Lemarié R J, Hosgood G, Read R A, Lewis D D, Bellah R, Salisbury S K, Goldsmid S
Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, USA.
J Small Anim Pract. 1995 Jun;36(6):255-61. doi: 10.1111/j.1748-5827.1995.tb02910.x.
The treatment of large skin defects of the distal limbs of dogs and cats can be difficult due to the lack of skin available for primary wound closure or the creation of local skin flaps. Distant pedicle skin flaps provide an acceptable alternative for wound closure with full thickness skin and provide a cosmetic result. Fourteen animals (10 dogs and four cats) that had distant pedicle skin flaps are reviewed. The technique allowed 100 per cent wound coverage in 10 of 14 animals and greater than 95 per cent skin flap survival occurred in 12 to 14 animals. complications associated with the procedure were most commonly wound infection and partial suture line dehiscence, however these did not detract from the final outcome. Flap release was in one or two stages, however the outcomes did not appear to be affected by the release protocol.
由于缺乏可用于一期伤口闭合的皮肤或无法制作局部皮瓣，犬猫四肢远端大面积皮肤缺损的治疗可能具有挑战性。远位带蒂皮瓣为全层皮肤伤口闭合提供了一种可接受的替代方法，并能获得美观的效果。本文回顾了14只接受远位带蒂皮瓣手术的动物（10只犬和4只猫）。该技术使14只动物中的10只实现了100%的伤口覆盖，12至14只动物的皮瓣存活率超过95%。与该手术相关的并发症最常见的是伤口感染和部分缝线处裂开，不过这些并未影响最终结果。皮瓣松解分一到两个阶段进行，然而结果似乎不受松解方案的影响。
