Successful wound healing over exposed metal implants using vacuum‐assisted wound closure in a dog

Abstract

An eight-month-old Labrador retriever was presented with a grade IIIb open shearing injury of the left tarsus. Acute severe surgical site infection developed 2 days after pan-tarsal arthrodesis, resulting in wound dehiscence. Vacuum-assisted wound therapy was carried out for 12 days to treat an extensive full-thickness soft tissue defect with exposure of metal implants. New granulation tissue formation covering most of the defect was achieved by day 10 of this therapy. Epithelialization was achieved by second intention healing with open wound management. To the authors' knowledge, this is the first veterinary clinical case report documenting complete healing over exposed metal implants without any requirement for surgical revision.

Retrospective comparison of negative pressure wound therapy and silver-coated foam dressings in open-wound treatment in cats

“…[2][3][4][5][6][7][8][9][10] Over the past 10 years indications such as urine-induced necrosis, burn injuries, augmentation of shear injuries, augmentation of local flaps and septic peritonitis have been described in the veterinary literature. [11][12][13][14][15][16][17][18][19][20][21][22] Experimental and retrospective clinical trials in dogs have demonstrated the positive effect of NPWT for wound treatment in dogs; [21][22][23][24] however, data from canine patients may not reflect the situation in cats, as considerable differences regarding wound-healing capacities exist between these species. [25][26][27] Cats have a poorer healing response than dogs, with less effective granulation.…”

Negative pressure wound therapy, silver coated foam dressing and conventional bandages in open wound treatment in dogs

“…Numerous publications have reported the beneficial effect of NPWT treatment on healing of complicated wounds in humans and animals (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). Unfortunately, objective data on the efficacy of NPWT compared to standard treatment protocols are sparse.…”

“…Although the main effects by which NPWT improves wound healing have been elucidated, the full extent of NPWT is yet to be discovered (2)(3)(4)(5)(6)(7)(8)(9)(10). Over the past ten years indications including urine-induced necrosis, burn injuries, augmentation of shear injuries, augmentation of local flaps, and septic peritonitis have been described in the veterinary literature (11)(12)(13)(14)(15)(16)(17)(18)(19)(20). Two experimental trials in dogs have been conducted to assess the effect of NPWT on open wound healing and skin graft augmentation and recently, a clinical case series of 45 veterinary patients undergoing NPWT treatment for various traumatic wounds was published (21)(22)(23).…”

Negatieve druktherapie: het verleden en de toekomst

“…It effectively reduced and closed dead space (Knapp-Hoch and de Matos, 2014), promoted wound contraction, and resolved infection (Ben-Amotz et al, 2007;Nolff et al, 2015c). It has been used in conjunction with flap surgery , orthopedic complications (Bertran et al, 2013), necrotizing fasciitis (Abma et al, 2015) and septic peritonitis (Buote and Havig, 2012;Cioffi et al, 2012). Overall, animals have a high tolerance for NPWT and there have been numerous applications in veterinary medicine .…”