stitch up in a monitor

Re: stitch up in a monitor

Gillian Mostyn — Mon, 05 Jan 2015 18:07:18 GMT

Sad to hear that, but I hope it was reassuring...the wound breakdown was obviously nothing to do with your surgery! Better luck next time!

Re: stitch up in a monitor

Hannah Wynne Richards — Mon, 05 Jan 2015 15:11:10 GMT

Sorry to hear that.

Wynne

Re: stitch up in a monitor

HMC — Mon, 05 Jan 2015 13:40:57 GMT

[quote user="Martin Atkinson"]

[quote user="Gillian Mostyn"]maybe a crush injury???[/quote]Yup washing machine v lizard doesn't sound good odds for the latter.

[/quote]

Indeed. Just heard the exotics team put him down and the report looks like they suspect crush injury to be the contributing factor.

Re: stitch up in a monitor

Martin Atkinson — Tue, 30 Dec 2014 18:02:00 GMT

[quote user="Gillian Mostyn"]maybe a crush injury???[/quote]Yup washing machine v lizard doesn't sound good odds for the latter.

Re: stitch up in a monitor

Gillian Mostyn — Tue, 30 Dec 2014 16:59:13 GMT

Sounds like avascular necrosis - maybe a crush injury???

Re: stitch up in a monitor

Michael Woodhouse — Tue, 30 Dec 2014 15:43:15 GMT

[quote user="Hannah Bose"]something I do not understand: the skin, which had been undamaged caudal to the wound then sprung apart. And the original wound has opened up[/quote]

Something like a thermal burn?

Re: stitch up in a monitor

HMC — Tue, 30 Dec 2014 15:10:34 GMT

Thanks. I'm guessing an arboreal? That's just based on the fact that the owner described him as active normally.

He has now been referred to Great Western Exotics as the skin broke down further- and this is something I do not understand: the skin, which had been undamaged caudal to the wound then sprung apart. And the original wound has opened up.

I will be very interested to read the referral report.

Re: stitch up in a monitor

Marie Kubiak — Mon, 29 Dec 2014 08:17:22 GMT

What kind of monitor? Boscs and ackies tend to do better as they are slow and have plenty of loose skin, but with an arboreal, active species you will have more likelihood of wound breakdown if glue alone was used.

Staples are an option if it breaks down - they have some mild eversion and may be less traumatic to the already damaged skin, failing that leave it to granulate as long as a large area of muscle isn't exposed.

I don't particularly like baytril injectable as it can cause necrosis of skin and muscle, marbocyl is better for ongoing treatment, or a penicillin/cephalosporin. Make sure the owner has a reasonably hygienic set-up (soil substrate and large water dishes to bathe in are common but not good in this situation!).

Marie

Re: stitch up in a monitor

mariette asselbergs — Sat, 27 Dec 2014 13:57:59 GMT

When I read the above I was initially confused. What is the relationship between a washing machine and a monitor?

Don't we have an interesting job?

Mariette

Re: stitch up in a monitor

HMC — Sat, 27 Dec 2014 13:07:06 GMT

Thanks. The monitor escaped and the owner single-handedly held the washing machine propped up with one hand and retrieved monitor with the other, inadvertently damaging the reptile's back.

Re: stitch up in a monitor

Gillian Mostyn — Fri, 26 Dec 2014 18:06:54 GMT

Sounds like you did fine. The basic surgical principles of would cleaning/debriding and suture apply. The biggest difference is that skin sutures should have an everting pattern, and will need to remain for about 6 weeks. Warn the owner to keep a check on the scar...future sheds can be difficult.

I would continue with the metacam for a few days and baytril for at least a couple of weeks.

What happenedcto cause the wound?