Free Skin Grafting

Schumacher, Jim; Wilmink, Jacintha M.

doi:10.1002/9781118999219.ch18

Cited by 4 publications

(12 citation statements)

References 62 publications

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“…Wounds have a major impact on the equine industry and horses’ welfare [ 24 ]. It is generally recognized that wounds on the distal limbs of horses have a slower rate of contraction and epithelialization, which often result in delayed healing and the formation of exuberant granulation tissue [ 25 , 26 ]. In turn, this can lead to aesthetical blemishes and, in the worst-case scenario, a loss of athletic function.…”

Section: Discussionmentioning

confidence: 99%

Negative-Pressure Wound Therapy (NPWT) in Horses: A Scoping Review

Cantatore¹,

Pagliara

Marcatili³

et al. 2023

Veterinary Sciences

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Obtaining a healthy wound environment that is conductive to healing in horses can be challenging. Negative-pressure wound therapy (NPWT) has been employed in humans to enhance wound healing for decades. The existing evidence for the effectiveness of NPWT remains uncertain in equine medicine. The aim of this review is to investigate NPWT applications and benefits in horses. A scoping review was performed according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines for scoping reviews on three databases (PubMed, Web of Science-Thompson Reuters, and Wiley Online Library). Twenty-four manuscripts were considered. After removing duplicates, 17 papers underwent abstract screening. Of these, 16 + 1 (cited by others) were evaluated for eligibility according to PICOs, including no case reports/retrospective studies, four original articles, and three reviews. Fifteen manuscripts met the inclusion criteria. The focus of the articles was wound management; they included three reports of wounds communicating with synovial structures. Traumatic wounds and surgical-site infections are indications for NPWT. NPWT presents several advantages and few complications making it an attractive alternative to conventional wound management. However, randomized controlled trials should be performed to quantify the benefits and establish precise protocols in horses.

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Section: Discussionmentioning

confidence: 99%

Negative-Pressure Wound Therapy (NPWT) in Horses: A Scoping Review

Cantatore¹,

Pagliara

Marcatili³

et al. 2023

Veterinary Sciences

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…At present, the most common type of equine skin graft for the replacement of lost skin is the autologous skin graft, an autograft relocated from one area to another on the same animal. 34 Unfortunately, there is a lack of redundant donor skin areas in equine patients, limiting the practicality of autografting to relatively small wounds. 1 Cadaver skin has been employed as an alternative to autografting, but this technique is subject to patient rejection due to the presence of antigens that induce an immune reaction, and no advantage has been observed when compared with nonbiological dressings.…”

Section: Discussionmentioning

confidence: 99%

Development and characterization of an equine skin‐equivalent model

Cerrato¹,

Ramió‐Lluch²,

Brazı́s³

et al. 2014

Veterinary Dermatology

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“…In contrast to the avascular skin used in grafting techniques, a skin flap is transferred locally over a defect whilst retaining its original blood supply. Where primary intention healing is prevented by extensive tissue loss, a skin flap can reduce the healing time, reduce scarring and improve local contraction (Provost and Bailey 2012;Schumacher and Wilmink 2017). The presence of its own blood supply allows the flap to survive over less hospitable recipient sites such as tendon or bone, where free skin grafts would likely fail to achieve neovascularisation (Bristol 2005).…”

Section: Introductionmentioning

confidence: 99%

“…According to vascular supply, they can be classed as random pattern or axial pattern flaps. A random pattern skin flap is created without consideration to any vessels and is the most commonly used skin flap in horses (Bristol 2005;Schumacher and Wilmink 2017;Stashak and Schumacher 2017). Skin flaps can also be classified as 'local' or 'distant'.…”

Section: Introductionmentioning

confidence: 99%

Use of random pattern skin flaps for wound closure in two horses

Jansson

Knottenbelt

Hennessy

2020

Equine Veterinary Education

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A 9-year-old Thoroughbred broodmare presented with a mass rostral to the medial canthus of the left eye. The mass was removed under general anaesthesia and the wound bed infiltrated with carboplatin emulsion before partially closing using a Z-plasty. The mass recurred and subsequently was resected twice. It has not recurred 68 weeks post-treatment. The second case describes removal of a granulomatous mass from the metatarsus of a yearling Thoroughbred colt. Skin expanders and a rotational flap were used to allow tension-free closure. This required two separate surgeries to firstly insert the skin expanders and secondly to remove the mass, the expanders and to close the defect. The wound healed with good cosmesis. There have been few reports on the use of skin flaps in equine reconstructive surgery in the last 30 years. This report details two cases of wound closure where skin flaps were used to achieve primary intention wound healing.

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Free Skin Grafting

Cited by 4 publications

References 62 publications

Negative-Pressure Wound Therapy (NPWT) in Horses: A Scoping Review

Negative-Pressure Wound Therapy (NPWT) in Horses: A Scoping Review

Development and characterization of an equine skin‐equivalent model

Use of random pattern skin flaps for wound closure in two horses

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