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Negative pressure wound therapy: experience in 45 dogs
Kathryn A Pitt1, Bryden J Stanley
1Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan.
Negative pressure wound therapy (NPWT) is a feasible treatment for extensive canine wounds, achieving a 96% healing rate. This therapy effectively prepares wounds for surgical closure or healing by second intention in veterinary practice.
Area of Science:
- Veterinary Medicine
- Wound Healing
- Regenerative Medicine
Background:
- Extensive cutaneous wounds in dogs present significant treatment challenges.
- Negative pressure wound therapy (NPWT) has shown promise in human medicine for managing complex wounds.
- Its feasibility and efficacy in a veterinary hospital setting for canine patients require further investigation.
Purpose of the Study:
- To evaluate the application and outcomes of NPWT in dogs with extensive cutaneous wounds.
- To determine the feasibility of implementing NPWT in a veterinary hospital practice.
- To assess the effectiveness of NPWT in preparing wounds for definitive closure.
Main Methods:
- Prospective descriptive study involving 45 dogs with 53 extensive cutaneous wounds.
- Data collected included patient and wound characteristics, NPWT application details, adjunctive treatments, complications, and outcomes.
- Wounds were categorized based on granulation tissue presence and time since injury.
Main Results:
- The majority of wounds were traumatic in origin and treated with NPWT for a median of 3 days.
- Most wounds (62%) were surgically closed after NPWT, with healing by 14 days.
- An overall healing rate of 96% was achieved, with wounds healing by second intention or surgical closure.
Conclusions:
- Negative pressure wound therapy is applicable to a diverse range of canine wounds.
- NPWT is well-tolerated by dogs and can be utilized in veterinary practice.
- The therapy optimizes wound beds for successful surgical closure or healing by second intention.
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