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Steps for genicular artery axial pattern flap in dogs undergoing MCT surgery

Mast Cell Tumor-MCT is a well known cancer in dogs, having malign potential on all grades and has a specific surgical requirements. Most of the times MCT is located in difficult body areas prompting both a large surgical dose and reconstructive surgery. In this case, one dog was diagnosed with a MCT in the lateral aspect of the left stifle. Initially the dog received a short steroidal treatment and the MCT reduced size. As a result, the MCT was 2.5 cm wide and 2 cm lateral margins were considered along with an intact deep fascial plane. First, as a precautionary measure, the reconstructive plan is put in place and an genicular artery axial pattern flap is harvested before MCT excision. Next step is proper MCt excision including the local lymphnode. Only after this surgical step the flap is transposed on the receiving area. The genicular artery axial pattern flap in dogs is nowadays considered robust and a good surgical technique for reconstruction in the hind limb area.

Size o MCT after steroidal course
  1. MCT in a dog-by Dr. Daniel Lescai
Latreal margins in respect to MCT and genicular artery axial pattern flap design

2. MCT area and genicular artery axial pattern flap design-by Dr. Daniel Lescai

Harvesting of the genicular artery axial pattern flap

3. Harvesting the genicular artery axial pattern flap-by Dr. Daniel Lescai

Completion of genicular artery axial pattern flap harvesting

4. Elevation of the genicular artery axial pattern flap-by Dr. Daniel Lescai

Protecting genicular artery axial pattern flap after harvesting

5. Protecting genicular artery axial pattern flap after elevation-by Dr. Daniel Lescai

Sentinel lymphnode excision after MCT excision

6. Sentinel lymphnode excision-by Dr. Daniel Lescai

Bridging incision for transposition of the genicular artery axial pattern flap.

7. Bridging excision-by Dr. Daniel Lescai

Suture of the genicular artery axial pattern flap on the receiving area

8. Final suture of the genicular artery axial pattern flap on the receiving area-by Dr. Daniel Lescai

De Dr. Daniel Lescai

Doctor in Medicina Veterinara