Tunnel grafting for wound repair in horses: a novel technique in graft production and placement
Autor: | A Kalamanova, AR Cust, BH Anderson, IC Fulton |
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Rok vydání: | 2020 |
Předmět: |
Novel technique
medicine.medical_specialty General Veterinary 040301 veterinary sciences business.industry Grafting (decision trees) medicine.medical_treatment Forceps 0402 animal and dairy science Jamshidi needle Granulation tissue 04 agricultural and veterinary sciences General Medicine 040201 dairy & animal science Surgery Distal limb 0403 veterinary science surgical procedures operative medicine.anatomical_structure medicine Skin grafting business Standing sedation |
Zdroj: | Australian Veterinary Journal. 98:517-522 |
ISSN: | 1751-0813 0005-0423 |
Popis: | There are several skin grafting methods described in the human and animal literature. Currently, there are five types of free grafts used in horses: pinch and punch grafts, split and full-thickness sheet or mesh grafts and tunnel grafts. Published methods of tunnel grafting describe the use of alligator forceps. The alligator forceps create a poor tunnel and are excessively traumatic to the granulation bed. This technique utilised a 13G Jamshidi needle that was placed across the granulation bed and created a uniform tunnel. The Jamshidi needle was atraumatic to the granulation bed increasing the opportunity for graft survival. A twin bladed scalpel allowed for the quick creation of uniform width grafts. Removal of the overlying tunnel 'roof' took place 5-14 days later to allow graft expansion. This case series included five horses with distal limb wounds and one with a wither injury. Four horses required general anaesthesia for graft placement and three required general anaesthesia for the removal of the tunnel roof. The acceptance of the grafts varied from 70% to 100%. Graft expansion to cover the granulation tissue took 2-5 months. This case series demonstrates that this technique of graft production and placement is an easy method for achieving successful skin grafting. Compared to other graft types, tunnel grafts are more readily accepted. Cosmetic and functional results achieved are better than those with pinch and punch grafts. Tunnel grafting does not require expensive equipment or advanced training, and in some cases can be performed under standing sedation. |
Databáze: | OpenAIRE |
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