Tuesday, August 26, 2008

Surgery Part 2 : Shoulders

This will be quick. I am working out of town, in my hotel room and about to fall asleep. I want to continue sharing Wrangler's surgical pictures while I'm in 'the big city' and am enjoying amazingly rapid image uploads on my computer! Plus, I am certain everyone is sitting on the edge of their computer chairs, anxiously awaiting the rest of the story......

Right shoulder initial appearance.





Same area as first photo, minus dirt and discharges. I love soap and water. The skin margins look good, nice healthy bed of granulation tissue with no sign of infection.


This picture gives you an idea of how large the wound was. His previous owner thought he had caught it on something. A large, deep flap was ripped away, hanging by a small section of skin. She trimmed it off and had been cleaning the wound and applying antibiotics. It was too large an area to suture and was actually doing quite well. Horse anatomy prevents successful bandaging of injuries on shoulders.



Left shoulder appearance after scrubbing. This colt doesn't always look so dopey, and he wasn't even enjoying the benefits of drugs yet.

This laceration/puncture wound was several days old. An ugly deep gash through skin and muscle layers creating a deep pocket, perfect for collecting pus and dirt, inviting colonies of bacteria to come live and reproduce.


See the plastic piece below the laceration? I had to create an exit and insert the drain to allow continual drainage of the unwanted fluids produced by the body. This was followed by liberal flushing, scrubbing and cleaning out debris. I discovered the cause of this injury.... my probing exposed the end of a branch embedded deep in the muscle. Looks like he impaled himself on a tree, at high speed I am guessing.


The next step was to trim away the dead and damaged skin and muscle. Blood is good, it lets you know you have reached tissue with adequate blood supply.


Remember blood is good.... I closed this in several layers. The deep muscle was sutured with suture material (we don't call it thread) that will be absorbed by the body over time. The skin layer was closed with suture material that doesn't dissolve.


Surgery complete. Finally.

There was more tension on the sutures than I liked, but that's the way it goes. The drain stays in for several days, the area will be hot compressed and flushed at least twice daily. There are medications to give and flies to repel. After washing twice daily, the entire chest is covered with a light film of Bag Balm or Vaseline to protect Wrangler from the draining body fluids, which will irritate the skin, cause hair to fall out and promote skin infection. I refer to this as serum scald.

Wrangler behaved wonderfully and cooperated more than I expected through the entire ordeal of twice daily treatments over the next month.

The next installment will document the healing process. Are you yawning yet? I am, good night and sweet dreams.



53 comments:

Jenn said...

I still look at that left shoulder wound and think "That must have REALLY hurt to hit a stick that hard!" Poor little guy. It looks so much better all stitched up and cleaned up. Great photos from the medical photographer once again!

Karen Deborah said...

Love this stuff, I should've been a vet. We've got some stuff that might be good for this, it's PRICEY.

Maybe this guy has poor eyesight. how do you determine that?

di :) said...

EEYEUUW!!!
I just puked in my mouth!!!

david said...

COOL.... Still feel sorry for the little fella.

JANET said...

I REMEMBER THE DAY THAT YOUR DAD TOLD ME THAT YOU WANTED TO BE A VET---AND I THOUGHT NO WAY KNOWING YOUR BROTHER HAHA---BUT I WAS SO WRONG---RIGHT IN FRONT OF MY EYES YOU HAVE JUST PERFORMED MIRACLES--GREAT JOB TO A VERY GREAT VET:-)

lov mom said...

That poor horse, I hope he is safe now and no more bad ugly damage done to him. He must have been in so much pain! And yet you say he is so sweet.
He has one great Vet to care for him now.

LadiesoftheHouse said...

Thank you for swinging by my blog last week to say hi.

I came over here to visit and laughed to myself when I saw the subject matter. I am not laughing at the poor horse, just the fact that after 30+ years of being owned by horses I don't have any now that we are in Alaska and my husband has never been so happy. It was always a mystery to him how they get hurt on thin air! He would faint if he saw me looking at your blog for fear that I may catch the horsey bug again LOL

I have been through countless ordeals like this one and was always surprised how well they ended up healing. I think the last one was a deep puncture wound to the chest of my filly when she jumped away from the shoer right onto the point of his anvil. It looked like a surface wound until it swelled so bad that we had the vet investigate and she was able to push 4 fingers into the hole so we couldn't see them.

I enjoyed my visit here and I am totally impressed you did all that work yourself :-)

Kris

Gwynster said...

Hi Kathy,

I am working for a project at Michigan State University and was wondering if we could possibly use one of your photos in an online course on a horse related project. My email address is heyboerg@msu.edu. If you could send me a note I can tell you more about our project!

Thanks,

Gwyn

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