Atlas of Animal Wound Management and Reconstructive Surgery 4th edition
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Atlas of Animal Wound Management and Reconstructive Surgery 4th edition

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Wound management and reconstructive surgery are among the most challenging and innovative subspecialties of veterinary surgery for the management of traumatic injuries and neoplastic conditions commonly encountered in small animals. Atlas of Small Animal Wound Management and Reconstructive Surgery, Fourth Edition presents detailed procedures for surgical reconstruction and essential information on the principles of wound healing and wound management for dogs and cats. Coverage encompasses the pathophysiology and management of the wide variety of wounds encountered in small animal practice and the most current reconstructive techniques for closing the most challenging defects.

Michael M. Pavletic, DVM, Diplomate ACVS

Director of Surgical Services at Angell Animal Medical Center in Boston, Massachusetts, USA.

Foreword Preface Acknowledgments About the Companion Website 1. The Ski Skin Functio Skin Structur Cutaneous Adnex The Hypodermi Cutaneous Circulatio Pinna: Cutaneous Considerations Congenital Skin Disorders 2. Basic Principles of Wound Healing Introduction Wound Healing Acute Versus Chronic Open Wounds Species Variations in Wound Healing “Artificial Skin” 3. Basic Principles of Wound Management Introduction Patient Presentation Mechanisms of Injury and Wound Terminology Wound Classification Options for Wound Closure “Pointers” in Selecting the Proper Closure Technique Basic Wound Management in Six Simple Steps Exposed Bone: Osteostixis Acute Versus Chronic Wounds 4. Topical Wound Care Products and Their Use Wound Exudate Wound Drainage Systems Negative Pressure Wound Therapy (NPWT) Concept of Moist Wound Healing (MWH) Topical Wound Care Products The Maggot and Leach in Wound Care Common Topical Antiseptic and Cleansing Agents Alternative Forms of Wound Therapy Concluding Remarks Plate 1: Vacuum‐Assisted Closure 5. Dressings, Bandages, External Support, and Protective Devices Introduction Dressings: The Primary Layer Dressings: The Secondary Layer Dressings: The Tertiary Layer Preventing Bandage Displacement Tie‐Over Dressing/Bandage Technique Pressure Points: Bandage Options Bandage “Access Windows” Bandaging Techniques for Skin Grafts Bandaging Techniques for Skin Flaps Splints, Casts, Reinforced Bandages Miscellaneous Protective Devices Plate 2: Basic Bandage Application for Extremities Plate 3: Tape Stirrups and Padding Dos and Don’ts Plate 4: Elasticon Bandage Platforms and Saddles Plate 5: Spica Bandages/Splints Plate 6: Schroeder‐Thomas Splint Plate 7: Schroeder‐Thomas Splint: Security Band Application Plate 8: Body Brace Plate 9: Tape Hobbles for the Rear Extremities 6. Common Complications in Wound Healing Improper Nutritional Support Medications and Their Influence on Healing Hypovolemia and Anemia The Nonhealing Wound: General Considerations Failure to Heal by Second Intention Scarring and Wound Contracture Infection and Biofilm Formation Draining Tracts Use of Tourniquets for Lower Extremity Procedures Seromas Hematomas Exposed Bone Wound Dehiscence 7. Management of Specific Wounds Bite Wounds