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STEVEN F. SWAIM 《Veterinary dermatology》1997,8(4):249-257
Abstract In the past 5 years advances in the management of wounds in dogs and cats have included the development of materials and techniques used to enhance the healing of both open and closed wounds. New topical and locally injected medications as well as new bandaging materials have been evaluated. The use of omental flaps to enhance wound healing has been found to be promising. Ultrasonography has been found useful in assessing wound tissues to guide treatment. Because tension is a major factor in dealing with wound closure, skin expanders, skin stretchers, presutures and adjustable horizontal mattress sutures have been described as means of overcoming tension. Recently completed research projects at the Scott-Ritchey Research Center studied the woundhealing effects of fibrin sealants, topical bovine collagen, omega-3 fatty acid-enriched diets and magnetic field therapy. Projects underway are evaluating the healing effects of a new biological tissue adhesive, a macrophage stimulant and a thromboxane synthestase inhibitor. Parameters for evaluating wound healing have included histopathology, tensiometry, planimetry, laser Doppler image scanning, biochemistry and immunohistochemistry. Resumen En los últimos 5 años, algunos de los avances en la curación de heridas en perros y gatos ha incluido el desarrollo de materiales y técnicas utilizados para mejorar la curación tanto de heridas cerradas como abiertas. Se han evaluado nuevas medicaciones tópicas y sistémicas asi como nuevos marteriales de vendaje. El us0 de injertos omentales para estimular la curación de heridas ha mostrado resultados prometedores. La ecografia es un método éutil en la valoración de los tejidos lesionados para guiar el tratamiento. Debido a que la tensión es un factor importante en el caso de cerramiento de heridas, se describen como métodos de evitar la tensión productos como expansores cutáneos, estiradores cutáneos, presuturas y suturas cutáneas horizontales acolchonadas ajustables. Algunos proyectos de investigación recientemente finalizados en el Centro de Investigación Scott-Ritchey estudiaron los efectos sobre la curación de heridas de selladores de fibrina, colágeno tópico bovino, dietas enriquecidas con ácido graso omega-3 y terapia de campo magnético. Otros proyectos en realización están evaluando los efectos curativos de un nuevo adhesivo tisular biológico, un estimulante de macrófagos y un inhibidor de la tromboxano-sintetasa. Los parámetros para evaluar la curación de herida han incluido la histopatología, la tensiometría, la planimetría, el scanner por imágen doppler laser, bioquímica e inmunohistoquímica. [Swaim, S.F. Advances in wound healing in small animal practice: current status and lines of development (Avances en la curcion de heridas en pequeños animales: estado actual y lineas de desarrollo). Veterinary Dermatology 1997; 8 : 249–257] Zusammenfassung In den letzten 5 Jahren wurden Fortschritte in der Wundversorgung bei Hund und Katze unter anderem durch die Entwicklung von Materialien und Techniken erzielt, die zur besseren Heilung von offenen und geschlossenen Wunden verwendet werden. Neue lokale und systemische Medikamente sowie neue Verbandsmaterialien wurden untersucht. Die Verwendung von Omentumlappen zur Verbesserung der Wundheilung scheint vielversprechend zu sein. Ultraschalluntersuchungen waren von Nutzen, um Wundgewebe zu beurteilen und die Behandlung zu lenken. Spannung ist ein wesentlicher Faktor im Wundverschluss, Hautexpander, Hautdehner, vorbereitende Nähte und regulierbare, horizontale Matratzennähte wurden zur Überwindung der Wundspannung beschrieben. Kürzlich fertiggestellte Forschungsprojekte am Scott-Ritchie Research Center erforschten die Effekte von Fibrindichtungsmitteln, lokalem bovinen Kollagen, Futtermitteln mit Omega-3 Fettsäurenzusatz und Magnetfeldtherapie. Gegenwärtige Forschungsprojekte bewerten die Heilungseffekte eines neuen, biologischen Gewebehaftmittels, eines Makrophagenstimulans und eines Thromboxansynthetasehemmers. Parameter zur Bewertung der Wundheilung waren Histopathologie, Tensiometrie, Planimetrie, Laser Doppler, physiologische Chemie und Immunhistochemie. [Swaim, S.F. Advances in wound healing in small animal practice: current status and lines of development (Fortschritte bei der Wundheilung in der Kleintierpraxis: Derzeitiger Stand und Entwicklung). Veterinary Dermatology 1997; 8: 249–257] Résumé Durant les 5 dernières années, le progrés dans le traitement des plaies chez les chiens et les chats ont inclus le développement de matériaux et de techniques utilisés pour augmenter la cicatrisation des plaies ouvertes et fermées. De nouvelles médications topiques et systémiques ainsi que de nouveaux matériaux de bandages ont étéévalués. L'utilisation de lambeaux d'éplipon s'est révélée prometteuse dans l'amélioration de la cicatrisation des plaies. L'ultrasonographie s'est montrée utile dans le traitement de guidance de l'évaluation des plaies tissulaires. La tension étant un facteur major lors de la fermeture de plaies, expansseurs cutanés, étireurs cutanés et surjets de matelassier ajustables ont tous été décrits comme moyens permettant de vaincre la tension. Récemment des projets de recherche achevés au Scott-Ritchey Research Center ont étudiés les effets des joints de fibrine, du collagène bovin topique, des régimes enrichis en acides gras omega-3 et de la thérapies de champs magnétiques sur la cicatrisation des plaies. Les projets mis en route sont l'évaluation des effets sur la cicatrisation d'un nouvel adhésif tissulaire biologique, d'un stimulant de macrophages et d'un nouvel inhibiteur de la thromboxane synthase. Les paramètres intervenant dans l'évaluation de la cicatrisation des plaies ont inclus l'histopathologie, la tensiométrie, la planimétrie, le laser Doppler, l'imagerie, la biochimie et l'immunohistochimie. [Swaim, S.F. Advances in wound healing in small animal practice: current status and lines of development (Progres de la cicatrisation en pratique des petits animaux: etat actuel et lignes de developpement). Veterinary Dermatology 1997; 8 : 249–257] 相似文献
