Hydrocolloid Use in the Treatment of Thermal Injury in a Dog
Autor(a) principal: | |
---|---|
Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.22456/1679-9216.102396 http://hdl.handle.net/11449/209878 |
Resumo: | Background: Thermal injury is one of the most common type of skin damage found in clinical care, which results in a chronic wound. The treatment of chronic wounds should be specific, because it has a greater vulnerability of the organism to the external agents input. So, the treatment can be performed with covers to keep the lesion clean and free of contamination and also promote healing. Considering the amount of products available for the treatment, as well as the scarcity of studies in the literature proving the effectiveness of hydrocolloid in dogs, the aim of this case report was to describe a third degree bum wound in the sternal region of a dog treated with this material. Case: A 2-year-old non-castraded German Spitz dog, was attended in a private veterinary clinic located in Ribeirao Preto city, Sao Paulo state. The animal was submitted to general anesthesia for microneedling session to treat alopecia X, and after the procedure, it showed a burn focus due to the resting time on the thermal mattress, affecting the entire sternal region. The choice treatment was a surgical debridement followed by second intention healing. The superficial crust of the wound was removed and the debridement of almost all the tissue that was not fit for healing was continued, resulting in a wide wound, with healthy tissue and only a small portion of devitalized musculature. On the same day, the daily dressing phase with crystal sugar was started, in order to promote the debridement of the remaining devitalized tissue and enable the appearance of granulation tissue, together with the asepsis provided by the chiorhexidine ointment (0.7 g/100mL). After five days, the wound presented with ascending granulation, with no signs of contamination and minimal residue of devitalized tissue. Then, the treatment with the hydrocolloid plate was chosen, which was cut and molded to the wound to allow the debridement with crystal sugar to continue in the devitalized muscle region. At this stage of treatment, the wound region where crystal sugar was used was cleaned and given a new dressing to be changed the next day, while the rest of the wound that had the hydrocolloid plate remained unmanaged for an average of five days, in order to improve animal welfare. After six days of dressing, the wound showed significant contraction, however the growth of the granulation tissue was exuberant. Four days after the first dressing change, the contraction of the wound proceeded at an accelerated rate, as well as the proliferation of granulation tissue, and on the 15th day of treatment with the hydrocolloid plaque, the wound was already quite reduced, with the maintenance of the tissue with healthy granulation, without contamination and with signs of good evolution. On the 27th day, the wound was practically healed, leaving a small central portion of the lesion. The scar tissue that involved the bum contributed to its retraction and accelerated the reepithelialization process. Finally, after 42 days, when the treatment fmished, it was possible to notice hair growth and poor visibility of scar tissue. Discussion: The application of this type of dressing in the micro-needling bum injury suggested a better healing due the increase of keratinocyte proliferation and cell proliferation, since when used in the inflammation process, it accelerated the cleaning of purulent and necrotic tissues, stimulating the repair of clean wounds leading to good results and greater patient comfort. This study demonstrated that good healing could be achieved in alternative treatment using hydrocolloid dressing. In this method, healing proved to be more effective than conventional treatment, considering wound resolution and wound healing time. |
id |
UNSP_fcef3dd2f2ba28af81c1d25ac12e698c |
---|---|
oai_identifier_str |
oai:repositorio.unesp.br:11449/209878 |
network_acronym_str |
UNSP |
network_name_str |
Repositório Institucional da UNESP |
repository_id_str |
2946 |
spelling |
Hydrocolloid Use in the Treatment of Thermal Injury in a Dogsecond intention healingdressingsurgical debridementburnsmall animalsBackground: Thermal injury is one of the most common type of skin damage found in clinical care, which results in a chronic wound. The treatment of chronic wounds should be specific, because it has a greater vulnerability of the organism to the external agents input. So, the treatment can be performed with covers to keep the lesion clean and free of contamination and also promote healing. Considering the amount of products available for the treatment, as well as the scarcity of studies in the literature proving the effectiveness of hydrocolloid in dogs, the aim of this case report was to describe a third degree bum wound in the sternal region of a dog treated with this material. Case: A 2-year-old non-castraded German Spitz dog, was attended in a private veterinary clinic located in Ribeirao Preto city, Sao Paulo state. The animal was submitted to