Burns Inhalation Injuries Chemical Burns Electrical Injuries Radiation Injuries Frostbite Projectile Injuries Explosive Munitions: Ballistic, Blast, and Thermal Injuries Impalement Injuries Pressure Ulcers Hygroma Snakebite Brown Recluse Spider Bites Porcupine Quills Lower Extremity Shearing Wounds Plate 10: Pipe Insulation Protective Device: Elbow Plate 11: Pipe Insulation to Protect the Great Trochanter Plate 12: Vacuum Drain Management of Elbow Hygromas 8. Regional Considerations The Canine and Feline Profiles Plates 13A and 13B: Surgical Technique Menu 9. Tension‐Relieving Techniques Introduction Skin Tension in the Dog and Cat Plate 14: Tension Lines Plate 15: Effects of Skin Tension on Wound Closure Plate 16: Patient Positioning Techniques Plate 17: Undermining Skin Plate 18: Geometric Patterns to Facilitate Wound Closure Plate 19: V‐Y Plasty Plate 20: Z‐Plasty (Option I) Plate 21: Z‐Plasty (Option II) Plate 22: Multiple Z‐Plasties Plate 23: Relaxing/Release Incisions Plate 24: The “Hidden” Intradermal Release/ Relaxing Incision Plate 25: Multiple Release Incisions for Extremity Wounds Plate 26: Suture Options to Alter Skin Traction and Retraction Plate 27: Walking Suture Technique Plate 28: Skin Stretchers to Offset Incisional Tension Plate 29: “Tension” Suture Patterns Plate 30: Retention Sutures Plate 31: Stent Plate 32: Skin “Directing” for Maximum Coverage Plate 33: Relaxing Incision to Reduce Flap Tension 10. Skin‐Stretching Techniques Physiology of Skin Stretching Presuturing Load Cycling Skin Stretchers Skin Expanders Plate 34: Presuturing Technique Plate 35: Application of Skin Stretchers Plate 36: Skin Stretchers to Enhance Length of Axial Pattern Flaps Plate 37: Skin Stretcher Substitution for Presuturing Plate 38: Skin Expanders 11. Local Flaps Introduction Advancement Flaps Rotating (Pivoting) Flaps Plate 39: Single Pedicle Advancement Flap Plate 40: Bipedicle Advancement Flap Plate 41: Transposition Flap (90 degrees) Plate 42: Transposition Flap (45 degrees) Plate 43: Transposition Flap (Oblique Angle) Plate 44: Local Facial Flap Options vs. Auricular Axial Pattern Flap Plate 45: Transposition Flaps in Partial Wound Closure Plate 46: Interpolation Flap Plate 47: Rotation Flap Plate 48: Forelimb Fold Flap 12. Distant Flap Techniques Distant Flaps Direct Flaps Indirect Flaps The Delay Phenomenon Plate 49: Direct Flap: Single Pedicle (Hinge) Flap Plate 50: Direct Flap Closure of Knee Defect Plate 51: Direct Flap: Bipedicle (Pouch) Flap Plate 52: Indirect Flap: Delayed Tube Flap 13. Axial Pattern Skin Flaps Introduction: Axial Pattern Flaps Island Arterial Flaps Reverse Saphenous Conduit Flaps Secondary Axial Pattern Flaps Options to Extend the Length of Axial Pattern Flaps Plate 53: Four Major Axial Pattern Flaps of the Canine Trunk Plate 54: Skin Position and Axial Pattern Flap Development Plate 55: Omocervical Axial Pattern Flap Plate 56: Thoracodorsal Axial Pattern Flap Plate 57: Lateral Thoracic Axial Pattern Flap Plate 58: Superficial Brachial Axial Pattern Flap Plate 59: Caudal Superficial Epigastric Axial Pattern Flap Plate 60: Cranial Superficial Epigastric Axial Pattern Flap Plate 61: Deep Circumflex Iliac Axial Pattern Flap: Dorsal Branch Plate 62: Deep Circumflex Iliac Axial Pattern Flap: Ventral Branch Plate 63: Flank Fold Flap: Hind