Zoetis has announced that Horse & Country TV (Sky Channel 253) will be airing the Vet Essentials episode on worm control in horses from today until 26th March.

The programme, made in association with Zoetis, follows presenter Jenny Rudall on her mission to explore every aspect of worming horses, including how to tackle encysted small redworm. Jenny talks to vet Ben Gaskell from Minster Vets for the low down on worm control, before heading off to the Moredun Research Institute in Scotland to meet parasitology experts Jacqui Matthews and Thomas Tzelos to find out more about the role of faecal worm egg counts, the damage that can be caused by worm burdens and the growing problem of resistance.

Zoetis vet Wendy Talbot said: "The programme should be a big help to vets when it comes to explaining worming to horse owners. They can tell their clients about it and encourage them to watch. It will help educate them about all aspects of worming and specifically about the threat of encysted small redworm at this time of year. This, in turn, should help protect horses against this potentially fatal parasite."

The company is encouraging the profession to help spread the word about the new to clients by email, via Facebook and by word of mouth. 

Zoetis has announced the launch of Ketavet.

The intravenous anaesthetic solution containing ketamine is available in 10ml and 50ml presentations. The new product coincides with the re-classification of ketamine as a schedule 2 drug.

Ketavet is a clear, colourless solution for injection containing ketamine 100 mg/ml (equivalent to 115.36 mg/ml ketamine hydrochloride) with benzethonium chloride 0.1 mg/ml as a preservative. It can be used to induce anaesthesia in horses in conjunction with xylazine, detomidine or romifidine.

Ketavet, along with other ketamine containing products, has been moved to Schedule 2 of the Misuse of Drugs Regulations, which took effect from 30 November 2015. This enables tighter controls on the record keeping, prescribing and safe custody of products containing this active. More information on the specific requirements which will need to be met following the schedule change can be found on the VMD website https://www.gov.uk/government/news/amendments-to-the-misuse-of-drugs-regulations-2001

Penny McCann, Equine Product Manager at Zoetis said: "Ketavet is an important product in our anaesthesia portfolio. We are keen to help veterinary surgeons keep up-to-date with the reclassification of ketamine and with this in mind our new product packaging clearly reflects ketamine’s revised status as a schedule 2 drug."

For more information, contact your Zoetis Account Manager.

Two new campaigns which call on the veterinary profession to unite against the practice of homeopathy have been launched this week. 

Both campaigns raise concerns about the ethics of veterinary surgeons using irrational, unscientific and ineffective remedies to treat ill animals or in place of conventional vaccinations.

The Campaign For Rational Veterinary Medicine presents the case against homeopathy on a new microsite, and asks the profession to unite around a call for the Royal College of Veterinary Surgeons to issue a public position statement that homeopathy is ineffective in animals, bringing it into line with the NHS, the findings of the British government's own review of homeopathy, and the BVA.

The campaign also asks that veterinary surgeons who prescribe homeopathic remedies be required to get owners to sign a consent form, prepared by the College, giving the College’s views on the ineffectiveness of homeopathy.

Lastly, the campaign asks that promotion or advertising of homeopathy by veterinary surgeons should abide by Advertising Standards Authority regulations and carry a statement from the College.

The Campaign for Rational Veterinary Medicine has been set up by a group of practitioners including the BSAVA Past President, Mike Jessop, Alex Gough, Martin Whitehead, Niall Taylor, Phil Hyde, Martin Atkinson and Brennen McKenzie, supported by VetSurgeon.org Editor, Arlo Guthrie. It also has the support of the noted author, academic and erstwhile dog owner, Professor Edzard Ernst.

Arlo said: "This is not just about the ethics of prescribing or tolerating the practice of prescribing water to animals that are dependent on us. There are 13m pet owning households in the UK. As well as visiting the vet, they will all be patients at some stage in their lives. So what you and the College say about homeopathy in animals has the potential to affect the choices they make for themselves too. Think how much money and false hope you could save them, and the consequent benefit to human welfare."

By complete coincidence, another campaign against veterinary homeopathy was launched last week. This one, by Danny Chambers MRCVS goes further, calling for a complete ban on the prescription of homeopathic remedies by veterinary surgeons. The petition has already gathered over 750 supporters. 

Arlo said: "I think it’s important to say that the two petitions are not mutually exclusive. If you think both represent acceptable solutions, then sign both!"

