Читать книгу Veterinary Surgical Oncology - Группа авторов - Страница 37
Wound Healing
ОглавлениеThe veterinary oncologic patient has several risk factors that may increase the frequency of complications associated with wound healing (Cornell and Waters 1995). Nutritional compromise and concomitant disease can be treated to improve the outcome of wound healing, but other factors like tumor type and completeness of surgical excision have to be considered as well. Neoadjuvant/adjuvant therapies such as chemotherapy, radiotherapy, and antiangiogenic medications have also been documented to impair wound healing (Devereux et al. 1979; Cornell and Waters 1995; te Velde et al. 2002; Séguin et al. 2005) (see Chapter 2).
Proper surgical techniques, as described above, can be employed to decrease the chance of wound complications. Regular communication with the patient’s agent both before and after surgery will help to preemptively prepare for complications or aid in rapid identification and intervention when complications arise. Prevention of self‐trauma should be routinely discussed with the owner and methods of prevention such as bandaging or having the patient wear an Elizabethan collar should be included in the postoperative care.