patients who require radiation therapy but have wound complications such as infection or dehiscence, it is often better to try to manage the wound complication before beginning radiation. This may not always be possible as tumor remaining in the wound may prevent wound healing. In these cases, it may be necessary to go forward with radiation in an open wound setting. In many cases, once acute effects have resolved, the wound can be closed. In these cases, strict adherence to the “no skin tension” rule is imperative.
While certain basic concepts of surgery will remain static for the treatment of neoplasia, pursuit of better options for our patients will require that the surgical oncologist remains adaptive. It is hopeful that the desire for improved outcomes will continue to improve the lives of our patients as well as their agents. Prolonging a quality of life for veterinary patients and advising their agents appropriately about the options that we have to offer should remain our goal as advances in therapy occur.
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