- Suture (2-0 polpropylene or nylon is best. Be sure to use a monofilament suture)
- Sterile sponges (2 x 2’s, 4 x 4’s, or laparotomy sponges depending on size of the wound)
- Sterile paper drape or other thin impervious material
- Umbilical tape
Fig. 1: From left to right the steps for constructing a tie-over bandage
(from: Knapp DW. Management of the open wound. In: Saunders Manual of Small Animal Practice,
Birchard and Sherding, editors, Elsevier, 2006, pg. 549)
- Debride and flush the wound with sterile saline.
- Place several loops of suture through the skin, around the wound. (Fig 1)
- Pack the wound with sterile moistened sponges or sugar.
- Cover the sponges with sterile paper drape material.
- Lace umbilical tape back and forth through the suture loops to secure the bandage in place. (There is no prescribed method for this step; just make it look pretty.)
- Change the bandage daily.
|Extensive bite wounds in this Labrador resulted in a large open wound|
from the lumbar area to the base of the tail.
|After debridement and flushing, a wet saline tie-over bandage was placed.|
|Extensive burn wounds in a pit bull with areas of full and partial thickness|
|After debridement and flushing the entire injured area was covered by a |
wet saline tie over bandage.
I will show the results of wound management in both of the above dogs in future blogs.