RESUMEN

Background: Wounds are disruptions of the normal continuity of anatomic structures, generally due to local trauma. Theyare extremely prevalent in animals, especially horses, and a common reason for seeking veterinary attention. Their management aims to restore the function and integrity of the affected area in the shortest possible time and cost, while providingsatisfactory cosmetic results. This task becomes challenging when working with horses, considering the contact betweenwounds and contaminated environment is common. Thus, the present study aims to report the case of a traumatic equinewound treated with Nile Tilapia Fish Skin (NTFS).Case: A male 27-year-old horse previously castrated, with no defined breed (NDB), and weighing 400 kg presented a 6.0 x5.5 cm superficial wound in the distal left anterior limb (LAL) due to skin laceration. The animal belonged to the cavalry ofthe Military Police of Ceará, a public institution in Fortaleza, Brazil. Although in excellent general health, with no previouscomorbidities or restriction of movement, the animal was removed from its role in equine-assisted therapy (EAT) until completewound healing, aiming adequate evaluation of the novel biomaterial via lower influence of external factors. After informedconsent from the owner was obtained, Nile Tilapia Fish Skin was applied to the lesion. The Ethics Committee on the use ofanimals of the Drug Research and Development Center of the Federal University of Ceará, Fortaleza, Brazil, approved the studyprotocol. Compliance with regulations on the ethical treatment of animals was performed. Nile Tilapia Fish Skin applicationfollowed a protocol similar to that established in human clinical studies. Initially, the horse was submitted to wound cleaningwith tap water and 2% chlorhexidine gluconate, with no requirement of pre-treatment surgical...(AU)

Asunto(s)

RESUMEN

Background: Wounds are disruptions of the normal continuity of anatomic structures, generally due to local trauma. Theyare extremely prevalent in animals, especially horses, and a common reason for seeking veterinary attention. Their management aims to restore the function and integrity of the affected area in the shortest possible time and cost, while providingsatisfactory cosmetic results. This task becomes challenging when working with horses, considering the contact betweenwounds and contaminated environment is common. Thus, the present study aims to report the case of a traumatic equinewound treated with Nile Tilapia Fish Skin (NTFS).Case: A male 27-year-old horse previously castrated, with no defined breed (NDB), and weighing 400 kg presented a 6.0 x5.5 cm superficial wound in the distal left anterior limb (LAL) due to skin laceration. The animal belonged to the cavalry ofthe Military Police of Ceará, a public institution in Fortaleza, Brazil. Although in excellent general health, with no previouscomorbidities or restriction of movement, the animal was removed from its role in equine-assisted therapy (EAT) until completewound healing, aiming adequate evaluation of the novel biomaterial via lower influence of external factors. After informedconsent from the owner was obtained, Nile Tilapia Fish Skin was applied to the lesion. The Ethics Committee on the use ofanimals of the Drug Research and Development Center of the Federal University of Ceará, Fortaleza, Brazil, approved the studyprotocol. Compliance with regulations on the ethical treatment of animals was performed. Nile Tilapia Fish Skin applicationfollowed a protocol similar to that established in human clinical studies. Initially, the horse was submitted to wound cleaningwith tap water and 2% chlorhexidine gluconate, with no requirement of pre-treatment surgical...

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RESUMEN

No presente trabalho será abordado a importância da cicatrização, o tratamento de feridas cutâneas contaminadas com o uso de açúcar e ciorexidina,a importância do tecido de granulação no processo de cicatrização, o uso de antisséptico para reduzir o risco de contaminação e o aceleramento da cicatrização. Antes de tudo, é preciso saber classificar o grau de contaminação e o tipo de ferida a ser tratada, assim, diminuindo o risco de contaminação, onde foi feito uma pesquisa literáriade várias obras de autores que indicam o uso de açúcar e clorexidina para a cicatrização de feridas contaminadas. Os processos citados durante o decorrer do trabalho demonstram a eficácia de uma boa antissepsia que é importante para uma boa cicatrização.

This study will address the importance of healing, the treatment of skin wounds contaminated with the use of sugar and chlorhexidine, the importance of granulation tissue in the healing process, the use of antiseptic to reduce the risk of contamination and acceleration First of all, it is necessary to know how to classify the degree of contamination and the type of wound to be treated, thus reducing the risk of contamination, where a literary research was done on several works by authors that indicate the use of sugar and Chlorhexidine for the healing of contaminated wounds. The processes cited during the course of the work demonstrate the effectiveness of a good antisepsis which is important for good healing.

