Laceration Repair in Dogs & Cats
· A laceration is a wound produced by the tearing of body tissue. Unlike an incision with smooth edges, a laceration is often jagged and irregular.
· As a result, there can be variable degrees of damage to the underlying body tissue and structures depending on the depth and force of the trauma that caused the laceration.
Indications for a Laceration Repair:
· Surgical repair is indicated whenever the laceration occurred recently and is large enough to warrant sutures. Very small lacerations or punctures typically do not require surgical repair. Proper wound cleaning and medications prescribed by your veterinarian may be sufficient in very small wound.
Pre-operative Tests:
· Preoperative tests depend in part on the age and general health of the animal as well as the cause of the laceration.
· If a sharp object or bite from another animal is the cause, simple blood tests, such as a packed cell volume or blood count, may be done prior to anesthesia.
· In case it is associated with major trauma, extensive tests such as radiographs, blood count, serum biochemical tests, a urinalysis and possibly an EKG may be necessary.
· Repair of the laceration may even be delayed until the animal is stabilized and more severe injuries are treated.
Laceration Surgery:
· Initially, the hair surrounding the laceration is clipped. The area is scrubbed with surgical soap and disinfectants to remove any debris. Dead or severely damaged skin is trimmed off.
· Depending on the depth of the laceration, multiple layers of sutures (stitches) may be needed to close the laceration. Absorb-able sutures are used to bring the edges of the underlying tissues together.
· The outer layer of skin is closed with sutures or surgical staples; these need to be removed in about 10 to 14 days.
Risks & Complications:
The major risks accompany large lacerations and lacerations associated with significant trauma and are those of general anesthesia, bleeding (hemorrhage), postoperative infection and wound breakdown (dehiscence) over the incision
Aftercare:
· Postoperative medication should be given to relieve pain, which is judged in most cases to be mild to moderate and can be effectively eliminated with safe and effective pain medicines.
· Since lacerations are typically contaminated with debris and bacteria, antibiotics are usually prescribed.
· The home care requires reduced activity until the stitches are removed in 10 to 14 days.
· The suture line should be inspected daily