Highlights of recent clinically relevant papers

The objective of this case series was to describe and evaluate full-thickness skin grafting of equine wounds. Six adult horses were used in the study. A full-thickness graft was harvested from the pectoral region with the horse anaesthetised or standing and sedated after local anaesthetic infiltration. Grafts were attached to the cutaneous margin of the wound with staples and/or sutures if the horse was anaesthetised or if the recipient site was desensitised. Cyanoacrylate glue was used to attach the grafts to the cutaneous margin of the wound of 3 horses. Medical records were reviewed for history, physical examination findings, grafting technique, post operative complications and outcome. Three horses had full-thickness skin grafting to cover a fresh defect created by excision of a cutaneous neoplasm and 3 had full-thickness skin grafting to cover a fresh or granulating laceration. Grafts were completely accepted in 5 horses. The superficial layers of all grafts sloughed, but the final cosmetic appearance of accepted grafts was good. The conclusions of the study were that full-thickness skin grafting can be performed in standing sedated horses with good cosmesis, especially when the meshed graft is expanded minimally. Good acceptance of a full-thickness graft can be expected, regardless of whether the graft is applied to a fresh or granulating wound.