Visit the Campaign for Rational Veterinary Medicine here, and sign the petition here.

Sign Danny Chambers' petition on change.org here.

The Saddle Research Trust has announced the launch of a new paper to help vets understand the significance of saddle fit on the health and welfare of horse and rider.

Saddle fitting, recognising an ill-fitting saddle and the consequences of an ill-fitting saddle to horse and rider was written by equine vet Dr Sue Dyson together with Master Saddlers and saddle fitters Mark Fisher and Sue Carson.

The paper has been published in the Equine Veterinary Education Journal, the official education journal of the British Equine Veterinary Association and is free to view until April 2016.

The paper encourages vets to work as part of a multi-disciplinary team with saddle fitters, trainers and physiotherapists, to help educate horse owners about the multiple problems that can be caused by ill-fitting saddles.¹

Key advice includes:

• The saddle should be assessed off and on the horse, without and with a rider.
• The fit of the saddle for both the horse and rider must be evaluated.
• A well-fitted saddle should distribute weight evenly via the panels to the horse's thoracic region, with complete clearance of the spinous processes by the gullet.
• The saddle should remain fairly still during ridden exercise at all paces.
• The saddle must also fit the rider to enable them to sit in balance.
• Signs of an ill-fitting saddle include equine thoracolumbar pain, focal swellings under the saddle, ruffling of the hair, dry spots under the saddle immediately after exercise surrounded by sweat, and abnormal hair wear.
• If a saddle does not fit the rider, the rider may not be able to ride in balance with the horse, and this may induce equine thoracolumbar pain.
• A saddle of inappropriate size and shape for the rider may induce rider back pain, ‘hip’ pain, sores under the ‘seat bones’ and perineal injuries.

The paper also includes a glossary of saddlery terms, an explanation of saddle fit accessories, a range of informative photographs and a section on who is qualified to provide professional advice on saddle fit.

The paper concludes: “Correct saddle fit for horse and rider is an important equine welfare issue and the veterinary profession needs to recognise this and be at the forefront of helping to educate the horse owning public. Ideally veterinarians should work in conjunction with professional saddle fitters, trainers and physiotherapists to improve both horse and rider comfort.”

Ed's note: If you read the article to which this news story refers, don't forget to come back to VetSurgeon.org and use the 'Claim CPD' button above to add the time spent to your VetSurgeon Personal Development Record. 

The RCVS Disciplinary Committee has reprimanded Gloucestershire veterinary surgeon Adele Lewis for failing to pass on information about a horse’s clinical history to a potential buyer during a pre-purchase examination.

Ms Lewis, the sole principal of the Cotswold Equine Clinic in Lechlade, Gloucestershire, carried out the examination of a pony called Luke on 13 February 2014. Luke was owned by Mrs Booth who was a long-established client of Ms Lewis, both at her previous practice, Bourton Vale, and at her current practice. The examination was carried out on behalf of the prospective purchaser, Mrs Grieve.

Upon examination Ms Lewis certified that, in her opinion, Luke’s veterinary history did not increase the risk of purchase.

Following the purchase of Luke, Mrs Grieve attempted to obtain insurance for Luke and found out from a pet insurance company that a claim had been made by Mrs Booth in September 2013. She subsequently found out that, following concerns expressed by Mrs Booth and her trainer about Luke’s movement and their wanting an expert opinion, Ms Lewis had referred him to Dr Kold, a Specialist in Equine Orthopaedics, in September 2013. Dr Kold had diagnosed Luke with lameness and had given him intra-articular medication. Luke had also had a follow-up appointment with Dr Kold about four weeks later in October 2013.  

The Disciplinary Committee hearing commenced on Tuesday 13 October 2015. At the outset, Ms Lewis admitted several parts of the charges (charge A and charge B) against her. In regards to charge A, she admitted that she had failed to inform Mrs Grieve that, when she examined Luke on 24 September 2013, his then owner Mrs Booth had complained firstly that Luke was “not tracking up and going forward” and, secondly, that he had improved significantly when put on a Phenylbutazone trial. She also admitted that she had referred him to Dr Kold for a poor performance investigation and that she ought to have informed Mrs Grieve of these matters.

In regards to charge B, she admitted that she completed a Certificate of Veterinary Examination in which she had declared that Luke’s veterinary history did not increase the risk of purchase and allowed the vendor’s declaration to include assertions that there had been no previous lameness and no intra-articular medication given in the last 12 months. Ms Lewis admitted that she ought to have known that her declaration that Luke’s veterinary history did not increase the risk of purchase was incorrect.

