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Peer-reviewed veterinary case report

Free omentum grafts to heal large open leg wounds in dogs

By Makar, Jason G & Baltzer, Wendy I·Published in Veterinary surgery : VS·2026·Sydney School of Veterinary Science, United Kingdom·View original on PubMed

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Original publication title: Autologous, free omentum grafts for large, open, distal limb wounds in dogs: Technique and outcome in 10 dogs.

Species:
dog
Movement & jointsDogs

Plain-English summary

Ten dogs with large, open wounds on their legs underwent a special surgery using their own omentum (a layer of fat in the abdomen) to help heal the wounds. After the procedure, the wounds healed completely in about 60 days, with most dogs showing no major complications, although a few had minor issues like infection or swelling. By one month after surgery, the wounds were significantly smaller, and all dogs had good cosmetic results with little to no lameness and some hair regrowth. This technique appears to be a promising option for treating serious leg wounds in dogs.

People also search for: dog leg wound treatment · omentum graft for dogs · dog wound healing time · dog surgery recovery care

Abstract

OBJECTIVE: To describe the operative technique and outcome of free autologous omentum grafting (OG) for wound reconstruction on the distal limbs of dogs. STUDY DESIGN: Retrospective case series. ANIMALS: A total of 10 client-owned dogs. METHODS: Medical records (2010-2023) were searched for dogs with open limb wounds distal to the stifle or elbow treated with OG for wound reconstruction. OG was harvested via celiotomy, then sutured to the wound bed and 0.4-1 cm subcutaneous tissue beneath surrounding dermis. Wounds were bandaged using a petroleum-coated primary layer to prevent graft desiccation for 1-2 weeks. Using ImageJ software, wound area and final unhaired scar area were analyzed and time to epithelialization, major and minor complications, and length of follow up were determined. RESULTS: Dogs with a mean age of 6.9 ± 4.2 years were identified with wounds (n = 13 wounds) measuring 25.96 ± 16.27 cmat the time of OG. Wounds were healed in 59.5 ± 11.1 days. Minor complications included infection and swelling/discharge in two and 10 dogs, respectively. There were no major complications. By 30-days postoperatively, wounds were 18.85 ± 0.1% of the original size. All wounds healed with complete epithelialization, excellent cosmesis, no lameness and partial to complete hair regrowth. CONCLUSION: OG may provide an alternative method for management of distal limb wounds in dogs, with minimal complications, excellent cosmesis and functional outcomes in 10 dogs. CLINICAL SIGNIFICANCE: Free OG may offer an alternative method of wound management in dogs; however, further research with controlled prospective studies is indicated before recommending the method over other treatment options.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/40631675/