En este estudio se examinó la importancia de la cicatrización, el tratamiento de las heridas contaminadas con el uso de azúcar y la clorhexidina, la importanciade tejido de granulación en el processo de curación, el uso de antiséptico para reducir el riesgo de contaminación y la aceleración Iacuración, em primer lugar, lo que necesita saber para clasificarel grado de contaminación y el tipo de herida a tratar, reduciendo así el riesgo de contaminación, que se hizo una búsqueda en la literatura de varias obras de autores que indican el uso de azúcar y clorhexidinapara la curación de las heridas infectadas. Los processos citados durante el curso del estudio demuestran la eficaciade un buen antiséptico que es importante para la curación adecuada.

Asunto(s)

RESUMEN

No presente trabalho será abordado a importância da cicatrização, o tratamento de feridas cutâneas contaminadas com o uso de açúcar e ciorexidina,a importância do tecido de granulação no processo de cicatrização, o uso de antisséptico para reduzir o risco de contaminação e o aceleramento da cicatrização. Antes de tudo, é preciso saber classificar o grau de contaminação e o tipo de ferida a ser tratada, assim, diminuindo o risco de contaminação, onde foi feito uma pesquisa literáriade várias obras de autores que indicam o uso de açúcar e clorexidina para a cicatrização de feridas contaminadas. Os processos citados durante o decorrer do trabalho demonstram a eficácia de uma boa antissepsia que é importante para uma boa cicatrização.(AU)

This study will address the importance of healing, the treatment of skin wounds contaminated with the use of sugar and chlorhexidine, the importance of granulation tissue in the healing process, the use of antiseptic to reduce the risk of contamination and acceleration First of all, it is necessary to know how to classify the degree of contamination and the type of wound to be treated, thus reducing the risk of contamination, where a literary research was done on several works by authors that indicate the use of sugar and Chlorhexidine for the healing of contaminated wounds. The processes cited during the course of the work demonstrate the effectiveness of a good antisepsis which is important for good healing.(AU)

En este estudio se examinó la importancia de la cicatrización, el tratamiento de las heridas contaminadas con el uso de azúcar y la clorhexidina, la importanciade tejido de granulación en el processo de curación, el uso de antiséptico para reducir el riesgo de contaminación y la aceleración Iacuración, em primer lugar, lo que necesita saber para clasificarel grado de contaminación y el tipo de herida a tratar, reduciendo así el riesgo de contaminación, que se hizo una búsqueda en la literatura de varias obras de autores que indican el uso de azúcar y clorhexidinapara la curación de las heridas infectadas. Los processos citados durante el curso del estudio demuestran la eficaciade un buen antiséptico que es importante para la curación adecuada.(AU)

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Background: Cutaneous wounds in locomotor limbs represent one of the most frequent disorders in equine medicine. Wounds in equines are distinguished from those in other species by unique characteristics, including different healing rates among breeds, wound location and high propensity to formation of exuberant granulation tissue during the healing process. The wound healing process that cannot be sutured can be accelerated by the use of skin grafts, lowering the treatment cost. The objective of this report was to divulgate the success upon treatment of an extensive lacerated wound in the metatarsal region of a horse using autologous skin grafts.Case: A 3-year-old, female, American quarter horse weighting 450 kg was brought to veterinary hospital with lower limb injury. According to the owner’s report, the animal had one of its limbs stuck in a plain wire fence. A wound was observed in the metatarsal region during physical examination, the lesion caused an extensive skin laceration that showed the dorsal surface of the metatarsal bone and the digital extensor tendon. After injury assessment, wound debridement was carried out by surgery intervention followed by antisepsis and application of autologous plasma every two days as post-surgical care and wound preparation to receive the graft. Forty-five days after the first intervention, grafts were collected from the neck and implanted in the wound. The procedure achieved 70% of success. After approximately 75 days, transplantation was performed in other regions of the wound using the same technique. The duration of treatment at the Veterinary Hospital of the Universidade Paranaense (UNIPAR) was eight months, and then the animal returned home, where dressings were applied for two months to avoid the risk of contamination and until complete recovery.Discussion: The debridement of the wound and edges approximation were of great value in order to begin the process of wound granulation.[...]

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RESUMEN

Background: Cutaneous wounds in locomotor limbs represent one of the most frequent disorders in equine medicine. Wounds in equines are distinguished from those in other species by unique characteristics, including different healing rates among breeds, wound location and high propensity to formation of exuberant granulation tissue during the healing process. The wound healing process that cannot be sutured can be accelerated by the use of skin grafts, lowering the treatment cost. The objective of this report was to divulgate the success upon treatment of an extensive lacerated wound in the metatarsal region of a horse using autologous skin grafts.Case: A 3-year-old, female, American quarter horse weighting 450 kg was brought to veterinary hospital with lower limb injury. According to the owners report, the animal had one of its limbs stuck in a plain wire fence. A wound was observed in the metatarsal region during physical examination, the lesion caused an extensive skin laceration that showed the dorsal surface of the metatarsal bone and the digital extensor tendon. After injury assessment, wound debridement was carried out by surgery intervention followed by antisepsis and application of autologous plasma every two days as post-surgical care and wound preparation to receive the graft. Forty-five days after the first intervention, grafts were collected from the neck and implanted in the wound. The procedure achieved 70% of success. After approximately 75 days, transplantation was performed in other regions of the wound using the same technique. The duration of treatment at the Veterinary Hospital of the Universidade Paranaense (UNIPAR) was eight months, and then the animal returned home, where dressings were applied for two months to avoid the risk of contamination and until complete recovery.Discussion: The debridement of the wound and edges approximation were of great value in order to begin the process of wound granulation.[...](AU)

