Here’s the video where we can see Loris’ method. He uses a bandage in difficult cases but he doesn’t use bandages in dermatits.
An interesting discussion begins. Bandage? Not to bandage? When?
Any thought will be very well received…
26 September 2009
9 Comments »
RSS feed for comments on this post. TrackBack URL
I only bandage if need to control bleeding, not on dermatitis, but I would never bandage as much as on video as I'm afraid of bandage creating anaerobic environment for bacteria if farmer doesn't take bandage off. So I only use enough vetwrap to create a pressure bandage. I'll admit Chuck Guard has been a big influence as he's completely anti bandage. We are doing a little study comparing wrap vs no wrap and just applying tetracycline paste for dermatitis and so far no differences stay tuned
Gerard Cramer, Canada
Comment by Gerard — 19 October 2009 @ 16:18 pm
I have been against bandages for years because of the same reasons Gerard says. We have been using just light co flex wraps for DD with the ony aim of keeping the topic in place tiem enough but making sure it was feeling down in 72 hours. But cronic cows are more and more a concern among farmers, tere is a number of WL abscesses that do not heal and chronify. Afeter Miguel travel to ITALY we have started to try with italian bandage and of course with a recheck after one week. let's see
Comment by ANKA Hoof Care — 20 October 2009 @ 7:31 am
I agree chronic cows are more of a concern and WL abscess are tough to treat with some healing and others lingering. Couple of questions about video I imagine blue spray has tetracycline in it. Whats the white powder more antibiotics or sugar? Who does the rechecks, farmer or hoof trimmer?
Comment by Gerard — 24 October 2009 @ 21:08 pm
Gerard
Yes I belive blue spray has tetracycline in it,and I presume white powder is some antibiotic.
True said we have no great experience in such bandage. In Loris clinics he comes himself to recheck the cow. I am trying to getLoris involved in the discussion to get first hand information.
We have recently started the bandage protocol for chronic WL. We aply topic salicilic acid powder as a light astringent. When we get some result if any I am informing
Adrian
Comment by ANKA Hoof Care — 25 October 2009 @ 18:57 pm
By the moment we are having a contradictory feed back. At San Jose farm we tried bandaging with slaycilc acid and changing every week, feed back from farmer: poor healing so he came back to the old protocol of not bandaging, may be cases were too bad necrotic tissue very extense. In neighbor garm Allue we applied same treatment to 3 chronic cows and got complete tiddue recoevery of all 3, need deeper field research
adrian
Comment by ANKA Hoof Care — 12 November 2009 @ 21:46 pm
after bandaging the lesions I remove completely the loose horn and frequently I also remove excessive granulation tissue and superficial necrotic tissue. the composition of the powder is: sulphamidic, penicillin, tetracycline. I remove and change the bandage after 7-10 days, usually once; when I can't I ask the farmer to do. sometime it happens to check lesions after 1 month completely healed, with the powder still dry. I think the recovery depends a lot on farm higiene ( remember to stop footbathing for at least 10 days). this week I've checked 6 lesions in a bad farm with stil the lesions alive. the aim of that kind of bandage is to stop bleeding after curettage and to mantain the lesion clean and dry. Vetrap is not enough. Don't have fear of anaerobic bacteria: they already were in the lesion and the lesions was the damage itsself they created.
Loris
Comment by Loris — 28 November 2009 @ 0:11 am
Loris:
Do you have pictures of some case before and after treatment?
Comment by Adrian — 28 November 2009 @ 11:35 am
Loris
Do you to do this for all WL Abscess or just severe ones. My treatment success on WL Abscess is likely less then 50% with 1 treatment (clean and no wrap unless bleeding, just antibiotic paste) but that doesn't include a bandage like yours. Farm I was at yesterday 2 cows I treated 7 weeks ago the horn had grown over defect and trapped dirt so lesion still not healed, 2 other cows healed fine but at least 1 of them it needed 2 visits. I think the for the first 2 cows I likely left a pocket somewhere and dirt/bacteria got trapped and continued problem.
When you come back in 7-10 days what does lesion look like and do you remove any more tissue? In most cases do you then place another bandage and have it removed in 7-10 days.
Do you think the biggest thing is to keep lesion dry to avoid granulation tissue, as in my experience with toe resection a wrap left on to long creates granulation tissue, where as a wrap taken off gives me good healing.
All of this is making me think the key is to go back and check on these cows in 7-10 days to ensure healing is progressing.
Comment by Gerard — 29 November 2009 @ 1:20 am
I'm looking for some pictures.
Probably it is better always to check severe cases of WLD, especially chronic cases.
I usually bandage chronic cases and bleeding cases, not acute but I try to open it as much as possible. with a good aemosthasis and if the lessions remains dry it can happen to find the lesion healed. on the contrary I find superficial necrosis or granulation tissue, that need another bandage.
Comment by Loris — 29 November 2009 @ 23:37 pm