title: Preventive incisional negative pressure wound therapy (Prevena) for an at-risk-surgical closure in a female Rottweiler.
abstract: This case report describes a combination of negative pressure-wound-therapy (NPWT) and NPWT assisted incision management after resection of an abscess located at the right thoracic wall in a Rottweiler. The patient had a history of severe incisional complications after surgical interventions performed in the past, including repeated episodes of wound dehiscence, major skin necrosis and infection with and without a multiresistant strain of Staphylococcus aureus and several episodes of open wound management with healing rates between months and a year. Wound closure after resection of the mass was performed as a staged procedure. After two days of open NPWT the wound was primarily closed and a preventive incisional vacuum assisted therapy (CI-NPWT) was started for 7 days. The patient was discharged during therapy with the portable device in place. The Unit was removed at day 7 post wound closure, suture removal followed at day 10. Wound healing was uneventful and no major complications occurred at a follow up time of 8 months. This is the first description of closed incisional negative pressure wound therapy in the dog.
authors.forename: M C
authors.initials: MC
authors.lastname: Nolff
authors.forename: K M
authors.initials: KM
authors.lastname: Flatz
authors.forename: A
authors.initials: A
authors.lastname: Meyer-Lindenberg
mesh_terms: D000038:Abscess / Q000150:complications / Q000601:surgery / Q000662:veterinary*; D000818:Animals; D004283:Dog Diseases / Q000517:prevention & control / Q000601:surgery / Q000628:therapy*; D004285:Dogs; D005260:Female; D054843:Negative-Pressure Wound Therapy / Q000662:veterinary*; D012307:Risk Factors; D013529:Surgical Wound Dehiscence / Q000517:prevention & control / Q000662:veterinary; D013530:Surgical Wound Infection / Q000517:prevention & control / Q000628:therapy / Q000662:veterinary*; D019616:Thoracic Surgical Procedures / Q000009:adverse effects / Q000662:veterinary*; D016896:Treatment Outcome; D014945:Wound Healing