However, Ms Lewis denied being aware that Dr Kold had diagnosed lameness, administered an intra-articular corticosteroid to Luke and examined and noted a problem with his breathing, including upper airway disease and possible lower airway disease. Furthermore, she denied dishonesty in regards to both the charges against her and in relation to vendor declarations made on the Certificate of Veterinary Examination regarding previous lameness and intra-articular medication.

During the course of the hearing, Ms Lewis told the Committee that she had not received the reports about the two consultations by Dr Kold (despite their having been sent to her by letter and, with respect to the second report, also by email) and that she was therefore unaware of his findings when she carried out the pre-purchase examination. She also stated that she had not been informed of these by Mrs Booth. During her evidence, Ms Lewis also admitted having entered inaccurate information on a veterinary report to assist with an insurance claim.

The Committee did not find Ms Lewis to be an impressive witness citing the fact that her “explanations as to her practice showed a worrying absence of probity in the completion of veterinary reports for the purposes of insurance claims, and an absence of any effective practice management, consistent with acceptable practice.”

However, the Committee felt it did not have the evidence to conclude that Ms Lewis had acted dishonestly during the pre-purchase examination. It cited the fact that her actions, when informed by the purchaser Mrs Grieve of Dr Kold’s examination, did not appear to be those of someone trying to cover their tracks.

In regards to charge A, the Committee also found that the “apparently chaotic manner in which Ms Lewis ran her practice, and her own opinion that the pony was sound, would appear to have led her to wrongly disregard these matters from disclosure.”

In making its decision on her conduct and sanction, the Committee said that Ms Lewis’ failure to fully communicate to Mrs Grieve all the relevant information about Luke’s veterinary history fell far short of the conduct expected from a veterinary surgeon. It also cited the utmost importance of a complete and accurate certification process, as made clear in the RCVS Code of Professional Conduct and the Twelve Principles of Certification.  

Chitra Karve, chairing the Committee and speaking on its behalf, said:  “The Committee continues to emphasise the importance of maintaining the integrity of veterinary certification in any aspect of practice. Mrs Grieve told this Committee that if she had been fully informed about Luke’s veterinary history she would not have purchased the pony. It is clear from the evidence that it affected Mrs Grieve’s ability to insure the pony. Ms Lewis has accepted that the information about Luke’s veterinary history, not having been disclosed, was capable of affecting the risk of purchase. The public are entitled to rely upon veterinary surgeons providing complete and accurate information, when certificates and reports are prepared.”

In mitigation, the Committee paid regard to Ms Lewis’ inexperience at running her own practice and found no issue with her competence or clinical ability as a veterinary surgeon. It concluded that she had acted out of character and that there was no financial motivation for her actions. It also found it “highly relevant that the facts admitted and found proved related to a single pre-purchase examination.”

It also noted that Ms Lewis has now put in place a practice management system and has shown insight into her actions, by taking active steps to better comply with her obligations under the Code of Professional Conduct. She had also made early admissions of guilt and made a full apology to both Mrs Grieve and the RCVS both at the outset of the hearing, and in her evidence.

Chitra Karve added: “Having had the opportunity of observing her demeanour at this hearing, the Committee believes that it is unlikely that she will repeat her conduct.... The Committee has concluded that an appropriate and proportionate response in this case is to reprimand Ms Lewis.”

Mark Bowen, Associate Professor at The University of Nottingham, has been appointed as President of the British Equine Veterinary Association (BEVA) for 2015/16.

Mark will take over the role from Andrew Harrison at the end of BEVA Congress on 12th September. Vicki Nicholls, Veterinary Assistant at Wright and Morten Vets, Cheshire becomes President Elect.

He said: "BEVA’s strengths lie in its members, who are committed to the welfare of the horse and the advancement of clinical practice. With new benefits for members, a new website, a new role for the BEVA Trust and the highest quality of education, BEVA is now an even more forceful and effective voice for the equine profession, both internally and externally. 

"Whilst the profession attempts to shape its future for the next 15 years, we must continue to support the innovative individuals in the profession who look ‘outside the box’ and make sure that the future of our profession, the next generation of veterinary surgeons, does not become restricted by dogma and tradition; that they too can replicate the level of innovation seen in equine practice over the last 50 years. 

