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Peer-reviewed veterinary case report

Full-thickness skin grafting to cover equine wounds caused by laceration or tumor resection.

Journal:
Veterinary surgery : VS
Year:
2010
Authors:
Tóth, Ferenc et al.
Affiliation:
Department of Large Animal Clinical Sciences · United States
Species:
horse

Plain-English summary

This study looked at how well full-thickness skin grafts work for treating wounds in adult horses. Six horses were involved, with some needing grafts after having tumors removed and others after suffering lacerations. The grafts were attached using staples, sutures, or glue, and while the top layers of all grafts did peel away, five out of six horses had good acceptance of the grafts, leading to a nice final appearance. Overall, the results suggest that full-thickness skin grafting can be successfully done on horses, even when they are awake and sedated.

Abstract

OBJECTIVE: To describe and evaluate full-thickness skin grafting of equine wounds. STUDY DESIGN: Case series. ANIMALS: Adult horses (n=6). METHODS: A full-thickness graft was harvested from the pectoral region with the horse anesthetized or standing and sedated after local anesthetic infiltration. Grafts were attached to the cutaneous margin of the wound with staples and/or sutures if the horse was anesthetized or if the recipient site was desensitized. Cyanoacrylate glue was used to attach the grafts to the cutaneous margin of the wound of 3 horses. Medical records were reviewed for history, physical examination findings, grafting technique, postoperative complications, and outcome. RESULTS: Three horses had full-thickness skin grafting to cover a fresh defect created by excision of a cutaneous neoplasm, and 3 horses had full-thickness skin grafting to cover a fresh or granulating laceration. Grafts were completely accepted in 5 horses. The superficial layers of all grafts sloughed, but the final cosmetic appearance of accepted grafts was good. CONCLUSIONS: Full-thickness skin grafting can be performed in standing sedated horses with good cosmesis, especially when the meshed graft is expanded minimally. CLINICAL RELEVANCE: Good acceptance of a full-thickness graft can be expected, regardless of whether the graft is applied to a fresh or granulating wound.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/20459503/