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Os ferimentos de pele são frequentes no atendimento clínico de equinos e, com isso, encontram- se na literatura vários protocolos terapêuticos referentes ao seu tratamento. No entanto, em busca de técnicas que acelerem o reparo celular e que ainda promovam uma cicatrização de qualidade, a fisioterapia aliada ao manejo clínico tem apresentado grandes vantagens. O caso descrito neste trabalho relata a utilização da técnica dos “Três L's”, que representa a associação de um curativo de baixa fricção à aplicação da pomada à base de Leptospermum scoparium, seguida da laserterapia, em uma ferida de grande extensão na face de uma potra Quarto de Milha. O metilglioxal, componente da pomada, tem potente propriedade anti-inflamatória e antibacteriaria, além de promover um ambiente adequado para a cicatrização. Já a fotobioestimulação promovida pelo LASER tem relação direta com a síntese de ATP celular, na redução da fase inflamatória e estimulação da fase proliferativa. A associação destes métodos apresentou bom resultado no caso relatado.

Skin injuries are often present on the equine medicine routine, and several therapeutic protocols aiming their treatment are described in literature. However, new techniques able to accelerate tissue repair and improve healing quality are under constant investigation. Thus, physical therapy has been proven as an ally on multiple clinical approaches, resulting in many advantageous outcomes. This case report describes the use of the "three-L technique" on an extensive face wound of a Quarter Horse filly. This technique consists on associating, within a daily wound-dressing protocol, a low frequency ointment friction (with Leptospermum scoparium in its composition), followed by laser therapy. Methylglyoxal, one of the main components of the ointment used, has potent anti-inflammatory and antibacterial properties, added to its capability in promoting a proper healing environment. Photobiostimulation provided by LASER directly affects cellular ATP synthesis, also reducing the inflammatory phase and aiding in the proliferative phase stimulation. Association of the aforementioned methods presented positive outcomes on the present case report.

Heridas cutáneas son constantes en la rutina clínica en la medicina equina y diversos tratamientos son descritos en la literatura. Sin embargo, nuevas técnicas que puedan acelerar la reparación de tejidos y mejorar la cualidad de cicatrización son constantemente investigadas. De esta forma, la fisioterapia es un poderoso aliado en el enfoque clínico, con resultados provechosos. Este informe de caso describe el uso de la técnica de “los tres L” en el tratamiento de una herida muy grande en la cara de una potra Cuarto de Milla. La técnica consiste en la asociación de una fricción de baja frecuencia con pomada a base de Leptospermum scoparium, con consecutiva aplicación de laserterapia. El metilglioxal, componente de la pomada, ejerce un potente efecto anti-inflamatorio e anti-bacteriano, además de promocionar un entorno favorable por la cicatrización. La fotobioestimulación fomentada por elLASER afecta directamente la síntesis de ATp, con la reducción de la fase inflamatoria y la estimulación de la fase proliferativa. La asociación de los métodos supra mencionados tuviera resultados positivos en el presente informe de caso.

Asunto(s)

RESUMEN

Os ferimentos de pele são frequentes no atendimento clínico de equinos e, com isso, encontram- se na literatura vários protocolos terapêuticos referentes ao seu tratamento. No entanto, em busca de técnicas que acelerem o reparo celular e que ainda promovam uma cicatrização de qualidade, a fisioterapia aliada ao manejo clínico tem apresentado grandes vantagens. O caso descrito neste trabalho relata a utilização da técnica dos “Três L's”, que representa a associação de um curativo de baixa fricção à aplicação da pomada à base de Leptospermum scoparium, seguida da laserterapia, em uma ferida de grande extensão na face de uma potra Quarto de Milha. O metilglioxal, componente da pomada, tem potente propriedade anti-inflamatória e antibacteriaria, além de promover um ambiente adequado para a cicatrização. Já a fotobioestimulação promovida pelo LASER tem relação direta com a síntese de ATP celular, na redução da fase inflamatória e estimulação da fase proliferativa. A associação destes métodos apresentou bom resultado no caso relatado.(AU)

