Wound Management - Donkey - Revision history

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 <br><br><br>
 [http://www.cabdirect.org/search.html?q=ab%3A%28wound+management%29+AND+%28donkey%29 Wound management in donkeys related publications]
 ==References==

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 ==Introduction==
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 It is wise to keep the owner informed of the reasons for each decision
 so that disappointment and acrimony can be avoided.
 ==References==

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 ==Introduction==
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 This section describes the principles of wound management under these headings:
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 '''[[Wound Management Basics - Donkey|Basic wound management]]

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	Knottenbelt, D.C. (2004). ''A handbook of Equine Wound Management''. W.B. Saunders, London.		Knottenbelt, D.C. (2004). ''A handbook of Equine Wound Management''. W.B. Saunders, London.
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		+	==Introduction==
		+
		+	The donkey is liable to skin injury through its relatively exposed limbs and
		+	the circumstances of its management. <u>Whilst the horse has a reputation
		+	for ‘poor healing’ with respect to lower limb healing in particular, the
		+	donkey seems to have a reputation for good healing with the proviso that
		+	proper management is applied.</u> It is always unfair to blame ‘nature’ for poor
		+	healing wounds when the care and attention given mitigates against a rapid
		+	and natural repair. These differences make the study of wound healing in
		+	equids particularly interesting and also add to the clinical challenges that
		+	the species offer to practising veterinary surgeons and owners under all
		+	circumstances.
		+
		+	'''Anatomical knowledge''' is possibly the most important single aspect
		+	of wound management in donkeys. Many problematic wounds have
		+	recognizable anatomical complications that could have perhaps been
		+	foreseen at the outset. The major constraint in the management of wounds
		+	in donkeys is the need to examine and treat wounds within the first few
		+	hours after wounding occurs. The second limiting factor is that, under
		+	many practical circumstances, the working donkey cannot be rested or
		+	hospitalized. A combination of necessity, poverty and ignorance (and
		+	unfortunately, in some cases, cruelty) means that many wounds are presented
		+	long after the acute stages. Once complicating factors are present, then
		+	the wound may pass into a continuing cycle of chronic inflammation and
		+	failure to heal as a result. Management becomes problematic and the need
		+	for intensive treatment increases.
		+
		+	Where a wound fails to heal as expected, the clinician should in most
		+	cases be able to recognise the possible reasons for this. The wrong treatment,
		+	or the right treatment badly executed, can result in failure of the wound
		+	healing process and may even endanger the animal’s life.
		+
		+	This section describes the principles of wound management under these headings:
		+	<big>
		+	'''[[Wound Management Basics - Donkey\|Basic wound management]]
		+
		+	'''[[Healing Fundamentals - Donkey\|Fundamentals of healing]]
		+
		+	'''[[Wound Healing Inhibition Factors - Donkey\|Factors that inhibit wound healing]]
		+
		+	'''[[Wound Types - Donkey\|Wound types and their management]]
		+
	'''[[Maggot Therapy - Donkey\|Maggot therapy for wound treatment]]		'''[[Maggot Therapy - Donkey\|Maggot therapy for wound treatment]]
		+	</big>
		+	==Conclusion==
		+
		+	Wound management is one of the most expensive clinical procedures
		+	in equine practice and decisions must be taken carefully with specific
		+	clinical intentions. Delays in wound healing are expensive and also result
		+	in significant welfare considerations for the horse or donkey as well as
		+	extra stable management, so it is important to repair the wound as soon
		+	as practicable.
		+
		+	It is also important to remember that there is nothing prescriptive
		+	about the clinical management of a wound, because no two wounds are the
		+	same. The clinician will need to consider carefully the whole wounded area
		+	and carry out appropriate procedures that will encourage and speed up the
		+	healing process. The basics are clear. The wound care should be directed
		+	towards healing as early as possible and with the minimum number of
		+	complications. This means that at every stage the wound must be examined
		+	carefully and thoroughly. Management may have to change and there may
		+	be some circumstances when some harm has to be done in the expectation
		+	that it will help in the end. Promises of a rapid recovery, however, are unwise
		+	and almost always unrealistic. A few wounds heal amazingly well and others
		+	that should do so simply fail to heal for no easily defined reason.
		+	It is wise to keep the owner informed of the reasons for each decision
		+	so that disappointment and acrimony can be avoided.
		+
		+	==References==
		+
		+	* Knottenbelt, D. (2008) The principles and practice of wound mamagement In Svendsen, E.D., Duncan, J. and Hadrill, D. (2008) ''The Professional Handbook of the Donkey'', 4th edition, Whittet Books, Chapter 9
		+	* Knottenbelt, D.C. (1997). ‘Equine Wound Management: Are there significant differences in healing at different sites on the body?’ ''Veterinary Dermatology 8''. pp 273-290.
		+	* Mulder, J.B. (1989). ‘The medical marvels of maggots’. ''Journal of the American Veterinary Medical Association 195''. pp 1497-1499.
		+	* Pascoe, R.R., Knottenbelt, D.C. (1999). ''Manual of Equine Dermatology''. W. B. Saunders, London.
		+	* Wilmink, J.M., Stolk, P.W.T., van Weeren, P.R., and Barneveld, A. (1999). ‘Differences in second intention wound healing between horses and ponies; macroscopical aspects’. ''Equine Veterinary Journal 31''. pp 53-60.
		+	* Winter, G.D. (1962). ‘Formation of the scab and the rate of epithelialisation of superficial wounds in the skin of the young domestic pig’. ''Nature 193''. pp 293-294.
		+
		+	Further reading:
		+
		+	Knottenbelt, D.C. (2004). ''A handbook of Equine Wound Management''. W.B. Saunders, London.

← Older revision	Revision as of 21:19, 19 February 2010
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