general anesthesia for microneedling session to treat alopecia X, and after the procedure, it showed a burn focus due to the resting time on the thermal mattress, affecting the entire sternal region. The choice treatment was a surgical debridement followed by second intention healing. The superficial crust of the wound was removed and the debridement of almost all the tissue that was not fit for healing was continued, resulting in a wide wound, with healthy tissue and only a small portion of devitalized musculature. On the same day, the daily dressing phase with crystal sugar was started, in order to promote the debridement of the remaining devitalized tissue and enable the appearance of granulation tissue, together with the asepsis provided by the chiorhexidine ointment (0.7 g/100mL). After five days, the wound presented with ascending granulation, with no signs of contamination and minimal residue of devitalized tissue. Then, the treatment with the hydrocolloid plate was chosen, which was cut and molded to the wound to allow the debridement with crystal sugar to continue in the devitalized muscle region. At this stage of treatment, the wound region where crystal sugar was used was cleaned and given a new dressing to be changed the next day, while the rest of the wound that had the hydrocolloid plate remained unmanaged for an average of five days, in order to improve animal welfare. After six days of dressing, the wound showed significant contraction, however the growth of the granulation tissue was exuberant. Four days after the first dressing change, the contraction of the wound proceeded at an accelerated rate, as well as the proliferation of granulation tissue, and on the 15th day of treatment with the hydrocolloid plaque, the wound was already quite reduced, with the maintenance of the tissue with healthy granulation, without contamination and with signs of good evolution. On the 27th day, the wound was practically healed, leaving a small central portion of the lesion. The scar tissue that involved the bum contributed to its retraction and accelerated the reepithelialization process. Finally, after 42 days, when the treatment fmished, it was possible to notice hair growth and poor visibility of scar tissue. Discussion: The application of this type of dressing in the micro-needling bum injury suggested a better healing due the increase of keratinocyte proliferation and cell proliferation, since when used in the inflammation process, it accelerated the cleaning of purulent and necrotic tissues, stimulating the repair of clean wounds leading to good results and greater patient comfort. This study demonstrated that good healing could be achieved in alternative treatment using hydrocolloid dressing. In this method, healing proved to be more effective than conventional treatment, considering wound resolution and wound healing time.Univ Estadual Paulista Julio de Mesquita Filho Un, Dept Clin & Cirurgia Vet, Fac Ciencias Agr & Vet FCAV, Campus Jaboticabal, Jaboticabal, SP, BrazilCurso Med Vet Anhanguera Educ, Leme, SP, BrazilInst Ciencias Agr UFVJM, Campus Unai, Unai, MG, BrazilUniv Estadual Paulista Julio de Mesquita Filho Un, Dept Clin & Cirurgia Vet, Fac Ciencias Agr & Vet FCAV, Campus Jaboticabal, Jaboticabal, SP, BrazilUniv Fed Rio Grande Do SulUniversidade Estadual Paulista (Unesp)Curso Med Vet Anhanguera EducUniversidade Federal de Viçosa (UFV)Silva Gomide, Paula Regina [UNESP]Kobori, Lais NogueiraTetzner, Bruna CardosoCunha, Larissa Cristina daSantarosa, Bianca Paola2021-06-25T12:32:17Z2021-06-25T12:32:17Z2020-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article6http://dx.doi.org/10.22456/1679-9216.102396Acta Scientiae Veterinariae. Porto Alegre Rs: Univ Fed Rio Grande Do Sul, v. 48, 6 p., 2020.1678-0345http://hdl.handle.net/11449/20987810.22456/1679-9216.102396WOS:000606326500111Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPporActa Scientiae Veterinariaeinfo:eu-repo/semantics/openAccess2021-10-23T19:50:05Zoai:repositorio.unesp.br:11449/209878Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462021-10-23T19:50:05Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Hydrocolloid Use in the Treatment of Thermal Injury in a Dog |
title |
Hydrocolloid Use in the Treatment of Thermal Injury in a Dog |
spellingShingle |
Hydrocolloid Use in the Treatment of Thermal Injury in a Dog Silva Gomide, Paula Regina [UNESP] second intention healing dressing surgical debridement burn small animals |
title_short |
Hydrocolloid Use in the Treatment of Thermal Injury in a Dog |
title_full |
Hydrocolloid Use in the Treatment of Thermal Injury in a Dog |
title_fullStr |
Hydrocolloid Use in the Treatment of Thermal Injury in a Dog |
title_full_unstemmed |
Hydrocolloid Use in the Treatment of Thermal Injury in a Dog |
title_sort |
Hydrocolloid Use in the Treatment of Thermal Injury in a Dog |
author |
Silva Gomide, Paula Regina [UNESP] |
author_facet |
Silva Gomide, Paula Regina [UNESP] Kobori, Lais Nogueira Tetzner, Bruna Cardoso Cunha, Larissa Cristina da Santarosa, Bianca Paola |
author_role |
author |
author2 |
