Skin and reconstruction

Question 1

Cockburn et al JAVMA 2022- Was there a significant difference between the healing of STS and MCT?
What factor was identified to be associated with more complications and longer healing?

Answer 1

• No Complication rate MCT 29% vs STS 31%
• The use of a subdermal plexus flap for reconstruction

Question 2

Karbe et al VetSurg 2021
What % of scars had residual MCT seen?
What % had local recurrence?
What % had disease progression?
What was not found to be associated with local recurrence or disease progression?

Answer 2

-27%
-4%
-14.5%
- margin status or presence of MCT in the scar

Question 3

Iodence et al JAVMA 2022
Was an difference in incidence identified between MCT and STS?
What factors increased the risk of incisional complications?

Answer 3

• No
• Incompletely excised MCT, PO chemo for MCT, increasing body weight

Question 4

Price et al 2023
What is the incidence of mammary tumors in cats?
MST for mammary tumors in cats?
Which cats are at increased risk of mammary tumor development?

Answer 4

-0.104%
-18.7 months
- Older age and purebreds

Question 5

Haine et al VetSurg 2022- What % of planned narrow margins had tumor on the inked margins of:
MCT?
STS?

Answer 5

26%
42%

Question 6

Santoro et al JAVMA 2022- Was using the caudal thoracic paravertebral block for unilateral radical mastectomy effective?

Answer 6

Yes it resulted in less opioid use and lower extubation pain scores vs the negative control

Question 7

Potamopoulou et al VetSurg 2024
Using a TL amputation and hemilaminectomy to treat a PNST:
What was the median survival time?
Recurrence rate?

Answer 7

• 317 days
  -44%

Question 8

Bonaventura and Ganjei JAVMA 2021- What % > 75% survival was seen with single session vs staged full thickness grafts?
Which had the longest time to healing?
Complication rates?

Answer 8

• 90% with single session vs 82% with staged
• Staged
• 43% vs 64% (all minor)

Question 9

Thomas et al JAVMA 2024
Success rate of using percutaneous US guided anchor wires to locate abscesses and FB?
Major complication rate?
Minor complication rate?

Answer 9

• 100%
• 0%
• 2/11

Question 10

Eiger et al VetSurg 2024
Which flap was most visible with the indocyanine green?

Answer 10

• Caudal superficial epigastric (vs omocervical and thoracodorsal)

Question 11

Villedieu et al JSAP 2022- Using the superficial brachial axial pattern flap:
Indications?
partial dehiscence rate?
Partial flap necrosis?
Complete flap necrosis?

Answer 11

-94% tumors removal; 6% non-healing olecranon wound
-44%
-38%
-13%

Question 12

Gaudio et al JSAP 2023- What was the complication rate when using the cranial superficial epigastric axial pattern flap?

Answer 12

50% (1/6 requiring additional surgery)

Question 13

Naghi et al JAVMA 2023- When using acellular fish skin grafts:
What was the median number of applications?
How long did it take for complete epithelialization?
Adverse events?

Answer 13

• 5 applications
• 7-9 weeks in uncomplicated wounds and 12-15 in complicated wounds
• None

Question 14

Hildebrandt et al VetSurg 2022
What perfuses the buccal transposition flap?
How many flaps survived?
How many complications occured?

Answer 14

• Angularis oris and superior labial arteries
• 5/5
  -3/5; 2 oronasal fistulas and 1 partial dehisence

Question 15

Logothetou et al VetSurg 2023- With subdermal plexus flaps apposed with suture vs staples:
Complication rate?
Risk factors for complications?

Answer 15

• 72.2% with staples and 42.3% with sutures
• increasing body weight, wounds not on the head, and not using an advancement flap

Question 16

Rodriguez-Diaz et al VetSurg 2024- Comparing the effect of NO wound pads, NO wound gel, hydrocolloid dressing and telfas:
Which had the shortest time to granulation?
Which had the highest contraction percentage?

Answer 16

• NO pads<NO gel <Colloids and telfas
• NO gel

Question 17

Wood and Monnet VetSurg 2023- Which is more secure: Square knot, surgeon’s knot, Miller’s knot, or stangle knot

Answer 17

Square and surgeons knot on a vessel leak at lower pressures BUT all pressures were superphysiologic
The addition of a locking throw equalizes the difference

Question 18

Foster er al JSAP 2021- Using the caudal superficial epigastric axial pattern flap:
Complication rate?

Answer 18

• Dogs: 67% (59% minor and 8% major)
• Cats: 53% (47% minor and 5% major)

Question 19

Albernaz et al VetSurg 2021- What complications occurred with the angularis oris axial pattern flap for rostral fascial reconstruction in cats?

Answer 19

Short term: Edema (10/10), suture dehisence, distal tip necrosis
Long term: epiphora, frequent grooming, corneal ulcer, recurrence

Question 20

Evans et al JAVMA 2021- For dogs undergoing chain mastectomy
Complication rate?
Risk factors for complications?

Answer 20

• 40.7%
• increased surgical dose, use of abx post-op, not having a concurrent spay