Aim:The success of a skin graft in a cat is highly dependent on the granulation formed by the base of recipient bed. Granulation by the base of recipient bed will form after several days after injury. This research aimed to observe subjective and objective profile of skin graft recovery on forelimb of cats with different periods of donor skin placement.Materials and Methods:Nine male Indonesian local cats aged 1-2 years old, weighing 3-4 kg were divided into three groups. The first surgery for creating defect wound of 2 cm×2 cm in size was performed in the whole group. The wound was left for several days with the respective interval for each group, respectively: Group I (for 2 days), Group II (for 4 days), and Group III (for 6 days). In the whole group, the second surgery was done by the harvesting skin of thoracic area which then applied on recipient bed of respective groups.Result:The donor skin on Group II was accepted faster compared to Group I and Group III. The donor skin did not show color differences compared to surrounding skin, painless, bright red in bleeding test had faster both hair growth and drug absorption. Test toward the size of donor skin and the effect of drugs did not show a significant difference between each group.Conclusion:The observe subjective and objective profile of skin graft recovery on forelimb of cats on Group II were accepted faster compared to Group I and III.
Aim:A good skin graft histopathology is followed by formation of hair follicle, sweat gland, sebaceous gland, blood vessel, lightly dense connective tissue, epidermis, and dermis layer. This research aimed to observe histopathology feature and cytokeratin AE1/AE3 expression on cat skin post skin grafting within a different period of time.Materials and Methods:Nine male Indonesian local cats aged 1-2 years old weighing 3-4 kg were separated into three groups. First surgery created defect wound of 2 cm × 2 cm in size to whole groups. The wounds were left alone for several days, differing in interval between each group, respectively: Group I (for 2 days), Group II (for 4 days), and Group III (for 6 days). The second surgery was done to each group which harvested skin of thoracic area and applied it on recipient wound bed. On day 24th post skin graft was an examination of histopathology and cytokeratin AE1/AE3 immunohistochemistry.Results:Group I donor skin’s epidermis layer had not formed completely whereas epidermis of donor skin of Groups II and III had completely formed. In all group hair follicle, sweat gland, sebaceous gland, and neovascularization were found. The density of connective tissue in Group I was very solid than other groups. Cytokeratin AE1/AE3 expression was found on donor skin’s epithelial cell in epidermis and dermis layer with very brown intensity for Group II, brown intensity for Group II, and lightly brown for Group I.Conclusion:Histopathological structure and cytokeratin AE1/AE3 expression post skin graft are better in Groups II and III compared to Group I.
Background and Aim: Wound healing is a dynamic and complex process that requires an appropriate environment to promote healing process. The healing of distant flaps in cats is determined by vascularization, nutrient sufficiency for the cells, and stability of skin flaps. This study aims to evaluate the healing of distant flaps treated with moist wound dressing through subjective and objective observation in five cats with wounds in the forelimb and hindlimb area to determine the time to cut the skin flaps from the donor site. Materials and Methods: In this study, five Indonesian local cats with wounds of various sizes in the limb were brought to the Veterinary Teaching Hospital. The sterile wound treatment included the administration of anesthesia, wound debridement, and distant flap closure in the thoracic and abdominal area. The distant flap and time to cut the skin flaps from the donor site were evaluated through subjective and objective examinations. Results: The subjective observation on the color of the distant skin flaps showed redness and response to pain on day 3 after surgery, whereas the objective observation, which was based on drug absorption capability and drug effect showed good results. On day 7 after surgery, the skin flaps from the donor site were cut and showed good progress. Conclusion: Overall, moist dressing helps in stabilizing the distant flap, allowing the distant flaps from the donor site to be cut on day 7 after surgery.
Kucing lokal jantan, berusia 3,5 tahun, berat badan 3,3 kg dengan keluhan berjalan pincang akibat tertabrak kendaraan bermotor. Pemeriksaan fisik dilakukan termasuk pemeriksaan saraf dan ortopedik yang menunjukkan gangguan pada ekstremitas posterior. Hasil pemeriksaan x-ray dengan posisi dorsal ventral (DV) terlihat fraktur bagian diaphysis os femur dekstra berbentuk kominutif. Tindakan bedah dilakukan secara steril dan aseptis untuk pemasangan kombinasi intramedullary pin (Ø 4 mm) dan wire. Satu minggu setelah tindakan bedah, kucing sudah mampu menggerakkan ekstremitas dekstra posterior dan menunjukkan perkembangan yang baik. Metode penanganan pada kasus ini dapat disimpulkan bahwa kombinasi intramedullary pin dengan wire dapat digunakan sebagai fiksasi internal fraktur kominutif os femur dengan tingkat stabilisasi kedua fragmen fraktur sangat baik.
Hernia ventralis merupakan penonjolan area vetral abdomen yang terjadi akibat kegagalan penutupan dinding abdomen setelah tindakan bedah. Penelitian ini bertujuan untuk observasi klinis dan pencitraan imaging penutupan defek hernia ventralis menggunakan omentum flap pada kucing lokal. Penelitian ini menggunakan pasien kucing lokal betina berusia 2 tahun dengan bobot badan 3,6 kg dari Rumah Sakit Hewan Pendidikan Fakultas Kedokteran Hewan Universitas Syiah Kuala (RSHP FKH USK). Kondisi kucing secara klinis sehat dan hanya menunjukan penonjolan area abdomen yang terjadi setelah tindakan bedah sebelumnya. Tindakan bedah dilakukan secara steril dan aseptis. Defek hernia ventralis ditutup menggunakan omentum flap yang diambil dari omentum kucing yang sama dengan ukuran 5 x 10 cm. Observasi kondisi klinis luka dilakukan setiap hari, pengamatan Digital Radiography (DR X-ray) dan Ultrasonografi (USG) dilakukan pada hari ke- 0, 5, 10 dan 20 setelah bedah penutupan defek hernia. Hasil pengamatan kondisi klinis luka sembuh dengan baik. Pencitraan DR X-ray defek hernia ventralis tertutup dengan baik dan tidak ditemukan peradangan disekitar omentum flap. Pencitraan USG, struktur lapisan dinding abdomen tertutup dengan baik, omentum flap menunjukkan ekhogenisitas hypoechoic dan tidak ditemukan masa anechoic pada hari-20 setelah bedah. Omentum flap mempercepat penyembuhan luka, menguatkan jaringan dinding abdomen, sehingga mencegah terjadi risiko hernia berulang.
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