Today's Veterinary Practice

SEP-OCT 2016

Today's Veterinary Practice provides comprehensive information to keep every small animal practitioner up to date on companion animal medicine and surgery as well as practice building and management.

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tvpjournal.com | September/October 2016 | T O day' S Ve T erinary Prac T ice P rac T ica L T ec H ni QU e S F r OM TH e na V c in ST i TUT e Peer r eviewed 71 "U" turn to essentially double its effective flap width (Figure 6). To ensure the planned flap transfer is feasible, add this extra folded skin into your proposed skin flap length measurement. Patient Preparation 1. a dminister general anesthesia and place patient in dorsal or lateral recumbency to allow simultaneous access to both the desired donor mammary chain and skin defect. 2. i n addition, administer first- generation cephalosporin antibiotics at anesthesia induction and then every 90 minutes until wound is surgically closed. 3. c lip and prepare a generous area surrounding the proposed skin defect and donor skin region. Plan to include plenty of adjacent skin in the aseptically prepared field because, as the donor site is closed, surrounding skin will be mobilized into the field. When the skin defect involves the hindlimb, hang and aseptically prepare the limb to facilitate skin transfer and wound closure. 4. a septically drape the entire field, with ample skin included around the exposed donor and recipient sites. FIGURE 3. Skin defect due to wide surgical excision of a fibrosarcoma in left flank area ( a ) and CSE flap from left mammary chain transferred to cover defect (B). A B FIGURE 4. Large defect due to wide excision of a large scrotal mast cell tumor in a 10-year-old boxer ( a ). Left CSE flap reconstruction (B), with a Jackson-Pratt drain placed under the flap and donor area. Note that the drain exit is lateral to the closed donor region. A FIGURE 5. A large degloving wound extending from the medial stifle to the tarsus in a mixed breed dog, which was reconstructed with a left CSE flap. The hock region is visible at the distal most aspect of the flap (bottom of image). FIGURE 6. Labrador retriever with left CSE flap; the distal aspect is folded to form a "paddle" to reconstruct a large caudal thigh defect after wide excision of a malignant tumor. Yellow dashed arrow depicts the folded distal end of the flap. B

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