Skin Grafts Case 4
WARNING: Graphic Surgery Images Follow!
By Dr. Samuel Yoder
This is an 11-year old male neutered Borzoi. He presented with a large invasive sarcoma tumor on left flank. Removal of this tumor demands wide and deep margins to prevent recurrence. Unfortunately, this creates too much loss of skin to do a primary closure. Therefore a caudal superficial epigastric axial pattern flap was performed to take skin from his ventrum, or belly, to cover where the sarcoma tumor was removed.
Wide incision around sarcoma tumor on the left flank with surgical prep and draping in place.
Isolation of tumor for removal. A deep margin would occur next.
Start isolation of caudal superficial epigastric axial pattern flap for transfer to left flank.
Transfer of flap over where the sarcoma tumor was positioned.
Post-surgery with a compression bandage.
Awake and with pain relief.
Flap at two weeks post-surgery with small dehiscence (wound rupture along a surgical incision) cranially, or in forward area.
One year later with skin regrowth and sarcoma tumor-free!