Management of Large Chronic Non-healing Wounds by Autogenous Platelet Rich Plasma and Reconstructive Surgery in Three Cats
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Date
2016
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Abstract
Case Description- Three domestic short haired cats (2, 5 and 4 years of age) were presented to the
Madras Veterinary College Teaching Hospital, with the history of large chronic, full thickness wounds on
the right lateral cervical, left caudal forearm and right lateral thoracic region respectively. Etiology of the
wounds was trauma in two cases and thermal burns in the third case.
Clinical findings- Physical examination revealed yellowish colored wound with putrid odour and
purulent discharge. The subcutaneous tissues were exposed; necrotic tissues and foreign debris were
noticed.
Treatment and Outcome- In all the three cases, mechanical debridement of the open wound was done
by lavaging with sterile normal saline (500 ml) mixed with amikacin sulphate (250 mg) with a 20 ml
syringe fixed with a sterile 22 gauge needle to produce a lavaging pressure of 22 psi. Autologous platelet
rich plasma was prepared, activated with calcium gluconate(10%) and applied on days 0, 7, 14
respectively on the open wound impregnated with chlorhexidene gauze and bandaging done. Once a
healthy granulation bed was formed, reconstructive surgery was planned and performed to close the
defect.
Clinical relevance- Application of platelet rich plasma remains a viable option for enhancing the
granulation tissue formation and early wound bed preparation, before large wounds could be
reconstructed with skin flaps. All the above three cases were treated with autologous platelet rich plasma
for early granulation and recipient bed preparation followed by reconstructive surgery.
Description
TNV_IJVS_2016_11(2)S.25(61-66)
Keywords
Veterinary Science