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Geniş Torakolumbal Yaranın Punch Greft Uygulaması ile Sağaltımı

Yıl 2015, Cilt: 12 Sayı: 2, 141 - 146, 01.08.2015

Öz

Çalışma olgusunu, dorsalde interskapular bölgeden 3. lumbal vertebraya, distalde bilateral parasternal bölgeye
kadar uzanan deri kayıplı kesik (abrazyon) yarası bulunan iki yaşlı, erkek, Husky ırkı köpek oluşturdu. Klinik muayenede,
purulent akıntı, yara dudaklarında mortifikasyon ve dehidrasyon belirlendi. İki hafta uygulanan medikal sağaltım
ile yara bölgesindeki mortifiye dokular temizlendi. Dördüncü haftada 3 mm çaplı biyopsi punch’ı yardımıyla alınan
sağlam deri, punch greft yöntemi ile yara bölgesine ekildi. Postoperatif ilk hafta günlük pansuman yapıldı. İkinci hafta
iki günde bir pansuman uygulandı. Dördüncü haftada yara bölgesinin tam epitelizasyonu görülerek hasta taburcu
edildi. Geniş yaraların kapatılmasında, punch greft yönteminin sekunder iyileşmeye yardımcı olarak kullanılabileceği
kanısına varıldı. 

Kaynakça

  • 1. AlGhamdi KM, Madallah M, AlEnazi MM. Versatile Punch Surgery. J Cutan Med Surg 2011; 15(2):87–96.
  • 2. Demirkan İ. Surgical treatment of a sloughed hoof by skin grafting in a young bull. Can Vet J 2004; 45(5): 418.
  • 3. Dunn A, Buffa E, Mitchell R, Hunt G. Bilateral skin fold rotation-advancement flaps for the closure of large lumbosacral wounds in three dogs. Aust Vet J 2011; 89(5):174-9.
  • 4. Gualdi G, Monari P, Farisoglio C, Calzavara‐Pinton P. Nested graft in chronic wounds: a new solution for an old problem. Int Wound J. 2011; 8(2): 127-31.
  • 5. Guille AE, Tseng LW, Orsher RJ. Use of vacuum-assisted closure for management of a large skin wound in a cat. JAVMA 2007; 230(11): 1669-73.
  • 6. Hedlund CS. Large trunk wounds. Vet Clin N Am-Small. 2006; 36(4):847-72.
  • 7. Hunt GB, Tisdall PL, Liptak JM, Beck JA, Swinney GR, Malik R. Skin-fold advancement flaps for closing large proximal limb and trunk defects in dogs and cats. Vet Surg 2001; 30(5):440-8.
  • 8. Hunt GB. Skin fold advancement flaps for closing large sternal and inguinal wounds in cats and dogs. Vet Surg 1995; 24(2):172-5.
  • 9. Mol MA, Nanninga PB, van Eendenburg JP, Westerhof W, Mekkes JR, van Ginkel CJ. Grafting of venous leg ulcers: an intraindividual comparison between cultured skin equivalents and full-thickness skin punch grafts. J Am Acad Dermatol 1991; 24(1): 77-82.
  • 10. Moshiri A, Oryan A, 2013. Tendon and ligament tissue engi¬neering, healing and regenerative medicine. J Sports Med Doping Stud 2013; 3(2): 126.
  • 11. Moshiri A, Oryan A. Role of tissue engineering in ten¬don reconstructive surgery and regenerative medicine: current concepts, approaches and concerns. Hard Tissue 2012; 1(2): 11.
  • 12. Pavletic MM. Skin flaps in reconstructive surgery. Vet Clin N Am-Small 1990; 20(1): 81-103.
  • 13. Pavletic MM. Skin grafting techniques. eds. Bojrab MJ. In: Current Techniques in Small Animal Surgery Forth Edition. Lippincott: Williams and Wilkins 1998; pp. 585 – 603.
  • 14. Pavletic MM. The integument. eds. Slatter D, In: Textbook of Small Animal Surgery Third Edition. Philadelphia: WB Saunders, 2003; pp. 250-9
  • 15. Richter pharma ag, http://www.richter-pharma.com/product-theranekron-d6_301.htm. Erişim tarihi: 18.09.2014.
  • 16. Swaim SF. Skin Grafts. eds. Slatter D. In: Textbook of Small Animal Surgery Third Edition. Philadelphia: WB Saunders. 2003; pp. 321-39.
  • 17. Swaim SF. Skin grafts. Vet Clin N Am-Small 1990; 20(1):147-75.
  • 18. Thami GP, Singal A, Bhalla M. Surgical pearl: full-thickness punch grafting in chronic nonhealing ulcers. J Am Acad Dermatol 2004; 50(1): 99-100.
  • 19. Waldron DR, Zimmerman-Pope N. Superficial skin wounds. eds. Slatter D. In: Textbook of Small Animal Surgery Third Edition. Philadelphia: WB Saunders. 2003; pp. 259- 74.
  • 20. Yuen WY, Huizinga J, Jonkman MF. Punch grafting of chronic ulcers in patients with laminin-332–deficient, non-Herlitz junctional epidermolysis bullosa. J Am Acad Dermatol 2013; 68(1): 93-7.

