Wounds
A wound is a break in the continuity of soft tissues
caused by trauma. Wounds may be broadly classified into two categories, viz.,
Closed wounds and Open wounds.
Closed Wounds
A closed wound is a wound in which
there is no break in the continuity of skin (or mucous membrane), but the
underlying tissues are damaged to a varying degree, e.g., contusion, bruise,
haematoma.
1. Contusion. A contusion is produced by blunt objects and results
in damage to subcutaneous tissues without breaking the continuity of the skin
surface. Contusions are classified into first, second and third degrees
according to the extent or severity of the injury.
2. Bruise. A bruise is a
mild degree contusion. It is characterized by rupture of capillaries in the
skin giving rise to a reddish-blue or purplish colouration of skin (Ecchymosis).
(The colouration of the skin, however, is not appreciable in animals with deeply
pigmented skin).
3. Haematoma. A haematoma is a collection of blood in an
abnormal cavity. It is usually caused by injury to a superficial vein.
Haematomas are frequently seen subcutaneously or submucously. The common seats
of haematoma in various species are:
Cow: (1) Mammary vein. Cause: Chance of rubbing
against the hard ground, butting by the calf. (2) Vaginal mucous membrane. Cause:
Injury during copulation.
Bull: Haematoma involving the penis. Cause: Injury
during copulation.
Horse: Spur vein or external thoracic vein. Likely cause of
injury by the rider.
Dog: (1) Earflap. (2) Vaginal mucous membrane. Cause:
Injury during copulation.
Open Wounds
An open wound is a wound in which there
is a break in the continuity of skin. Open wounds are classified into the
following categories.
1. Incised wounds. Incised wounds are caused by sharp
cutting instruments, such as knives, scalpels, fragments of glass etc. An
incised wound tends to gape, the extent of gaping depending upon the elasticity
and tension of the surrounding tissues. Its edges are regular and there is
comparatively less injury to cells. It bleeds freely and may be painful. If the
edges are in apposition and the wound is protected from infection it heals by
the first intention.
2. Lacerated wounds. A lacerated wound presents torn and
uneven edges. Sometimes the skin may be more or less extensively injured and it
may be lifted over a wide area from underlying tissues.
3. Punctured wounds.
Punctured wounds are caused by sharp pointed objects like nails. They have a
relatively small opening and may be very deep. Infection or foreign particles
might have been carried deep into the wound. The opening is inadequate for
drainage. Example: Punctured wounds on foot due to gathered nail.
4.
Penetrating wounds. These are deep wounds communicating with cavities like abdomen,
thorax, joints, larynx, trachea, etc. Example: Stab wounds.
5. Perforating
wounds. A perforating wound has two openings, one of entrance and the other of
exit, e.g., perforating wounds of neck, leg, thorax, abdomen, head etc. _ Note:
The terms "perforating wounds" and "penetrating wounds" are
sometimes used synonymously.)
6. Gunshot wounds. These are produced by various
types of firearms. The point of entrance of the bullet is marked by a smaller
opening on the skin but the course of the bullet in deeper tissues exhibits
more extensive damage.
7. Abrasions. Abrasions are wounds in which the
superficial layers of skin only are removed.
8. Avulsions (Evulsions). An
avulsion is a wound in which there is actual loss of tissue. Examples: evulsion
of hoof, evulsion of horn.
9. Aseptic wound. It is a surgical wound made under
aseptic conditions wherein the chance of bacterial contamination is practically
avoided.
10. Contaminated wounds. A contaminated wound is a wound in which
microorganisms are present. Strictly speaking, all wounds other than aseptic
wounds are contaminated wounds. Infected wounds (Septic wounds). An infected
wound is a wound in which microorganisms have invaded the tissues and have
started multiplying and producing toxins. (A contaminated wound may become
infected after a "lag period" of six to eight hours).
11. Granulating
wounds. A granulating wound is a wound which is showing a tendency to heal.
12.
Ulcerating wounds. An ulcerating wound is a wound which has no tendency to heal.
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