Atlas of Small Animal Wound Management and Reconstructive Surgery E-Book

Michael M. Pavletic

• Herausgeber: John Wiley & Sons
• Kategorie: Fachliteratur
• Sprache: Englisch

Seitenzahl: 1568

Veröffentlichungsjahr: 2025

Beschreibung

Fully updated new edition of the state-of-the-art, image-driven reference on surgical reconstruction and wound management in dogs and cats

Taking a visual approach to the topic with detailed line drawings and high-quality clinical photographs to demonstrate the techniques described, Atlas of Small Animal Wound Management and Reconstructive Surgery provides detailed step-by-step procedures for surgical reconstruction and key information on wound management in dogs and cats. The Atlas covers all body regions, including the face, ears, mouth, eyelids, nose, trunk, external genitalia, and feet.

The Fifth Edition has been thoroughly revised to include new techniques, updated information, and references. Over 30 new technique plates have been added and the atlas now includes over 200 colored plates and illustrations. There is a dramatic increase in photographic case series supporting the illustrations.

Written by an accomplished veterinary surgeon based on the author’s years of research and clinical experience, Atlas of Small Animal Wound Management and Reconstructive Surgery includes detailed information on:

• Anatomy of the skin, principles of wound healing and wound management, topical wound care products, management of common complications, and bandages, dressings, external splints, and protective devices
• Wound drainage techniques, negative pressure wound therapy, and management of specific wounds including bites, thermal, frostbite, gunshot/arrow wounds, pressure ulcers, hygromas, snake/spider bites, and porcupine quills
• Tension relieving techniques, skin stretching techniques, tissue expanders, local and distant skin flaps, axial pattern skin flaps, skin grafting techniques, and surgical dermatome
• Facial, nasal, eyelid, and oral reconstructive surgery, including cleft lip and cleft palate repair, muscle flaps and myocutaneous flaps, pinnal reconstruction, and aural hematoma management
• Foot pad reconstruction, reconstructive surgery of the prepuce and vulva, techniques for fecal incontinence and atresia ani, use of the omentum, and a supplemental reconstructive surgery case series

The Fifth Edition of Atlas of Small Animal Wound Management and Reconstructive Surgery is a practical, complete, and state-of-the art reference for veterinary surgeons, surgical oncologists, residents, interns, and small animal practitioners to help them effectively manage wounds and reconstruct the variety of soft tissue defects encountered in dogs and cats.

Leseprobe

Table of Contents

Cover

Table of Contents

Dedication

Title Page

Copyright Page

Foreword

Preface

Acknowledgments

1 The Skin

SKIN FUNCTION

SKIN STRUCTURE

CUTANEOUS ADNEXA

THE HYPODERMIS

CUTANEOUS CIRCULATION

PINNA: CUTANEOUS CONSIDERATIONS

CONGENITAL SKIN DISORDERS

2 Basic Principles of Wound Healing

INTRODUCTION

PROCESSES OF WOUND HEALING

ACUTE VERSUS CHRONIC OPEN WOUNDS

SPECIES VARIATIONS IN WOUND HEALING

ARTIFICIAL SKIN AND SKIN SUBSTITUTES

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

CONCEPT OF MOIST WOUND HEALING

TOPICAL WOUND‐CARE PRODUCTS

THE MAGGOT AND THE LEECH 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 BANDAGE LAYER

THE SECONDARY BANDAGE LAYER

THE TERTIARY BANDAGE 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 Elastikon 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

FOREIGN BODIES AND 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 Greater Trochanter

Plate 12 Vacuum Drain Management of Elbow Hygromas

8 Regional Considerations

THE CANINE AND FELINE PROFILES

Plate 13 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

Plate 34 Foley Catheter Placement to Reduce Problematic Incisional Tension

10 Skin‐Stretching Techniques

PHYSIOLOGY OF SKIN STRETCHING

PRESUTURING

LOAD CYCLING

SKIN STRETCHERS

SKIN EXPANDERS

Plate 35 Presuturing Technique

Plate 36 Application of Skin Stretchers

Plate 37 Skin Stretchers to Enhance Length of Axial Pattern Flaps

Plate 38 Skin Stretcher Substitution for Presuturing

Plate 39 Skin Expanders

11 Local Flaps

INTRODUCTION

ADVANCEMENT FLAPS

ROTATING (PIVOTING) FLAPS

Plate 40 Single‐Pedicle Advancement Flap

Plate 41 Bipedicle Advancement Flap

Plate 42 Transposition Flap (90°)

Plate 43 Transposition Flap (45°)

Plate 44 Transposition Flap (Oblique Angle)

Plate 45 Local Facial Flap Options vs. Auricular Axial Pattern Flap

Plate 46 Transposition Flaps in Partial Wound Closure

Plate 47 Interpolation Flap

Plate 48 Rotation Flap

Plate 49 Forelimb Fold Flap

Plate 50 Chin Flap Options

Plate 51 Facial Fold Flap

Plate 52 Flap Closure of Dorsal Nasal Defects

12 Distant Flap Techniques

DISTANT FLAPS

DIRECT FLAPS

INDIRECT FLAPS

THE DELAY PHENOMENON

Plate 53 Direct Flap: Single‐Pedicle (Hinge) Flap

Plate 54 Direct Flap: Closure of Knee Defect

Plate 55 Direct Flap: Bipedicle (Pouch) Flap

Plate 56 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

POTENTIAL POSTOPERATIVE COMPLICATIONS

PLATE CONTENTS

Plate 57 Four Major Axial Pattern Flaps of the Canine Trunk

Plate 58 Skin Position and Axial Pattern Flap Development

Plate 59 Omocervical Axial Pattern Flap

Plate 60 Thoracodorsal Axial Pattern Flap

Plate 61 Lateral Thoracic Axial Pattern Flap (Dog)

Plate 62 Lateral Thoracic Axial Pattern Flap (Cat)

Plate 63 Superficial Brachial Axial Pattern Flap

Plate 64 Caudal Superficial Epigastric Axial Pattern Flap

Plate 65 Cranial Superficial Epigastric Axial Pattern Flap

Plate 66 Deep Circumflex Iliac Axial Pattern Flap: Dorsal Branch

Plate 67 Deep Circumflex Iliac Axial Pattern Flap: Ventral Branch

Plate 68 Flank Fold Flap: Hindlimb

Plate 69 Genicular Axial Pattern Flap

Plate 70 Reverse Saphenous Conduit Flap

Plate 71 Caudal Auricular Axial Pattern Flap

Plate 72 Superficial Temporal Axial Pattern Flap

Plate 73 Lateral Caudal (Tail or Coccygeal) Axial Pattern Flap

Plate 74 Cutaneous Circulation to the Feline Perineum

Plate 75 Perineal Axial Pattern Flap in Cats

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

PLATE CONTENTS

Plate 76 Punch Grafts

Plate 77 Pinch Grafts

Plate 78 Strip Grafts

Plate 79 Stamp Grafts

Plate 80 Sheet Grafts

Plate 81 Dermatome: Split‐Thickness Skin Graft Harvesting

Plate 82 Mesh Grafts (with Expansion Units)

Plate 83 Mesh Grafts (with Scalpel Blades)

15 Facial Reconstruction

INTRODUCTION: FACIAL RECONSTRUCTIVE SURGERY

Plate 84 Repair of Upper Lip Avulsion

Plate 85 Repair of Lower Labial Avulsion

Plate 86 Wedge Resection Technique

Plate 87 Rectangular Resection Technique

Plate 88 Full‐Thickness Labial Advancement Technique (Upper Lip)

Plate 89 Full‐Thickness Labial Advancement Technique (Lower Lip)