Large Thoracolumbal Wound Treatment with Punch Graft

Yıl 2015, Cilt: 12 Sayı: 2, 141 - 146, 01.08.2015

Öz

 A two year old, male, Husky breed, having a cut wound (abrasion) extending from interscapular region
to 3. lumbal vertebrae at dorsal side and to parasternal area bilaterally at distal side constituted the material of this
study. At the clinical examination purulent discharge, mortification of wound margins and dehydration were determined.
Mortified tissues have been cleared after a medical treatment applied to the wound area for two weeks. On the
fourth week, intact skin biopsy punched by a 3 mm diameter tool, planted on to the wounded area with punch graft
method. During the postoperative period, the dressing has been changed every day for the first week, and every
other day in the second and third weeks. On the fourth week full epithelialization of the wounded area was observed
and the patient was discharged. It is concluded that in large wounds, punch graft method can be used to assist secondary
healing process.

Kaynakça

  • 1. AlGhamdi KM, Madallah M, AlEnazi MM. Versatile Punch Surgery. J Cutan Med Surg 2011; 15(2):87–96.
  • 2. Demirkan İ. Surgical treatment of a sloughed hoof by skin grafting in a young bull. Can Vet J 2004; 45(5): 418.
  • 3. Dunn A, Buffa E, Mitchell R, Hunt G. Bilateral skin fold rotation-advancement flaps for the closure of large lumbosacral wounds in three dogs. Aust Vet J 2011; 89(5):174-9.
  • 4. Gualdi G, Monari P, Farisoglio C, Calzavara‐Pinton P. Nested graft in chronic wounds: a new solution for an old problem. Int Wound J. 2011; 8(2): 127-31.
  • 5. Guille AE, Tseng LW, Orsher RJ. Use of vacuum-assisted closure for management of a large skin wound in a cat. JAVMA 2007; 230(11): 1669-73.
  • 6. Hedlund CS. Large trunk wounds. Vet Clin N Am-Small. 2006; 36(4):847-72.
  • 7. Hunt GB, Tisdall PL, Liptak JM, Beck JA, Swinney GR, Malik R. Skin-fold advancement flaps for closing large proximal limb and trunk defects in dogs and cats. Vet Surg 2001; 30(5):440-8.
  • 8. Hunt GB. Skin fold advancement flaps for closing large sternal and inguinal wounds in cats and dogs. Vet Surg 1995; 24(2):172-5.
  • 9. Mol MA, Nanninga PB, van Eendenburg JP, Westerhof W, Mekkes JR, van Ginkel CJ. Grafting of venous leg ulcers: an intraindividual comparison between cultured skin equivalents and full-thickness skin punch grafts. J Am Acad Dermatol 1991; 24(1): 77-82.
  • 10. Moshiri A, Oryan A, 2013. Tendon and ligament tissue engi¬neering, healing and regenerative medicine. J Sports Med Doping Stud 2013; 3(2): 126.
  • 11. Moshiri A, Oryan A. Role of tissue engineering in ten¬don reconstructive surgery and regenerative medicine: current concepts, approaches and concerns. Hard Tissue 2012; 1(2): 11.
  • 12. Pavletic MM. Skin flaps in reconstructive surgery. Vet Clin N Am-Small 1990; 20(1): 81-103.
  • 13. Pavletic MM. Skin grafting techniques. eds. Bojrab MJ. In: Current Techniques in Small Animal Surgery Forth Edition. Lippincott: Williams and Wilkins 1998; pp. 585 – 603.
  • 14. Pavletic MM. The integument. eds. Slatter D, In: Textbook of Small Animal Surgery Third Edition. Philadelphia: WB Saunders, 2003; pp. 250-9
  • 15. Richter pharma ag, http://www.richter-pharma.com/product-theranekron-d6_301.htm. Erişim tarihi: 18.09.2014.
  • 16. Swaim SF. Skin Grafts. eds. Slatter D. In: Textbook of Small Animal Surgery Third Edition. Philadelphia: WB Saunders. 2003; pp. 321-39.
  • 17. Swaim SF. Skin grafts. Vet Clin N Am-Small 1990; 20(1):147-75.
  • 18. Thami GP, Singal A, Bhalla M. Surgical pearl: full-thickness punch grafting in chronic nonhealing ulcers. J Am Acad Dermatol 2004; 50(1): 99-100.
  • 19. Waldron DR, Zimmerman-Pope N. Superficial skin wounds. eds. Slatter D. In: Textbook of Small Animal Surgery Third Edition. Philadelphia: WB Saunders. 2003; pp. 259- 74.
  • 20. Yuen WY, Huizinga J, Jonkman MF. Punch grafting of chronic ulcers in patients with laminin-332–deficient, non-Herlitz junctional epidermolysis bullosa. J Am Acad Dermatol 2013; 68(1): 93-7.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Bölüm Olgu Sunumu
Yazarlar

