Uso de retalho cutâneo padrão axial da artéria genicular medial no tratamento de ferida em membro pélvico de um gato

Abstract

This report encompass the use of the genicular artery medial pattern flap for treatment of a wound eith muscular exposure on a cat. The animal was seen by the surgical duvision of clinica veterinaria escola CVE of Pontifica Universidade Cátolica do Parana - PUC-PR. The animal first received a wound debridament and cleaning, with the goal to remove necrosis, lessen the contakinarion by microorganisms and stimulate tissue granulation. After 7 days of treatment of the wound site with topic and systemic antibiotics, every 12 hours, pain management, compressive bandages, with gauze, tie and sticking plaster. Reavaluation was scheduled after 24 hours, 48 hours, 72 hours, 7, 14 and 21 days. After 21 days post op, the removal of the sutures was performed,a focal necrosis point at the distal extremity was observed. The estabilished treatment course was estabilished with the use of Kolagenase topic cream and silver sulfadiazine 1% until complete closure of the wound. The wound was cleaned and creams were aplied every 12 hours, associated with bandages and the use of surgical clothing. The results indicate that the method is viable and is reccomended for extensive wounds and difficult location, with the present report, even with the necrosis at the extremity, the wound surface area was reduced greatly aswell as the recovery time that would have taken months to completely heal if left to close by second intention.