Reconstructive Sx Flashcards

1
Q

Reconstructive surgery is performed to

A

improve the body’s function, shape & overall health; to remedy disease; & to treat congenital or acquired deformities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Why is the skin important?

A
  • protection against dehydration/overhydration
  • barrier to microorganisms, chemicals, etc
  • produces Vit A
  • stores water & nutrients
  • sensory elements permit animal to be aware of its environment
  • thermal insulation
  • mechanical buffer
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are some common reasons for reconstructive surgery in animals?

A

wounds, neoplasia, developmental disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the 3 phases of wound healing?

A
  • inflammation
  • cellular proliferation/granulation
  • remodelling/matureation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How can you optimize wound healing?

A
  • aseptic handling of tissues & equipment
  • suitable lavage solutions
  • thorough debridement
  • appropriate contact layers
  • correct bandaging & casting techniques
  • proper nutrition
  • analgesia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

the skin is…

A

anisotropic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When doing reconstructive surgery, it is important to remember…

A

the tension lines.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

cutaneous muscle is thick on … & absent on…

A

thick on thoracic skin
absent on limbs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Dogs have _____ _____ _____ with highly mobile skin, which differs from horses & humans.

A

Direct cutaneous arteries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When are these types of special closure techniques used?

A

cosmetic closure of skin defects of various shapes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When doing cosmetic closures of skin defects, what is important to manage correctly?

A

Dog ears - where the skin comes together at the end of suture line and puffs out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

When doing cosmetic closures of skin defects, it is important to remember to cut…

A

along tension lines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are some tension-relieving & skin mobilization procedures?

A

Far-Near-Near-Far suture
Stents
Undermining skin
Tension-release incision
Mesh expansion
V-Y Plasty

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are some types of skin flaps that can be used?

A

Rotating flap
Axial pattern flap

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is a skin graft?

A

Living tissue deprived of original blood supply & transferred to a new site

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is an autograft/isograft?

A

A skin graft from one part of an individual to another part of the same individual

17
Q

What is an allograft/homograft?

A

A skin graft from one animal to another animal of the same species

18
Q

What is a xenograft/heterograft?

A

A skin graft from one animal to another animal of a different species

19
Q

Which of the grafts (auto-, allo-, xeno-) is successful in animals?

A

Autografts

20
Q

What are the 4 different types of grafts?

A

full thickness graft
split thickness graft
mesh grafts
island grafts

21
Q

What is the optimal recipient site for a graft?

A

smooth, healthy & well-vascularized tissue w/ excellent hemostasis that is also not infected

22
Q

What makes an optimal graft?

A
  • Remove all SQ tissue from the donor skin
  • ‘mesh’ or ‘pie crust’ style for large grafts to allow fluid escape
23
Q

What allows for optimal placement of a skin graft?

A
  • correct suture tension between donor tissue and recipient site
  • adequate immobilisation & protection of graft w/ dressings
  • adequate patient immobilisation & prevention of self-trauma
24
Q

The donor site should be in an ___ ___ where a ___ ____ is cosmetically acceptable

A

inconspicuous location
small scar

25
Q

Do not forget…

A

the power of second intention healing