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Sample Case Study

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.

#6 Cat - Domestic Short Hair - Medial Tarsus (Calcaneus) - Abrasion / Shearing

Breed   Domestic Short Hair
Age   2 years
Sex   Male
Wound Age   24 hours
Wound Location   Medial Tarsus (Calcaneus)
Wound Size   5cm x 3cm
Exudate LevelLow Exudate
Was the wound treated prior to presentation?No
Date of First Presentation:23-10-2007

Presentation of Wound

The wound presented late evening following an RTA. The cat was stabilised overnight. Thorough lavage and surgical debridement were planned for the next day.


Management Plan

Prepare and manage the wound for grafting. Minimise contamination and complication and encourage healthy granulation.


General Photos (Click to enlarge)


Follow Ups

25th October 2007
Improved
Exudate: Moist
Appearance at first dressing change. Wound progressing.
25th October 2007
Improved
Exudate: Moist
application of honey to gauze dressing prior to application
25th October 2007
Improved
Exudate: Moist
Application of tie-over dressing gauze and honey.
27th October 2007
Improved
Exudate: Moderate
Appearance of tie-over dressing at 2nd day of wear prior to removal.
27th October 2007
Improved
Exudate: Moderate
appearance of wound at second dressing change. Granulation tissue begining to develop at wound margins. Sloughy material removed through lavage prior to next dressing application.
27th October 2007
Improved
Exudate: Moderate
Wound following debridement
30th October 2007
Improved
Exudate: Moist
Appearance of wound after next dressing change, debridement and removal of stay sutures.
30th October 2007
Improved
Exudate: Moist
Application of Algivon honey dressing instead of the gauze method.
5th November 2007
Improved
Exudate: Moist
Granulation tissue progressing well.
9th November 2007
Improved
Exudate: Moist
Mesh graft applied
11th November 2007
Improved
Exudate: Moderate
Appearance of graft 2 days after placement
15th November 2007
Improved
Exudate: Low Exudate
graft holding well
19th November 2007
Improved
Exudate: Low Exudate
graft maturing
23rd November 2007
Improved
Exudate: Low Exudate
Follow up
26th November 2007
Improved
Exudate: Dry Wound
Hair growth begining at graft site. Patient discharged.

Outcome

The cat was discharged one month following RTA with full repair.


Products Used

Activon Tube - Manuka Honey Tube


Acknowledgement
Marek Abel MVDr MRCVS
The Grove Veterinary Group

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.

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