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Objectives:
The deep circumflex iliac axial pattern flap (DCIAPF) is indicated for closing large skin defects on the flank, proximal hindlimbs, pelvis, and sacrum. Only four clinical reports describing DCIAPF complications were found in the literature. This study aimed to describe the DCIAPF-specific complications and outcomes.
Methods:
The medical records of dogs undergoing wound reconstruction with a DCIAPF between 2000 and 2024 in six referral centres were reviewed. The complication incidences and outcomes were documented.
Results:
Seventeen dogs met the inclusion criteria. Complications were reported in 11/17 dogs (65%), eight minor (47%) and three major (18%). The encountered complications included dehiscence (53%), necrosis (6%), seroma (18%), oedema (12%), and post-operative infection (24%). The complications were managed without intervention in 24% of the dogs, antibiotics in 12%, open wound management in 6%, and repeated surgery in 24%. The 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 all cases.
Conclusions:
This was the largest case series of dogs treated by a DCIAPF. The complication rate was high, but most complications were minor and could be managed without additional surgery. The long-term outcomes of DCIAPFs were excellent.
34th Annual Scientific Meeting proceedings
Stream:
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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 17 Dogs
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 closing large skin defects on the flank, proximal hindlimbs, pelvis, and sacrum. Only four clinical reports describing DCIAPF complications were found in the literature. This study aimed to describe the DCIAPF-specific complications and outcomes.
Methods:
The medical records of dogs undergoing wound reconstruction with a DCIAPF between 2000 and 2024 in six referral centres were reviewed. The complication incidences and outcomes were documented.
Results:
Seventeen dogs met the inclusion criteria. Complications were reported in 11/17 dogs (65%), eight minor (47%) and three major (18%). The encountered complications included dehiscence (53%), necrosis (6%), seroma (18%), oedema (12%), and post-operative infection (24%). The complications were managed without intervention in 24% of the dogs, antibiotics in 12%, open wound management in 6%, and repeated surgery in 24%. The 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 all cases.
Conclusions:
This was the largest case series of dogs treated by a DCIAPF. The complication rate was high, but most complications were minor and could be managed without additional surgery. The long-term outcomes of DCIAPFs were excellent.
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