Articles by Steven F. Swaim, DVM, MS - Veterinary Medicine
  • SEARCH:
Medicine Center
DVM Veterinary Medicine Featuring Information from:

ADVERTISEMENT

Articles by Steven F. Swaim, DVM, MS

Reconstructive surgery techniques, Part 5: Walking sutures

When a large thoracic or abdominal skin wound is surrounded by sufficient skin to close the site, use this technique to close it without creating a flap or making additional incisions to attain relaxation.
Apr 1, 2010

Walking sutures are tension-type sutures that can be used to close large skin defects in areas where sufficient skin surrounds the wound that can be moved or stretched to close the wound.

Video: How to place walking sutures

Mar 31, 2010

Dr. Steven F. Swaim demonstrates how to place these tension-type sutures that can close large skin defects on the trunks of animals.

Video: Placing full-thickness mesh skin grafts (24:37)

Dec 1, 2009

In this five-part video, Dr. Steven Swaim demonstrates how to place full-thickness mesh skin grafts.

Skills Laboratory: Reconstructive surgery techniques, Part 4: Full-thickness mesh skin grafts

For mid- or distal-limb wounds that are well-vascularized but have insufficient surrounding tissue to close the wound, use skin from another site. In such cases, a full-thickness mesh skin graft can be used—it provides flexibility and stability to allow rapid vascularization and wound healing.
Dec 1, 2009

A full-thickness mesh graft is a sheet of skin that includes only the epidermis and the entire dermis and is fenestrated to allow for expansion and drainage.

Video: Placing multiple punctate relaxing incisions: Part 1

Oct 1, 2009

When a wound, especially one on a distal limb, is too wide for adequate skin apposition, consider creating these small incisions to relax the surrounding skin and allow for good closure.

Video: Placing multiple punctate relaxing incisions: Part 2 (3:34)

Oct 1, 2009

When a wound, especially one on a distal limb, is too wide for adequate skin apposition, consider creating these small incisions to relax the surrounding skin and allow for good closure.

Skills Laboratory: Reconstructive surgery techniques, Part 3: Multiple punctate relaxing incisions

When a wound, especially one on a distal limb, is too wide for adequate skin apposition, consider creating these small incisions to relax the surrounding skin and allow for good closure.
Oct 1, 2009

Multiple punctate relaxing incisions are small parallel, staggered incisions made unilaterally or bilaterally (usually bilaterally) in skin adjacent to a wound to relieve the tension associated with wound closure.

Skills Laboratory: Reconstructive surgery techniques, Part 2: Adjustable horizontal mattress suture

When a wound, especially on a limb, is too wide for initial skin apposition, this technique, which involves gradual suture tightening, may allow for closure without a skin graft or flap.
Aug 1, 2009

The adjustable horizontal mattress suture is indicated primarily for limb wounds that are either relatively new or are in the wound contraction phase and in which the edges cannot initially be apposed.

Placing an adjustable horizontal mattress suture to close distal limb wounds: Part 1 (4:32)

Jul 24, 2009

In this video, Dr. Swaim demonstrates how to place an adjustable horizontal mattress suture to close distal limb wounds.

ADVERTISEMENT

Click here