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- Large Wound Closure in Dogs

- The wound will be covered with a water-soluble lubricant or wet sterile sponge in order to provide protection for the removal of surrounding hair.
- The area around the wound is clipped.
- The water-soluble gel is eliminated with sterile saline after the clipping is completed.
- Tap water is then used to eliminate gross contamination, followed by sterile saline, and any obvious foreign material is manually removed.
- A deep sample will be taken from the flushed wound for culture and sensitivity testing against infection. As the culture is pending and awaiting a result, the canine will be placed on a broad-spectrum antibiotic.
- An evaluation of wound exposure is made, determining if a vital structure such as an artery, nerve, vein or joint is present.
- Primary wound closure: entails the closure of a wound relatively soon after the time of infliction.
- Delayed primary closure: wound closure takes place approximately three to five days after the time of infliction, but has been medically managed during this time to improve healing.
- Secondary closure: a wound open for five or more days after injury, with the presence of granulated tissue.
- Second Intention healing: relies on the formation of granulation tissue, contraction, and epithelialization for closure.
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