Skip to main content
. 2025 Aug 12;12:1594631. doi: 10.3389/fvets.2025.1594631

Figure 2.

Six images depict stages of a surgical procedure on a dog's leg. Image A shows marked sections labeled a through d on the exposed tissue. Image B displays the flaps held with surgical clamps. Image C shows the sutured wound with arrows indicating specific areas. Image D highlights the dog's head and ear with surgical staples. Image E focuses on the healing progress of the leg area. Image F shows the dog post-recovery, looking alert and calm.

Surgery using a contralateral superficial cervical axial pattern flap and Penrose drain pexy. (A) In the illustrations of the surgical process, the midpoint (a) of the dorsal flap length was fixed to the caudal side of the right ear (a1). Endpoint (b) of the remaining dorsal flap length was temporarily secured using a towel clamp at the starting point (b1) of the head defect. The endpoint (c) of the ventral flap length was fixed to the cranial side of the left ear (c1), while the starting point (d) of the ventral flap length was secured to the cranial border of the right shoulder (d1). (B) Temporary fixation using a towel clamp, the midpoint of the dorsal flap length (a) Endpoint of the remaining dorsal flap length (b) the endpoint of the ventral flap length (c) the starting point of the ventral flap length (d) after the flap transplantation, any remaining empty space was addressed by bluntly separating the residual cervical skin and temporarily securing it using a towel clamp. (C) Placement of the Penrose drain (white arrow) and simple suturing after applying Penrose drain pexy. (D) Appearance of the remaining ear canal (white asterisk) on postoperative day 7. (E) Appearance of the grafted area on postoperative day 14 after removal of sutures and the Penrose drain. (F) Observation of hair direction at the graft site 10 months postoperatively.