Plate 90 Buccal Rotation Technique

Plate 91 Lower Labial Lift‐Up Technique

Plate 92 Upper Labial Pull‐Down Technique

Plate 93 Labial/Buccal Reconstruction with Inverse Tubed Skin Flap

Plate 94 Skin Flap for Upper Labial and Buccal Replacement (Facial [Angularis Oris] Axial Pattern Flap)

Plate 95 Feline Facial Axial Pattern Flap

Plate 96 Cleft Lip Repair (Primary Cleft, Cheiloschisis, Harelip)

Plate 97 Unilateral Rostral Labial Pivot Flaps

Plate 98 Bilateral Rostral Labial Pivot Flaps

Plate 99 Oral Commissure Advancement (Commissurorraphy) Technique

Plate 100 Brachycephalic Facial Fold Correction

Plate 101 Upper Labial Flap Reconstruction of Nasocutaneous Fistulas

Plate 102 Full‐Thickness Lower Labial Transposition Flap

Plate 103 Cheilopexy Technique for Drooling

16 Myocutaneous Flaps and Muscle Flaps

INTRODUCTION

MYOCUTANEOUS FLAPS

MUSCLE FLAPS

Plate 104 Latissimus Dorsi Myocutaneous Flap

Plate 105 Cutaneous Trunci Myocutaneous Flap

Plate 106 Latissimus Dorsi Muscle Flap

Plate 107 Latissimus Dorsi Bipedicle Muscle Flap

Plate 108 Triceps Replacement with Latissimus Dorsi Muscle

Plate 109 External Abdominal Oblique Muscle Flap

Plate 110 Caudal Sartorius Muscle Flap

Plate 111 Cranial Sartorius Muscle Flap

Plate 112 Temporalis Muscle Flap

Plate 113 Transversus Abdominis Muscle Flap

Plate 114 Semitendinosus Muscle and Myocutaneous Flaps

Plate 115 Flexor Carpi Ulnaris Muscle Flap

Plate 116 Cranial Tibial Muscle Flap

Plate 117 Internal Obturator Muscle Flap

Plate 118 Superficial Gluteal Flap for Perineal Hernia Closure

17 Oral Reconstructive Surgical Techniques

INTRODUCTION

CLEFT PALATE

PALATAL DEFECTS/ORONASAL FISTULAS

MANDIBULECTOMY AND MAXILLECTOMY

GLOSSECTOMY

Plate 119 Mucosal Flaps

Plate 120 Palatoplasty: Bipedicle Advancement Technique (von Langenbeck Palatoplasty)

Plate 121 Cleft Palate Repair: Overlapping (Mucoperiosteal) Flap with Unilateral Bipedicle Flap

Plate 122 Extended Overlapping Flap Technique

Plate 123 Palatine Mucosal Flap

Plate 124 Soft Palate/Pharyngeal Mucosal Flaps

Plate 125 Full‐Thickness Labial Flap Closure of Oronasal Fistulas

Plate 126 Cartilage Grafts for Palatal Fistulas

Plate 127 Angularis Oris Mucosal Flap

Plate 128 Full‐Thickness Upper Labial Flap for Major Palatal Defects

Plate 129 Feline Superior Labial Musculomucosal Flap

Plate 130 Bilateral Myomucosal Advancement Flaps of the Upper Lip

Plate 131 Soft Palate Split‐Thickness Mucosal Flap

Plate 132 Partial Mandibulectomy Options

Plate 133 Partial Maxillectomy Options

Plate 134 Partial Glossectomy

18 Foot PadReconstruction

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 135 Digital Flap Technique: Major Digital/Interdigital Defects

Plate 136 Digital Flap Technique: Major Defects of Digits Two or Five

Plate 137 Digital Pad Transfer

Plate 138 Metatarsal/Metacarpal Pad Transfer

Plate 139 Pad Grafting

Plate 140 Segmental Pad Grafting Technique

Plate 141 Fusion Podoplasty

19 Major Eyelid Reconstruction

INTRODUCTION

THE EYELIDS

Plate 142 Skin Flap Options for Cutaneous Defects of the Eyelid Regions

Plate 143 Lip‐to‐Lid Procedure

Plate 144 Oral Mucosal Graft onto Skin Flap

Plate 145 Third Eyelid–Skin Flap Reconstruction of the Lower Eyelid

Plate 146 Hubner Technique Using a Free Tarsomarginal Graft for Eyelid Reconstruction

20 Nasal Reconstruction

INTRODUCTION: NASAL ANATOMY

TRAUMATIC WOUND MANAGEMENT

NEOPLASIA

NEOPLASMS AND SURGICAL MARGINS

NASAL RECONSTRUCTION OPTIONS

OPTIONS FOR MANAGING NASAL STENOSIS

Plate 147 Septal Coverage Using Cutaneous Advancement Flaps

Plate 148 Bilateral Sulcus Flap Technique

Plate 149 Septal Resection Technique

Plate 150 Dorsal Nasal Splitting Technique to Enhance Exposure of Septum

Plate 151 Alar Fold Flaps

Plate 152 Musculofascial Island Labial Flap

Plate 153 Labial Mucosal Inversion Technique

Plate 154 Nasal Reconstruction (“Lip‐to‐Nose”) with the “Lip‐to‐Lid” Technique Variation

Plate 155 Nasal Reconstruction Using the “Lip‐to‐Nose” Technique in Cats

Plate 156 Oral Mucosal Graft with Nasal Stenting

Plate 157 Intranasal Septal Window Technique

Plate 158 Cantilever Suture Technique

Plate 159 Alar Fold Lift‐Up and Sulcus Pull‐Down Techniques for Feline Stenotic Nares

Plate 160 Alarplasty for Stenotic Nares in Brachycephalic Dogs

21 Cosmetic Closure Techniques

COSMETIC CONSIDERATIONS

CAUSES OF SCARS

MINIMIZATION OF SCARRING

DOG‐EARS

Plate 161 Scar Concealment

Plate 162 W‐Plasty

Plate 163 Dog‐Ear: Surgical Correction

22 Preputial Reconstructive Surgery

INTRODUCTION

SURGICAL CONDITIONS

SURGICAL TECHNIQUES

Plate 164 Preputial Ostium Enlargement

Plate 165 Preputial Ostium Reduction

Plate 166 Preputial Advancement Technique

Plate 167 Phallopexy

Plate 168 Urethral Reconstruction for Subanal Hypospadias

Plate 169 Preputial Urethrostomy Technique

Plate 170 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 171 Skin Advancement Closure: Rostral Pinnal Base

Plate 172 Skin Advancement Closure: Caudal Pinnal Base

Plate 173 Transposition Flap Technique for Smaller Medial Pinnal Defects

Plate 174 Transposition Flap Technique for Minor Lateral Pinnal Defects

Plate 175 Large Transposition Flap Closure after Major Medial Pinnal Resection

Plate 176 Transposition Flap for Major Lateral Pinnal Defects

Plate 177 Direct Flap Reconstruction of the Pinna

Plate 178 Resection of the Terminal Third of the Pinna

Plate 179 Inverted “Triangle” Resection of the Central Third of the Pinna

Plate 180 Central Pinna Defects: Closure Options

Plate 181 Partial Vertical Ear Canal Resection in Cats

Plate 182 Incisional Drainage of Aural Hematomas

Plate 183 Bandaging the Pinna

Plate 184 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

ATRESIA ANI RECONSTRUCTION

Plate 185 Omental Flap Options

Plate 186 Alternative Method for Omental Flap Extension Based on Circulation

Plate 187 Scrotal Flap Technique

Plate 188 Caudectomy for Tail Fold Intertrigo

Plate 189 Episioplasty

Plate 190 Fascia Lata Sling and Silicone Banding for Managing Fecal Incontinence

Plate 191 Spiral Rectal Diaphragm Technique (Rectal Rifling)

Plate 192 Vulva Fold Skin Flap

Plate 193 Type II Atresia Ani Repair

Plate 194 Type II Atresia Ani with Rectovaginal Fistula Repair

Plate 195 Type III Atresia Ani Repair

25 Extras

INTRODUCTION

Index

End User License Agreement

List of Tables

Chapter 3

TABLE 3‐1 Halsted's principles of surgery.

