This section is from the book "The Horse - Its Treatment In Health And Disease", by J. Wortley Axe. Also available from Amazon: The Horse. Its Treatment In Health And Disease.
This variety of wound is usually inflicted by blunt instruments, such as hooks, nails, pieces of iron or wood, which are forcibly driven into the flesh. Lacerated wounds in the horse are commonly associated with more or less severe bruising or contusion of the divided parts,. which seriously complicates and retards the healing process. Moreover, the surfaces and edges of the wound are so irregular that they cannot be brought together with that perfect coaptation so favourable to the healing of incised wounds. In some instances long shreds of fibrous tissue, being parts of tendons or fascia, hang from the torn surface of lacerated wounds, and if left to slough, as they frequently are, materially interfere with and delay healing. The desirability or otherwise of removing them at once, will be a question for consideration before proceeding to repair the damage.
ARAB STALLION, MESAOUD.
Sire, Aziz, bred by Ali Pasha Sherif; dam, Yemama, bred by Ali Pasha Sherif. A great Prize-winner and successful Sire.
The Property of Wilfrid Scawen Blunt, Esq.
When the injury is inflicted by stakes from hedges, or pieces of wood from fences, or other sources, some parts of these are frequently broken off and left in the wound. It is important, therefore, that careful search be made at the outset for any foreign body which may remain embedded in the flesh, with a view to its removal. Thorough cleansing and disinfection must follow preparatory to dressing, somewhat on the lines laid down in connection with incised wounds. But since the torn tissues are more likely to enclose and retain organisms, gentle brushing with a soft nail-brush should be resorted to. When all dirt has been removed, the surface of the wound should be sponged over with liquefied carbolic acid in an undiluted state. In those cases where, in consequence of the depth of the wound, certain parts of its surface are not accessible, a solution of carbolic acid (1 in 20) may be injected into the recesses which cannot be otherwise dealt with. As in these cases healing by granulation is the most we can hope for, everything should be done to protect the wound from organisms and neutralize the products of such as may gain access to it. To this end the wound should be sprinkled with iodoform, and then stuffed with double cyanide gauze, and the whole covered in with a thick layer of antiseptic wool.
This dressing must be applied every day, and the surrounding skin thoroughly cleansed and freely dressed with carbolic lotion (1 in 20).
The treatment for Contused Wounds is the same as that for Lacerated Wounds.