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

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