TABLE 3‐2 Esmarch's principles of wound management.

TABLE 3‐3 Descriptive terminology in wound management.

Chapter 4

TABLE 4‐1 Vacuum drain instructions for pet owners.

TABLE 4‐2 Enzymatic debridement agents.

Chapter 7

TABLE 7‐1 Body weight to surface area conversion.

TABLE 7‐2 Injurious chemical agents.*,

+

TABLE 7‐3 Pressure Ulcer Classification.

Chapter 13

TABLE 13‐1 Summary of guidelines for axial pattern flap development.

List of Illustrations

Chapter 1

FIG. 1‐1 (A, B) Histologic slides of canine skin identifying the following s...

FIG. 1‐2 (A, B) Histologic slides of feline skin identifying the following s...

FIG. 1‐3 (A) Lateral and (B) anterior view of a German shepherd demonstratin...

FIG. 1‐4 (A) A compound hair follicle (HF) with its associated sebaceous gla...

FIG. 1‐5 Skin reflected from the back of a cat cadaver. Blue latex has been ...

FIG. 1‐6 Cutaneous circulation in the dog and cat. The subdermal plexus is s...

FIG. 1‐7 (A) Elevation of a skin flap illustrating a large direct cutaneous ...

FIG. 1‐8 (A) Inner thigh of a greyhound illustrating several direct cutaneou...

FIG. 1‐9 (A) Note the caudal and cranial superficial epigastric vessels in t...

FIG. 1‐10 Complete view of the lower thorax/abdomen in a thin cat, demonstra...

FIG. 1‐11 Superficial arteries of the canine trunk. 1, Superficial cervical ...

FIG. 1‐12 (A) King Charles Cavalier with Ehlers‐Danlos syndrome. (B) Note th...

FIG. 1‐13 (A) Ehlers‐Danlos syndrome in a feline patient. (B) Close‐up view ...

FIG. 1‐14 (A) Skin tear of the dorsal trunk area in a cat. (B) Note the dors...

Chapter 2

FIG. 2‐1 (A, B) Granulation bed involving the canine trunk. Early wound epit...

FIG. 2‐2 (A) Lower paw with a healthy, vascular granulation bed secondary to...

FIG. 2‐3 (A) Extensive thermal wound in a dog, maliciously set on fire using...

FIG. 2‐4 (A) Extensive thermal burn as a result of an electrical heating pad...

FIG. 2‐5 (A) Perineal slough in a 9‐week‐old shih tzu following its first va...

FIG. 2‐6 (A) Resection of a granulomatous lesion involving the lateral right...

Chapter 3

FIG. 3‐1 Shar‐pei with massive facial injury secondary to vehicular trauma. ...

FIG. 3‐2 A clean wound (arrow) is one created under sterile surgical conditi...

FIG. 3‐3 (A) Example of a clean–contaminated wound. This pit bull presented ...

FIG. 3‐4 (A) Example of a contaminated wound involving the lateral thorax an...

FIG. 3‐5 (A) Example of an infected wound. A bacterial infection with necrot...

FIG. 3‐6 (A) Delayed primary closure of a burn. This thermal wound was susta...

FIG. 3‐7 (A) Full‐thickness skin loss sustained in an automobile accident. A...

FIG. 3‐8 (A) Partial‐thickness abrasions to the lower extremities of a Dober...

FIG. 3‐9 The concept of layered debridement. When the depth of severely dama...

FIG. 3‐10 Funnel‐tip syringe, with catheter tip adaptor, for pressure lavage...

FIG. 3‐11 (A) SurgiLav debridement unit (Stryker Instruments, Kalamazoo, MI)...

FIG. 3‐12 Pressure cuff with the placement of a 1‐liter bag of lactated Ring...

FIG. 3‐13 (A) Shearing wound to the left rear paw secondary to vehicular tra...

FIG. 3‐14 (A, B) Loss of the plantar surface of the left metatarsal area sec...

Chapter 4

FIG. 4‐1 Penrose drains are composed of radiopaque latex or occasionally sil...

FIG. 4‐2 (A) Method for inserting Penrose drains into dead‐space pockets and...

FIG. 4‐3 (A) Forelimb amputation; premature removal of a surgical drain resu...

FIG. 4‐4 For smaller dead‐space areas Penrose drains can be used very effect...

FIG. 4‐5 Example of the Jackson‐Pratt 100 ml vacuum reservoir and attached d...

FIG. 4‐6 Examples of the J‐VAC™ closed drainage system (450 ml and 150 ml re...

FIG. 4‐7 (A) Massive abscess of the left femoral area. The exact cause of th...

FIG. 4‐8 (A) J‐VAC used to control dead space beneath a caudal superficial e...

FIG. 4‐9 (A) A German shepherd patient being treated for bilateral ulcers ov...

FIG. 4‐10 (A) There are a variety of vacuum drains available. Examples inclu...

FIG. 4‐11 (A) Chronic radiation ulcer in the popliteal area of a dog, second...

FIG. 4‐12 (A, B) The V.A.C. or vacuum‐assisted closure system. The system co...

FIG. 4‐13 (A) Open wound management of a traumatic skin wound overlying the ...

FIG. 4‐14 (A) Forelimb degloving injury in a 6‐month‐old domestic short‐hair...

FIG. 4‐15 (A) Traumatic bite wound to the lateral thorax of a 4‐year‐old fem...

FIG. 4‐16 (A) Photograph of a 5‐year‐old female beagle with bilateral inguin...

Fig 4‐17 (A) Traumatic skin loss involving the right hindlimb in a cat. Foll...

FIG. 4‐18 (A) Application of Granulex enzymatic spray, containing trypsin, b...

FIG. 4‐19 (A) Curafil hydrogel. Hydrogels are applied liberally to the wound...

FIG. 4‐20 (A, B) Application of collagen gel to shearing wounds using a disp...

FIG. 4‐21 (A) Skin loss secondary to vehicular trauma. The large skin wound ...

FIG. 4‐22 (A)

Cuterebra

sp. in a young dog, located beneath the cervical ski...

FIG. 4‐23 (A) Following tumor resection at the tail base of this canine pati...

FIG. 4‐24 Chlorhexidine solution, in a 1 : 40 dilution with sterile saline, ...

FIG. 4‐25 One example of a wound‐cleansing agent. Many come in a convenient ...

FIG. 4‐26 Application of water‐miscible silver sulfadiazine ointment to a bu...

FIG. 4‐27 (A) Magellan PRP autospin centrifuge. The centrifuge (large chambe...

FIG. 4‐28 A 5‐year‐old, MN mixed‐breed dog that survived a wildfire. First‐,...

Chapter 5

FIG. 5‐1 Spica bandage for a lizard. Bandages can be a critically important ...

FIG. 5‐2 (A) Applying saline to a package of sterile gauze pads prior to dre...

FIG. 5‐3 Application of a nonadherent Telfa pad over a wound. A collagen gel...

FIG. 5‐4 (A) Use of polyurethane foam on a highly exudative wound. (B) The f...

