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Ask Dr. Altman Your Own Question
Dr. Altman
Dr. Altman, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 11683
Experience:  Practicing small animal veterinarian for 17 years.
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My dog had a abscess 3 weeks ago which is infection free now.

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My dog had a abscess 3 weeks ago which is infection free now. It has left a deep wound with a fisher the size of a pea through his ear. The vet now wants to staple it..... isn't that contraindicated with a wound that has been open for so long?

Dr. Altman :

Welcome! I am Dr. Altman, a licensed veterinarian and happy to answer your questions today.

Dr. Altman :

I completely understand what you are referring to

Dr. Altman :

Ideally would be to anesthetize Rasta and debulk the dead/ dying/ inflamed skin then suture it back together

Dr. Altman :

I typically do not use staples in the ear due to the sensitive tissue but every vet has preferences on how they treat surgically

Dr. Altman :

If the ear is healing well on its own then I am not sure I would interfere but if it continues to stay open and drain/ not heal then surgery might need to be considered

Customer:

I am an RN and with people if a wound dehis's we never reclose.. It then needs to heal from the inside out. It is a lg wound and will take a long time to heal this way but I am afraid that it will get reinfected if it heals outward before the inside catches up?

Dr. Altman :

I agree, if it is not debulked before suturing/ stapling then likely it will simply dehisce again

Dr. Altman :

In a 12 year old dog that has a 3 week ongoing infection I would let it heal by second intention

Customer:

He had injured his ear and needed surgery so it would stop filling with sero sang flui( drining wasn't sucessful). I thought they would do the quilting but they used this plastic appliance . They then sutured his ear up to the top of his head. The plastic rivit things rubbed a wound. So if they debulk first it should in your opinion it will wourk with the staples? I just read your response..... any idea how letting it heal this way would take?

Customer:

sorry about my typing... trying to hurry

Dr. Altman :

That's ok, no worries with spelling!

Dr. Altman :

I used the plastic a few times and had one do a similar lesion so I stopped using it after that

Dr. Altman :

I would prefer suturing the ear versus staples

Dr. Altman :

Since the ears rotate/ move regularly they can rotate in the ear and be upside down which can be quite painful to remove

Dr. Altman :

The ear is so sensitive!

Customer:

ok sounds good...... Thank you so much

Dr. Altman :

How long would it take...that is difficult

Dr. Altman :

It has already been three weeks so I would go on the lengthy side and say perhaps another 3 weeks

Dr. Altman :

Do you know if they have laser therapy?

Dr. Altman :

This can stimulate healing

Customer:

Right now I want them to fix their error.... They keep charging me for the additional tx due to this. I can only imagine what they would charge for laser.

Dr. Altman :

Laser therapy is not pricey

Dr. Altman :

It can range from $30-50/ session

Customer:

I will look into it then....... thank you!

Dr. Altman :

And one of their technicians can do it, since this is due to their errors, I would definitely discuss doing this at no charge

Dr. Altman :

Since it takes about 5 minutes to perform by support staff

Dr. Altman :

It is worth a try!

Dr. Altman :

Can I assist with any additional questions today?

Customer:

no thank you so much. You have been very helpful.

Dr. Altman :

Great! I truly wish you and Rasta luck in getting him to heal...

Dr. Altman :

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Customer:

Thank you

Dr. Altman :

You are very welcome!

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