Be Kind To Pets educational story is to share my veterinary experiences with younger vets in other parts of the world as most veterinary surgical books are too brief on the overall management of the case of a large oval anal wound in a cat.
Jun 26, 2007 3.17 pm
What to do with such a large infected oval wound near the anus? The cat had licked out the fatty tissues under the skin. A big gap of 0.5 cm deep. She had stopped pooping. How to close such a big gap successfully?
1. Ideally, put the cat on antibiotics for a few days. Was the wound. But the wound is large.
2. The cat was fat, at 5.5 kg. Would she be able to survive the injectable general anaesthetic?
3. Anaesthesize the cat using xylazine and ketamine.
4. Clip the hairs, wash the areas. Syringe in 6% hydrogen peroxide.
5. Debride --- cut off dead skin edges and remove dead tissues from inside.
6. Relieve anal sacs of oil. Greyish brown oil seen from left gland. Right gland must have had ruptured resulting in a big hole.
7. Trim edges of wound --- convert to diamond shaped wound.
8. Undermine tissues to get loose skin.
9. Cut lowest end to extend the wound. Z-shaped wounds sutured.
10. Avoid anal sphincter (near the anal ring).
11. Elizabeth collar size 10.
12. Best to ward cat for 10 days but owner wants her home.
13. Warn the owner to confine the cat and if she runs around the home, she may rub stitches off.
14. In 14 days, wound will heal and stitches to be removed.
The owner did not return for stitch removal as she was a nurse in a hospital and I presumed everything was all right with the wound healing.
1 comment:
great informative photos,
my vet did not stitch the wound but let it open to heal, the wound looks well cut and not very messy. too bad i did not take any photos.
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