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15只犬远端肢体伤口的负压封闭引流治疗应用

The use of vacuum-assisted closure therapy for the treatment of distal extremity wounds in 15 dogs.

作者信息

Ben-Amotz Ron, Lanz Otto I, Miller Jonathan M, Filipowicz Dean E, King Michael D

机构信息

Department of Small Animal Clinical Sciences, VA-MD Regional College of Veterinary Medicine, Blacksburg, VA 24061, USA.

出版信息

Vet Surg. 2007 Oct;36(7):684-90. doi: 10.1111/j.1532-950X.2007.00321.x.

Abstract

OBJECTIVE

To evaluate clinical outcome after vacuum-assisted closure (VAC) therapy in dogs with traumatic wounds located in the distal extremities and report our early experience with VAC.

STUDY DESIGN

Retrospective study.

ANIMALS

Dogs (n=15) with traumatic distal extremity wounds.

METHODS

Medical records (1999-2003) of dogs with traumatic injuries to the distal extremities managed by VAC were evaluated. Data included signalment, location of wound, time until surgical intervention, wound reconstruction methods, orthopedic procedures, outcome, complications associated with VAC, and length of hospitalization.

RESULTS

The mean number of days until reconstruction was 4.6 days (range, 2-7 days). Reconstructive surgery was successful in all cases. Mean hospitalization was 9.7 days (range, 6-16 days). Complications included dermatitis at the wound margin and loss of vacuum causing wound desiccation.

CONCLUSION

VAC therapy can be used to achieve adequate management of traumatic distal extremity wounds. VAC provides an effective method of securing skin grafts over the wound bed.

CLINICAL RELEVANCE

VAC therapy can be used as an ancillary treatment for distal extremity wounds in dogs before surgical repair as well as a method for securing skin grafts to the wound bed.

摘要

目的

评估负压封闭引流(VAC)疗法治疗犬四肢远端创伤性伤口后的临床疗效,并报告我们使用VAC的早期经验。

研究设计

回顾性研究。

动物

患有四肢远端创伤性伤口的犬(n = 15)。

方法

评估1999年至2003年接受VAC治疗的犬四肢远端创伤性损伤的病历。数据包括特征、伤口位置、手术干预前的时间、伤口重建方法、骨科手术、结果、与VAC相关的并发症以及住院时间。

结果

直到重建的平均天数为4.6天(范围2 - 7天)。所有病例的重建手术均成功。平均住院时间为9.7天(范围6 - 16天)。并发症包括伤口边缘的皮炎和负压丧失导致伤口干燥。

结论

VAC疗法可用于充分处理犬四肢远端创伤性伤口。VAC提供了一种在伤口床固定皮肤移植的有效方法。

临床意义

VAC疗法可作为犬四肢远端伤口手术修复前的辅助治疗方法,以及将皮肤移植固定到伤口床的一种方法。

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