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Discussion on Recommendations for hematoma treatment after removing drain
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New Member:
Lisab
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Posted on Tuesday, Apr 29, 2003 - 10:17 am:
I'm treating a horse who had a hematoma/seroma (on his hip) drained 12 days ago. The drains came out after 7 days, and the incisions are trying to close up, but there is still quite a lot of serum production, and I'm wondering what other recommendations you would have for treating this. The vet was having me flush it with saline; how long should that be kept up? What is the best way to keep the incisions open and draining, and also keep them clean?
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Moderator:
DrO
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Posted on Tuesday, Apr 29, 2003 - 9:22 pm:
Lisa, I would recommend you use the hose with a foreful stream. This procedure is explained in » Equine Diseases » Skin Diseases » Long Term Deep Wound Care. It is imperative that a wound have ventral drainage, that is drainage out the bottom on the wound.
DrO
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Member:
Lisab
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Posted on Friday, May 2, 2003 - 11:09 pm:
Thanks, DrO. The bottom incision has healed closed and I can't reopen it now without a scalpel, but the incision above it I have been able to keep open. The wound isn't draining on its own, but I have been draining it twice daily with a 60cc syringe. Do you think I should have another drain put in? How long do these things usually take to heal?
One more thing - after I've drained the wound, the skin lays flat and tight against the muscle underneath, but the whole area is raised about 1/2" or so, there's a definite edge to it. He doesn't seem tender in that area, the only place he's touchy is on the incision itself.
Thanks again!
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Moderator:
DrO
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Posted on Saturday, May 3, 2003 - 7:41 am:
Yes the bottom drain needs to open and draining. Time for healing dopends on the severity of the intial insult, and complications like this. I have left drains in for up to 2 weeks.
DrO
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