Stitches NOT helping

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Stitches NOT helping

This is a discussion on Stitches NOT helping within the Dog Health forums, part of the Keeping and Caring for Dogs category; My dog had a tumor removed and it ended up being cancerous. The vet wanted to re-cut and take more skin to get it biopsied. ...

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Old 02-07-2017, 11:20 PM
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Stitches NOT helping

My dog had a tumor removed and it ended up being cancerous. The vet wanted to re-cut and take more skin to get it biopsied.

Everything came back clear from those biopsies. The problem we are having is that her stitches won't stay. There is a lot of tension in the are and it just keeps pulling.

We are doing everything we can to keep her quiet. But, it's just a really bad area.

Any advice on large wounds healing without stitches? I am very concerned. Vet tells me it can take awhile but the wound will slowly heal itself and create scar tissue.

The vet has been monitoring the wound about every 3-4 days.
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Last edited by LexiLou; 02-07-2017 at 11:28 PM.
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Old 02-07-2017, 11:49 PM
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that is definitely a bit nasty looking.
you might ask your vet about using EMT Gel on the area?
not sure if you're familiar w/ it -- but it is basically pure collagen gel, and IME it does a great job of sort of prompting/speeding up the creation of new flesh/skin, which is what it's designed to do.
I've used it on some big/bad wounds in "difficult" areas on horses & been thrilled w/ the results. it can be used on dogs as well.
I've never tried using it WITH stitches though. (but I've used it on wounds that really SHOULD have gotten stitches but didn't, and they always healed up remarkably well -- sometimes not even leaving a scar!)
ask your vet?
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Old 02-08-2017, 07:37 AM
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I'd be grabbing a second opinion on this one.
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Old 02-08-2017, 07:49 AM
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The area is a very very difficult one. It is right on her hip area. So, there is a lot of tension (that can't really be helped). I am told that wounds will heal themselves. We create scar tissue and the body wants to heal.

Anyone else experience nasty open wounds that the stitches wouldn't stay closed? I need some reassurance from people who have experienced bad wounds.

Thanks Superflyskye
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Old 02-08-2017, 08:13 AM
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These people may be able to shed some light @MdDVM @lzrddr
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Old 02-08-2017, 08:27 AM
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Did the vet give you any sort of sedative to help keep her quiet? I might be asking for something, it can't be good to continually be ripping her stitches, and I imagine it is painful as well.
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Old 02-08-2017, 11:33 AM
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It WILL heal even if sutures dehis. Have dealt with even larger wounds and nasty deglowing injuries and they have all healed with time. There are some things that can help speed the formation of healthy granulation tissue if it becomes an open wound. Your vet will guide you depending on what the wound bed looks like.
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Old 02-08-2017, 02:46 PM
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What is your vet currently doing to help the wound heal? And is your pet on any medications?
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Old 02-09-2017, 08:23 PM
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That looks "ugly"- I would be worried about the blackish areas along the "bottom" edge in the pics, is that scabbing, or the the actual skin? I'm not a vet, but would guess (from personal experience) that that area may slough off sooner or later, leaving the defect larger than it currently is.

Was it a mast cell tumor? My APBT, Haley, had a low grade 2 MCT removed from her hip/thigh when she was 6 or so. It started looking pretty gross (slimy, some separation despite the sutures and lack of activity on her part) around 3 or 4 days following surgery, and the vet warned me that MCT surgery sites can be slow to heal- I think they also either added or changed to a different antibiotic at that time as well. At 10 days post surgery, her vet recommended leaving the sutures for another week or so, because it was still looking like it might want to "unzip" if we removed the sutures. There were a couple little spots that were still gaping when we removed the sutures, but the bulk of it was healed. Her scar was pretty diffuse and ugly because of the separation of the skin at the incision, but hair eventually grew over most of it, and it never bothered her functionally. Her incision never looked as bad as your girl's, but hopefully you will see the same outcome. I would definitely try to restrict her as much as you can to prevent further trauma to the skin around the incision, just short walks to eliminate then back to a confined space (and make sure she's not licking at it!). Best wishes for fast healing and no recurrence.
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Old 02-10-2017, 06:27 AM
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Quote:
Originally Posted by MdDVM View Post
It WILL heal even if sutures dehis. Have dealt with even larger wounds and nasty deglowing injuries and they have all healed with time. There are some things that can help speed the formation of healthy granulation tissue if it becomes an open wound. Your vet will guide you depending on what the wound bed looks like.
Thank you. This sounds hopeful.


They have her on a strong antibiotic (that I have to touch with gloves) called chloramphenicol. She has an infection that is resistant to the Baytril she was on.

She gets Previcox for pain.

Trazodone to sedate her.

At her last visit on Wednesday, they took out the stitches (since they weren't holding anything together) and did some sort of bandage with honey.

Mast Cell tumors are common for her. This is the 4th one removed. However this was the first time that they found cancer cells in the surrounding skin. So, They went back in a second time to take more skin and tissue to biopsy. Luckily it came back all clear.

She goes back today for a bandage change.
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