Proud flesh is an excess growth of granulation tissue that develops over an open wound, most often in areas of excessive motion. It has a cauliflower-like appearance. Treatment involves injecting local anesthesia, cutting away the excess tissue to level it with the skin, drying and disinfecting the wound, and applying antibiotics and sodium chloride daily until it heals. Precautions like wearing gloves and not touching the wound directly are important to prevent infection.

1. 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

2. 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.

3. 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

4. Proud flesh on the hind leg of a foal, presented to CVAS clinic

5. 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

6. 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)

7. • Reduced portion should be treated with Caustic solution:
2 % Agno3
Carbolic acid crystals
KOH crystals
NaoH
• Broad spectrum antibiotic Streptopenecellin @ 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.

8. Procedure

9. Injecting local anesthesia (Lignocaine)

10. Cutting the outgrowth

11. Applied tincture iodine and pressure bandage

12. 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.

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