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Objectives:
The deep circumflex iliac axial pattern flap (DCIAPF) is indicated for closure of large skin defects on the flank, proximal hindlimb, pelvis and sacrum. There are limited clinical reports describing complications of the DCIAPF with only 4 clinical cases reported in the literature. The objectives of this study are to report the complications and outcomes associated specifically with DCIAPFs.
Methods:
Medical records were reviewed from six referral centres for dogs undergoing wound reconstruction with a DCIAPF between 2000 and 2024. The incidence of complications and outcomes were documented.
Results:
Seventeen dogs met the inclusion criteria. Complications were reported in 11/17 cases (65%) with 8 minor (47%) and 3 major (18%). Complications encountered were dehiscence (53%), necrosis (6%), seroma (18%), oedema (12%) and post-operative infection (24%). Complications were managed without intervention in 24% cases, with antibiotics only in 12%, open wound management in 6% and repeat surgery in 24% of dogs. Outcome was good (uncomplicated healing or open wound management) in 76% and adequate (surgical procedure required for closure) in 24%. Complete healing was achieved in 100% of cases.
Conclusions:
This represents the largest case series of dogs undergoing DCIAPFs. The rate of complications is high but the majority of these are minor and managed without additional surgery. Long-term outcomes of DCIAPFs are excellent.
34th Annual Scientific Meeting proceedings
Stream:
|
Session: Small Animal Resident Forum - soft tissue
Date/Time: 03-07-2025 (17:45 - 18:00) | Location: Darwin Hall
Date/Time: 03-07-2025 (17:45 - 18:00) | Location: Darwin Hall
Outcomes and complications of deep circumflex iliac axial pattern flaps in dogs (17 cases)
Badham HL1, Burton CA*2, Alexander A*3, Baines S*4, De La Puerta B*5, McLarnon P2, Field E*1
1Bristol Vet Specialists, Bristol, United Kingdom, 2Davies Veterinary Specialists, Higham Gobion, United Kingdom, 3The Queen's Veterinary School Hospital, Cambridge, United Kingdom, 4Willows Veterinary Centre, Solihull, United Kingdom, 5North Downs Specialist Referrals, Bletchingley, United Kingdom.
Objectives:
The deep circumflex iliac axial pattern flap (DCIAPF) is indicated for closure of large skin defects on the flank, proximal hindlimb, pelvis and sacrum. There are limited clinical reports describing complications of the DCIAPF with only 4 clinical cases reported in the literature. The objectives of this study are to report the complications and outcomes associated specifically with DCIAPFs.
Methods:
Medical records were reviewed from six referral centres for dogs undergoing wound reconstruction with a DCIAPF between 2000 and 2024. The incidence of complications and outcomes were documented.
Results:
Seventeen dogs met the inclusion criteria. Complications were reported in 11/17 cases (65%) with 8 minor (47%) and 3 major (18%). Complications encountered were dehiscence (53%), necrosis (6%), seroma (18%), oedema (12%) and post-operative infection (24%). Complications were managed without intervention in 24% cases, with antibiotics only in 12%, open wound management in 6% and repeat surgery in 24% of dogs. Outcome was good (uncomplicated healing or open wound management) in 76% and adequate (surgical procedure required for closure) in 24%. Complete healing was achieved in 100% of cases.
Conclusions:
This represents the largest case series of dogs undergoing DCIAPFs. The rate of complications is high but the majority of these are minor and managed without additional surgery. Long-term outcomes of DCIAPFs are excellent.
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