Sample Case Study

#6 Horse - Crossbreed - Anterior left hock - Chronic

Breed Crossbreed Wound Age 2 months
Age Wound Location Anterior left hock
Sex Male Wound Size 15cm x 10 cm
Exudate Level Necrotic Wound
Was the wound treated prior to presentation? Yes
Date of First Presentation: 11-08-2007

Details of prior treatment

Wound was previously managed prior to this referral using systemic antibiotics and topical hydrocortisone.


Presentation of Wound

Longstanding traumatic wound to the anterior of the left hock.


Management Plan

Manage local infection and debride excess granulation tissue. Prepare for pinch grafting.


General Photos


Follow Ups

11-09-2007
Improved
Exudate : Moderate (at risk of maceration)

Having applied activon to the wound and the cavity area and bandaged the wound appears sloughy and exuding, this may be attributable to the effect of the honey.

11-09-2007
Improved
Exudate : Sloughy

Wound lavaged and debrided manually

11-12-2007
Improved
Exudate : Moderate (at risk of maceration)

Wound at dressing change. swelling reduced, wound appears more healthy with clean granulation tissue evident. Cavity less prominent.

11-12-2007
Improved
Exudate : Moist (ideal)

appearance following debridement and lavage of excess slough and honey residue.

11-15-2007
Improved
Exudate : Moist (ideal)

wound beginning to contract. Granulation tissue remains healthy.

11-20-2007
Improved
Exudate : Moist (ideal)

Wound continues to be dressed with honey at 3-4 day intervals.

11-23-2007
Improved
Exudate : Moist (ideal)

Appearance at dressing change - wound is contracting and cavity improved in size and depth. Pinch grafting planned to aid reduction in tissue deficit.


Outcome

Honey was successfully used in this case to assist in debridement and control of wound contamination prior to pinch grafting and referral back to the local practice. The wound continued to be managed by local veterinary practice.


Products Used

Activon Manuka Honey TubeEclypse Adherent Super Absorbent DressingAdvazorb Plus Hydrophilic FoamActivon Manuka Honey Tube

The case reports within the library are generated by members using the dressing selection tool and the simple report software that is part of the process of ordering.

When a member orders a dressing a case a report is automatically opened. The animal details, initial presentation, management objectives and basic history are entered into a simple form which is submitted to complete the order. The products will be delivered within 3 days.

As the case progresses follow up details are entered with ongoing photographs of the wound using a 'manage my case reports' section. This section lists the member's ongoing cases where follow ups can be entered. Different dressings can be ordered as the case progresses to reflect the changing needs of the wound. The dressing selection tool can aid this process if required by filtering dressings that are suitable for the type of wound presented based on exudate level, contamination, tissue status or wound type.

Once the case is complete it is submitted and uploaded for publication within the library. The case below is an example of a completed case report as it appears in the library. It is hoped that cases such as this give insight to others facing challenging cases of their own and may give confidence in terms of technique and options for management.

How to become a member

Membership of the Veterinary Wound Library is through an annual fee of £138.00 which covers the development and facilitation of the library meaning that it can continue to offer more to it's members. Most importantly, it ensures that it maintains its independence.
Membership enables full access to all case reports and trial dressings which are free of charge in return for a completed case report which is easily completed and updated online. Members can also submit challenging cases to members of the Clinical Advisory Panel for one-to-one help and support. 

For more information about becoming a member as well as a list of terms and conditions click Joining.

The following companies are gratefully thanked for supporting the library and providing advanced wound management products for trial:
Companies