Large chest laceration
Tilly was presented late in the day after running under a trailer which had a sharp bolt sticking out underneath it. The bolt got caught on the skin between her shoulder blades and tore a huge section of skin backwards towards her tail.
We sedated Tilly and gave her some pain relief and antibiotics. Amy, our head nurse came in from home and helped with the surgery. Tilly was placed on an IV drip and anaethetised with IV Alfaxan followed by Isoflurane gas.
The wound had lots of hair, grass and leaves in it. After flushing several times with sterile saline, the vet removed the debris in the wound. The skin edges were trimmed to provide a fresh edge. The fatty tissue and muscles under the skin were stitched together using an absorbable suture. Two Penrose drains were placed under the wound.
Tilly was sent home under restricted movement instructions. At drain removal 3 days later, there was pus oozing from the drains and the central part of the wound was breaking down. We decided to give Tilly another anaesthetic to clean up the wound.
At the second surgery, we removed some dead skin between her shoulder blades and on her sides. We resected dead infected fatty tissue under the skin. We decided to leave the wounds open to granulate, but left some stitches in place to keep the skin edges reasonably close together.
We applied Flamazine ointment to the open wounds and will be flushing them twice a day for the next few weeks.