Gangrenous mastitis in dogs.

Re: Gangrenous mastitis in dogs.

Richard Fox — Thu, 01 Mar 2012 09:55:06 GMT

Are you sure its not an inflammatory carcinoma/carcinomatosis - just a poss DDX

Re: Gangrenous mastitis in dogs.

Niall Taylor — Thu, 01 Mar 2012 09:22:43 GMT

As above - surgery is likely to give a worse end result than allowing healing by 2y intention. Had one a year or so ago - a ragged hole you could put a fist into, bitch absolutely well in herself. Took some persuading for the owner to agree but we left it, did frequent checks and it did brilliantly.

Cheers,

Niall

Re: Gangrenous mastitis in dogs.

Lorna McHardy — Wed, 29 Feb 2012 22:51:53 GMT

[quote user="Charlotte Marshall"]

Also when do you think is the best time to operate if it is heading that way? I feel that if you operate too early you would not be able to define the margins of the affected areas. The ones I have seen have been operated on once the area of dead tissue has become apparent but at that stage they have a gaping hole and surgery is not simple.

[/quote]

I've yet to operate on one at all. Hospitalization, i/v fluids, antibiotics and analgesia as needed. Lots of, for as long as it takes.

Re: Gangrenous mastitis in dogs.

Julian Earl — Wed, 29 Feb 2012 22:25:20 GMT

Yep, these are medical not surgical cases.

Re: Gangrenous mastitis in dogs.

Gillian Mostyn — Wed, 29 Feb 2012 20:24:22 GMT

Yep - wouldn't operate either

Re: Gangrenous mastitis in dogs.

Gerry Henry — Wed, 29 Feb 2012 20:21:07 GMT

Agreed; flush, debride, antibiosis, time.

Re: Gangrenous mastitis in dogs.

bob lehner — Wed, 29 Feb 2012 18:18:30 GMT

[quote user="Richard Carter"]Must admit I don't tend to operate, rx penicillin /clav and the ruptured glands seem to recover remarkably well - usually all closed up again within 7 days[/quote]

Agree - they can look horrendous, but like most abscesses can heal remarkably rapidly. Is it a good idea to operate in an area where adjacent mammary glands are likely to be in full lactation ?

Re: Gangrenous mastitis in dogs.

Richard Carter — Wed, 29 Feb 2012 18:07:18 GMT

Must admit I don't tend to operate, rx penicillin /clav and the ruptured glands seem to recover remarkably well - usually all closed up again within 7 days