Clinical Technique: Chelonian Shell Repair

Fleming, Gregory J.

doi:10.1053/j.jepm.2008.08.001

Cited by 31 publications

(47 citation statements)

References 9 publications

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“…). It does, however, have the potential to significantly speed the healing process with the appearance of a healthy granulation bed within 16 days postsurgery in this case in contrast to previous reports of granulation tissue taking 1 month to form (Fleming ). Negative pressure was removed in this case after the formation of a healthy granulation bed, as after this point epithelialisation appears to be retarded when negative pressure is used (Demaria et al .…”

Section: Discussioncontrasting

confidence: 71%

“…For large contaminated wounds, wet to dry dressings, honey dressings, silver dressings and topical antibiotic treatments have all been used (Barten ). Complete shell healing is reported to take place between 1 and 2 years (McArthur & Hernandez‐Divers ) with even formation of a granulation bed taking approximately 1 month (Fleming ).…”

Section: Discussionmentioning

confidence: 99%

“…Stenotrophmonas maltophila and Alcaligenes faecalis were isolated on bacterial Negative pressure wound therapy in a tortoise and the Veterinary Pathology Unit, Royal (Dick) School of Veterinary Studies, Edinburgh for their help with this case. (McArthur & Hernandez-Divers 2004) with even formation of a granulation bed taking approximately 1 month (Fleming 2008).…”

Section: Discussionmentioning

confidence: 99%

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The use of negative pressure wound therapy following subcarapacial abscess excision in a tortoise

Hedley

Woods

Eatwell

2013

J of Small Animal Practice

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A 42-year-old female Testudo graeca was referred with a five-month history of a non-healing carapacial wound. Previous treatment had involved long-term antibiotic therapy and conscious debridement of necrotic tissue. On presentation an extensive deep wound with purulent discharge was visible on the right side of the carapace. A computed tomographic scan was performed to assess the extent of the wound. This revealed a large carapacial deficit with two underlying soft tissue masses. Surgical debridement was performed under general anaesthesia resulting in an even larger defect. Because of the extensive nature of the deficit, negative pressure wound therapy was applied to aid wound healing. A negative pressure of approximately 120 mmHg was maintained and bandages were changed every third day. Wound healing progressed rapidly and a healthy granulation bed was formed within 16 days.

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Section: Discussioncontrasting

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The use of negative pressure wound therapy following subcarapacial abscess excision in a tortoise

Hedley

Woods

Eatwell

2013

J of Small Animal Practice

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“…36 Kabuk yaralanmaları tekne pervanesi, karnivor saldırıları, insan kaynaklı travmalar, enfeksiyon gibi çeşitli sebeplerden kaynaklanmaktadır ve prognoz açısından mükemmel, iyi, orta, zayıf ve ciddi olmak üzere 5 kategoride değerlendirilmiştir (Tablo 1). [37][38][39] Deniz kaplumbağaları su dışında ancak 10-14 gün kadar kalabildiklerinden kabuk yaralanmalarının tedavisi zordur. 38 Eğer ciddi bir yaralanma durumu söz konusu ise mutlaka su sızdıran örtülerle desteklenmeli ve ıslatılmalıdır.…”

Section: Kabuk Yaralanmalariunclassified

Surgical Methods in Sea Turtles

Altuğ¹,

Yurtal²,

Işler³

et al. 2017

Turkiye Klinikleri J Vet Sci

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Deniz Kaplumbağalarında Cerrahi Yöntemler Ö ÖZ ZE ET T Bu çalışmada, deniz kaplumbağalarında karşılaşılan cerrahi sorunlar ve uygulanan cerrahi sağaltım yöntemlerinin değerlendirilmesi amaçlanmıştır. Deniz kaplumbağaları olarak tanımlanan yedi türün altısının soyunun tükenme tehlikesinde olduğu Uluslararası Doğa Koruma Birliği tarafından belirlenmiştir. Birçok bölgede populasyonun azalma eğiliminde olması sebebiyle, deniz kaplumbağalarının tedavi uygulamaları ile doğal ortamına bırakılabilmesini sağlayan çalışmalar önem kazanmaktadır. Klinik patoloji, lokalizasyon, boyut gibi çeşitli muayene bulgularına göre klasik cerrahi girişimler tercih edilebildiği gibi, zaman zaman endoskopik yöntemlerden de faydalanılmaktadır. Bu çalışmada; muayene ve preoperatif bakım, anestezi, cerrahi yöntemler, postoperatif bakım ve cerrahi girişimlerde dikkat edilmesi gereken önemli hususlar hakkında çok sayıda kaynak incelenerek özlü bilgiler bir araya getirildi. Bu bağlamda deniz kaplumbağalarında uygulanan; özofagostomi tüpü yerleştirilmesi, özofagotomi, prefemoral fossa seliyotomi, aksiller fossa seliyotomi, plastron osteotomisi, supraplastronel yaklaşım, endoskopik prefemoral ooferektomi ve salpingektomi, kloaka ve penis prolapsusu cerrahi uygulamaları, balık oltası iğne ve kancalarından kaynaklanan intestinal obstrüksiyonlar, göz lezyonları, tümoral oluşumlar, vakumlu yara bakımı, kırık onarımı, ampütasyon ve kabuk yaralanmaları konularında mevcut uygulamalar ve gelişmeler derlenerek sunuldu. Sonuç olarak bu çalışma ile deniz kaplumbağalarında çeşitli sebeplerle endikasyonu olan cerrahi yöntemler, farklı bölgelerden cerrahi yaklaşımlar, öncesi ve sonrası gibi bütüncül ve genel bir bakış açısıyla derlenerek konuya ilgili veteriner hekimlere rehberlik edebilecek zengin bir kaynak sunulması amaçlanmıştır.

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“…Surgical debridement of the necrotic tissue is suggested to stimulate the neovascularisation of lesions on the shell (Maas ). Complete healing of the chelonian shell requires long periods, one to two years (McArthur & Hernandez‐Divers , Patterson ), but the formation of an underlying granulation bed takes approximately one month (Fleming ). As shell healing takes a long period, the turtle must be hospitalised in a dry environment, increasing the stress and reducing the physiological well‐being of the turtles (Barrows et al .…”

Section: Introductionmentioning

confidence: 99%

The use of silver amalgam for treatment of shell ulcerations in turtles: 60 cases

Spadola

Morici

2017

J of Small Animal Practice

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Shell ulcers were diagnosed based on clinical appearance in 60 turtles. Under general anaesthesia, surgical curettage was performed using a burr mounted on a micro-grinder. A calcium hydroxide paste was applied to the debrided lesions before the application of restorative material. Lesions were completely filled with rapidly hardening silver amalgam. Treated terrapins were hospitalised in dry containers and later were housed in tanks with controlled temperature 24 hours. Fillings were found spontaneously expulsed at various periods after placement. No signs of mercury poisoning or tissue reaction to the prosthesis were apparent.

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Clinical Technique: Chelonian Shell Repair

Cited by 31 publications

References 9 publications

The use of negative pressure wound therapy following subcarapacial abscess excision in a tortoise

The use of negative pressure wound therapy following subcarapacial abscess excision in a tortoise

Surgical Methods in Sea Turtles

The use of silver amalgam for treatment of shell ulcerations in turtles: 60 cases

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