Bdx. Lascelles et al., USE OF OMENTAL PEDICLE GRAFTS IN THE MANAGEMENT OF NONHEALING AXILLARY WOUNDS IN 10 CATS, Journal of Small Animal Practice, 39(10), 1998, pp. 475-480
A retrospective analysis of the clinical case histories of 10 domestic
shorthaired cats that underwent omentalisation, using a vascular pedi
cle of greater omentum, of chronic non-healing axillary wounds was car
ried out. Wounds were debrided and closed in a primary fashion followi
ng omentalisation. The cats had undergone a modal number of three prev
ious repair attempts over a three- to 18-month period (mean 11 months)
before referral. Further dehiscence occurred in eight cases, requirin
g a modal number of one further attempt at closure of the wound. Other
complications included incisional herniation (two cats), serous exuda
te from the axillary wound (two cats) and paracostal abscessation (one
cat). Long-term cure was achieved in seven of the 10 cases, with woun
ds finally having healed at a mean of 24 days post-omentalisation. Chr
onic axillary wounds are particularly difficult to treat and there are
no reports of consistently successful techniques for their repair. Th
is report suggests that omentalisation of these wounds may be a step t
owards such a repair procedure.