Limb Plate 64: Genicular Axial Pattern Flap Plate 65: Reverse Saphenous Conduit Flap Plate 66: Caudal Auricular Axial Pattern Flap Plate 67: Superficial Temporal Axial Pattern Flap Plate 68: Lateral Caudal (Tail) Axial Pattern Flap 14. Free Grafts Free Skin Grafts Classification of Free Grafts Graft Thickness Partial‐Coverage Grafts Dermatomes Preservation by Refrigeration Intraoperative Considerations Bandaging Technique for Skin Grafts Use of Plates Plate 69: Punch Grafts Plate 70: Pinch Grafts Plate 71: Strip Grafts Plate 72: Stamp Grafts Plate 73: Sheet Grafts Plate 74: Dermatome: Split‐Thickness Skin Graft Harvesting Plate 75: Mesh Grafts (With Expansion Units) Plate 76: Mesh Grafts (With Scalpel Blades) 15. Facial Reconstruction Introduction: Facial Reconstructive Surgery Plate 77: Repair of Upper Lip Avulsion Plate 78: Repair of Lower Labial Avulsion Plate 79: Wedge Resection Technique Plate 80: Rectangular Resection Technique Plate 81: Full‐Thickness Labial Advancement Technique (Upper Lip) Plate 82: Full‐Thickness Labial Advancement Technique (Lower Lip) Plate 83: Buccal Rotation Technique Plate 84: Lower Labial Lift‐Up Technique Plate 85: Upper Labial Pull‐Down Technique Plate 86: Labial/Buccal Reconstruction with Inverse Tubed Skin Flap Plate 87: Skin Flap for Upper Labial and Buccal Replacement (Facial [Angularis Oris] Axial Pattern Flap) Plate 88: Feline Facial Axial Pattern Flap Plate 89: Cleft Lip Repair (Primary Cleft, Cheiloschisis, Harelip) Plate 90: Unilateral Rostral Labial Pivot Flaps Plate 91: Bilateral Rostral Labial Pivot Flaps Plate 92: Oral Commissure Advancement Technique Plate 93: Brachycephalic Facial Fold Correction Plate 94: Cheilopexy Technique for Drooling 16. Myocutaneous Flaps and Muscle Flaps Introduction Myocutaneous Flaps Muscle Flaps Plate 95: Latissimus Dorsi Myocutaneous Flap Plate 96: Cutaneous Trunci Myocutaneous Flap Plate 97: Latissimus Dorsi Muscle Flap Plate 98: Latissimus Dorsi Bipedicle Muscle Flap Plate 99: Triceps Replacement with Latissimus Dorsi Muscle Plate 100: External Abdominal Oblique Muscle Flap Plate 101: Caudal Sartorius Muscle Flap Plate 102: Cranial Sartorius Muscle Flap Plate 103: Temporalis Muscle Flap Plate 104: Transversus Abdominis Muscle Flap Plate 105: Semitendinosus Muscle and Myocutaneous Flaps Plate 106: Flexor Carpi Ulnaris Muscle Flap Plate 107: Cranial Tibial Muscle Flap Plate 108: Internal Obturator Muscle Flap Plate 109: Superficial Gluteal Flap for Perineal Hernia Closure 17. Oral Reconstructive Surgical Techniques Introduction Cleft Palate Palatal Defects/Oronasal Fistulas Plate 110: Mucosal Flaps Plate 111: Palatoplasty: Bipedicle Advancement Technique Plate 112: Cleft Palate Repair: Mucoperiosteal Flap Technique Plate 113: Palatine Mucosal Flap Plate 114: Soft Palate/Pharyngeal Mucosal Flaps Plate 115: Full‐Thickness Labial Flap Closure of Oronasal Fistulas Plate 116: Cartilage Grafts for Palatal Fistulas Plate 117: Angularis Oris Mucosal Flap 18. Foot Pad Reconstruction Introduction Pad Laceration and Lesion Excision Digital Pad Transfer Metacarpal/Metatarsal Pad Transfer Accessory Carpal Pad Pad Grafting Digital Flaps for Wound Closure Fusion Podoplasty Plate 118: Digital Flap Technique: Major Digital/ Interdigital Defects Plate 119: Digital Flap Technique: Major Defects of