Skin injuries are often present on the equine medicine routine, and several therapeutic protocols aiming their treatment are described in literature. However, new techniques able to accelerate tissue repair and improve healing quality are under constant investigation. Thus, physical therapy has been proven as an ally on multiple clinical approaches, resulting in many advantageous outcomes. This case report describes the use of the "three-L technique" on an extensive face wound of a Quarter Horse filly. This technique consists on associating, within a daily wound-dressing protocol, a low frequency ointment friction (with Leptospermum scoparium in its composition), followed by laser therapy. Methylglyoxal, one of the main components of the ointment used, has potent anti-inflammatory and antibacterial properties, added to its capability in promoting a proper healing environment. Photobiostimulation provided by LASER directly affects cellular ATP synthesis, also reducing the inflammatory phase and aiding in the proliferative phase stimulation. Association of the aforementioned methods presented positive outcomes on the present case report.(AU)

Heridas cutáneas son constantes en la rutina clínica en la medicina equina y diversos tratamientos son descritos en la literatura. Sin embargo, nuevas técnicas que puedan acelerar la reparación de tejidos y mejorar la cualidad de cicatrización son constantemente investigadas. De esta forma, la fisioterapia es un poderoso aliado en el enfoque clínico, con resultados provechosos. Este informe de caso describe el uso de la técnica de “los tres L” en el tratamiento de una herida muy grande en la cara de una potra Cuarto de Milla. La técnica consiste en la asociación de una fricción de baja frecuencia con pomada a base de Leptospermum scoparium, con consecutiva aplicación de laserterapia. El metilglioxal, componente de la pomada, ejerce un potente efecto anti-inflamatorio e anti-bacteriano, además de promocionar un entorno favorable por la cicatrización. La fotobioestimulación fomentada por elLASER afecta directamente la síntesis de ATp, con la reducción de la fase inflamatoria y la estimulación de la fase proliferativa. La asociación de los métodos supra mencionados tuviera resultados positivos en el presente informe de caso.(AU)

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RESUMEN

A terapia fotodinâmica (TFD) vem sendo estudada na reparação tecidual e no tratamento de feridascutâneas infectadas, principalmente pelo seu potencial de inativação de micro-organismos. O objetivo destetrabalho foi demonstrar a eficácia da utilização da terapia fotodinâmica no tratamento de uma ferida causada pormiíase. Um caprino jovem, fêmea, da raça Saanen, que apresentava infestação por larvas da mosca Cochliomyiahominivorax e extensa perda tecidual na região da vulva e região perianal decorrente da atividade larval notecido foi tratada com terapia fotodinâmica. Após o tratamento verificou-se a re-epitilização completa da feridaem 15 dias, demonstrando assim que a terapia fotodinâmica pode ser uma alternativa de tratamento para feridas.

Photodynamic therapy (PDT) has been studied in tissue healing and treatment of infectedwounds, mainly for their potential to inactivate microorganisms. The objective of this study was to demonstratethe effectiveness of the use of photodynamic therapy in the treatment of a wound caused by myiasis. A younggoat, female, Saanen, which had fly larvae infestation by Cochliomyia hominivorax and extensive tissue loss inthe region of the vulva and perianal due to larval activity in the tissue was treated with photodynamic therapy.After treatment there was a complete reepithelization in 15 days, demonstrating that photodynamic therapy canbe an alternative treatment for wounds.

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RESUMEN

A terapia fotodinâmica (TFD) vem sendo estudada na reparação tecidual e no tratamento de feridascutâneas infectadas, principalmente pelo seu potencial de inativação de micro-organismos. O objetivo destetrabalho foi demonstrar a eficácia da utilização da terapia fotodinâmica no tratamento de uma ferida causada pormiíase. Um caprino jovem, fêmea, da raça Saanen, que apresentava infestação por larvas da mosca Cochliomyiahominivorax e extensa perda tecidual na região da vulva e região perianal decorrente da atividade larval notecido foi tratada com terapia fotodinâmica. Após o tratamento verificou-se a re-epitilização completa da feridaem 15 dias, demonstrando assim que a terapia fotodinâmica pode ser uma alternativa de tratamento para feridas.(AU)

Photodynamic therapy (PDT) has been studied in tissue healing and treatment of infectedwounds, mainly for their potential to inactivate microorganisms. The objective of this study was to demonstratethe effectiveness of the use of photodynamic therapy in the treatment of a wound caused by myiasis. A younggoat, female, Saanen, which had fly larvae infestation by Cochliomyia hominivorax and extensive tissue loss inthe region of the vulva and perianal due to larval activity in the tissue was treated with photodynamic therapy.After treatment there was a complete reepithelization in 15 days, demonstrating that photodynamic therapy canbe an alternative treatment for wounds.(AU)

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