Post anal sacculectomy complications

Re: Post anal sacculectomy complications

Mark Holmes — Fri, 17 Feb 2012 10:09:34 GMT

[quote user="Utlendigur"]

I had one like this several years ago - again a Lhasa Apso. Wounds looked fine, no swelling, no sinuses or discharge but just really irritated over several days post op. Tried various analgesics, antibiotics etc. Each time the dog came in I carefully and gently cleaned the area with dilute pevidene. On about the fourth visit I spent slightly longer than usual scratching my head and noticed that several minutes after cleaning the perineum it turned bright red (bit like an in-season baboon's). I then remembered that pre-op it had also looked very red, but assumed at the time it was due to the asking the nurse to give it a really good clean. The bloody thing was reacting to the pevidene (which I use because I react to hibiscrub!). As soon as I stopped bathing it daily it settled down within 24hrs!

Only other thing I can think of is whether it's related to pain on defaecating? Maybe some lactulose if it is.

[/quote]

Thanks everyone, I have tried most of the suggestions but had not considered the hibiscrub

Re: Post anal sacculectomy complications

Michael Woodhouse — Thu, 16 Feb 2012 23:42:30 GMT

I'm in the decent shot of steroid camp! It's amazing what will settle down quickly.

Re: Post anal sacculectomy complications

Utlendigur — Thu, 16 Feb 2012 19:36:29 GMT

Only other thing I can think of is whether it's related to pain on defaecating? Maybe some lactulose if it is.

Re: Post anal sacculectomy complications

Andrew Mellor — Thu, 16 Feb 2012 17:51:38 GMT

I had a couple of dogs like this possibly not as severe and I put it down to internal disolvable sutures as I tend only to use them if I manage to catch that tricky little blood vessel. more recently I have been more lucky had no bleeding and have not put any internal stiches at all and stapled the skin and the 15 or 20 dogs I have done this way have had no iritation at all. I may be out of order trying to teach a granny to suck eggs but if the dog is female have you checked that it has not got thrush from all the ab's and actually trying to itch/ lick vulva.

Re: Post anal sacculectomy complications

Bob Russell — Thu, 16 Feb 2012 17:34:17 GMT

Surgery in this area is very painful in man (not personal experience thank goodness!). Some individuals seem to have lower pain thresholds than others and will make a lot of fuss anyway. These are usually the ones that make a lot of fuss about their anal glands in the first place. The tiniest dose of ACP may be helpful but I am always cautious about using this in short nosed breeds. A few crumbs is my scientific dose for this breed and give a few crumbs more to effect!

It will settle!

Re: Post anal sacculectomy complications

Mark Holmes — Thu, 16 Feb 2012 17:27:45 GMT

I had her on antirobe but changed to baytril early on. Changed NSAIDS to pred out of desperation. Currently on fentanyl patch but will consider oramorph for her (or myself) if it continues!!!!

Re: Post anal sacculectomy complications

Mark Rowland — Thu, 16 Feb 2012 17:20:12 GMT

If its neurogenic pain, would Gabapentin help?

I would go with that alongside NSAIDS and tramadol or even some oramorph from a hospital (that would obviously sedate as well)

Goodluck

Re: Post anal sacculectomy complications

Dagmar Steele — Thu, 16 Feb 2012 16:59:21 GMT

I will be ducking afterwards and awaiting the bashing: If it's not on non-steroidals any more I'd give it a good solid dose of Dexamethasone.

Going into hiding now....

Re: Post anal sacculectomy complications

Edward Jones — Thu, 16 Feb 2012 16:58:36 GMT

Continuing the cycle of serial-pharmaceuticology : Clindamycin?

Personally I've found Antirobe to hit where both Baytril and metronidazole have failed.