Post spey complication

Re: Post spey complication

Martin Atkinson — Sat, 07 Dec 2013 09:59:50 GMT

I would suspect that it is a tracking deep wound infection given the time span from the spay to onset of symptoms. If you are fairly sure that a heat source is not responsible and you are certain there is no wound infection, then given the mammary gland involvement, I would consider necrotising fibroadenomatous hyperplasia. As the cat has now been spayed it should hopefully self-resolve with supportive therapy but the treatment for this is aglepistone 20mg/kg s/c q 7 days.

Re: Post spey complication

Hannah Wynne Richards — Sat, 07 Dec 2013 09:52:43 GMT

Justification for turning up the heating in both op and recovery rooms,rather than relying on heat pads/hotties in a cold room.

Wynne

Re: Post spey complication

Adrienne McPartland — Fri, 06 Dec 2013 22:58:44 GMT

There was no skin prep on the area, this was ventral midline and the clip and prep site was left flank.

No heat pads during surgery, animals are placed on bubble wrap on top of a vetoed. Hot water bottles used in recovery yes, sounds like a plausible reason unfortunately

Re: Post spey complication

Anthony Todd — Fri, 06 Dec 2013 22:02:18 GMT

[quote user="Anthony Todd"]We've had this sort of thing from both.[/quote]

Forgot to mention the damage is a function of temperature times duration and [from memory, it's been on here before] even only 42C if long enough will do it.....

There's a previous thread somewhere on here too

Re: Post spey complication

Mark Holmes — Fri, 06 Dec 2013 21:52:51 GMT

I have seen one day go home and fall asleep next to the radiator after surgery but usually this going is a heat source in surgery or recovery

Re: Post spey complication

Mark Holmes — Fri, 06 Dec 2013 21:50:48 GMT

I would almost guarantee some form of heat source during recovery, particularly if the coat was wet increasing heat transfer. Often microwaveable heat pads which can continue to heat up after they have been removed from the microwave. Assuming the cat has been spayed on the left flank and this was uppermost in recovery imagine the issue is on the right side ventral flank, as if it has been propped against something hot.

Re: Post spey complication

Mark Holmes — Fri, 06 Dec 2013 21:50:41 GMT

Re: Post spey complication

Anthony Todd — Fri, 06 Dec 2013 21:38:44 GMT

[quote user="Adrienne McPartland"]Any ideas on what might have lead to this? [/quote]

No heat pads used? ["Hot hands"]

Skin prep mixture used?

We've had this sort of thing from both.