Treatment option for large animal wounds

Question 1

How can tension in large animal wounds be combatted in primary closure

Answer 1

mattress sutures used
Stents/quills can be used in addition

Question 2

How can secondary intention healing be accelerated?

Answer 2

Debriding the wound

Question 3

Describe delayed primary closure

Answer 3

allow body to naturally debride itself (with some assistance)
Then continue with a primary closure

Question 4

Describe the use of drains in wound healing

Answer 4

allow fluid and inflammatory exudate to exit dead space via capillary action

Question 5

What is “proud flesh” and why is it an issue?

Answer 5

Exuberant granulation tissue preventing epithelial tissue from growing across the wound
Granulation has no nerve supply so proud flesh can be removed to allow epithelial growth