Spay wound looking bad

    • Gold Top Dog

    Spay wound looking bad

    So Bogey got spayed back in the early part of November and her wound still has not healed completely.  In fact it looks like its getting worse.  I took her the vet that performed the operation about a week ago and he said that she was having a suture reaction.  He said that it should clear up within a month, but I'm really concerned because it doesn't look like its getting any better.  The incision looks really bumpy and kinda red, some of the bumps have even busted open.  It was like this when I took her to the vet, but he didn't really seem to concerned about it, he just said to wait it out.  So my question is, is there anything else I can do for her or should I just wait it out like the vet said?
    • Gold Top Dog
    Your vet is right, it could be a reavction.
     
    If you dog did too much activity while the sutures were in, that can be a contributing factor also.
     
    Also, there could be a suture INSIDE of her, and that is not uncommon.
     
    Ask the vet if there is an anti biotic he can put her on, because you are concerned.
     
    At this point, I qwould just watch her for the next couple weeks.
     
    My dog had the same thing, and it eventually healed, but she looked like she had been grilled on a BBQ
    • Gold Top Dog
    Or you could ask for a second opinion from another vet.
    • Gold Top Dog
    I would agree that its probably a suture reaction... but the only thing you can do about it is to go in and remove the sutures, which would involve putting in new ones and starting all over. You just need to wait for the body to remove the absorbable suture material on its own.

    I'd keep some neosporin on her suture site, and find out what brand of suture material your vet used so that they don't use it again in the future.
    • Gold Top Dog
    So my question is, is there anything else I can do for her or should I just wait it out like the vet said?

     
    It's hard to say without looking at it, hint hint (do you have a camera?)  The absorbable suture we use, depending on what type (chromic, vicryl, monocryl, PDS) takes between one week and 2 months to go away.  It is very common for the wound to become red during this process, but just right at the incision not spreading outwards. If they used non-absorbable (nylon, prolene) suture under the skin which some people do, you should not see that type of redness, but you can get stitch abscesses which cause chronic draining ouy of little holes.  Sometimes bumps become more visible/palpable when the swelling goes down and you can actually feel the stitches under the skin. When the bumps break open, what comes out?  I wouldn't recomend putting anything on it for now since I can't really see exactly what's wrong.  I have to say, it's not usual to see a wound causing this much trouble two months out.  I agree with maybe a retrun vet visit if things don't improve.
    • Gold Top Dog
    havn't read, or rather digested the prvious answers but if this were my patient I weould sedate the pup and reach in with a foircept and pull the undisolved knot out...Obviously not seeing it but  I would be wuilling to bet that  there is a know that has not disolved..
    • Gold Top Dog
    ssheesh,,,,KNOW should be KNOT
    • Gold Top Dog
    When the bumps open up some kinda of fluid comes out, its not puss and its clear.  Sometimes they bleed, but not much.  Anyway, here is a picture so you can see for yourself

    • Gold Top Dog
    Looks like stitch abscess, I would see if the vet can find the culprit knot and yank it :) Even if he/she can't find it easily, if it's absorbable suture, it will eventually go away on it's own, just more of a pain.
    • Gold Top Dog
    My WORD I would have freaked had I seen that on my girls.  Honey had only been spayed about 3 weeks before we got her and all she had was a white scar and that is gone now.  We had KayCee spayed and her incision was as neat and clean as my appendix operation incision.  Her's was never even pink much less red and we can't find a scar on her either now.
     
    I have read other posts on forums about suture rections, bumps, etc, but never saw a picture before.  I sure hope all goes well for her.
    • Gold Top Dog
    That looks terrible ..Poor baby..I would take her back to the vet...
    • Gold Top Dog
    "...spayed back in the early part of November and her wound still has not healed completely.  In fact it looks like its getting worse"
     
     
    I like what dvet said. Looks like Ottoluv said the same.   I think you should be getting more response than what you recieved from the vet whom did that surgery.
     
    Did he offer any other medication to reduce the supposed reaction at all?   Prophylactic antibiotic?
     
    I would worry about the wound becoming septic, and worse.
     
    That is a long time to be sitting on this issue...November to January...
     
    Would anyone else recommend a different vet?  Healthy healing asap is important to prevent tissue death.
     
     
    • Gold Top Dog
    Did he offer any other medication to reduce the supposed reaction at all?   Prophylactic antibiotic?


    There is no indication for an antibiotic, it is not an infection but a local reaction to a foreign body. There isn't any medication that will make that go away, you have to remove the foreign body. There is no such thing as prophylactic antibiotics (other then one dose prior to surgery as studies have shown decreased wound infections with ONE dose), they are meant to treat a documented infection. Giving them out for no reason is why there is so much drug resistent bacteria out there. If the sutures are disolvable it will eventually go away, sometimes if the stitches aren't easy to get at you can get into more trouble by digging around. I don't think there is any good reason to switch vets unless the OP doesn't feel comfortable with this one. The diagnosis was correct.
    • Gold Top Dog
    ORIGINAL: ottoluv

    There is no indication for an antibiotic, it is not an infection but a local reaction to a foreign body. There isn't any medication that will make that go away, you have to remove the foreign body. There is no such thing as prophylactic antibiotics (other then one dose prior to surgery as studies have shown decreased wound infections with ONE dose), they are meant to treat a documented infection. Giving them out for no reason is why there is so much drug resistent bacteria out there. If the sutures are disolvable it will eventually go away, sometimes if the stitches aren't easy to get at you can get into more trouble by digging around. I don't think there is any good reason to switch vets unless the OP doesn't feel comfortable with this one. The diagnosis was correct.

    So you're saying I should just wait it out then?
    • Gold Top Dog
    I do know about the frustration of antibiotics being doled out and many folks don't finish the prescribed dosage (when the patient feels or looks better they stop the regimen but have not completely gotten rid of the infection), creating stronger and evolved strains of bacteria.   But that wound does look like it a potential infection if it is not already.    Owner said the seeping is not purulent, but that could change and does the dog have a temperature ?
     
    The owner of this dog says it is worse and it is a long time since that surgery.  What about something to help the skin integrity.  (first defense to infection is broken down there, and worsening)  What if it continues to break down and then doctor decides to go in again?  What would be the next step to heal that wound, when skin is macerated to the point where you can not suture it back together. 
     
    Usually I think it is best to stay with the same doc, but just asking here.  If a client is comfortable and is able to ask questions, have thorough exam and the pooch stays healthy and heals up sooner rather than later, I agree that there would be no need to change vets.
     
    Seems like not only does society have to battle with evolved bacterium, but also the huge rise in allergies - both human and animal!