This study details how an equine compression suit was successfully used to aid in the healing process of a deep wound in the axilla of a horse, notably improving complications that arose such as subcutaneous emphysema and pneumothorax.

Introduction

• The researchers described the scenario where a 2-year-old Thoroughbred filly was referred for handling a deep wound in its left axilla.
• Initially, attempts to pack and bandage the wound were made, however, these attempts failed as the bandages would repeatedly become dislodged.
• In time, the filly developed widespread subcutaneous emphysema (air trapped under the skin) and slow wound granulation (healing).
• Additionally, 11 days after the admission, the filly experienced severe respiratory distress due to a worsening condition of bilateral pneumothorax (air in the chest cavity).

Materials and Methods

• The respiratory issue prompted the placement of a chest drain to alleviate the discomfort.
• Subsequently, an equine compression suit commercially available was employed to secure a primary dressing in place. This was done as an innovative approach to manage the issues presented by the wound location and healing process.

Results

• The application of the compression suit marked significant improvements in the filly’s conditions; subcutaneous emphysema and pneumothorax saw notable progress.
• The wound healing process also saw positive enhancement after the implementation of the compression suit. The filly was successfully discharged from the clinic on the 36th day of treatment.

Conclusion

• This case study emphasizes the potential of a compression suit as an effective alternative to a stent in preventing air intrusion and managing axillary wounds in horses.
• It underlines the importance of understanding that the progression of pneumothorax can be severely delayed after inadequate bandaging of a deep wound, particularly in the axillary region.
• The use of a compression suit provided a viable solution to fix a dressing onto an awkwardly positioned wound. The researchers believe it can also have utility in areas other than the axilla.