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Comparison of three skin-stretching devices for closing skin defects on the limbs of dogs
Vassiliki Tsioli,Lysimachos G. Papazoglou,Nikolaos Papaioannou,Dimitra Psalla,Ioannis Savvas,Leonidas Pavlidis,Maria Karayannopoulpou 대한수의학회 2015 Journal of Veterinary Science Vol.16 No.1
Our objective was to evaluate the effectiveness of skin-stretching devices for closing defects on the extremities of dogs. Antebrachial skindefects were created on the limbs of 24 dogs randomly divided into three groups. Skin stretchers included staples and sutures passing throughthem (group A), sutures and hypodermic needles (group B), and Pavletic device (group C). Wounds on the left were further undermined inall groups. Tension and blood perfusion were assessed. After removing the stretchers on day 3, the defects were sutured and wound healingwas clinically scored. Histological variables evaluated were cellular infiltration, edema, collagen orientation, and thickness of epidermis. Significant differences in tension were found among groups (p < 0.0005) and between measurement times for undermined (p = 0.001) ornon-undermined (p < 0.0005) wounds. In contrast, blood perfusion values did not differ significantly. Clinical scores for group B seemedto be better than those for groups A and C, but differences were not significant. Primary wound closure using the Pavletic device was notfeasible. Νo significant differences in histological variables were found between groups. Skin stretching with staples or hypodermic needlesresulted in successful wound management with minor side effects on skin histology and circulation.
Eleftheria Dermisiadou,Ioannis Panopoulos,Dimitra Psalla,Stefanos Georgiou,Aikaterini Sideri,Apostolos Galatos,Vassiliki Tsioli 대한수의학회 2023 Journal of Veterinary Science Vol.24 No.1
Background: The management of feline hindlimb full-thickness skin defects is challenging. On the other hand, the use of a semitendinosus (ST) myocutaneous flap for their coverage has not been reported. Objectives: To describe the ST flap and compare it with second intention healing for managing hindlimb full-thickness skin defects. Methods: In 12 purpose-bred laboratory domestic short-haired cats, two wounds were made on each tibia. The wounds in group A (n = 12) were covered with ST flaps, and those in group B (n = 12) were left to heal by second intention. In both groups, clinical assessment scoring and planimetry were performed between one–30 d postoperatively. Computed tomography-angiography (CTA) was performed on days zero, 10, and 30, and histological examinations were performed on days zero and 14 and at 6 and 12 mon postoperatively. Results: Statistically significant differences in the clinical assessment scores were observed between groups A and B on days 14 (p = 0.046) and 21 (p = 0.016). On the other hand, the time for complete healing was similar in the two groups. CTA revealed significant differences in the muscle width (day 0 compared to days 10 and 30 [p = 0.001, p = 0.026, respectively], and days 10 to 30 [p = 0.022]), ST muscle density, and the caliber of the distal caudal femoral artery and vein (day 0 compared to day 10 [p < 0.001], and days 10 to 30 [p < 0.001]). Histologically significant differences in inflammation, degeneration, edema, neovascularization, and fibrosis were observed on day 14 compared to zero and 6 mon, but no differences were found between the time interval of 6 and 12 mon. Conclusions: An ST flap can be used effectively to manage hindlimb full-thickness skin defects.