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Studies on reconstruction of large skin defects following mammary tumor excision in dogs
AIM: The main objective of the study was to describe the use of skin fold advancement flaps (SFAFs) and other reconstructive techniques for closure of large skin defects following mammary tumor excision in dogs. MATERIALS AND METHODS: Twelve dogs underwent reconstruction of large ventral skin defect...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Veterinary World
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5771180/ https://www.ncbi.nlm.nih.gov/pubmed/29391696 http://dx.doi.org/10.14202/vetworld.2017.1521-1528 |
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author | Sadhasivan, Sabarish Babu Malli Shafiuzama, Mohamed Shammi, Mala Rao, Ganne Venkata Sudhakar Souza, Nitin J D Senthilnayagam, Hemalatha George, Ravi Sundar Prabhakar, P. Manoj |
author_facet | Sadhasivan, Sabarish Babu Malli Shafiuzama, Mohamed Shammi, Mala Rao, Ganne Venkata Sudhakar Souza, Nitin J D Senthilnayagam, Hemalatha George, Ravi Sundar Prabhakar, P. Manoj |
author_sort | Sadhasivan, Sabarish Babu Malli |
collection | PubMed |
description | AIM: The main objective of the study was to describe the use of skin fold advancement flaps (SFAFs) and other reconstructive techniques for closure of large skin defects following mammary tumor excision in dogs. MATERIALS AND METHODS: Twelve dogs underwent reconstruction of large ventral skin defects following mammary tumor excision with wide margins. Skin fold flaps (flank fold flap and elbow fold flap) were elevated from the flank and elbow region, respectively, and transposed and sutured onto the large ventral skin defect following mastectomy in all the dogs. In addition to the skin fold flaps, other reconstructive techniques such as undermining, walking sutures, and tension-relieving suture techniques were followed during surgery in the closure of large skin defects without skin tension and compromising limb mobility. The skin flap viability was assessed subjectively by gross observation of the flap such as color, temperature, capillary perfusion, and cosmetic appearance, and scoring (1-4) was done. Tissue samples were collected from a surgical site on days 3, 6, and 12 post-operatively for histopathological evaluation and healing status of the skin flap. RESULTS: All the surgical wounds healed primarily, without any major complications and the skin flap remained healthy throughout the healing process post-operatively. Distal flap necrosis was noticed in one case and necrosis of skin flap between two suture lines was noticed in another case in which the necrotized distal portion healed by secondary intention after 7 days. The mean survival of subdermal plexus flap in the above cases was 98% which was a subjective evaluation based on surface area of the skin defect measured by Image’ J software and the flap dimensions. The average healing of skin flap in days was 14.91±0.86. CONCLUSION: The SFAFs along with other reconstructive techniques help in the reconstruction of large ventral skin defects following mastectomy in dogs without much compromising limb mobility. |
format | Online Article Text |
id | pubmed-5771180 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Veterinary World |
record_format | MEDLINE/PubMed |
spelling | pubmed-57711802018-02-01 Studies on reconstruction of large skin defects following mammary tumor excision in dogs Sadhasivan, Sabarish Babu Malli Shafiuzama, Mohamed Shammi, Mala Rao, Ganne Venkata Sudhakar Souza, Nitin J D Senthilnayagam, Hemalatha George, Ravi Sundar Prabhakar, P. Manoj Vet World Research Article AIM: The main objective of the study was to describe the use of skin fold advancement flaps (SFAFs) and other reconstructive techniques for closure of large skin defects following mammary tumor excision in dogs. MATERIALS AND METHODS: Twelve dogs underwent reconstruction of large ventral skin defects following mammary tumor excision with wide margins. Skin fold flaps (flank fold flap and elbow fold flap) were elevated from the flank and elbow region, respectively, and transposed and sutured onto the large ventral skin defect following mastectomy in all the dogs. In addition to the skin fold flaps, other reconstructive techniques such as undermining, walking sutures, and tension-relieving suture techniques were followed during surgery in the closure of large skin defects without skin tension and compromising limb mobility. The skin flap viability was assessed subjectively by gross observation of the flap such as color, temperature, capillary perfusion, and cosmetic appearance, and scoring (1-4) was done. Tissue samples were collected from a surgical site on days 3, 6, and 12 post-operatively for histopathological evaluation and healing status of the skin flap. RESULTS: All the surgical wounds healed primarily, without any major complications and the skin flap remained healthy throughout the healing process post-operatively. Distal flap necrosis was noticed in one case and necrosis of skin flap between two suture lines was noticed in another case in which the necrotized distal portion healed by secondary intention after 7 days. The mean survival of subdermal plexus flap in the above cases was 98% which was a subjective evaluation based on surface area of the skin defect measured by Image’ J software and the flap dimensions. The average healing of skin flap in days was 14.91±0.86. CONCLUSION: The SFAFs along with other reconstructive techniques help in the reconstruction of large ventral skin defects following mastectomy in dogs without much compromising limb mobility. Veterinary World 2017-12 2017-12-27 /pmc/articles/PMC5771180/ /pubmed/29391696 http://dx.doi.org/10.14202/vetworld.2017.1521-1528 Text en Copyright: © Sadhasivan, et al. http://creativecommons.org/licenses/by/4.0 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Sadhasivan, Sabarish Babu Malli Shafiuzama, Mohamed Shammi, Mala Rao, Ganne Venkata Sudhakar Souza, Nitin J D Senthilnayagam, Hemalatha George, Ravi Sundar Prabhakar, P. Manoj Studies on reconstruction of large skin defects following mammary tumor excision in dogs |
title | Studies on reconstruction of large skin defects following mammary tumor excision in dogs |
title_full | Studies on reconstruction of large skin defects following mammary tumor excision in dogs |
title_fullStr | Studies on reconstruction of large skin defects following mammary tumor excision in dogs |
title_full_unstemmed | Studies on reconstruction of large skin defects following mammary tumor excision in dogs |
title_short | Studies on reconstruction of large skin defects following mammary tumor excision in dogs |
title_sort | studies on reconstruction of large skin defects following mammary tumor excision in dogs |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5771180/ https://www.ncbi.nlm.nih.gov/pubmed/29391696 http://dx.doi.org/10.14202/vetworld.2017.1521-1528 |
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