Richardson Jodi M, Shivley Jacob M, Bushby Philip A
Department of Clinical Sciences, Mississippi State University College of Veterinary Medicine, Starkville, MS, USA.
JFMS Open Rep. 2017 Sep 18;3(2):2055116917729559. doi: 10.1177/2055116917729559. eCollection 2017 Jul-Dec.
An approximately 3-year-old, male domestic longhair cat was presented to a mobile veterinary unit for routine neuter. Preoperative physical examination revealed an approximately 5 cm × 2 cm scab on the craniolateral portion of the left antebrachium. The cat was anesthetized for the neuter using an injectable anesthesia protocol. After castration, the wound area on the antebrachium was clipped, copiously lavaged and the wound edges were surgically debrided. Injectable antibiotics and analgesic management were instituted. The wound was conservatively managed using sugar bandaging and antibiotic dressings until the progression of healing plateaued. Procedures for closing the defect were explored, and it was decided that a single-pedicle hinge flap would be ideal. The procedure was performed on the mobile veterinary unit and managed postoperatively with pain control and biweekly bandage changes. After 3 weeks, the single-pedicle hinge flap was released to create a skin graft, which successfully filled the defect.
Single-pedicle hinge flaps performed in feline patients have been minimally reported. This case report serves to provide detailed information on the surgical procedure and aftercare required for a successful outcome. Furthermore, this procedure was performed by a shelter medicine team in a mobile veterinary unit with no specialty equipment or instruments. This report documents an alternative procedure that may be used in a shelter environment for distal forelimb wounds rather than amputation or euthanasia.
一只约3岁的雄性家养长毛猫被送到一个流动兽医单位进行常规绝育手术。术前体格检查发现左前臂颅外侧部分有一个约5厘米×2厘米的痂。使用注射麻醉方案对这只猫进行绝育麻醉。阉割后，对前臂的伤口区域进行修剪，大量冲洗，并对伤口边缘进行外科清创。开始使用注射用抗生素和镇痛处理。伤口采用糖绷带包扎和抗生素敷料进行保守处理，直到愈合进程趋于平稳。探讨了闭合缺损的方法，决定单蒂铰链皮瓣是理想的选择。该手术在流动兽医单位进行，术后进行疼痛控制和每两周更换一次绷带。3周后，松开单蒂铰链皮瓣形成皮肤移植片，成功填补了缺损。
关于在猫科动物患者中进行单蒂铰链皮瓣手术的报道极少。本病例报告旨在提供关于手术过程和成功治疗所需术后护理的详细信息。此外，该手术由一个收容所医疗团队在一个流动兽医单位进行，没有专业设备或器械。本报告记录了一种可用于收容所环境中治疗前肢远端伤口的替代手术方法，而不是截肢或安乐死。
