Wound Closure, Tension-Relieving Techniques, and Local Flaps

Cuddy, Laura

doi:10.1016/j.cvsm.2017.06.007

Cited by 7 publications

(7 citation statements)

References 18 publications

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“…and method of transfer, such as advancement, rotation, transposition, axillary fold, and inguinal fold flaps. [1][2][3] Distant direct SPSFs can also be created and are most commonly used to cover skin deficits on the proximal and middle aspects of a limb. 2,4 Because dogs and cats generally have loose skin, SPSFs are commonly available and used; nevertheless, little information has been published regarding indications, complications, and outcomes associated with SPSF procedures, and the limited available information is based on studies involving small numbers of animals or case reports.…”

mentioning

confidence: 99%

Indications, complications, and outcomes associated with subdermal plexus skin flap procedures in dogs and cats: 92 cases (2000–2017)

Jones

Lipscomb

2019

javma

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S ubdermal plexus skin flaps, also known as local or random pattern flaps, may be used to reconstruct skin defects in dogs and cats when primary closure is not possible. Relatively simple to perform, an SPSF procedure may be preferred when a choice exists between that and a more advanced reconstructive technique, such as axial pattern flap or free-skin graft procedures. Unlike axial pattern flaps, SPSFs do not contain a specific or named direct cutaneous artery and instead derive their blood supply from the terminal branches of cutaneous trunci vessels in the subdermal plexus, which run from the base of the flap. However, in some anatomic areas, the wider the base of the SPSF, the greater the chance of accidentally incorporating part of an adjacent direct cutaneous artery. 1,2 Subdermal plexus skin flaps can be classified according to their location relative to the skin deficit Indications, complications, and outcomes associated with subdermal plexus skin flap procedures in dogs and cats: 92 cases (2000-2017

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mentioning

confidence: 99%

Indications, complications, and outcomes associated with subdermal plexus skin flap procedures in dogs and cats: 92 cases (2000–2017)

Jones

Lipscomb

2019

javma

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“…O manejo precoce das feridas traumáticas deve ser criterioso, uma vez que a exposição tecidual prolongada pode levar a danos irreversíveis para a recuperação do membro. Trata-se de um tipo de ferimento classificado como contaminado e geralmente há muita sujidade no local da lesão e grande distância entre as bordas da pele, não sendo comumente recomendado o fechamento primário [3]. O protocolo inicial estabelecido nos casos relatados se mostrou eficiente nos aspectos de debridamento, descontaminação e preparo de um ambiente adequado para a reparação da ferida.…”

Section: Discussionunclassified

“…O protocolo inicial estabelecido nos casos relatados se mostrou eficiente nos aspectos de debridamento, descontaminação e preparo de um ambiente adequado para a reparação da ferida. A metodologia utilizada possibilitou reduzir a exsudação, melhorar o aspecto dos tecidos ósseos expostos, evitar a infecção e remover o tecido desvitalizado da região, que são os principais objetivos citados em estudos de manejo de feridas traumáticas [3,5,6] A cobertura da área lesionada é preconizada e o curativo ideal depende da fase de cicatrização em que a ferida se encontra [9], mas na presença de afecções ortopédicas que demandem imobilização, a associação de curativos oclusivos com bandagem pode ser necessária. A imobilização inicial temporária do membro concomitantemente ao tratamento local da ferida, com posterior resolução cirúrgica ou conservativa da afecção ortopédica, é uma alternativa com bons resultados e baixas taxas de complicações [8].…”

Section: Discussionunclassified

Hydrocolloid Membrane Dressing in Shearing Injuries in the Distal Part of the Pelvic Limbs in Dogs

Pacheco

Muzzi

Henrique

et al. 2019

Acta Scientiae. Vet.