FIG. 5‐5 Absorbent hydrophilic foam dressings: Kendall™ hydrophilic foam dre...

FIG. 5‐6 (A) Feline paw wound managed with an alginate dressing. Note the ex...

FIG. 5‐7 (A) Extensive skin loss involving the hind paw of a cat. A wet‐to‐w...

FIG. 5‐8 (A) Large right flank and thigh wound extending to the knee due to ...

FIG. 5‐9 Examples of a hydrocolloid (left) and hydrogel (right) dressing. A ...

FIG. 5‐10 (A) Mesh graft application to a problematic inner thigh defect. (B...

FIG. 5‐11 (A) Examples of three hydrocolloid dressings: Primacol® (Derma Sci...

FIG. 5‐12 (A) Examples of hydrofiber absorbent dressings: Kendall zinc sodiu...

FIG. 5‐13 (A) Application of a hydrocolloid dressing (DuoDERM) to a lower‐ex...

FIG. 5‐14 (A) Application of a hydrocolloid dressing (DuoDERM) to a problema...

FIG. 5‐15 The Tegaderm transparent dressing is a waterproof thin plastic fil...

FIG. 5‐16 Medihoney dressings are a combination of an alginate dressing satu...

FIG. 5‐17 Vetrap adheres to itself but does not adhere to the skin. Vetrap c...

FIG. 5‐18 Elastikon 2‐inch, 3‐inch, and 4‐inch widths. Elastikon is a durabl...

FIG. 5‐19 Elastikon can be used to secure the Vetrap‐encased bandage to the ...

FIG. 5‐20 (A) Conventional tie‐over dressing. Suture strands that secure the...

FIG. 5‐21 (A) Author's tie‐over dressing technique. Suture loops (eyelets) p...

FIG. 5‐22 (A) Benign adenoma overlying left carpal area. (B) Excision and cl...

FIG. 5‐23 (A) Nonhealing wound overlying the fibular tarsal bone in a shelti...

FIG. 5‐24 (A) Mesh graft application to the forelimb. Immobilization of the ...

FIG. 5‐25 (A) A spica bandage of the hindlimb, encircling the trunk of a cat...

FIG. 5‐26 (A) Cat, inner thigh, and inguinal wound. A full‐thickness mesh gr...

FIG. 5‐27 (A) MediPaw bandage bootie covers. Elastic Velcro straps secure th...

FIG. 5‐28 (A) The author has used a sleeve from a surgical gown as a water‐r...

FIG. 5‐29 (A) Open wound on the left hindlimb. The dog chewed the surgical a...

FIG. 5‐30 (A) An Elizabethan collar was used to prevent the patient from che...

Chapter 6

FIG. 6‐1 Siamese cat approximately 1 year of age. The patient weighed less t...

FIG. 6‐2 (A) Patient being treated for carcinoma; the biopsy site became inf...

FIG. 6‐3 Example of neoplasms mistaken for infection. (A) An acute nail bed ...

FIG. 6‐4 (A) Dense fibrotic bed involving the antecubital surface of a dog. ...

FIG. 6‐5 (A) Extravasation of doxorubicin, resulting in a nonhealing slough....

FIG. 6‐6 (A) Geriatric German shepherd with nonhealing skin wounds secondary...

FIG. 6‐7 (A) Pocket wounds include those wounds where the skin along the per...

FIG. 6‐8 (A) Example of a feline indolent pocket ulcer secondary to a bite w...

FIG. 6‐9 (A) Chronic, nonhealing axillary ulcer in a cat. (B) Close‐up view ...

FIG. 6‐10 (A) Bowstring contracture (arrows) in a golden retriever secondary...

FIG. 6‐11 (A) Note contractures behind each knee of a cat, secondary to exte...

FIG. 6‐12 (A) Finishing nail driven deeply through the metacarpal pad (arrow...

FIG. 6‐13 (A) Abscess (arrow) as a result of a bite wound from another cat. ...

FIG. 6‐14 (A) Deep ventral cervical abscess from a migrating fragment of gra...

FIG. 6‐15 (A) Multiple fistulous interconnecting tracts involving the upper ...

FIG. 6‐16 (A) Diffuse suppurative abscesses (arrows) involving the skin and ...

FIG. 6‐17 Multiple draining tracts entering the thoracic wall of a Walker ho...

FIG. 6‐18 (A) Large granulomatous mass with multiple draining tracts involvi...

FIG. 6‐19 (A, B) Two case examples of immune‐mediated vasculitis resulting i...

FIG. 6‐20 (A, B) Draining tract and subcutaneous abscessation secondary to t...

FIG. 6‐21 (A) Small draining tract secondary to retention of a broken drill ...

FIG. 6‐22 (A) Case example of plant material causing a draining tract. Chron...

FIG. 6‐23 Two case examples of migrating teriyaki sticks. (A) Chronic draini...

FIG. 6‐24 (A) Multiple fistulous tracts (arrows) associated with an elbow hy...

FIG. 6‐25 (A) Pilonidal sinus in a Rhodesian ridgeback. (B) Close‐up view of...

FIG. 6‐26 (A) Dermoid sinus involving the head of a golden retriever. The tr...

FIG. 6‐27 (A) Nasal dermoid sinus in a golden retriever, cannulated with a t...

FIG. 6‐28 (A) Severe shearing injury to the lower portion of a canine hindli...

FIG. 6‐29 (A) A healing shearing wound overlying the metatarsal surface. Met...

FIG. 6‐30 Massive skin loss to the rear paw of a cat. A healthy granulation ...

FIG. 6‐31 (A) Devitalized metatarsal fragment. Granulation tissue typically ...

FIG. 6‐32 (A) Partial maxillectomy dehiscence (arrow). Note the sutures prim...

FIG. 6‐33 (A) Closure of a long laceration along the caudal shoulder and upp...

FIG. 6‐34 (A) Closure of a laceration over the right stifle area, secondary ...

Chapter 7

FIG. 7‐1 (A, B) Medial and lateral view of extensive tissue necrosis to the ...

FIG. 7‐2 (A) Massive cervical trauma to the trachea and cervical muscles as ...

FIG. 7‐3 (A) Puncture to the cervical trachea as a result of a dog bite, int...

FIG. 7‐4 (A) Bite wound involving the left hindlimb. The injury was sustaine...

FIG. 7‐5 (A) Bite wounds involving the larynx and pharynx should be explored...

FIG. 7‐6 Radiographs of the distal forelimb in a dog, demonstrating retentio...

FIG. 7‐7 (A) Bite wounds (arrows) overlying the sternum 4 days prior to pres...

FIG. 7‐8 (A) Bite wounds to the perineum completely severed the rectum from ...

FIG. 7‐9 (A, B) Contact burns involving a foot of a feline patient recoverin...

FIG. 7‐10 (A) Electrical heating‐pad burn in a poodle. (B) Close assessment ...

FIG. 7‐11 (A) Thermal burn in a dog secondary to prolonged contact with an e...

FIG. 7‐12 Improperly grounded electrocautery units can result in contact bur...

FIG. 7‐13 Muffler burn in a dog. Animals can tumble beneath a car on impact,...

FIG. 7‐14 Thermal injury in a dog struck by an automobile. The burn was sust...

FIG. 7‐15 Illustration of cutaneous burn depth and degree designation. (A) S...

FIG. 7‐16 (A, B) Hair easily plucks out (arrow) of the third‐degree scald in...

FIG. 7‐17 Kitten with extensive burns. The patient was immersed in warm sali...

FIG. 7‐18 (A) Extensive thermal wound in a dog. The burn eschar contained nu...

