دورية أكاديمية
أعرض في EDS

A novel tension relief technique to aid the primary closure of traumatic equine wounds under excessive tension.

التفاصيل البيبلوغرافية
العنوان: A novel tension relief technique to aid the primary closure of traumatic equine wounds under excessive tension.
المؤلفون: Comino F; SLU University Animal Hospital (UDS), Equine Hospital, Uppsala, Sweden., Pollock PJ; The University of Edinburgh Royal (Dick) School of Veterinary Studies, Edinburgh, UK., Fulton I; Ballarat Veterinary Practice, Victoria, Australia., Hewitt-Dedman C; The University of Edinburgh Royal (Dick) School of Veterinary Studies, Edinburgh, UK., Handel I; The University of Edinburgh Royal (Dick) School of Veterinary Studies, Edinburgh, UK., Gorvy DA; SLU University Animal Hospital (UDS), Equine Hospital, Uppsala, Sweden.; Mälaren Hästklinik, Sigtuna, Sweden.
المصدر: Equine veterinary journal [Equine Vet J] 2024 May; Vol. 56 (3), pp. 514-521. Date of Electronic Publication: 2023 Aug 09.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: United States NLM ID: 0173320 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2042-3306 (Electronic) Linking ISSN: 04251644 NLM ISO Abbreviation: Equine Vet J Subsets: MEDLINE
أسماء مطبوعة: Publication: <2009- > : Hobokken, NJ : Wiley
Original Publication: Newmarket, Suffolk : Equine Veterinary Journal, Ltd
مواضيع طبية MeSH: Convalescence* , Horse Diseases*/surgery, Animals ; Horses ; Retrospective Studies ; Wound Healing
مستخلص: Background: To achieve an excellent functional and cosmetic result, primary closure is preferred over leaving wounds to heal by secondary intention. However, traumatic wounds are often under excessive tension during wound closure and incorrect suture technique can compromise microcirculation, leading to skin necrosis and impaired wound healing.
Objective: To describe an inexpensive and effective tension relief technique that helps the successful primary closure of a variety of equine wounds at high risk of dehiscence.
Study Design: Retrospective case series.
Methods: All wounds that were managed with the Tension Tile System (TTS) at four Equine Hospitals between March 2017 and May 2021 were evaluated. The wounds were classified according to various criteria including anatomical location, time elapsed prior to surgery, depth of wound and post-surgical use of immobilisation. Outcome criteria were based on the success of primary intention healing. The duration of convalescence (weeks) after surgery was also recorded.
Results: During the study period, the TTS was used in 191/860 (22%) wounds repaired under general anaesthesia or standing sedation. Overall, primary intention healing (Group A) was achieved in 132 of 191 cases (69%, CI 62%-75%), with partial dehiscence (Group B) in a further 30/191 cases (16%, CI 11%-22%). Severe dehiscence (Group C) was recorded in 29/191 cases (15%, CI 11%-21%). The median convalescence time was 4 weeks (Range 3-15, interquartile range 4-6) in Group A.
Main Limitations: Retrospective nature of the study and subjective outcome assessment. The technique was applied to wounds under significant tension; however, this was based on a subjective assessment by the surgeons involved.
Conclusions: The Tension Tile System is an economical and effective technique for challenging equine wounds under tension, in a variety of anatomical locations.
(© 2023 EVJ Ltd.)
References: Wilmink JM, Stolk PW, van Weeren PR, Barneveld A. Differences in second‐intention wound healing between horses and ponies: macroscopic aspects. Equine Vet J. 1999;31(1):53–60.
Kamus L, Theoret C. Choosing the best approach to wound management and closure. Vet Clin Equine. 2018;34:499–509.
Wilmink JM, van Herten J, van Weeren PR, Barneveld A. Retrospective study of primary intention healing and sequestrum formation in horses compared to ponies under clinical circumstances. Equine Vet J. 2002;34(3):270–273.
Wakury H, Sakuma Y, Mutoh KI, Watanabe S. Cleavage line patterns of the skin in the horse. Okajimas Folia Anat Jpn. 1990;67(5):351–364.
Provost PJ, Bailey JV. Principles of plastic and reconstructive surgery. In: Auer JA, Stick JA, Kümmerle JM, Prange T, editors. Equine Surgery. 5th ed. Amsterdam: Elsevier; 2019. p. 367–381.
