Wound-Management of Complex Wounds

Abstract OBJECTIVE To report the clinical outcomes of the use of acellular fish skin grafts (FSGs) for the management of complex soft tissue wounds of various etiologies in dogs and cats. ANIMALS 13 dogs and 4 cats with complex wounds treated with FSGs between February 2019 and March 2021. PROCEDURES Medical records were reviewed for information regarding cause, location, size of the wound, management techniques, complications, and clinical outcomes. RESULTS In dogs, the number of FSG applications ranged from 1 to 4 (median, 2 graft applications). The time between each application ranged from 4 to 21 days (median, 9.5 days). Time to application of the first FSG ranged from 9 to 210 days (median, 19 days). Wounds closed by second-intention healing following the first fish skin application between 26 and 145 days (median, 71 days; n = 12). In cats, 1 or 2 FSGs were used, and the wounds of 3 of 4 cats healed completely by secondary intention. The wounds of 1 dog and 1 cat did not heal. There were no adverse events attributed to the use of the FSGs. CLINICAL RELEVANCE For dogs and cats of the present study, complete healing of most wounds occurred with the use of FSGs, the application of which did not require special training, instruments, or bandage materials.

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Wound-Management of Complex Wounds

Journal of Wound Ostomy and Continence Nursing ◽

10.1097/01.won.0000351915.48760.47 ◽

2009 ◽

Vol 36 (Supplement) ◽

pp. S12

Author(s):

JoAnn Hager ◽

Tamara Morehouse

Keyword(s):

Wound Management ◽

Complex Wounds

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Wound-Management of Complex Wounds

Journal of Wound Ostomy and Continence Nursing ◽

10.1097/01.won.0000351892.40244.3a ◽

2009 ◽

Vol 36 (Supplement) ◽

pp. S5

Author(s):

Jennifer K. Agosti ◽

Randy Agosti ◽

Alice B. Levy

Keyword(s):

Wound Management ◽

Complex Wounds

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Use of Antibiotic-Impregnated Absorbable Beads and Tissue Coverage of Complex Wounds

The American Surgeon ◽

10.1177/000313481608201121 ◽

2016 ◽

Vol 82 (11) ◽

pp. 1068-1072 ◽

Cited By ~ 1

Author(s):

Terris L. White ◽

Alfred T. Culliford ◽

Martin Zomaya ◽

Gary Freed ◽

Christopher P. Demas

Keyword(s):

Wound Management ◽

Fasciocutaneous Flaps ◽

Local Antibiotics ◽

Standard Management ◽

Systemic Antibiotic Therapy ◽

Infected Wounds ◽

Complex Wound ◽

High Concentrations ◽

Multicenter Retrospective Review ◽

Complex Wounds

The treatment of complex wounds is commonplace for plastic surgeons. Standard management is debridement of infected and devitalized tissue and systemic antibiotic therapy. In cases where vital structures are exposed within the wound, coverage is obtained with the use of vascularized tissue using both muscle and fasciocutaneous flaps. The use of nondissolving polymethylmethacrylate and absorbable antibiotic-impregnated beads has been shown to deliver high concentrations of antibiotics with low systemic levels of the same antibiotic. We present a multicenter retrospective review of all cases that used absorbable antibiotic-impregnated beads for complex wound management from 2003 to 2013. A total of 104 cases were investigated, flap coverage was used in 97 cases (93.3%). Overall, 15 patients (14.4%) required reoperation with the highest groups involving orthopedic wounds and sternal wounds. The advantages of using absorbable antibiotic-impregnated beads in complex infected wounds have been demonstrated with minimal disadvantages. The utilization of these beads is expanding to a variety of complex infectious wounds requiring high concentrations of local antibiotics.

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