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| The choice of wound closure method is governed by the nature and site | | The choice of wound closure method is governed by the nature and site |
| of the wound and is a matter of clinical preference. Wounds subjected to | | of the wound and is a matter of clinical preference. Wounds subjected to |
− | [[Donkey - Fundamentals of healing#Primary or first intention healing|primary wound closure]] or first intention healing will usually heal faster | + | [[Healing Fundamentals - Donkey#Primary or first intention healing|primary wound closure]] or first intention healing will usually heal faster |
− | than those subjected to either [[Healing Fundamental - Donkey#Delayed primary healing|delayed primary healing]] or [[Healing Fundamental - Donkey#Secondary or second intention healing|second intention | + | than those subjected to either [[Healing Fundamentals - Donkey#Delayed primary healing|delayed primary healing]] or [[Healing Fundamentals - Donkey#Secondary or second intention healing|second intention healing]]. |
− | healing]]. | |
| | | |
| Incised wounds frequently lend themselves to suturing. Suturing should | | Incised wounds frequently lend themselves to suturing. Suturing should |
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| '''Important note''' | | '''Important note''' |
| * '''Delays in closure may result in contraction of the skin flaps and so preclude closure | | * '''Delays in closure may result in contraction of the skin flaps and so preclude closure |
− | * '''[[Healing Fundamental - Donkey#Primary or first intention healing|Primary closure]] will almost always fail when tissue necrosis and swelling disrupt the suture line | + | * '''[[Healing Fundamentals - Donkey#Primary or first intention healing|Primary closure]] will almost always fail when tissue necrosis and swelling disrupt the suture line |
| * '''Notwithstanding the presence of obvious complication factors, wounds involving the lower parts of the limbs usually present the greatest challenges. There is considerable controversy over the need/necessity to suture lower limb wounds. In general, a limb wound may be sutured if the wound is: | | * '''Notwithstanding the presence of obvious complication factors, wounds involving the lower parts of the limbs usually present the greatest challenges. There is considerable controversy over the need/necessity to suture lower limb wounds. In general, a limb wound may be sutured if the wound is: |
| | | |
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| # '''In the longitudinal plane (i.e. running up/down the limb). | | # '''In the longitudinal plane (i.e. running up/down the limb). |
| # '''In a suitable site that makes suturing without undue tension feasible. | | # '''In a suitable site that makes suturing without undue tension feasible. |
− | * '''Otherwise it is probably best to use [[Healing Fundamental - Donkey#Secondary or second intention healing|second intention | + | * '''Otherwise it is probably best to use [[Healing Fundamentals - Donkey#Secondary or second intention healing|second intention |
− | healing]] or [[Healing Fundamental - Donkey#Delayed primary healing|delayed primary intention healing]] | + | healing]] or [[Healing Fundamentals - Donkey#Delayed primary healing|delayed primary intention healing]] |
| | | |
− | [[Healing Fundamental - Donkey#Delayed primary healing|Delayed primary closure]] may be applicable in relatively clean but | + | [[Healing Fundamentals - Donkey#Delayed primary healing|Delayed primary closure]] may be applicable in relatively clean but |
| contaminated wounds with extensive tissue damage. The wound is '''cleaned, | | contaminated wounds with extensive tissue damage. The wound is '''cleaned, |
| debrided and dressed with a hydrogel and a polymeric foam dressing''' | | debrided and dressed with a hydrogel and a polymeric foam dressing''' |
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| incisions). | | incisions). |
| | | |
− | [[Healing Fundamental - Donkey#Secondary or second intention healing|Second intention healing]] is applicable to the large majority of wounds in donkeys. The '''wound is left open''' after initial treatment and '''allowed to | + | [[Healing Fundamentals - Donkey#Secondary or second intention healing|Second intention healing]] is applicable to the large majority of wounds in donkeys. The '''wound is left open''' after initial treatment and '''allowed to |
| granulate'''. Once healthy granulation tissue fills the wound from its depth | | granulate'''. Once healthy granulation tissue fills the wound from its depth |
| and has reached the wound margin, the epithelium should be able to migrate | | and has reached the wound margin, the epithelium should be able to migrate |