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  • Author or Editor: Holly Roessner x
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Abstract

OBJECTIVE

To compare the application and healing of the zip skin closure system (ZSCS) with sutured closure by use of a split-scar model of ventral midline incisions in horses in a prospective, randomized experimental study.

ANIMALS

8 adult horses.

PROCEDURES

All horses underwent an exploratory ventral midline celiotomy with a standardized 30-cm skin incision. Each horse was randomized to have either the cranial 15 cm closed with suture and caudal 15 cm with the ZSCS or vice versa (split-scar model). Skin closure time was recorded and compared. Photography and skin biopsies were taken preoperatively and 14 days postoperatively. Cosmetic appearance was assessed by use of a proposed equine celiotomy incision score. Healing at 14 days was assessed by histopathology.

RESULTS

Skin closure times were faster with the ZSCS compared to sutured incisions. At 14 days postoperatively, the cosmetic appearance (equine celiotomy incision scores) for ZSCS incisions were better than sutured closure and histologic healing scores were not different between methods of closure. Subcuticular sutures were associated with deep dermal inflammation and necrosis independent of epidermal closure methods.

CLINICAL RELEVANCE

While limitations to the utility of the ZSCS are recognized, the potential benefits of expedient closure, good cosmetic outcome, and satisfactory healing make this method viable for closure of linear wounds or incisions in horses.

Full access
in American Journal of Veterinary Research
History

A 22-year-old Warmblood gelding was referred to the North Carolina State University Large Animal Emergency Service for evaluation of anemia. The horse was treated for signs of colic and fever (38.9 °C)suspected to be secondary to a large colon impaction the day before the referral. Treatment consisted of administration of an unknown dose of flunixin meglumine and enteral fluids administered via nasogastric intubation.

Clinical and Gross Findings

On physical examination, the horse was quiet and alert, with mild tachycardia (52 beats/min), tachypnea (28 beats/min), and pale pink mucous membranes. Complete blood count showed marked macrocytic, normochromic, regenerative anemia with

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in Journal of the American Veterinary Medical Association