Specific Wound Treatments

• Wash wound with warm water to remove debris. (Cold water retards healing)
• Cut Ligasano^® green to size of wound and place directly into/onto the wound bed and/or under any loose skin flaps. Hold in place with a small piece of adhesive tape if necessary. (Use Ligasano^® green for 24 hours only – subsequent dressings must be Ligasano^® white.)
• Then place Ligasano^® white over the Ligasano^® green. Begin the dressing on the one side of the wound, take the Ligasano^® white around the leg and end over on the other side of the wound so that a 4cm thick pad of Ligasano^® white covers the actual wound bed itself. This thick pad of Ligasano^® white assists in controlling the amount of oxygen that gets to the wound bed and prevents the wound from drying out.
• The 2cm thick layer of Ligasano^® white around the back of the leg protects the tendons (in horses) and helps prevent a pressure ulcer from developing.
• Hold Ligasano^® white FIRMLY in place with available veterinary bandages/crepe bandages and adhesive tape to ENSURE it does not move.
• Change the dressing daily. You will notice that a clear liquid is secreted from the wound. This is an important stage in wound healing and will continue for 3-5 days.
• The horse may be turned out into the paddock dependent upon the severity of the injury.
• Change the dressing if it gets wet as a result of rain.
• There is no need to wash the wound unless debris has made its way onto the wound bed. Take the old dressing off and replace it with a new one as quickly as possible with as little disturbance as possible
• Cut a small piece of Ligasano^® white from one of the 10 pieces, fill any cavities/undermined areas as done previously with the Ligasano^® green. Continue to do this each day until the new cells growth has completely filled up the cavity.
• Then wrap the Ligasano^® white around the leg as before and hold it FIRMLY in place with available bandages and tape.

Subsequent dressings:

Once the wound has ceased to secrete exudates and all cavities are filled, the following may be done:

• Cut a 2cm thick piece of new Ligasano^® white to the size of the wound and place it directly against the wound bed.
• Take another large 2cm piece as an outer layer dressing and place it over the fresh new 2cm thick piece of Ligasano^® white and secure it as above. Always use NEW Ligasano^® white against the wound bed.
• Continue with the above until the wound has healed.

Strange happenings:

• At a certain stage of the healing the wound may suddenly start bleeding profusely when you change the dressing. DO NOT PANIC. Wipe away blood and change dressing as fast as possible. It is rather disconcerting but it will pass after a few days.
• When a wound is healing it often become very itchy. This is normal. The horse may bite the dressing and hurt himself if it is not securely taped in place.
• Although Ligasano^® white may be used with ointment, debriding gel and antibiotics if necessary, it is not recommended.
• No Proud Flesh will develop if the Ligasano^® white is secured properly.

DO NOT: Wrap the Ligasano^® white around the leg so tightly that it cuts the blood supply off. Do not leave the Ligasano^® white on for days and days without changing it as the new cell growth from the wound will grow into the Ligasano^® white and may cause the wound to bleed profusely when you remove the dressing.

Irrigate sinus with warm saline solution using a syringe.

• Ligasano^® green grid is strong and very porous. Cut a long thin strip wide enough to be able to insert into the wound with forceps. Fill sinus completely. It is important to leave a tail sticking out for easy removal. Place a piece of Ligasano^® White 2cm thick, 3-4cm larger than the actual wound, over the entire area and hold in place firmly with adhesive tape. Use Ligasano^® green for 24hrs only then revert to Ligasano^® white.
• Exudate in the form of a bloody serum will come from the wound. It will revert to clear liquid as devitalized tissue in the wound is removed.
• Cut Ligasano^® white in exactly the same fashion to enable you to fill the cavity. The cavity might get bigger as Ligasano^® white cleans the sinus out. However, granulation will take place from the base of the wound upward and less and less Ligasano^® white will go into the wound. Do not leave Ligasano^® white in the sinus for more than 24hours as the new cell growth will attach itself to the Ligasano^® white and the wound will bleed when removed.
• Continue until healed.

• Remove burnt flesh where possible either per surgery or manually with scissors.
• Give pain medication if necessary before doing the dressing
• Place debriding gel over the wound area and lay Ligasano^® white directly onto the wound bed. Hold firmly with adhesive tape or a bandage.
• Apply as above. Continue to change daily until healed.

• Lance the abscess and insert a thin plug of Ligasano^® white.
• Place a larger piece of Ligasano^® over the top.
• Change daily but in between dressings irrigate with saline solution if necessary.