Digits Two or Five Plate 120: Digital Pad Transfer Plate 121: Metatarsal/Metacarpal Pad Transfer Plate 122: Pad Grafting Plate 123: Segmental Pad Grafting Technique Plate 124: Fusion Podoplasty 19. Major Eyelid Reconstruction Introduction The Eyelids Plate 125: Skin Flap Options for Cutaneous Defects of the Eyelid Regions Plate 126: Lip‐to‐Lid Procedure Plate 127: Oral Mucosal Graft onto Skin Flap Plate 128: Third Eyelid–Skin Flap Reconstruction of the Lower Eyelid 20. Nasal Reconstruction Techniques Introduction: Nasal Anatomy Traumatic Wound Management Neoplasia Neoplasms and Surgical Margins Nasal Reconstruction Options Options for Managing Nasal Stenosis Plate 129: Septal Coverage Using Cutaneous Advancement Flaps Plate 130: Bilateral Sulcus Flap Technique Plate 131: Septal Resection Technique Plate 132: Dorsal Nasal Splitting Technique to Enhance Exposure of Septum Plate 133: Alar Fold Flaps Plate 134: Musculofascial Island Labial Flap Plate 135: Labial Mucosal Inversion Technique Plate 136: Nasal Reconstruction with the “Lip‐to‐ Lid Technique” Variation Plate 137: Oral Mucosal Graft with Nasal Stenting Plate 138: Intranasal Septal Window Technique Plate 139: Cantilever Suture Technique 21. Cosmetic Closure Techniques Cosmetic Considerations Causes of Scars Minimization of Scarring Dog Ears Plate 140: Scar Concealment Plate 141: W‐Plasty Plate 142: Dog Ear: Surgical Correction 22. Preputial Reconstructive Surgery Introduction Surgical Conditions Surgical Techniques Plate 143: Preputial Ostium Enlargement Plate 144: Preputial Ostium Reduction Plate 145: Preputial Advancement Technique Plate 146: Phallopexy Plate 147: Urethral Reconstruction for Subanal Hypospadias Plate 148: Preputial Urethrostomy Technique Plate 149: Urine Diversion Technique 23. Pinnal Reconstructive Surgery Introduction Anatomy of the Pinna Surgical Conditions Wound Management and Reconstructive Surgical Techniques Aural Hematoma Management Options Plate 150: Skin Advancement Closure: Rostral Pinnal Base Plate 151: Skin Advancement Closure: Caudal Pinnal Base Plate 152: Transposition Flap Technique for Smaller Medial Pinnal Defects Plate 153: Transposition Flap Technique for Minor Lateral Pinnal Defects Plate 154: Large Transposition Flap Closure After Major Medial Pinnal Resection Plate 155: Transposition Flap for Major Lateral Pinnal Defects Plate 156: Direct Flap Reconstruction of the Pinna Plate 157: Resection of the Terminal Third of the Pinna Plate 158: Inverted “Triangle” Resection of the Central Third of the Pinna Plate 159: Incisional Drainage of Aural Hematomas Plate 160: Bandaging the Pinna Plate 161: Vacuum Drain Management of Aural Hematomas 24. Miscellaneous Reconstructive Surgical Techniques Omentum Scrotum Tail Fold Intertrigo (Screw Tail) Disorders of the Vulva Managing Skin Fold Inversion of Urethrostomies Fecal Incontinence: Treatment Options Plate 162: Omental Flap Options Plate 163: Scrotal Flap Technique Plate 164: Caudectomy for Tail Fold Intertrigo Plate 165: Episioplasty Plate 166: Fascia Lata Sling and Silicone Banding for Managing Fecal Incontinence Plate 167: Spiral Rectal Diaphragm Technique (Rectal Rifling) Index 
  • Idioma Inglés
  • Autor/es Michael M. Pavletic
  • Año de edición 2018
  • Nº Páginas 880
  • Encuadernación Hard cover
  • Tamaño 22'1 X 28'4