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Sutures vs. No Sutures
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Last activity 2015-12-18 5:12 PM
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Sutures vs. No Sutures
Option
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Suture the wound
0 Votes - [0%]
Let the wound drain by secondary healing
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darchick
Reg. Jan 2004
Posted
2015-12-18 2:42 PM
Subject:
Sutures vs. No Sutures
With my recent experience on my injured mare, I'm curious to hear opinions when it comes to sutures.The treating vet sutured the wound originally, which then had serious complications.My local vet told me he never sutures those types of wounds because it increases risk of infection by not allowing drainage.This is the second injury like this I have dealt with and both times we had serious complications and both wounds were sutured initially.What are your experiences with sutures vs. no sutures?
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Southtxponygirl
Reg. Nov 2006
Posted
2015-12-18 2:46 PM
Subject:
RE: Sutures vs. No Sutures
A Somebody to Everybody
Posts: 41354
Location: Under The Big Sky Of Texas
Just depends on where the wound is at.
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linds
Reg. Feb 2005
Posted
2015-12-18 2:50 PM
Subject:
RE: Sutures vs. No Sutures
Expert
Posts: 2531
Location: WI
Yes, when and where. My gelding cut his leg on the front of the cannon bone and there isn't even a scar. Pic is the day of, and 2 weeks later. Now you can't see anything there.
(2weeks.JPG)
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Cowgirl Kat
Reg. Aug 2013
Posted
2015-12-18 4:02 PM
Subject:
RE: Sutures vs. No Sutures
Elite Veteran
Posts: 999
Location: Sunny So Cal
It really depends on the injury, but most of the injuries that I have sutured I make the doctor put a drain in.
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Bear
Reg. Dec 2007
Posted
2015-12-18 5:12 PM
Subject:
RE: Sutures vs. No Sutures
BHW Resident Surgeon
Posts: 25351
Location: Bastrop, Texas
I don't know the particulars of the OP's situation, but as others have stated, it depends on several factors.
How old is the wound?
Where is it?
Is it grossly contaminated?
Generally, if a wound is more than a few hours old, it will get infected if you suture it completely. It will probably drain pus, swell, or form an abscess in the subcutaneous tissue. Giving antibiotics probably won't prevent this from happening. If it is a longer gash, then you can try to wash it thoroughly with a disinfecting soap, then loosely approximate the skin, while leaving some of it open in between, so as to allow blood and serum to drain. Blood and serum is a perfect medium for bacterial growth. Heavily contaminated open wounds will heal in nicely if you irrigate/wash them twice daily to get rid of the dead stuff and keep the surface bacteria to a minimum. Things like eyelids should be sutured if possible, because it preserves function
(protecting the eye
).
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