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Background: Shearing wounds on the limbs of dogs usually affect the regions distally from the radiocarpal joint at the thoracic limb and from the tibiotarsal joint at the pelvic limb. The tissue coverage and re-epithelialization of the injured region are important factors that should be considered in the definitive surgical treatment. The hydrocolloid membrane promotes selective autolytic debridement and accelerates the formation of granulation tissue and epithelialization. The present study aims to describe the treatment with hydrocolloid membrane dressing of three cases of shearing wounds with concomitant orthopedic injuries in the pelvic limbs of dogs. Case: Three dogs with pelvic limb injuries after vehicular trauma were selected for treatment. Two patients had shearing lesions on the medial aspect of the pelvic limb with exposure of the tibia and fibula, the talus and the tibiotarsal joint, associated with bone loss on the medial surface of the limb and rupture of the medial collateral ligament of the tarsus. Another patient had a shearing wound on the dorsal surface of the distal region of the pelvic limb, with injury of the digital extensor tendons and bone exposure of the second and third metatarsals. Initially, the surgical debridement of the lesion was performed and during the first five days after trauma the wound was cleansed with chlorhexidine solution and topical application of crystallized sugar daily. In this initial period a dry adherent dressing was used on the lesions, without bandages for immobilization of the pelvic limb. In all dogs, the hydrocolloid membrane was applied from the sixth day after initial wound management. Immediately after the application of the hydrocolloid membrane, temporary immobilization of the affected pelvic limb with a padded Robert Jones bandage was performed. The first changes of the hydrocolloid membranes were performed after five days of their use. Subsequently, the membranes changes became more spaced and were performed within a period between 7 to 10 days. After wound repair, in one of the dogs with a shearing injury in the medial surface of the pelvic limb, the rupture of the medial collateral ligament was surgically treated with the use of anchor screws and nylon thread for the ligament reconstruction. The other dog presented with lesion in the medial surface of the pelvic limb and collateral ligament rupture was not submitted to late orthopedic surgical treatment. The latter was clinically managed and developed valgus deviation of the affected pelvic limb, but with functional use of the limb. The dog with a shearing lesion on the dorsal surface of the pelvic limb and injury to the extensor tendons was managed conservatively with use of orthosis and, after 45 days of initial trauma, the dog showed a functional lameness and absence of pain in the affected limb. Discussion: In all animals, the hydrocolloid membrane was applied on the wound from the sixth day after the initial lesion treatment. As the wound was healing the hydrocolloid dressing was changed in a m...

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“…For cases involving the maxilla, neck, and forehead, local subdermal plexus flaps, such as rotation, transposition, and advancement flaps, can be applied. Viability of the local subdermal plexus flap depends on the vascular supply at the flap base (4). Because of early vascularization of the subdermal vascular network, the local subdermal plexus flap easily survives and routinely has been used in various facial wounds (5).…”

Section: Introductionmentioning

confidence: 99%

Case Report: Surgical Treatment of Severe Facial Wounds and Proptosis in a Dog Due to a Traffic Accident

Kim¹,

Kim

et al. 2020

Front. Vet. Sci.

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Although facial wounds caused by traffic accidents in dogs are common, the surgical management of severe facial injuries involving the soft tissue, bone, dentition, nose and orbit are challenging. A 2 year-old Korean Jindo dog was diagnosed with severe skin defects of the face and proptosis caused by a vehicular accident. Along the left lateral maxilla, severe injury involving the overlying skin and platysma muscle occurred, to the extent that the middle part of the sphincter colli profundus pars intermedia muscle was exposed. Repair surgeries of the skin defects and globe displacement were performed using a local subdermal plexus rotation flap and a partial transposition of the dorsal rectus muscle combined with small intestinal submucosa (SIS) instead of enucleation as the first attempt. SIS was used to sustain the torn medial region. In this case, the surgery resulted in good cosmetic and functional outcome in the dog, despite the atypical complexities upon presentation.

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Wound Closure, Tension-Relieving Techniques, and Local Flaps

Cited by 7 publications

References 18 publications

Indications, complications, and outcomes associated with subdermal plexus skin flap procedures in dogs and cats: 92 cases (2000–2017)

Indications, complications, and outcomes associated with subdermal plexus skin flap procedures in dogs and cats: 92 cases (2000–2017)

Hydrocolloid Membrane Dressing in Shearing Injuries in the Distal Part of the Pelvic Limbs in Dogs

Case Report: Surgical Treatment of Severe Facial Wounds and Proptosis in a Dog Due to a Traffic Accident

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