Page 1353 - Equine Clinical Medicine, Surgery and Reproduction, 2nd Edition

1328 CHAPTER 13

VetBooks.ir should exercise extreme caution if aspirating the tissue necrosis and sloughing occur and the prog-
nosis is grave even when aggressive therapy is used.
affected region. In the initial stages of a haematoma,
the area should be iced to induce vasoconstriction
result in tissue fibrosis and calcification, potentially
and stop further bleeding. After the initial 48 hours Following its resolution, a large haematoma may also
this should be followed with warm therapy to facili- leading to gait abnormalities.
tate reabsorption of the haematoma. Aggressive
anti-inflammatory therapy, broad-spectrum antibi- FURTHER READING
otics and diuretics should be administered to reduce Theoret C, Schumacher J (2017) (eds) Equine Wound
the inflammation and oedema present and to prevent Management, 3rd edn. John Wiley & Sons, Inc., Ames.
or treat a possible infection. If compartment syn- Wilmink JM, van den Boom R, van Weeren PR,
drome is diagnosed, the area should be opened and a Barneveld A (2006) The modified Meek technique as a
fasciotomy performed (Fig. 13.47) to drain the tis- novel method for skin grafting in horses: evaluation of
sues, release the pressure and prevent tissue necro- acceptance, wound contraction and closure in chronic
sis. In advanced stages of compartment syndrome, wounds. Equine Vet J 38(4):324–329.