FIG. 7‐19 (A) Full‐thickness burns to the face of a Pomeranian trapped in a ...

FIG. 7‐20 (A) Acid burn to the face of a golden retriever. (B, C) Debridemen...

FIG. 7‐21 (A, B) A patient that fell into a caustic soda pit at a petrochemi...

FIG. 7‐22 (A) Electrical cord burn involving the oral commissure. Note the p...

FIG. 7‐23 (A) Oronasal fistula (arrow) in a cat secondary to biting an elect...

FIG. 7‐24 (A, B) Repeated blistering and ulceration (arrows) of an epithelia...

FIG. 7‐25 (A) Erythema and moist desquamation after completion of orthovolta...

FIG. 7‐26 Chronic ulcer several months after completion of radiotherapy (arr...

FIG. 7‐27 Necrosis of skin, muscle, and tendon overlying the carpus as a res...

FIG. 7‐28 (A) Close‐up view of a kitten with severe frostbite to its paws as...

FIG. 7‐29 Cross‐section of three cartridges (rounds) demonstrating the compo...

FIG. 7‐30 Cross‐section of the sporting or hunting bullet and military fully...

FIG. 7‐31 Illustration of bullet performance on impact with bone. The bullet...

FIG. 7‐32 Various rifle rounds (from left to right): 5.56 mm full‐patch M‐16...

FIG. 7‐33 (A) Side and (B) top views of various handgun rounds (from left to...

FIG. 7‐34 These .22 cartridges demonstrate the various sizes and designs of ...

FIG. 7‐35 Side view of air‐powered projectiles (from left to right): .20 (5 ...

FIG. 7‐36 (A) Fatal projectile wound from a .22 caliber diabolo pellet. Note...

FIG. 7‐37 (A) Cross‐section of shotgun shell: (1) metal head, (2) primer, (3...

FIG. 7‐38 Comparative sizes of shot fired from shotguns.

FIG. 7‐39 Single projectiles (enlarged) used in shotguns throughout the worl...

FIG. 7‐40 Shot pattern at varying distances.

FIG. 7‐41 Shotgun (type I) injury to the flanks, caudal lumbar area, and hin...

FIG. 7‐42 Example of a Type III Shotgun wound. (A) Massive soft tissue injur...

FIG. 7‐43 (A) Radiograph of a frangible bullet wound to a dog: note fragment...

FIG. 7‐44 (A) Note low velocity, no cavitation, and small entrance and exit....

FIG. 7‐45 Schematic diagram illustrating tumbling (forward rotation around t...

FIG. 7‐46 (A) German shepherd shot in the lower cervical area (arrow) during...

FIG. 7‐47 Example of a .44 magnum handgun round to the foot of a German shep...

FIG. 7‐48 (A) Cervical gunshot wound with extensive subcutaneous emphysema. ...

FIG. 7‐49 Great Pyrenees with a urethral tear dorsal to the scrotum. A secon...

FIG. 7‐50 (A) High‐velocity rifle round to the head of a German shepherd far...

FIG. 7‐51 (A) Extensive trauma secondary to a high‐velocity rifle round. The...

FIG. 7‐52 (A) Air‐powered BB gun injury to a Siamese cat. Note the small, se...

FIG. 7‐53 (A) A .22 Rimfire round to the lower abdomen of a cat. The bullet ...

FIG. 7‐54 (A) An unusual case of a migrating projectile. A Sheridan pellet w...

FIG. 7‐55 Arrows of various designs and materials. Note the short (aluminum)...

FIG. 7‐56 Fletching improves flight stability and glide. The left and middle...

FIG. 7‐57 The arrow nock. On the right is an example of a Sioux arrow.

FIG. 7‐58 (A) Stone‐tipped arrows, Plains Indian arrows, 1800s. From the aut...

FIG. 7‐59 Field points and arrowhead for bow fishing. Field points have a ro...

FIG. 7‐60 Broadheads vary in shape, design, weight, and number of blades (us...

FIG. 7‐61 (A) 1870s Plains indian arrowhead embedded in left lateral femur o...

FIG. 7‐62 (A) Arrow wound over the lumbar area. Trajectory of the arrow sugg...

FIG. 7‐63 (A) A broadhead arrow wound entering the abdominal cavity of a dog...

FIG. 7‐64 (A) Field‐point arrow wound in a black cat. The arrow traversed th...

FIG. 7‐65 (A) This canine patient chased an arrow in flight. When the arrow ...

FIG. 7‐66 (A) Thoracic impalement on a stick. The dog staggered back to the ...

FIG. 7‐67 Impalement on a piece of wood. The dog overran the piece of lumber...

FIG. 7‐68 Tomato stake impalement injury at the base of the tail of a cat se...

FIG. 7‐69 Pressure ulcers associated with improper casting/padding. (A) Ulce...

FIG. 7‐70 Pressure ulcer (grade II) over the elbow of a large Labrador retri...

FIG. 7‐71 (A) Debilitated geriatric patient with a pressure ulcer (arrow) ov...

FIG. 7‐72 (A) Chronic pressure ulcer over the greater trochanter. The dog de...

FIG. 7‐73 (A) Geriatric German shepherd with bilateral pressure ulcers overl...

FIG. 7‐74 (A) While commercial hardware stores provide the smaller‐diameter ...

FIG. 7‐75 (A) Nonhealing elbow dehiscence overlying the olecranon secondary ...

FIG. 7‐76 (A) Protection of a German shepherd after spinal surgery secondary...

FIG. 7‐77 (A) A 1‐year‐old Dogue de Bordeaux presenting with an early right ...

FIG. 7‐78 (A) Elbow hygroma in a young St. Bernard. (B) Stab incisions are m...

FIG. 7‐79 (A) Large elbow hygroma (arrow) in a St. Bernard. (B, C) Placement...

FIG. 7‐80 Louisiana dog that sustained a copperhead bite; note the facial sw...

FIG. 7‐81 (A) Rattlesnake bite to a 6‐year‐old wire‐haired fox terrier. The ...

FIG. 7‐82 (A) A “quilled” retriever. (B) Note the multiple quills involving ...

FIG. 7‐83 Porcupine quill in the left cranial lung lobe resulting in pneumot...

Chapter 9

FIG. 9‐1 (A, B) Example of skin laxity in a German shepherd cross. Lines of ...

FIG. 9‐2 (A) Note the inability to grasp any loose skin in a proximal–distal...

FIG. 9‐3 (A) Lower‐extremity defect in a cat. (B) A transposition flap was e...

FIG. 9‐4 (A) Skin tumor resection, palmar metacarpal surface. (B) Medial rel...

FIG. 9‐5 (A) Mast cell tumor, left base of the tail (arrow). (B) Resection o...

FIG. 9‐6 (A, B) Medial and lateral views of release incisions, with closure ...

FIG. 9‐7 (A) Pressure sore overlying the left elbow. Note the exposed orthop...

FIG. 9‐8 (A) Acute skin loss in a cat, exposing the Achilles (gastrocnemius)...

FIG. 9‐9 (A) Mast cell tumor resection, partial closure of forelimb surgical...

FIG. 9‐10 (A) Wide resection of a mast cell tumor involving the ventral thor...

FIG. 9‐11 (A) Right forelimb tumor resection and closure; the patient return...

FIG. 9‐12 (A) Infected cutaneous granuloma, lateral aspect of the lower righ...

FIG. 9‐13 (A) Radiation ulcer over the dorsal lumbar area of a cat. A carcin...

FIG. 9‐14 (A) Traumatic flank wound in an outdoor cat. (B) Extensive debride...

