Department of Surgery & Obstetrics
College of Veterinary MedicineUniversity of Mosul
This is always not successful. The pet will also go home with oral medication to be used for 10 days. This treatment is usually repeated in one week, although some cases are healed after the first week of therapy. Pets that don't heal after the second treatment need surgical treatment.
• Mild cases can be treated with heparin ( Thrombophob gel (German remadies) These may promote dispersion and absorption of blood
• Treatment for mite, lice, etc. to be resorted.
• Antibiotics can be administered to prevent secondary
bacterial infections
Department of Surgery & Obstetrics
College of Veterinary MedicineUniversity of Mosul
Surgical treatment:
The treatment of aural hematoma in animals will normally require surgery to be performed on the ear. Although the exact surgery involved will depend upon the cause of the damage. In some cases use may be made of needle aspiration. But recurrence of the condition is probable with this technique. Besides the damage itself, there is also the issue of any bacterial infection that may have been picked up and this could require a course of antibiotics.
Department of Surgery & Obstetrics
College of Veterinary MedicineUniversity of Mosul
The first step in the surgical procedure is draining of the fluid. An stab incision is made with a scalpel blade and the
bloody fluid is drained. If solid substance is present, dissolve it in normal saline and aspirate.
Department of Surgery & Obstetrics
College of Veterinary MedicineUniversity of Mosul
• During aural haematoma apply “thorough to through ”i.e. horizontal mattress suture along the whole thickness, both sides of incision site.
• In case of removal of immature haematoma, there are chances of reoccurrence.
• Obliteration of all the dead space by suturing. To prevent the hematoma from refilling with fluid, multiple sutures are placed in the hematoma space either vertically or horizontally, either partly through or completely through the ear flap, with or with outear cartilage removal.
• Sometimes bandages are applied post-operatively. Sutures are generally left in place for 3 weeks to allow good scarring to take place so that refilling will not occur.
Department of Surgery & Obstetrics
College of Veterinary MedicineUniversity of Mosul
TREATMENT
The treatment of haematoma can be grouped into two categories:1.Medical treatment
2.Surgical treatmentDepartment of Surgery & Obstetrics
College of Veterinary Medicine
University of Mosul
Abscess:
Circumscribe swelling containing pus.It consist of Wall, Pyogenic membrane, pus
Skin
Pyogenic membranePus
It varied according to tissue, organisms
An abscess is a collection of pus. Pus is a thick fluid that usually contains white blood cells, dead tissue and germs (bacteria).
The pus may be yellow or green and may have a bad smell.
The usual cause of an abscess is an infection with bacteria. Certain bacteria are more likely to be 'pus-forming' as they make chemicals (toxins) that can damage the body's tissues.
Department of Surgery & Obstetrics
College of Veterinary Medicine
University of Mosul
These include Staphylococcus aureus and Streptococcus pyogenes. The infection causes the immune system to set off white blood cells and chemicals to fight the bacteria. In this 'battle' some tissue dies. A cavity forms and fills with pus. The cavity becomes bigger if the infection continues and the pus can't get out.
Causes
Abscesses occur when an area of tissue becomes infected and the body's immune system tries to fight it. White blood cells move through the walls of the blood vessels into the area of the infection and collect in the damaged tissue. During this process, pus forms. Pus is the buildup of fluid, living and dead white blood cells, dead tissue, and bacteria or other foreign substances.
Abscesses can form in almost any part of the body. The skin, under the skin, and the teeth are the most common sites. Abscesses may be caused by bacteria, parasites, and foreign substances.
Department of Surgery & Obstetrics
College of Veterinary MedicineUniversity of Mosul
Hot or acute abscess
Cold or chronic abscess
Superficial abscess
Deep
abscess
General
abscess
Abscess
Department of Surgery & ObstetricsCollege of Veterinary Medicine
University of Mosul
Acute Abscess:
It forms after a period of 3-5 days from the infection, symptoms firm swelling very painful on manipulation , Hot , content gradually become softer, fluctuation under pressure, if left center become very thinDifferential diagnosis :
Cyst, Haematoma, Hernia, Tumor, Hygroma
Treatment:
1- Maturation
2- Opening
Department of Surgery & Obstetrics
College of Veterinary Medicine
University of Mosul
1- Maturation:
Application of hot fomentation or blister (Iodine ointment)2- Opening:
Until obviously fluctuating until all pus are collected in one cavity, if opened before all pus collected in one cavity secondary abscess may form in the inflammed tissue, Abscess usually opened with + Knife or Scalpel opening are made at most depended part of the region which is fluctuating , open by this way :
1- incise the Skin
2- push a blunt instrument such as artery forceps until enter cavity
3-Having opened the abscess explore the cavity with the finger to ascertain if it contains a foreign body or necrotic tissue
4-Counter opening may be done for provided good drainge to pus
5- Destroy the pyogenic membrane
6- Irrigation cavity with an antiseptic lotion after it evacuation
Department of Surgery & Obstetrics
College of Veterinary MedicineUniversity of Mosul
7-leave the open Abscess with out suture
8- Put a drian soaked with tincture iodine for better drainage9- Change drain every day until complete cleaning from any pus
Chronic Abscess
Show little or no inflammatory reaction, they developed slowly, are painless, or slightly painful, persist for along time , result from slight and repeated injuries
Chronic abscess may be classified as hard cold abscess, soft cold abscess
Hard cold is surrounded by hard fibrous tissues and contain small amount of pus
Soft cold abscess has a thin wall contain comparatively large quantity of pus
Department of Surgery & Obstetrics
College of Veterinary MedicineUniversity of Mosul
Symptoms:
Hard mass accompany with symptoms of inflammation which disappear after short time lesion assume more as fibroma of an abscessTreatment:
Same line a in acute abscess. Blister applied to render the abscess acute and bring pus to the surface before opening it
Department of Surgery & Obstetrics
College of Veterinary Medicine
University of Mosul
Cyst
Department of Surgery & Obstetrics
College of Veterinary MedicineUniversity of Mosul
Cyst :
Swelling containing fluid material and occasionally solid structure such as teeth and hair (dentegerious cyst, dermoid cyst)Characterized by
1- Uniformly fluctuating
2-non inflammatory and slowly in development
Diagnosis Expletory puntucre
Treatment:
1- Puncture to evacuated it contain and then injected with an irritant liquid such as Tincture iodine or 5% solution of carbolic acid to destroy it smooth lining and set up inflammation and granulation which lead to fill the cavity
2- Incision with scalpel to release the content followed by application of an irritant as in 1.
3- Excision of the cyst as tumor