Proud flesh

Surgery Clinics 1
CLMS 02703

Presented to: Madam Farah Ijaz

Presented by: Qamar Mahmood
Regd. No. 2013-VA-267

College of Veterinary and Animal Sciences, Jhang

Proud flesh

Proud flesh is an extra growth of granulation tissue on above the surface

of skin.
It has appearance like cauliflower.
It usually develops over an open wound, and most often occurs in areas of
excessive tension and motion.
Appearance:

During the migratory phase of wound healing, granulation tissue is:

Light red or dark pink in color
Soft to the touch
Moist
Granular in appearance.
Pulseful on palpation
Proud flesh on the hind leg of a foal, presented to CVAS clinic
Structure:

Granulation tissue is composed of tissue matrix supporting a variety of cell

types, most of which can be associated with one of the following functions:
Formation of extracellular matrix,
Operation of the immune system,
Vascularization
Treatment:

Inject Local anesthesia (Lignocaine) locally.

If there is deep cavity, fresh it.
All granulation tissue should be cut with scalpel to bring it back at
the level of skin.
Dried up with help of gauze.
Tincture Iodine be used to soak the gauze as per size of cavity, and
placed over there.
Non irritant antiseptic should be applied. (eg: Pyodine)
 Reduced portion should be treated with Caustic solution:
2 % Agno3
Carbolic acid crystals
KOH crystals
NaoH

Broad spectrum antibiotic Streptopencillin @ 10 gram daily for 5 7 days.

100 gram Nacl be given to the animal once daily till recovery of wound.

Nacl may be sprinkled on fodder given to animal.

Procedure
Injecting local anesthesia (Lignocaine)
Cutting the outgrowth
Applied tincture iodine and pressure bandage
Precautions:

Do not handle the case with bear hands.

Use rubber gloves
Dry the wound with the help of Gauze soaked in tincture iodine solution.
Thanku !

References:
https://en.wikipedia.org/wiki/Granulation_tissue
http://practicalhorsemanmag.com/article/equine-proud-flesh-problems-31307