"It is vital that we continue to strengthen our relationships with the British Horseracing Authority and contribute to the development of a funding body to replace the Horserace Betting Levy Board. Our relationship with the BVA, the regulation of allied professionals, the rescheduling of ketamine, the new EU animal health regulations and EU medicines regulations, even the role of Europe, are key areas where BEVA will make veterinary voices heard for the benefit of equine welfare. 

"Lastly, employment and retention of veterinary graduates in the profession is a cause of concern to us all. Over the next year we will enhance the Internship Awareness Programme and provide support and mentoring for the younger members of the profession. BEVA council is full of individuals committed to working on your behalf and I am looking forward to working alongside them all for the benefit of us all."

Blue Cross has announced the results from its National Equine Health Survey (NEHS) which show that lameness is three times more likely to be caused by conditions such as osteoarthritis in the limb rather than problems in the foot.

Blue Cross runs NEHS in May each year, in partnership with the British Equine Veterinary Association (BEVA). It is sponsored by SPILLERS and Zoetis and supported by the UK’s leading equestrian organisations and charities. This year saw a 35% increase in participation compared to 2014, with survey records returned for almost 15,000 horses, ponies, donkeys and mules.

The charity says that whilst of course the horse’s foot is fundamental to soundness and performance, NEHS results have shown consistently that limb lameness, as opposed to foot lameness, is in fact the biggest syndrome affecting horses.

In the latest survey, conducted in May, a total of 18% were recorded as lame. 13.5% of these were recorded as suffering with lameness such as osteoarthritis, also known as degenerative joint disease (13.9% in 2014 and 14.8% in 2013).

Meanwhile foot lameness was recorded in 4.5% of returns, a similar figure to previous years.

Josh Slater from the Royal Veterinary College, who is member of BEVA’s Health & Medicines Committee and analysed the NEHS data, said: “NEHS is now producing important evidence that is replacing subjective opinion. While the lameness figures were initially surprising, given that the foot has been generally regarded as the main problem area, the fact that these figures have remained consistent over the past three years gives constructive credibility to the data. Our findings will help owner vigilance with day-to-day healthcare as well as help prioritise on areas for future veterinary education and research.”

The six most notable disease syndromes identified in the 2015 National Equine Health Survey were:

1. Lameness 18% with 13.5% having limb lameness such as osteoarthritis (degenerative joint disease) not relating to the foot, compared to 14.8% in 2014, 14.8% in 2013 and 9.3% in 2010-12 and 4.5% with foot lameness compared to 4.6% in 2014, 3.8% in 2013 and 4.5% in 2010-12.
2. Skin diseases 17.2% (sweet itch, mud fever and external parasites) compared to 18.3% in 2014, 14.6% in 2013 and 15.2% in 2010-12.
3. Back problems 7% compared to 7.7% in 2014, 5% in 2013 and 3% in 2010-12. 
4. Recurrent Airway Obstruction 6.7% was the most frequently recorded respiratory problem, compared to 6.9% in 2014, 4.2% in 2013 and 3.6% in 2010-12. 
5. Laminitis 6.4% compared to 7.1% in 2014, 4.4% in 2013 and 3.6% in 2010-12.
6. PPID (‘Equine Cushing’s Disease) 6.4% confirmed or suspected compared to 5.6% in 2014, possibly reflecting increased surveillance through sponsored testing programmes as opposed to true increases in prevalence from the pre-2014 surveys. 

23.2% of horses were reported as being overweight with a Body Condition Score of 3.5-5, continuing the upward trend seen in previous years (16.9% in 2014 and 7.8% in 2013). Next year’s survey will explore links between obesity and the possible associated rise of obesity-related diseases such as equine metabolic syndrome (which was reported in 2.4% of 2015 returns) and laminitis.

The survey also enables participants to report on any health problems not covered in the survey questions, giving them a chance to shape future survey subjects.

Gemma Taylor, Education Officer at Blue Cross explains: “This year 11% of our free text answers mentioned gastric ulcers giving a valuable insight into the prevalence gastric ulcer syndrome in the principally leisure horse NEHS population. As a result we will be adding new questions to the 2016 survey to help us find out more.”

The 2015 NEHS survey results are now available from http://www.bluecross.org.uk/nehs2015results. To register for next year’s survey, visit www.bluecross.org.uk/nehs

Researchers at the Animal Health Trust are appealing for information from veterinary surgeons who have seen recent Eosinophilic Keratitis (EK) conditions, an emerging issue in UK equine ophthalmology.

