Quantification of skin wound tension using a newly designed wound tensiometer.
Tierarztl Prax Ausg K Kleintiere Heimtiere
; 51(6): 386-393, 2023 Dec.
Article
en En
| MEDLINE
| ID: mdl-38056476
ABSTRACT
OBJECTIVE:
To (i) quantitatively measure wound tension in experimental skin wounds using a newly developed wound tensiometer and (ii) establish reference values for primary skin wound closure in medium- and large-breed dogs. STUDYDESIGN:
Experimental cadaveric study. ANIMAL POPULATION Nineteen dogs of medium to large breeds (BW 20 to 40 kg).METHODS:
Elliptical skin wounds of different sizes were created on the chest and abdomen. The wounds were gradually enlarged. Experienced surgeons (ECVS diplomates or professors of small animal surgery) and inexperienced surgeons (1st year after graduation) independently assessed wound tension through manual manipulation and determined whether the wound could be closed without tension-relieving measures. In addition, wound tension was objectively quantified using a newly developed wound tensiometer.RESULTS:
The upper threshold for wound tension at which direct appositional wound closure was recommended by the experienced surgeons was 5.4 N, and the median minimal tension without recommendations for closure was 6.0 N. The data also demonstrate that wound tension and wound size do not necessarily correlate, and inexperienced surgeons need to develop a feel for wound tension.CONCLUSION:
The intraoperative use of the wound tensiometer, in combination with established cut-off values, might facilitate decision-making regarding primary wound closure. CLINICAL RELEVANCE The findings of this study provide evidence for the applicability of a wound tensiometer in guiding inexperienced surgeons in their choice of the skin wound closure method.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Piel
Límite:
Animals
Idioma:
En
Revista:
Tierarztl Prax Ausg K Kleintiere Heimtiere
Asunto de la revista:
MEDICINA VETERINARIA
Año:
2023
Tipo del documento:
Article
País de afiliación:
Alemania