Çağrı Gültekin Bu kişi benim

Bahattin Koç

Yayımlanma Tarihi 1 Ağustos 2015
Gönderilme Tarihi 26 Aralık 2016
Kabul Tarihi 1 Temmuz 2015
Yayımlandığı Sayı Yıl 2015 Cilt: 12 Sayı: 2

Kaynak Göster

APA Gültekin, Ç., & Koç, B. (2015). Geniş Torakolumbal Yaranın Punch Greft Uygulaması ile Sağaltımı. Erciyes Üniversitesi Veteriner Fakültesi Dergisi, 12(2), 141-146.
AMA Gültekin Ç, Koç B. Geniş Torakolumbal Yaranın Punch Greft Uygulaması ile Sağaltımı. Erciyes Üniv Vet Fak Derg. Temmuz 2015;12(2):141-146.
Chicago Gültekin, Çağrı, ve Bahattin Koç. “Geniş Torakolumbal Yaranın Punch Greft Uygulaması Ile Sağaltımı”. Erciyes Üniversitesi Veteriner Fakültesi Dergisi 12, sy. 2 (Temmuz 2015): 141-46.
EndNote Gültekin Ç, Koç B (01 Temmuz 2015) Geniş Torakolumbal Yaranın Punch Greft Uygulaması ile Sağaltımı. Erciyes Üniversitesi Veteriner Fakültesi Dergisi 12 2 141–146.
IEEE Ç. Gültekin ve B. Koç, “Geniş Torakolumbal Yaranın Punch Greft Uygulaması ile Sağaltımı”, Erciyes Üniv Vet Fak Derg, c. 12, sy. 2, ss. 141–146, 2015.
ISNAD Gültekin, Çağrı - Koç, Bahattin. “Geniş Torakolumbal Yaranın Punch Greft Uygulaması Ile Sağaltımı”. Erciyes Üniversitesi Veteriner Fakültesi Dergisi 12/2 (Temmuz 2015), 141-146.
JAMA Gültekin Ç, Koç B. Geniş Torakolumbal Yaranın Punch Greft Uygulaması ile Sağaltımı. Erciyes Üniv Vet Fak Derg. 2015;12:141–146.
MLA Gültekin, Çağrı ve Bahattin Koç. “Geniş Torakolumbal Yaranın Punch Greft Uygulaması Ile Sağaltımı”. Erciyes Üniversitesi Veteriner Fakültesi Dergisi, c. 12, sy. 2, 2015, ss. 141-6.
Vancouver Gültekin Ç, Koç B. Geniş Torakolumbal Yaranın Punch Greft Uygulaması ile Sağaltımı. Erciyes Üniv Vet Fak Derg. 2015;12(2):141-6.