FIG. 9‐15 (A) Wound dehiscence in a mixed‐breed dog following tumor resectio...

FIG. 9‐16 (A) Multiple skin wounds: the dog was tied to a car bumper and acc...

FIG. 9‐17 (A) Fibrosarcoma, right lateral thigh (arrow). (B, C) Wide mass ex...

FIG. 9‐18 Spiral closure technique. (A) The cutaneous adenoma involving the ...

FIG. 9‐19 (A) Ulcerated adenoma involving the right lateral forelimb. (B) Cl...

FIG. 9‐20 The author's favorite combination of suture patterns is illustrate...

FIG. 9‐21 This ventral thoracic incision was closed by careful tissue underm...

FIG. 9‐22 (A) Soft tissue sarcoma involving the right lateral thigh of a mix...

FIG. 9‐23 (A) Repeated wound dehiscence secondary to tumor resection in the ...

FIG. 9‐24 (A) Case (see Fig. 17‐8) of large cleft palate defect partially cl...

Chapter 10

FIG. 10‐1 (A–C) Massive lipoma attached to the skin below the vulva, 1 year ...

FIG. 10‐2 (A, B) Tissue expanders can be purchased or specially designed in ...

FIG. 10‐3 (A) Soft tissue sarcoma involving the chin region in a geriatric J...

FIG. 10‐4 Components of the skin‐stretching kit, including self‐adherent ski...

FIG. 10‐5 Removal of the backing exposes the sticky surface of the pad prior...

FIG. 10‐6 (A) In this canine subject, 2 cm circles were drawn onto the skin ...

FIG. 10‐7 (A) Burn scar overlying the dorsal lumbar and pelvic regions in a ...

FIG. 10‐8 (A) A canine patient with extensive burns. The dog was trapped in ...

FIG. 10‐9 (A) Septicemia with subsequent infarction of the ventral thoracic ...

FIG. 10‐10 (A) Grade two mast cell tumor. (B) Wide resection included remova...

FIG. 10‐11 (A) Skin stretchers were used 72 hours prior to resection of this...

FIG. 10‐12 (A) Undermining the skin in preparation for tissue expander inser...

Chapter 11

FIG. 11‐1 (A) Mast cell tumor resection. Resection of the underlying musculo...

FIG. 11‐2 The fallacy of “length‐to‐width” ratios. Research in pigs and dogs...

FIG. 11‐3 (A) Squamous cell carcinoma involving the left nasal planum and ad...

FIG. 11‐4 (A) Bipedicle advancement flap used to cover a large skin defect o...

FIG. 11‐5 (A) Surgical dehiscence after resection of a mast cell tumor in th...

FIG. 11‐6 (A) Skin loss over the calcaneus in a Dobermann. Skin loss of this...

FIG. 11‐11 (A) Mast cell tumor, left dorsolateral nasal area. (B) Surgical d...

FIG. 11‐14 (A) Adenoma involving the anterior mandibular skin (chin) of this...

FIG. 11‐15 (A) Left lateral facial area skunk‐bite wound resulting in extens...

FIG. 11‐16 (A) Wide resection of a carcinoma involving the left orbit in a c...

FIG. 11‐17 (A) Soft tissue sarcoma involving the distal left hindlimb extrem...

Chapter 12

FIG. 12‐1 (A) Pressure sore over the elbow of a Labrador. Epithelialized sca...

FIG. 12‐2 (A, B) Circumferential degloving injury to the forelimb of a mixed...

FIG. 12‐3 (A) Forelimb defect in a mixed‐breed dog, secondary to vehicular t...

Chapter 13

FIG. 13‐1 (A) Wide resection of fibrosarcoma involving the left flank and la...

FIG. 13‐2 (A, B) Extensive burn sustained by a cat. Necrotic tissue debridem...

FIG. 13‐3 (A, B) Massive circumferential loss of skin from the rear leg of a...

FIG. 13‐4 (A) Nonhealing, traumatic antecubital defect in a German shepherd....

FIG. 13‐5 (A) Thoracodorsal axial pattern flap used to close a massive skin ...

FIG. 13‐6 (A) Mast cell tumor involving the left shoulder region. (B) Wide e...

FIG. 13‐7 (A) Elevation of a genicular axial pattern flap to close a skin de...

FIG. 13‐8 (A, B) Wide mast cell tumor resection over the sternal area and cl...

FIG. 13‐9 (A) Excision of a chronic granulomatous lesion overlying the left ...

FIG. 13‐10 (A, B) Cat with lower abdominal wall defect: dehiscence secondary...

FIG. 13‐11 (A, B) Example of the reverse saphenous conduit flap for closure ...

Chapter 14

FIG. 14‐1 Illustration of free graft revascularization. (A) The graft after ...

FIG. 14‐2 (A) Chronic, fibrotic forelimb wound of several months' duration. ...

FIG. 14‐3 Pinch graft application. This technique is used for thinner granul...

FIG. 14‐4 (A) Miniature pinscher with a large circumferential skin defect of...

FIG. 14‐5 (A, B) Continuation of patient in Fig. 14‐4. Graft application to ...

FIG. 14‐8 (A, B) Hand mesh graft application to the lower extremity of a dog...

FIG. 14‐9 (A) The Zimmer Dermatome is an excellent unit for harvesting split...

FIG. 14‐10 (A) Shiba inu with burn of several months' duration. (B) Mesh gra...

FIG. 14‐11 (A, B) Fresh avulsion wound involving the rear leg of a small dog...

FIG. 14‐12 (A) Extensive skin loss involving the circumference of the left f...

FIG. 14‐13 (A) Skin defect involving greater than half the circumference of ...

Chapter 15

FIG. 15‐1 (A) Lip fold pyoderma (labial fold intertrigo), secondary to chron...

FIG. 15‐2 (A) Chronic right facial fold pyoderma in an English bulldog. (B) ...

FIG. 15‐3 (A) Bite wound avulsion of the rostral lip. The lacerated tissue w...

FIG. 15‐4 (A) a 4‐month‐old cat with lower lip avulsion. The symphysis was i...

FIG. 15‐5 (A) Lower labial avulsion in a stray cat. This wound is several da...

FIG. 15‐6 (A) Upper labial avulsion. (B) Closure is comparatively easy: grav...

FIG. 15‐7 (A, B) Older patient with a history of facial trauma in the past. ...

FIG. 15‐8 Resection of a labial neoplasm. The surgeon elected to close the w...

FIG. 15‐9 (A) Upper labial melanoma (arrow). (B) Full‐thickness rectangular ...

FIG. 15‐10 (A) Labial carcinoma involving the left upper lip. (B) Wide resec...

FIG. 15‐11 (A) Reconstruction of the upper lip after removal of a soft tissu...

FIG. 15‐12 (A, B) Wide resection of squamous cell carcinoma involving the up...

FIG. 15‐13 (A) Stray golden retriever with a rostral labial defect. The owne...

FIG. 15‐14 (A) Mycobacterial granuloma. (B) Resection and closure with a lab...

FIG. 15‐15 (A) Wide labial excision of a diffuse squamous cell carcinoma, in...

FIG. 15‐16 (A) Diffuse mast cell tumor, rostral labial area. (B) Wide resect...

FIG. 15‐17 (A) Labial mast cell tumor (grade II) resection. (B) Excision wit...

FIG. 15‐18 (A) Mast cell tumor involving the rostral right half of the upper...

FIG. 15‐19 (A) Diffuse mast cell tumor involving the rostral lip and lower n...

FIG. 15‐20 (A, B) Older Dobermann with an expansile granuloma involving the ...

FIG. 15‐21 (A) Mast cell tumor involving the left facial area and dorsal por...

