infections. E. coli Bacteria

E. coli Infections. E. coli Bacteria E. coli Infections Introduction E. coli infections are caused by certain types of E. coli bacteria that make you sick. E. coli is short for Escherichia coli. Most E. coli infections get better without

More information

X-Plain Subclavian Inserted Central Catheter (SICC Line) Reference Summary

X-Plain Subclavian Inserted Central Catheter (SICC Line) Reference Summary X-Plain Subclavian Inserted Central Catheter (SICC Line) Reference Summary Introduction A Subclavian Inserted Central Catheter, or subclavian line, is a long thin hollow tube inserted in a vein under the

More information

Skin biopsy. Delivering the best in care. UHB is a no smoking Trust

Skin biopsy. Delivering the best in care. UHB is a no smoking Trust Skin biopsy Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm A skin biopsy is a

More information

INFECTION INVOLVING SYNOVIAL STRUCTURES, JOINTS, BURSAE AND TENDON SHEATHS.

INFECTION INVOLVING SYNOVIAL STRUCTURES, JOINTS, BURSAE AND TENDON SHEATHS. INFECTION INVOLVING SYNOVIAL STRUCTURES, JOINTS, BURSAE AND TENDON SHEATHS. Owners often find it difficult to understand why vets get so concerned about certain small wounds. This is when the wound is

More information

Chapter 34. Neglected hand Escharotomy

Chapter 34. Neglected hand Escharotomy Chapter 34 HAND BURNS KEY FIGURES: Neglected hand Escharotomy Severe hand burns are especially problematic injuries because of their propensity for causing long-term disability. Proper treatment of the

More information

Introduction to Wound Management

Introduction to Wound Management EWMA Educational Development Programme Curriculum Development Project Education Module: Introduction to Wound Management Latest revision: October 2012 ABOUT THE EWMA EDUCATIONAL DEVELOPMENT PROGRAMME The

More information

Microlief Equine Microcurrent Therapy Certification Training

Microlief Equine Microcurrent Therapy Certification Training Course Duration & Tuition: The Microlief Equine Microcurrent Certification Training is a 12 hour program spread out over a 3 day period. Course tuition is $600. The tuition includes: Microlief for Performance

More information

.org. Rotator Cuff Tears: Surgical Treatment Options. When Rotator Cuff Surgery is Recommended. Surgical Repair Options

.org. Rotator Cuff Tears: Surgical Treatment Options. When Rotator Cuff Surgery is Recommended. Surgical Repair Options Rotator Cuff Tears: Surgical Treatment Options Page ( 1 ) The following article provides in-depth information about surgical treatment for rotator cuff injuries, and is a continuation of the article Rotator

More information

GENGIGEL PROF / GENGI Pro Gengigel is a patented line registered as a Class II B Medical Device in Europe and U.S. FDA approved NEW PROFESSIONAL LINE

GENGIGEL PROF / GENGI Pro Gengigel is a patented line registered as a Class II B Medical Device in Europe and U.S. FDA approved NEW PROFESSIONAL LINE GENGIGEL PROF / GENGI Pro Gengigel is a patented line registered as a Class II B Medical Device in Europe and U.S. FDA approved NEW PROFESSIONAL LINE Products based on high-profile research that meet the

More information

Some of the ophthalmic surgeries performed at the DMV Center.

Some of the ophthalmic surgeries performed at the DMV Center. Some of the ophthalmic surgeries performed at the DMV Center. This document presents some types of the surgeries performed by the ophthalmology service at the DMV veterinary center as well as the equipment

More information

Coding Skin Procedures in the Office Setting. Disclaimer

Coding Skin Procedures in the Office Setting. Disclaimer Coding Skin Procedures in the Office Setting Written and Presented by Susan Ward, CPC, CPC-H, CPC-I, CPCD, CEMC, CPRC All Rights Reserved AAPC 1 Disclaimer The information you are receiving today is based

More information

.org. Distal Radius Fracture (Broken Wrist) Description. Cause

.org. Distal Radius Fracture (Broken Wrist) Description. Cause Distal Radius Fracture (Broken Wrist) Page ( 1 ) The radius is the larger of the two bones of the forearm. The end toward the wrist is called the distal end. A fracture of the distal radius occurs when

More information

Information leaflet for parents/carers. Inguinal Hernia Repair

Information leaflet for parents/carers. Inguinal Hernia Repair Information leaflet for parents/carers Inguinal Hernia Repair Introduction An inguinal hernia first appears as a bulge or lump in the groin. In boys, this lump is usually caused by a loop of the intestine

More information

Patient Information Hip Replacement

Patient Information Hip Replacement Once you have decided to undergo surgery, it is important that you prepare yourself both mentally and physically for the procedure. The following information is intended to answer some common questions

