結紮第44天.傷口不癒合! 

請問狗狗結紮手術縫線??

版主: doggydc, Jeff Wang, JLLinVET, 艾咪

結紮第44天.傷口不癒合!

文章WANGWANG » 2008-07-29, 14:44

請問狗狗結紮手術縫線..一般應為體內是可吸收~體外為不可吸收嗎??
1.名字: 旺旺
2.年齡: 4歲
3.犬種: 臘腸
4.性別: 公
5.體重:8.5kg
6.病史: 結紮後遺症~傷口感染
7.發病經過、症狀: 5/31結紮..44天傷口一直不癒合
8.醫師的診斷: 傷口感染
9.醫師的治療方式:體外肉線縫合~14天後因傷口流血水肉線拆線~事後傷口一直無法癒合..醫生用手清理傷口~擠膿水 ..擦優碘
10.請儘量提供相關檢驗資料、x光片、Video檔:
11.欲詢問醫生之問題:請問結紮使用的體內縫線是否會導致傷口不癒合???到底是體內縫絲線~體外縫可吸收線是正確的嗎??

麻煩醫生替我解惑,謝謝!!




97/5/31-我家狗狗結紮…醫生體外用肉線縫合且說無需在回門診拆線..術後沒有打針也沒有拿藥吃.不需要給消炎藥嗎?
他說每家做法不一~再者這是小手術~能不吃藥就不吃~
97/6/14-狗狗傷口流血水~醫生說可能狗狗體質對體外縫合肉線會過敏∼所以會發炎流血水.外面的肉線拆線.打上2針.清傷口吃藥2天…5天之後再複診!要我每天使用優碘清潔傷口.
97/6/23~6/28-蛋曩腫大~每天帶狗去醫院清理傷口..我問為何傷口遲遲未好.. 醫生說傷口感染~要清乾淨擦優碘.在他清理傷口也沒帶過手套.
7/5-傷口一直在流膿水也紅腫…於是又帶去給醫生門診.清理傷口.又打2針拿藥吃2天!
7/10-又去門診問醫生為什麼狗狗傷口還沒好?可能環境不夠乾淨導致他一直好不了.又清理傷口
5╱31∼7╱14..結紮第44天了!傷口一直開開合合!我自行另求其他醫院看診
7╱19-又到別家醫院求診.在清理傷口擠出膿水時~居然擠出一個線頭..體內縫線為絲線
麻煩醫生替我解惑,謝謝!
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最後由 WANGWANG 於 2008-07-30, 01:41 編輯,總共編輯了 5 次。
WANGWANG
 
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文章MARY拔 » 2008-07-29, 15:15

朋友我知道你很緊張,但是該填的還是填一填!
http://www.dogchd.net/viewtopic.php?t=7893
頭像
MARY拔
 
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文章WANGWANG » 2008-07-29, 16:52

linsang 靈貓 阿偉 寫:朋友我知道你很緊張,但是該填的還是填一填!
http://www.dogchd.net/viewtopic.php?t=7893


謝謝你!!
我已重新填寫!
WANGWANG
 
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文章doggydc » 2008-08-01, 00:29

Normally we use absorbable suture material for internal closing and non-absorbable for skin closing. There is no major problem to use non-absorbable material inside if there is no severe tissue reaction or infection(sometimes we have to use non-absorble material for special condition). The inflammation can be allergic/hypersensitive related.
Most of the skin incision should heal up in 1-2 weeks span, so we always remove the skin sutures in 2 weeks.
There may have some allergic reaction to suture material, or foreign material or/and infection inside the lesion if the incision is still open like the picture you shown here.
I recommand you better ask your doctor to do an exploratory clean procedure to find out the real problem as soon as possible.
doggydc
 
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非常謝謝Dr.doggydc!!

文章WANGWANG » 2008-08-02, 02:24

doggydc 寫:Normally we use absorbable suture material for internal closing and non-absorbable for skin closing. There is no major problem to use non-absorbable material inside if there is no severe tissue reaction or infection(sometimes we have to use non-absorble material for special condition). The inflammation can be allergic/hypersensitive related.
Most of the skin incision should heal up in 1-2 weeks span, so we always remove the skin sutures in 2 weeks.
There may have some allergic reaction to suture material, or foreign material or/and infection inside the lesion if the incision is still open like the picture you shown here.
I recommand you better ask your doctor to do an exploratory clean procedure to find out the real problem as soon as possible.



非常謝謝Dr.doggydc你的解說....
我也會立即我也會另請其他醫生為他看診!
在文中提到通常使用可吸收縫線做為體內縫合...及不可吸收為體外縫合線!
那通常是在那種特別的情況下會用到不可吸收線做為體內縫合呢???
是重大的傷口?還是有什麼樣的特別因素用上不可吸收線做為體內縫合呢???

煩請Dr.doggydc 解惑!!

非常謝謝!!
WANGWANG
 
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文章doggydc » 2008-08-02, 13:17

it is so difficult(too many factors to put into consideration) to tell you what situation to use nonabsorbible material internally.
It all depends on the surgical site condition and doctor's experience and preferance.
Infection or non-infection condition is the major factor to decide the choice of suture material.
doggydc
 
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