FIG. 15‐22 Bilateral cleft lip in a newborn puppy. A complete physical exami...

FIG. 15‐23 (A) Cleft lip in a cat, frontal view. (B) Upper angular view demo...

FIG. 15‐24 (A) Cleft lip in a mature retriever. Note that the pigmented sulc...

FIG. 15‐25 (A) Cleft lip in a 6‐month‐old Bernese mountain dog. The author n...

FIG. 15‐26 (A) Unilateral cleft lip in an orange tabby. This opening frequen...

FIG. 15‐27 (A) Hemimandibulectomy for osteosarcoma in an old English sheepdo...

FIG. 15‐28 (A) Adopted stray cat with traumatic loss of the rostral lip, nos...

FIG. 15‐29 (A) Complete loss of the upper labial area and external nose seco...

FIG. 15‐30 (A) Pekinese with a history of corneal ulceration secondary to fa...

FIG. 15‐31 (A) Facial fold pyoderma with severe excoriation of the skin bene...

FIG. 15‐32 (A) Right lateral view of a facial fistula and the flap remnant. ...

FIG. 15‐33 (A) A neutered male 34 kg border collie that presented with a dor...

FIG. 15‐34 (A) Chronic nasocutaneous fistula with bone necrosis secondary to...

FIG. 15‐35 (A) Golden retriever with history of chronic drooling. (B) Right ...

Chapter 16

FIG. 16‐1 (A) Elevation and (B) placement of the sternohyoideus muscle to cl...

FIG. 16‐2 (A) Resection of the sternum as a result of osteosarcoma. (B) The ...

FIG. 16‐3 Illustration of type I–V muscles based on their circulatory patter...

FIG. 16‐4 (A, B) Resection of multiple ribs to remove a chondrosarcoma. (C) ...

FIG. 16‐5 (A) Right thoracic chondrosarcoma in a golden retriever. (B) Intra...

FIG. 16‐6 (A) Osteosarcoma of the rib. (B) Resection of four ribs. (C) Dorsa...

FIG. 16‐7 (A) Contracture of the right triceps muscle. The exact mechanism o...

FIG. 16‐8 (A) Illumination of an elevated external abdominal oblique muscle ...

FIG. 16‐9 (A) Removal of a sarcoma involving the caudal third of the thorax ...

FIG. 16‐10 (A) Resection of sarcoma involving the left lateral thorax and ab...

FIG. 16‐11 (A) Elevation of the cranial sartorius muscle. (B) Elevation of t...

FIG. 16‐12 (A) German shepherd police dog: bilateral perineal hernias had be...

Chapter 17

FIG. 17‐1 (A) Bilateral cleft lip in a French bulldog. (B) Oral view noting ...

FIG. 17‐2 (A) Narrow cleft palate defect. Although the caudal portion of the...

FIG. 17‐5 (A) Labrador with a cleft palate closed with an overlapping or “hi...

FIG. 17‐6 (A) Wide cleft of the hard palate. However, note the wide lateral ...

FIG. 17‐7 (A) Chronic traumatic defect of the hard palate in a cat. (B) Clos...

FIG. 17‐8 (A) This canine patient was referred for evaluation of a problemat...

FIG. 17‐9 (A) Use of a full‐thickness labial flap to close a traumatic defec...

FIG. 17‐10 (A) Oronasal fistula secondary to radiation therapy (black arrow)...

FIG. 17‐11 (A) Chronic oronasal fistula secondary to traumatic palatal defec...

FIG. 17‐12 (A) Diffuse squamous cell carcinoma involving the hard and soft p...

FIG. 17‐13 Lingual plasmacytoma. Resection on the dorsal surface of the tong...

FIG. 17‐14 (A) Calcinosis circumscripta (yellow arrow) involving the tongue ...

FIG. 17‐15 (A) Lingual carcinoma, rostral 25% of the tongue, ventral surface...

FIG. 17‐16 (A) Squamous cell carcinoma involving the tip of the tongue in a ...

FIG. 17‐17 (A) Carcinoma involving the tip of the tongue. (B) Resection of t...

Chapter 18

FIG. 18‐1 (A) Extensive vehicular trauma to a canine paw. Complete loss of a...

FIG. 18‐2 (A) Circumferential skin loss of the hind paw in a young Dalmatian...

FIG. 18‐3 (A, B) Traumatic loss of the flexor tendons and overlying skin. Th...

FIG. 18‐4 (A) Loss of toe nail with associated swelling secondary to squamou...

FIG. 18‐5 (A) Interdigital granuloma with small site of drainage. (B) Interd...

FIG. 18‐6 (A) Interdigital granuloma in a 2‐year‐old Irish setter. Resection...

FIG. 18‐7 (A) Follicular ingrowth resulting in this expansile granuloma in a...

FIG. 18‐8 (A, B) Feline paw with encapsulated cyst. The intact cyst was easi...

FIG. 18‐9 (A, B) Amputation of the third digit and surgical closure. Without...

FIG. 18‐10 (A) Chronic ulcer secondary to trauma. Abnormal weight bearing co...

FIG. 18‐11 (A) Melanoma involving the metatarsal pad in a retriever. (B) Com...

FIG. 18‐12 (A) Loss of digits of the hind paw secondary to immune‐mediated v...

FIG. 18‐13 (A) Traumatic loss of the digits. (B) Cranial view of the paw. Th...

FIG. 18‐14 (A, B) Left rear paw denuded of the metatarsal and digital pads, ...

FIG. 18‐15 (A) Vehicular trauma to a canine paw, with destruction of the cen...

FIG. 18‐16 (A) Resection of the central two toes due to neoplasia. (B) Lower...

FIG. 18‐17 (A) Recurrent soft tissue sarcoma referral. (B) Wide excision of ...

FIG. 18‐18 (A) Mast cell tumor involving fifth digit. (B) Amputation of the ...

FIG. 18‐19 (A) Bulldog with chronic proliferative pododermatitis (arrow) ref...

Chapter 19

FIG. 19‐1 (A) Mast cell tumor, right upper‐eyelid area of a domestic long‐ha...

FIG. 19‐2 (A) Cutaneous carcinoma dorsal to the right upper eyelid (arrow). ...

FIG. 19‐5 (A) Soft tissue sarcoma caudal to right upper eyelid. (B) Wide sur...

FIG. 19‐6 (A) Lip replacement of the right lower eyelid. Elevation of the la...

FIG. 19‐7 Close‐up view of lip‐to‐lid transplant.

Chapter 20

FIG. 20‐1 Frontal view of the nose (nasal planum), demonstrating the rolled ...

FIG. 20‐2 (A, B) Nasal planectomy in the dog. The nasal mucosa is directly e...

FIG. 20‐3 (A) Expansile granulomatous mass (benign) involving the left alar ...

FIG. 20‐4 (A) Mast cell tumor involving the left alar region. (B) Carbon dio...

FIG. 20‐5 (A, B) Squamous cell carcinoma, requiring complete nasal planectom...

FIG. 20‐6 (A) A mast cell tumor of the dorsal nasal planum. (B) Laser‐assist...

FIG. 20‐7 (A) Septal carcinoma. (B) Dorsal elevation of the external nasal s...

FIG. 20‐8 (A) Squamous cell carcinoma involving the sulcus and adjacent nasa...

FIG. 20‐9 (A) Left nasal septal squamous cell carcinoma. (B) Close‐up view o...

FIG. 20‐10 (A) Squamous cell carcinoma of the lower nasal planum. (B) Wide r...

FIG. 20‐11 (A, B) Extensive squamous cell carcinoma of the nasal planum and ...

