Abstract: Three biologic dressings [split-thickness allogeneic skin (STS)], allogeneic peritoneum (P), and xenogenic porcine small intestinal submucosa (PSIS)] were studied to determine their effects on bacterial proliferation, inflammatory reaction, vascularization, and overall healing and to compare the effects of these dressings with the effects of a nonbiologic dressing, a nonadherent synthetic pad (NASP). A medial wound (3 cm in diameter) and 2 lateral wounds (2 cm in diameter) were created at the junction of the proximal and middle thirds of each metacarpus and metatarsus in 5 horses. Each medial wound and the proximolateral wound received an STS, P, PSIS, or NASP dressing on day 8 after wounding. The other lateral wound received an NASP dressing. Bacterial proliferation, inflammatory reaction (histologic changes), and drhessing vascularization were evaluated 6 d after application of the dressing. Percentages of contraction and epithelialization, as well as healing time, were determined when the wounds had completely epithelialized. The practical applicability of the different dressings to equine wound management was also assessed. No significant difference was detected in the parameters evaluated among the treated wounds or between the treated and control wounds. The biologic dressings had no effect on infection, inflammatory response, or healing time. Vascularization was not identified in any of the biologic dressings. The PSIS and P dressings required numerous applications over the study period. The STS dressings are more practical than PSIS and P dressings owing to ease of application and stability. Thus, these biologic dressings offer no apparent advantage over a nonbiologic dressing for treatment of small granulating wounds. Trois pansements biologiques [peau allogène séparée (STS), péritoine allogène (P), et sous-muqueuse intestinale de porc xénogénique (PSIS)] ont été étudiés afin de déterminer leur influence sur la prolifération bactérienne, la réaction inflammatoire, la vascularisation et la guérison générale ainsi que de comparer les effets de ces pansements à ceux d’un pansement non-biologique, un tampon synthétique non-adhérent (NASP). Une plaie médiale (3 cm de diamètre) et 2 plaies latérales (2 cm de diamètre) ont été produites à la jonction du tiers proximal et du tiers médial de chaque métacarpe et métatarse chez 5 chevaux. Chaque plaie médiale et la plaie proximo-latérale ont reçu un pansement STS, P, PSIS ou NASP au jour 8 après induction de la plaie. L’autre plaie latérale reçue un bandage NASP. La prolifération bactérienne, la réaction inflammatoire (changements histologiques) et la vascularisation du pansement ont été évaluées 6 j après l’application du pansement. Les pourcentages de contraction et d’épithélialisation, de même que le temps de guérison, ont été déterminés lorsque les blessures étaient complètement épithélialisées. L’applicabilité pratique des différents pansements pour soigner les plaies chez les chevaux a aussi été évaluée. Aucune différence significative n’a été détectée parmi les paramètres évalués entre les plaies traitées ou entre les plaies traitées et les plaies témoins. Les pansements biologiques n’avaient aucun effet sur la présence d’infection, la réponse inflammatoire ou le temps de guérison. Aucune vascularisation ne fut détectée chez les pansements biologiques. Les pansements PSIS et P ont nécessité de nombreuses applications durant la période d’essai. Les pansements STS sont plus pratiques que les pansements PSIS et P étant donné leur facilité d’application et leur stabilité. Ainsi, les pansements biologiques n’offrent pas d’avantages apparents sur les pansements non-biologiques pour le traitement des petites plaies de granulation. (Traduit par Docteur Serge Messier)
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This research looks into the effects of three types of biologic dressings on healing cutaneous wounds in horses, compared to a synthetic non-biologic dressing. Interestingly, the study found no significant difference in results between the biologic and non-biologic dressings on various parameters such as infection, inflammatory response, or healing time.
Methodology of the Study
The experiment was conducted using three types of biologic dressings: Split-thickness allogeneic skin (STS), allogeneic peritoneum (P), and xenogenic porcine small intestinal submucosa (PSIS).
The dressings were tested on wounds created on the limbs of five horses, specifically at the junction of the proximal and middle thirds of each metacarpus and metatarsus.
The study also included a non-biologic dressing – a nonadherent synthetic pad (NASP) – for comparative analysis.
Each wound was dressed with one of the four types on the 8th day after the wounds were created. The effects of the dressings on bacterial proliferation, inflammatory reaction, and vascularization were assessed after 6 days of application.
The time taken for the wounds to completely heal, and the percentages of contraction and epithelialization during healing were also recorded.
Findings of the Study
The study found no significant difference in bacterial proliferation, inflammatory reaction, vascularization, healing time, or the degree of contraction and epithelialization among the wounds treated with biologic dressings or the non-biologic NASP dressing.
None of the biologic dressings showed vascularization – the creation of new blood vessels.
The practical applicability of the dressings was also evaluated. It was observed that STS dressings were easier to apply and more stable than PSIS and P dressings, which required multiple applications over the study period.
Conclusion
The findings of the study imply that the tested biologic dressings do not offer any apparent advantage over a non-biologic dressing in the treatment of small granulating wounds in horses.
In terms of application and stability, the non-biologic NASP dressing and the biologic STS dressing were observed to be more practical compared to the other types of dressings.
Cite This Article
APA
Gomez JH, Schumacher J, Lauten SD, Sartin EA, Hathcock TL, Swaim SF.
(2004).
Effects of 3 biologic dressings on healing of cutaneous wounds on the limbs of horses.
Can J Vet Res, 68(1), 49-55.
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