Kobori, Lais Nogueira Tetzner, Bruna Cardoso Cunha, Larissa Cristina da Santarosa, Bianca Paola |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Curso Med Vet Anhanguera Educ Universidade Federal de Viçosa (UFV) |
dc.contributor.author.fl_str_mv |
Silva Gomide, Paula Regina [UNESP] Kobori, Lais Nogueira Tetzner, Bruna Cardoso Cunha, Larissa Cristina da Santarosa, Bianca Paola |
dc.subject.por.fl_str_mv |
second intention healing dressing surgical debridement burn small animals |
topic |
second intention healing dressing surgical debridement burn small animals |
description |
Background: Thermal injury is one of the most common type of skin damage found in clinical care, which results in a chronic wound. The treatment of chronic wounds should be specific, because it has a greater vulnerability of the organism to the external agents input. So, the treatment can be performed with covers to keep the lesion clean and free of contamination and also promote healing. Considering the amount of products available for the treatment, as well as the scarcity of studies in the literature proving the effectiveness of hydrocolloid in dogs, the aim of this case report was to describe a third degree bum wound in the sternal region of a dog treated with this material. Case: A 2-year-old non-castraded German Spitz dog, was attended in a private veterinary clinic located in Ribeirao Preto city, Sao Paulo state. The animal was submitted to general anesthesia for microneedling session to treat alopecia X, and after the procedure, it showed a burn focus due to the resting time on the thermal mattress, affecting the entire sternal region. The choice treatment was a surgical debridement followed by second intention healing. The superficial crust of the wound was removed and the debridement of almost all the tissue that was not fit for healing was continued, resulting in a wide wound, with healthy tissue and only a small portion of devitalized musculature. On the same day, the daily dressing phase with crystal sugar was started, in order to promote the debridement of the remaining devitalized tissue and enable the appearance of granulation tissue, together with the asepsis provided by the chiorhexidine ointment (0.7 g/100mL). After five days, the wound presented with ascending granulation, with no signs of contamination and minimal residue of devitalized tissue. Then, the treatment with the hydrocolloid plate was chosen, which was cut and molded to the wound to allow the debridement with crystal sugar to continue in the devitalized muscle region. At this stage of treatment, the wound region where crystal sugar was used was cleaned and given a new dressing to be changed the next day, while the rest of the wound that had the hydrocolloid plate remained unmanaged for an average of five days, in order to improve animal welfare. After six days of dressing, the wound showed significant contraction, however the growth of the granulation tissue was exuberant. Four days after the first dressing change, the contraction of the wound proceeded at an accelerated rate, as well as the proliferation of granulation tissue, and on the 15th day of treatment with the hydrocolloid plaque, the wound was already quite reduced, with the maintenance of the tissue with healthy granulation, without contamination and with signs of good evolution. On the 27th day, the wound was practically healed, leaving a small central portion of the lesion. The scar tissue that involved the bum contributed to its retraction and accelerated the reepithelialization process. Finally, after 42 days, when the treatment fmished, it was possible to notice hair growth and poor visibility of scar tissue. Discussion: The application of this type of dressing in the micro-needling bum injury suggested a better healing due the increase of keratinocyte proliferation and cell proliferation, since when used in the inflammation process, it accelerated the cleaning of purulent and necrotic tissues, stimulating the repair of clean wounds leading to good results and greater patient comfort. This study demonstrated that good healing could be achieved in alternative treatment using hydrocolloid dressing. In this method, healing proved to be more effective than conventional treatment, considering wound resolution and wound healing time. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 2021-06-25T12:32:17Z 2021-06-25T12:32:17Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.22456/1679-9216.102396 Acta Scientiae Veterinariae. Porto Alegre Rs: Univ Fed Rio Grande Do Sul, v. 48, 6 p., 2020. 1678-0345 http://hdl.handle.net/11449/209878 10.22456/1679-9216.102396 WOS:000606326500111 |
url |
http://dx.doi.org/10.22456/1679-9216.102396 http://hdl.handle.net/11449/209878 |
identifier_str_mv |
Acta Scientiae Veterinariae. Porto Alegre Rs: Univ Fed Rio Grande Do Sul, v. 48, 6 p., 2020. 1678-0345 10.22456/1679-9216.102396 WOS:000606326500111 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Acta Scientiae Veterinariae |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
6 |
dc.publisher.none.fl_str_mv |
Univ Fed Rio Grande Do Sul |
publisher.none.fl_str_mv |
Univ Fed Rio Grande Do Sul |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1799964827428323328 |