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OBJECTIVE: To evaluate the use of subdermal plexus skin flaps for closing defects after excision of cutaneous and subcutaneous tumors in dogs and to compare outcome of flaps secured with sutures and those secured with butyl-cyanoacrylate and intermittent sutures. STUDY DESIGN: Clinical study. ANIMALS: Fifteen dogs. METHODS: After excision of cutaneous or subcutaneous tumors the skin defect was reconstructed by random flaps based on the subdermal plexus. Flap skin edges were apposed with simple interrupted 4-0 monofilament nylon sutures (group 1; 5 dogs) or nylon sutures alternated with butyl-cyanoacrylate adhesive (group 2; 10 dogs). Flaps were evaluated every 48 hours when bandages were changed, until complete healing. RESULTS: Random flaps based on the subdermal plexus were effectively used to close wound defects; mean flap survival was 89%. Partial flap necrosis occurred in 4 dogs. Wound margins apposed with butyl-cyanoacrylate had thinner and more esthetic scars than sutured margins. CONCLUSION: Random flaps based on the subdermal plexus proved to be versatile for covering limb wounds after excision of cutaneous or subcutaneous tumors. Mean survival rate was comparable to that reported for axial pattern flaps. Butyl-cyanoacrylate adhesive was easy to apply, allowed accurate margin apposition with good cosmetic outcome and reduced sutures needed. CLINICAL RELEVANCE: Cyanoacrylate adhesive should be considered in lieu of suture closure to secure random skin flaps based on the subdermal plexus in dogs. 相似文献
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为了提高风力机的捕风能力,确定最佳的翼型结构,该文以风力机翼型S809为研究对象,设计了S809分离式尾缘襟翼模型,对翼型主体与襟翼之间缝隙进行了局部优化处理,利用AUTOCAD建立了分离式尾缘襟翼几何模型。进而采用计算流体力学方法,对0攻角下,0~16°不同襟翼偏转角的襟翼模型进行了气动性能计算,并对翼型周围流场的压力云图、流线图、压力系数分布进行了理论分析。结果表明:分离式尾缘襟翼结构设计合理,襟翼与主体之间的缝隙对翼型气动性能的影响很小;尾缘襟翼偏转增大了翼型弯度,提高了翼型的升力,随偏转角增大,翼型升力系数及升阻比增大,偏转角在14°时翼型的升阻比最大,为进一步研究分离式尾缘襟翼综合气动性能打下了基础。 相似文献
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OBJECTIVE: To determine the clinical outcome and factors affecting cutaneous or mucosal flaps in dogs treated with radiation therapy (RT). STUDY DESIGN: Longitudinal clinical study. ANIMALS: Twenty-six client-owned dogs. METHODS: Dogs entered in the study had a flapping procedure and RT as part of their treatment. The sequence of flapping and RT included: (1) planned preoperative RT, (2) postoperative RT, and (3) flapping as a salvage procedure for management of complications or local tumor recurrence after RT. Flap complications were defined as necrosis, local infection, dehiscence, and ulceration. The risk and severity of flap complication were analyzed independently. RESULTS: Twenty (77%) dogs had a complication; 6 dogs required an additional flapping procedure; and 4 dogs had an unresolved complication. Flapping procedures performed to correct a complication, or failure of RT, had a significantly greater risk for complication; however, postoperative RT decreased the severity of complication. A dose per fraction of 4 Gy compared with 3 Gy was prognostic for increased severity of complications, whereas the head and neck location was prognostic for decreased severity of complication. CONCLUSIONS: Although morbidity was substantial, cutaneous or mucosal flaps were used successfully in an RT field in 85% of the dogs. Flaps that were part of the planned therapy as opposed to those used to correct a complication or failure of RT had a better clinical outcome. CLINICAL RELEVANCE: Cutaneous or mucosal flaps can be part of the treatment of dogs with tumor when adjuvant or neoadjuvant RT is to be used. 相似文献
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Tobias Schwarz MA Dr. Med. Vet. Federica Morandi DVM Giacomo Gnudi Dr. Med. Vet. Erik Wisner DVM Calum Paterson MSc Martin Sullivan BVMS PhD Pamela Johnston BVM&S PhD 《Veterinary radiology & ultrasound》2000,41(4):335-339
The radiographic appearance of nodular fat necrosis is described in ten cats and one dog. The most common radiographic sign was the presence of a focal mineralized circular to oval soft tissue mass in the abdominal fat as present in 9 cats. These masses had a distinct eggshell-like rim encapsulating the lesion. In one cat and one dog multiple masses were present, without radiographic signs of mineralization. Abdominal ultrasound was performed in three cats and one dog, findings included the presence of hyperechoic masses with associated acoustic shadowing, some with a hypoechoic centre. Almost all animals were old and obese. In three cats and one dog, changes were confirmed with biopsy or post mortem examination. Lesions having the appearance of those in this paper are most likely incidental findings and should not be confused with abdominal masses of neoplastic origin. Ultrasound can be helpful in identifying such lesions. 相似文献
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