YOU ARE OBSERVING
Wound is Coming Apart, Reopening after Sutured
Summary
It is up to your vet to discuss the costs and benefits of suturing any wound. Not every wound should be sutured. By choosing appropriate wounds to suture in the first place, wound breakdown can often be avoided. On the other hand, there are simply cases in which everything is done perfectly, and the wound breaks down anyway.
Generally, dehiscence of a sutured wound is not a veterinary emergency. In most cases, it is not possible for vets to re-suture a wound immediately anyway. The wound must reach a different stage of healing in order for there to be another opportunity to repair it again. Your vet will instruct you as to how your care of the wound will differ now that the suture line has failed. They may want to see the horse, remove the sutures and discuss other treatment options with you.
Your vet should have given you instructions as to what to do if you noticed failure of the suture line. Absent any instructions from your vet, here are some thoughts: Depending on the location and nature of the wound, (and if you are a competent bandager) you might try bandaging it. If flies are a problem, applying a fly repellent wound ointment may be helpful until your vet can see it. It is always appropriate to gently dab an open wound clean with dilute antiseptics. Do not use harsh, full strength antiseptics unless instructed to do so by your vet. Contact your vet as soon as possible and let them know what happened so the best course can be chosen going forward.
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Code Red
Call Your Vet Immediately, Even Outside Business Hours- If you are not sure if your horse needs to be seen immediately or not.
- If this is a wound of a critical structure and you feel the horse's life and health are at risk.
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Code Orange
Call Your Vet at Their First Available Office Hours- To let the vet know of the development, and discuss a course going forward.
your role
What To Do
What Not To Do
Do not try to re-suture the wound yourself. Do not use tissue adhesives of any kind. Do not administer antibiotics or other drugs without your vet's guidance.Skills you may need
Procedures that you may need to perform on your horse.
your vet's role
- Is there any drainage?
- Do you notice any lameness?
- Do you notice swelling in the area?
- Do you think the horse's attitude and appetite are normal?
- How aggressively do you want to handle this? We may have other options for repair.
Diagnostics Your Vet May Perform
Figuring out the cause of the problem. These are tests or procedures used by your vet to determine what’s wrong.
Diagnoses Your Vet May Consider
The cause of the problem. These are conditions or ailments that are the cause of the observations you make.
Treatments Your Vet May Recommend
A way to resolve the condition or diagnosis. Resolving the underlying cause or treating the signs of disease (symptomatic treatment)