Subscribe to RSS
DOI: 10.1055/s-0038-1632436
Reconstruction of Distal Hind Limb Injuries in Cats Using the Caudal Superficial Epigastric Skin Flap
Publication History
Received for publication 20 April 1994
Publication Date:
10 February 2018 (online)
Summary
Four cats were admitted for treatment of traumatic wounds distal to the tarsus. The caudal superficial epigastric skin flap was used to reconstruct each wound. In two cats, an initial flap that included all four mammary glands was attempted, but the segment of the flap that incorporated the first mammary gland underwent necrosis. Caudal superficial epigastric flaps that included mammary glands ## 2, 3 and 4 survived completely in three cats. In one cat the distal 3.0 cm, including the second mammary gland, underwent necrosis after a seroma formed. These flaps covered defects that extended beyond the tarsus in all cats and to the digits in two cats.
Four cats with traumatic wounds distal to the tarsus underwent reconstructive surgery. Caudal superficial epigastric flaps that included mammary glands ## 2, 3 and 4 were used to reconstruct the wounds. In two cats, all four mammary glands were initially included with the flap. In these two cats, the distal portions of the flaps including the first mammary gland underwent necrosis. The necrotic areas were debrided and the flaps were repositioned to cover the defects. The remainder of these flaps and one flap that included mammary glands ## 2–4 survived completely. All flaps covered defects that extended beyond the tarsus in all cats and to the digits in two cats.
-
REFERENCES
- 1 Swaim SF. Management of contaminated and infected wounds. In: Surgery of Traumatic Skin: Management and Reconstruction in the Dog and Cat. Swaim SF. ed Philadelphia: Saunders; 1980: 119-213.
- 2 Johnston DE. Repair of skin loss in the foot by means of a double pedicled abdominal flap. J Am Anim Hosp Assoc 1976; 12: 593-96.
- 3 Swaim SF. Principles of mesh skin grafting. Comp Contin Educ Pract Vet 1982; 4: 194-200.
- 4 Keefe F. Skin grafting in a cat. J Am Vet Med Assoc 1946; 108: 43-8.
- 5 Swaim SF. Skin flaps. In: Surgery of Traumatic Skin: Management and Reconstruction in the Dog and Cat. Swaim SF. ed Philadelphia: Saunders; 1980: 321-94.
- 6 Alexander JW, Hoffer RE, MacDonald JM. The use of tubular flap grafts in the treatment of traumatic wounds on the extremity of the cat. Fel Pract 1976; 6: 29-32.
- 7 Swaim SF. Skin grafts. In: Surgery of Traumatic Skin: Management and Reconstruc- tion in the Dog and Cat. Swaim SF. ed Philadelphia: Saunders; 1980: 423-76.
- 8 Pavletic MM. Caudal superficial epigastric arterial pedicle grafts in the dog. Vet Surg 1980; 9: 103-7.
- 9 Pavletic MM. Reverse saphenous conduit flap in the dog. J Am Vet Med Assoc 1983; 22: 88-93.
- 10 Kostolich M, Pavletic MM. Axial pattern flap based on the genicular branch of the saphenous artery in the dog. J Am Vet Med Assoc 1987; 190: 203-4.
- 11 Remedios AM, Bauer MS, Bowen CV. Thoracodorsal and caudal superficial epi- gastric axial pattern skin flaps in cats. Vet Surg 1989; 18: 380-85.
- 12 Bauer MS, Remedios AM, Stanley BJ. Open wound management for treatment of postoperative infections in eight dogs. Can Vet J 1989; 30: 46-9.