The AHT says that despite the increased awareness of EK worldwide, the aetiopathogenesis of the disease remains poorly understood and probably underdiagnosed. The charity is looking to define the pathogenesis and determine why some horses are particularly susceptible to this condition, in particular looking for epidemiological links, environmental factors and parasitic infestation.

Many of the clinical signs of EK are non-specific and similar to other corneal conditions such as blepharospasm, chemosis, conjunctival hyperaemia, epiphora or perilesional oedema. More specific signs include caseous mucoid discharge and white/yellow plaques often localised in the peripheral cornea. The degree of pain varies and concurrent ulceration is almost always present. Conjunctivitis may also occur in association with the keratitis or as a unique disease entity.

EK can have variable clinical presentations, from a thick caseous accumulation to a more superficial plaque of “ground-glass” appearance. They may present as chronic non-healing ulcers that respond quickly to the use of topical steroids and/or ciclosporin, or present with marked ocular discomfort and require superficial keratectomy to resolve the condition.

Two different corneal locations are classically (though not exclusively) involved in EK, the medial perilimbal cornea, often under the third eyelid, or the lateral perilimbal cornea, which may progress axially towards the central cornea.

The charity is also providing free cytology tests for corneal scrapes to help vets diagnose EK earlier, thereby avoiding secondary complications that can lead to permanent visionary impairment.

If you have seen cases that have either been diagnosed as or that you suspect to be Eosinophilic Keratitis this year, contact Sonia Gonzalez-Medina on 01638 751000 Ext: 1203 or sonia.gonzalez-medina@aht.org.uk.

For more information and to download a copy of the submission form to accompany samples, visit www.aht.org.uk/EKstudy.

Langford Veterinary Services, a fully owned subsidiary of the University of Bristol, has announced the opening of a new standing equine magnetic resonance imaging (MRI) facility at the university's equine centre.

The equine MRI facility completes the diagnostic imaging facilities in the School, which include a 16-slice CT scanner for small animals and standing horses, digital radiography, high-resolution fluoroscopy, diagnostic ultrasound, echocardiography and scintigraphy with a high-resolution 1.5 tesla MRI scanner, available seven days a week.

Evita Busschers, Senior Teaching Fellow and orthopaedic surgeon in the equine centre, said: “We are very grateful to the Trustees of the Alborada Trust and the Langford Trust who have provided generous support for the MRI facility.  The new imaging facility will enable us to provide an even better and more complete service for our equine patients and completes the diagnostic imaging facilities available at the centre.

“Equine MRI offers the ability to image soft tissue structures and identify soft tissue injuries that cannot be demonstrated with other diagnostic imaging modalities and therefore has major additional value in providing a diagnosis and prognosis in lameness evaluations.”

Miles Littlewort, a trustee from the Alborada Trust added: “Donating the money is the easy bit but ensuring that it has been used where it should be and that it has made the necessary difference is much more challenging.  We are so pleased to have had the opportunity to support the Langford Trust and their work to improve animal health and welfare.  We are delighted to have attended the opening, to meet the clinicians who will use the magnificent facility and to learn about the clinical research which gives all veterinary surgeons evidence-based information to enhance diagnosis and treatment for all patients.”

The Society for Practising Veterinary Surgeons (SPVS) has published its 2015 Fee Survey, which has revealed an increasing divergence between fees charged for routine and unroutine procedures in small animal practice.

SPVS says that small animal practices accounted for the largest proportion of responses to its survey, and that 75.9% of them had increased their fees during the last 12 months. When comparing a 'bundle' price comprising a kitten vaccination course, puppy vaccination course, cat spay, dog spay and consultation, the increase was 4.09%. However SPVS notes that this increase may be artificially low, as it relates to the sort of procedures that are regularly quoted and may therefore be constrained by the marketplace.

Perhaps more revealingly, whilst routine procedures such as vaccination had risen 3.3%, non routine procedures had risen by considerably more: pyometras were up 15.6%, cat dentals were up 17.5% and out-of-hours callouts  were up 18.6%.