FIG. 20‐12 (A) Mast cell tumor (arrow) involving the right alar fold and adj...

FIG. 20‐13 (A) This Persian cat presented with complete stenosis of the nost...

FIG. 20‐14 (A) Mixed‐breed neutered dog estimated to be 1 year old that was ...

FIG. 20‐15 (A) Recurrence of fibrosarcoma in a poodle cross, 3 years after s...

FIG. 20‐16 (A) Fibrosarcoma of the rostral maxilla. (B) Surgical resection o...

FIG. 20‐17

(

A) French bulldog that had the lower portion of each alar fold r...

FIG 20‐18

(

A) Persian cat with severe nasal stenosis. (B) Correction using t...

Chapter 21

FIG. 21‐1 (A–C) Retriever with multiple fragile scars, as a result of vehicu...

Fig. 21‐2 (A) Freeman Kaye Scissors (Sontec 475‐188). One edge is finely ser...

Chapter 22

FIG. 22‐1 (A) Persistent frenulum in an 8‐month‐old Yorkshire terrier. Chron...

FIG. 22‐2 (A) A 16‐week‐old golden retriever puppy with phimosis secondary t...

FIG. 22‐3 (A) Phimosis secondary to mast cell tumor. (B) Laser resection of ...

FIG. 22‐4 Transmissible venereal tumor in a 6‐year‐old German shepherd, impa...

FIG. 22‐5 (A) Strangulation necrosis secondary to paraphimosis. (B) Desiccat...

FIG. 22‐6 (A) Paraphimosis with chronic penile exposure. Hair encircling the...

FIG. 22‐7 (A) Partial penile avulsion secondary to mating with resultant par...

FIG. 22‐8 (A) Scar tissue between the base of the prepuce and the abdominal ...

FIG. 22‐9 (A) Penile mucosa desiccation secondary to long‐term exposure. (B)...

FIG. 22‐10 It is important to flex and extend the pelvic limbs to find the p...

FIG. 22‐11 (A) Severe pelvic trauma secondary to vehicular trauma. Severe pa...

FIG. 22‐12 Phallopexy technique. (A) A lateral preputiotomy incision exposes...

FIG. 22‐13 Rare examples of hypospadias in two cats. Both patients had a his...

FIG. 22‐14 Example of penile hypospadias in a Dalmatian.

FIG. 22‐15 (A) Hypospadias in a Newfoundland. (B) Note the urethral opening ...

FIG. 22‐16 (A) Hypospadias in the perineal area, immediately below the anus....

FIG. 22‐17 (A) German shepherd with urethral opening immediately below the a...

FIG. 22‐18 (A) A 6‐month‐old bulldog with subanal hypospadias. (B) Close‐up ...

FIG. 22‐19 (A) Penile necrosis secondary to paraphimosis. (B) A preputiotomy...

FIG. 22‐20 (A) Preputial ostium in a standard poodle. The dog constantly uri...

FIG. 22‐21 (A) Young retriever adopted by the owners with an abnormal preput...

FIG. 22‐22 (A) Mixed‐breed dog, 5 months old, with congenital defect of the ...

FIG. 22‐23 (A) Mast cell tumor involving the preputial ostium. A surgical pe...

FIG. 22‐24 (A) Mast cell tumor involving the lower preputial surface immedia...

Chapter 23

FIG. 23‐1 (A, B) The anatomy of the pinna.

FIG. 23‐2 Three examples of the general ear conformation in dogs. (A) The Ba...

FIG. 23‐3 (A) Mast cell tumor, lateral base (zone I) of the pinna. Note the ...

FIG. 23‐4 (A) The lateral (convex) aspect of the pinna (left ear). Based on ...

FIG. 23‐5 Extensive neoplasia involving the right pinna of this mixed‐breed ...

FIG. 23‐6 Immune‐mediated disease: vasculitis resulted in loss of circulatio...

FIG. 23‐7 Bite wound of the left pinna. Debridement included the compromised...

FIG. 23‐8 (A) Resection of a mast cell tumor involving the medial aspect of ...

FIG. 23‐9 (A) Mast cell tumor involving the caudal base of the lateral pinna...

FIG. 23‐10 (A) Mast cell tumor involving the rostral pinna and adjacent faci...

FIG. 23‐11 (A) Mast cell tumor on the medial pinna. (B) Resection of skin an...

FIG. 23‐12 (A, B) Mast cell tumor involving the lateral pinna with poorly de...

FIG. 23‐13 (A) Vehicular trauma with loss of the majority of the lateral pin...

FIG. 23‐14 (A) Expansile granulomatous mass involving the rostral half of th...

FIG. 23‐15 (A) Bite wound to the caudal pinna, with loss of cartilage and sk...

FIG. 23‐16 (A) Mast cell tumor involving the right pinna in a mixed‐breed do...

FIG. 23‐17 Amputation of zones II and III of the pinna with a linear incisio...

FIG. 23‐18 (A) Feline mast cell tumor involving the central region of the me...

FIG. 23‐19 (A) Central resection of the pinna using the inverted triangle de...

FIG. 23‐20 (A) Aggressive resection of carcinoma, central pinna, with resect...

FIG. 23‐21 (A) Mast cell tumor, central pinna. (B) Surgical lamp illuminatio...

FIG. 23‐22 (A) Unusual case of angiosarcoma. The patient presented with a hi...

FIG. 23‐23 (A) Domestic cat with bilateral carcinoma in situ. (B) Close‐up v...

FIG. 23‐24 (A) Carcinoma involving the right pinna in a mixed‐breed dog. (B)...

FIG. 23‐25 (A) Chronic aural hematoma. Note the folding and thickening assoc...

FIG. 23‐26 (A) Aural hematoma managed with a linear incision. Note the downw...

FIG. 23‐27 (A) Acute aural hematoma, lateral surface. (B) Medial surface. (C...

FIG. 23‐28 (A) Large aural hematoma in a cat. The delaminated cartilage is g...

Chapter 24

FIG. 24‐1 (A) Omentum elevated out of the abdominal cavity through a midline...

FIG. 24‐2 Scrotum with enlargement secondary to a large Sertoli cell tumor. ...

FIG. 24‐3 The rare English bulldog with a normal tail.

FIG. 24‐4 (A) Tail fold pyoderma and severe ventral deviation of the tail ov...

FIG. 24‐5 Screw tail with intertrigo involving both the dorsal and ventral s...

FIG. 24‐6 (A) A typical case of tail fold intertrigo. (B) A skin incision ca...

FIG. 24‐7 (A) Unusual tail deviation in the bulldog, leaving a large ridge o...

FIG. 24‐8 (A) Congenital recessed vulva with the dorsal vulvar skin creating...

FIG. 24‐9 (A) Recessed vulva with deviation to the right in a young retrieve...

FIG. 24‐10 (A) Vaginal fold pyoderma or intertrigo in an older German shephe...

FIG. 24‐11 (A, B) Vulvar fold pyoderma can be overlooked, unless an effort i...

FIG. 24‐12 (A) Squamous cell carcinoma involving the vulva with the patient ...

FIG. 24‐13 (A) Mast cell tumor adjacent to the left vulvar fold. (B) Surgica...

FIG. 24‐14 (A) A mast cell tumor was resected from the right vulvar fold are...

FIG. 24‐15 (A) Incomplete development of the dorsal wall of the vulva and ad...

Fig. 24‐16 (A) Perineal view of a canine patient: the dog had a penile amput...

Guide

Cover Page

Table of Contents

Dedication

Title Page

Copyright Page

Foreword

Preface

Acknowledgments

Begin Reading

Index

Wiley End User License Agreement

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