Negative pressure wound therapy using a portable single‐use device for free skin grafts on the distal extremity in seven dogs

Aj, Miller; Cashmore, RG; Marchevsky, A M; Havlicek, M.; Brown, PM; Fearnside, S. M.

doi:10.1111/avj.12474

Cited by 12 publications

(12 citation statements)

References 27 publications

(120 reference statements)

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“…2013, Nolff & Meyer‐Lindenberg 2015, Miller et al . 2016). Alternatively, distal limb skin defects can be managed as open wounds and left to heal by second intention (Miller et al .…”

Section: Introductionmentioning

confidence: 99%

Seed skin grafts for reconstruction of distal limb defects in 15 dogs

Crowley

Hosgood

Appelgrein

2020

J of Small Animal Practice

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Objectives To report the surgical technique of seed skin grafting and clinical application for reconstruction of wounds on the distal limb of client‐owned dogs. Materials and Methods Medical records from The Animal Hospital at Murdoch University were retrospectively reviewed for dogs requiring reconstruction using seed grafting for distal limb skin defects between January 2009 and May 2020. Results Fifteen dogs were included. Grafting was performed on distal limb wounds at or below the carpus or tarsus, following trauma (n = 12) or neoplasia excision (n = 3). Complete epithelialisation with minimal contracture was recorded at a median of 4 weeks (range 3 to 8 weeks) after implantation. Median follow‐up was 37 months (range 3 to 55 months) after grafting. Postoperative complications included epidermal inclusion cyst in two dogs. Good functional outcome with acceptable cosmesis despite sparse hair growth was achieved in all cases. Clinical Significance Seed grafting is a simple technique that can be used reliably to reconstruct wounds on the distal limb in dogs where other reconstructive techniques are not suitable. Complete epithelialisation with sparse hair growth, good long‐term functional outcome and minimal complications can be expected.

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“…2013, Nolff & Meyer‐Lindenberg 2015, Miller et al . 2016). Alternatively, distal limb skin defects can be managed as open wounds and left to heal by second intention (Miller et al .…”

Section: Introductionmentioning

confidence: 99%

Seed skin grafts for reconstruction of distal limb defects in 15 dogs

Crowley

Hosgood

Appelgrein

2020

J of Small Animal Practice

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“…This lightweight design is appealing for veterinary wound management since some patients cannot be confined to a cage or a stall for the duration of therapy and do not tolerate a more heavy design of vacuum pump. A recent retrospective study described clinical experience with the PICO® system to successfully manage free skin grafts on the limbs of seven dogs [21]. In our study, the majority of horses readily tolerated the PICO® system during 7 days since it allowed normal mobility.…”

Section: Discussionmentioning

confidence: 71%

Feasibility of a disposable canister-free negative-pressure wound therapy (NPWT) device for treating open wounds in horses

2019

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Background Wounds are among the most common medical conditions affecting horses and have a major economic impact on the horse industry. Wound healing in horses is distinct to that documented in other species, and often results in delayed healing and extensive scarring, with compromised functional and aesthetic outcomes. To date, there is no conventional method objectively proven to accelerate healing or to successfully prevent complications associated with second intention healing. Several effects of Negative Pressure Wound Therapy (NPWT) may be particularly useful to the management of wounds in horses. However, cumbersome designs of classic NPWT devices render them unsuitable for equine practice. A new lightweight, portable and disposable unit of NPWT (PICO®), should facilitate the use of this modality by equine practitioners. The aim of this study was to evaluate the feasibility of using this canister-free system to treat experimental open wounds in horses. Results No difficulties were encountered with the application or maintenance of the PICO® system during the ex vivo experiment or during the preliminary in vivo experiment conducted on intact skin. All horses readily tolerated the PICO® but difficulties with adhesion and seal prevented the completion of the experimental wound study despite the use of many adjunctive adhesives. Conclusion The current PICO® dressing design is not suitable to be used as a dressing for open wounds in horses though the device is well tolerated by equine patients. A dressing with a wider adhesive edge, a superior adhesive and a more flexible pad would likely be better adapted to enable its future use in equine practice. Electronic supplementary material The online version of this article (10.1186/s12917-019-1829-5) contains supplementary material, which is available to authorized users.

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“…In the past years, more studies and case reports of various species, such as cats (Guille et al, 2007;Owen et al, 2009; Nolff and Meyer-Lindenberg, 2015a; Nolff and Meyer-Lindenberg, 2015b), dogs (Ben-Amotz et al, 2007;Israel and Hickman, 2011;Buote and Havig, 2012;Cioffi et al, 2012;Spillebeen et al, 2013;Stanley et al, 2013;Pitt and Stanley, 2014;Abma et al, 2015;Coutin et al, 2015;Nolff et al, 2015c;Lippens et al, 2016;Miller et al, 2016;Or et al, 2016), horses (Gemeinhardt and Molnar, 2005), and even birds (Knapp-Hoch and de Matos, 2014), tigers (Lafortune et al, 2007), tortoises (Adkesson et al, 2007), and a rhinoceros (Harrison et al, 2011) were published. Negative pressure wound therapy has been used to accelerate wound closure, stimulate granulation tissue production, immobilize skin grafts, and remove and prevent fluid accumulation (Ben-Amotz et al, 2007;Guille et al, 2007;Stanley et al, 2013).…”

Section: Veterinary Medicinementioning

confidence: 99%

“…Moreover, in an Australian study, the first use of the portable PICO TM pump has been described (Miller et al, 2016). This is of great advantage in the veterinary field since incorporation of the vacuum pump into a harness allows patient movement without termination of treatment (Pitt and Stanley, 2014;Coutin et al, 2015;Miller et al, 2016;. In this way, NPWT could be used on a home treatment basis, provided that owners are competent enough to manage and closely monitor the system and the health status of their pet.…”

Section: Future Perspectives In Veterinary Medicinementioning

confidence: 99%

Negatieve druktherapie: het verleden en de toekomst

Go¹,

Or²,

Goethem³

et al. 2017

Vlaams Diergeneeskundig Tijdschrift

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Negative pressure wound therapy (NPWT) involves the application of negative pressure on a wound bed for its positive effects on wound healing. Indications for NPWT concern various types of wounds, skin grafts and flaps, partial-thickness burns, open abdomen management and closed incisions. Negative pressure wound therapy has been used for centuries in human medicine. Its first use dates back to the Roman era (around 27 BCE) when human generated pressures were used. Later, European and Russian physicians developed various advanced methods and systems to apply negative pressure on wounds or other injuries. The on-going positive findings in human medicine triggered researchers in veterinary medicine to apply this technique on animal patients. However, much still has to be investigated regarding NPWT, especially in veterinary medicine, as there are many factors playing a role in the mechanisms of this treatment. New methods and techniques are continuously being developed and the existing studies show great potential for NPWT.

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Negative pressure wound therapy using a portable single‐use device for free skin grafts on the distal extremity in seven dogs

Abstract: Application and maintenance of the portable device was technically straightforward. All dogs receiving portable NPWT after transfer of a free skin graft to the distal extremity had a successful outcome.

Cited by 12 publications

References 27 publications

Seed skin grafts for reconstruction of distal limb defects in 15 dogs

Seed skin grafts for reconstruction of distal limb defects in 15 dogs

Feasibility of a disposable canister-free negative-pressure wound therapy (NPWT) device for treating open wounds in horses

Negatieve druktherapie: het verleden en de toekomst

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