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病例报告:一种用于大型软组织缺损术后管理的新型通气热塑性网状绷带:三例使用自体浓缩血小板治疗犬的病例系列

Case Report: A Novel Ventilated Thermoplastic Mesh Bandage for Post-operative Management of Large Soft Tissue Defects: A Case Series of Three Dogs Treated With Autologous Platelet Concentrates.

作者信息

Berni Priscilla, Leonardi Fabio, Conti Virna, Ramoni Roberto, Grolli Stefano, Mattioli Giovanni

机构信息

Department of Veterinary Science, University of Parma, Parma, Italy.

出版信息

Front Vet Sci. 2021 Sep 1;8:704567. doi: 10.3389/fvets.2021.704567. eCollection 2021.

Abstract

A ventilated thermoplastic mesh bandage was used for the post-operative management of large soft tissue defects in three dogs. Once the granulation tissue appeared, the wounds were treated with liquid or jellified autologous platelet concentrates, Platelet Rich Plasma (PRP) and Platelet Lysate (PL), to improve the wound healing process. After cleaning the wound with sterile physiological solution, a dressing was performed with several layers of cotton. A window through the layers of cotton was opened above the wound. Then, the platelet concentrate was topically applied, and the bandage was completed by placing, over the access window, a ventilated thermoplastic mesh modeled according to the size and shape of the wound. After 24 h, it was replaced by a low adhesion bandage. The thermoplastic mesh avoids the direct contact between the wound and the external layers of the bandage, preventing the drainage of the topical agent and the removal of the growing healthy granulation tissue. The bandage proposed in this study is easily applied by the veterinarian and well-tolerated by the animal, ensuring high welfare standards in stressed patients presenting compromised clinical conditions.

摘要

一种透气的热塑性网状绷带用于三只犬大型软组织缺损的术后管理。一旦出现肉芽组织,就用液体或凝胶状自体血小板浓缩物、富血小板血浆(PRP)和血小板裂解物(PL)治疗伤口,以改善伤口愈合过程。用无菌生理盐水清洁伤口后,用几层棉花进行包扎。在伤口上方的棉花层上开一个窗口。然后,局部应用血小板浓缩物,并通过在接入窗口上方放置一个根据伤口大小和形状制作的透气热塑性网状物来完成绷带包扎。24小时后,用低粘性绷带替换。热塑性网状物避免了伤口与绷带外层的直接接触,防止局部用药的引流和新生健康肉芽组织的清除。本研究中提出的绷带易于兽医应用,动物耐受性良好,可确保在临床状况不佳的应激动物中维持较高的福利标准。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b1d/8440817/487b9cf15901/fvets-08-704567-g0001.jpg

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