Equine fees showed an overall drop of 3.5% on the bundle price comprising initial routine examination, five-stage PPE, routine dental examination and float, a colic examination and the cost of sedation / waiting. Although many of the individual equine procedures showed a fee decrease, 79% of equine practices reported that they had increased fees over the past year. The largest decrease in equine fees was for sedating a horse and waiting while the horse was clipped or treated by an equine dental technician, with the fee charged being 12.5% less than last year and ranging from £12.50 to £93.82. Conversely, conducting an ultrasound scan of a mare for pregnancy had increased by 17.3% and ranged from £20 to £62.36.

For large animal vets, the fees are more tightly constrained by the commercial realities of farming and the range of fees quoted tends to be lower. This year, the overall price rise for the bundle of fees comprising routine calving, foot trimming, elective Caesarean and hourly rates for fertility work and herd health schemes was 4.1%. However, only 47.8% of large animal practices reported an increase in fees charged over the last twelve months. The largest increase reported was for paring the hind feet of a cow without sedation, which was up 24.4% and ranged in price from £19 to £70, while issuing a prescription to a farm animal client had decreased by 1.6% and ranged in price from 0 to £48.

Nick Stuart, SPVS president said: "We all know the industry is facing real challenges and this is reflected in the fee survey, with equine practices in particular decreasing many of their prices on last year. However the survey also shows that the fees vets charge vary widely, particularly in the small animal sector. While some of this can be accounted for by differing overheads, it does provide a fascinating insight into the various financial models that exist and challenges practice owners to review how they construct their fees. It also suggests that there is scope for practices to grow their profitability and understanding the market will help them with this.

"We have a new benchmarking service from Veterinary Insights that will help practices to set more accurate fee levels and we will be developing our fee survey further so that it dovetails with this service. I would urge practices to join SPVS and access the invaluable data we produce to help them grow their businesses."

For more information, a copy of the survey, or to join SPVS visit www.spvs.org.uk

Ceva Animal Health has highlighted a new study which revealed that the use of the opioid buprenorphine, the active ingredient in Vetergesic, before equine elective general anaesthesia and surgery resulted in better post-operative analgesia than butorphanol, without causing further physiological disruption than is normally expected of general anaesthesia in horses.

The prospective, randomised and blinded multicentre study, conducted by Dr Polly Taylor VetMB MA PhD DVA DipECVAA MRCA MRCVS, an RCVS Specialist in Veterinary Anaesthesia, compared the degree of post-operative pain and physiological variables in horses following premedication with either buprenorphine or butorphanol in a general clinical setting. The study included 89 healthy adult horses from six UK equine veterinary clinics admitted for routine elective surgical procedures.

Ceva says that butorphanol is often used in equine procedures due to familiarity and its value for enhancing alpha2-induced sedation, but that it is probably the least effective opioid as an analgesic. There is also a common perception that butorphanol has less impact on locomotor stimulation and depression of intestinal motility than other opioids. This is likely to have contributed to the almost exclusive use of NSAIDs to manage pain in the post-operative period.

To view the full study, visit http://onlinelibrary.wiley.com/doi/10.1111/evj.12442/abstract. For details on Ceva's analgesic product range, email analgesics-group@ceva.com or call 01494 781510.

Bayer Animal Health has launched Remend Wound Spray Gel for cats, dogs and horses. 

The new gel contains Remend's structurally modified hyaluronic acid (HA). Bayer says it provides a matrix for cellular events that occur during the proliferative phase of the healing process, which has been shown to enhance healing¹, and can promote rapid wound closure 

Georgie Hollis BSc from www.vetwoundlibrary.com said: "Managing wounds can be challenging in veterinary practice; the progression of wound healing can be influenced by many factors, and selecting an appropriate product to apply should be based on the needs of the individual wound. A product that provides a moist healing environment and support of the proliferative phase ensures that cellular activity is optimised, helping to improve healing times and minimise scar tissue." 

Bayer says Remend Wound Spray Gel is designed for use as part of the overall management of wounds; additional measures such as lavage, debridement and control of infection are equally important, as is giving consideration to any secondary factors that may delay healing if not addressed. The product aims to achieve greater compliance amongst owners by providing an effective management option that is easy to apply. A single application may be sufficient to enhance wound closure in fresh uncomplicated wounds; however more complex wounds may require multiple applications in order to accelerate closure. 

For more information, visit: www.vetcentre.bayer.co.uk

References

1. Yang G, Prestwich GD, Mann BK. Thiolated Carboxymethyl-Hyaluronic acid based biomaterials enhance wound healing in rats, dogs and horses. International scholarly research network volume 2011, article ID 851593.