More information

Brad J. Cohen, MD, MBA 2477 Route 516, Suite 103, Old Bridge, New Jersey Office Fax SURGICAL CONSENT

Brad J. Cohen, MD, MBA 2477 Route 516, Suite 103, Old Bridge, New Jersey Office Fax SURGICAL CONSENT Brad J. Cohen, MD, MBA 2477 Route 516, Suite 103, Old Bridge, New Jersey Office 732-679-6900 Fax 732-679-7900 SURGICAL CONSENT You have elected to have Dr. Brad J. Cohen perform a minimally invasive laparoscopic

More information

Femoral Hernia Repair

Femoral Hernia Repair Femoral Hernia Repair WHAT IS A FEMORAL HERNIA REPAIR? 2 WHAT CAUSES A FEMORAL HERNIA? 2 WHAT DOES TREATMENT/ MANAGEMENT INVOLVE? 3 DAY SURGERY MANAGEMENT 3 SURGICAL REPAIR 4 WHAT ARE THE RISKS/COMPLICATIONS

More information

What s in your medicine cabinet: a guide to the common horse drugs. Dr. Chris Bell BSc, DVM, MVetSc, DACVS

What s in your medicine cabinet: a guide to the common horse drugs. Dr. Chris Bell BSc, DVM, MVetSc, DACVS What s in your medicine cabinet: a guide to the common horse drugs Dr. Chris Bell BSc, DVM, MVetSc, DACVS Have you ever had the call that your horse is colicky or been the stable owner/trainer that finds

More information

Delivering Excellence

Delivering Excellence www.noc.nhs.uk/hipandknee/default.aspx Nuffield Orthopaedic Centre NHS Trust NHS www.noc.nhs.uk Arthroscopy Information for Patients Hip and Knee service Delivering Excellence Contents Page Background

More information

Wound Management and Basic Suturing Techniques. Disclosures

Wound Management and Basic Suturing Techniques. Disclosures Wound Management and Basic Suturing Techniques 10 July 2016 Douglas Winstanley, DO FAAD FACMS West Michigan Dermatology Grand Rapids MI Hugh Greenway s 33 nd Annual Cutaneous Anatomy and Surgery Course

More information

REHABILITATION OF TENDON AND LIGAMENT INJURIES

REHABILITATION OF TENDON AND LIGAMENT INJURIES REHABILITATION OF TENDON AND LIGAMENT INJURIES Carol Gillis, DVM, PhD, DACVSMR Equine Ultrasound & Rehabilitation carolgillis@earthlink.net www.equineultrasound.com 803-522-1700 The first step to healing

More information

Tibial Intramedullary Nailing

Tibial Intramedullary Nailing Tibial Intramedullary Nailing Turnberg Building Orthopaedics 0161 206 4898 All Rights Reserved 2015. Document for issue as handout. Procedure The tibia is the long shin bone in the lower leg. It is a weight

More information

BOWEL CANCER. The doctor has explained that you have a growth or tumour, in your bowel or rectum and could be cancer.

BOWEL CANCER. The doctor has explained that you have a growth or tumour, in your bowel or rectum and could be cancer. Patient and Carer Information BOWEL CANCER Please read this leaflet carefully. It is important that you take note of any instructions or advice given. If you have any questions or problems that are not

More information

Patient Information. About Lower Limb Bypass

Patient Information. About Lower Limb Bypass Patient Information About Lower Limb Bypass We have developed this booklet to give you some information about lower limb bypass and what to expect when you decide to have this operation. We have outlined

More information

of primary wound closure

of primary wound closure Archives of Emergency Medicine, 1988, 5, 156-161 Dog-bite lacerations: a controlled trial of primary wound closure C. MAIMARIS & D. N. QUINTON Accident and Emergency Department, The Leicester Royal Infirmary,

More information

Integra. MCP Joint Replacement PATIENT INFORMATION

Integra. MCP Joint Replacement PATIENT INFORMATION Integra MCP Joint Replacement PATIENT INFORMATION Integra MCP Patient Information This brochure summarizes information about the use, risks, and benefits of the Integra MCP finger implant. Be sure to discuss

More information

BODY ART, SKIN PIERCING AND TATTOO AFTER CARE ADVICE

BODY ART, SKIN PIERCING AND TATTOO AFTER CARE ADVICE BODY ART, SKIN PIERCING AND TATTOO AFTER CARE ADVICE Information Leaflet Your Health. Our Priority. Page 2 of 5 The following aftercare guidance focuses upon skin piercing but is equally appropriate for

More information

Ilioinguinal dissection (removal of lymph nodes in the groin and pelvis)

Ilioinguinal dissection (removal of lymph nodes in the groin and pelvis) Ilioinguinal dissection (removal of lymph nodes in the groin and pelvis) This sheet answers common questions about ilio-inguinal dissection. If you would like further information, or have any particular

More information