Alexander TT. Anatomy of wound repair. In: Alexander TT, editor. Wounds and lacerations. 4th ed. Philadelphia, PA: W.B. Saunders; 2012. p. 10–14.
Celeste C. Selection of suture materials, suture patterns, and drains for wound closure. In: Theoret C, Schumacher J, editors. Equine Wound Management. 3rd ed. Hoboken, NJ: Wiley Blackwell; 2017. p. 173–199.
Dannemiller NG, Hendrickson DA. In vitro evaluation and in vivo use of a novel surgical stent to minimize suture pressure necrosis. Vet Surg. 2020;49:741–747.
Topaz M, Carmel NN, Silberman A, Li MS, Li YZ. The TopClosure® 3S system, for skin stretching and a secure wound closure. Eur J Plast Surg. 2012;35:533–543.
Rana H, Suri M. The tension wound closure device system, for skin closure of excessive tension wounds. Int J Med Health Res. 2017;3(8):69–72.
Stashak TS. Principles and techniques for reconstructive surgery. In: Theoret C, Schumacher J, editors. Equine wound management. 3rd ed. Hoboken, NJ: Wiley Blackwell; 2017. p. 200–324.
Topaz M, Carmel NN, Topaz G, Li M, Li YZ. Stress–relaxation and tension relief system for immediate primary closure of large and huge soft tissue defects: an old–new concept. Medicine. 2014;93(28):1–6.
Hirshowitz B, Lindenbaum E. Sure‐closure skin stretching system. Plast Reconstr Surg. 1999;103(1):332–333.
Barnea Y, Gur E, Amir A, Leshem D, Zaretski A, Shafir R, et al. Our experience with Wisebands: a new skin and soft‐tissue stretch device. Plast Reconstr Surg. 2004;113(3):862–869.
Kelmer G, Cypher E, Schumacher J. Simple techniques to decrease tension on sutured wounds of horses. Equine Vet Educ. 2021;34(2):67–72.
Choudhary S, Mantry R, Arora P, Jain R, Habib O, Gupta S. ‘Tension tile system’ (TTS): a simple innovative wound closure device. Eur J Plast Surg. 2015;38:315–318.
Bischofberger AS. Drains, bandages, and external coaptation. In: Auer JA, Stick JA, Kümmerle JM, Prange T, editors. Equine Surgery. 5th ed. Amsterdam: Elsevier; 2019. p. 280–300.
Skärlina EM, Wilmink JM, Fall N, Gorvy DA. Effectiveness of conventional and hydrosurgical debridement methods in reducing Staphylococcus aureus inoculation of equine muscle in vitro. Equine Vet J. 2015;47:218–222.
Wickham H, Averick M, Bryan J, Chang W, McGowan L, François R, et al. Welcome to the tidyverse. J Open Source Softw. 2019;4(43):1686. https://doi.org/10.21105/joss.01686.
Mespoulhès‐Rivière C, Martens A, Bogaert L, Wilderjans H. Factors affecting outcome of extensor tendon lacerations in the distal limb of horses. Vet Comp Orthop Traumatol. 2008;21:358–364.
Pavlovčič U, Jezeršek M. Handheld 3‐dimensional wound measuring system. Skin Res Technol. 2018;24:326–333.
Jorgensen LB, Skov‐Jeppesen SM, Halekoh U, Rasmussen BJ, Sørensen JA, Jemec GBE, et al. Validation of three‐dimensional wound measurements using a novel 3D‐WAM camera. Wound Repair Regen. 2018;26:456–462.
Ferreira F, Pires IM, Ponciano V, Costa M, Villasana MV, Garcia NM, et al. Experimental study on wound area measurement with Mobile devices. Sensors. 2021;21(17):5762.
فهرسة مساهمة: Keywords: convalescence; horse; primary closure; wound
تواريخ الأحداث: Date Created: 20230810 Date Completed: 20240408 Latest Revision: 20240408
رمز التحديث: 20240408
DOI: 10.1111/evj.13987
PMID: 37559442
قاعدة البيانات: MEDLINE
الوصف
تدمد:2042-3306
DOI:10.1111/evj.13987