Gigantic circum-anal
tumours - a type of surgery where fools go in where
angels fear to tread as the dog is very old and the
post-operation complications of not healing well are
present.
Other than the
very anaesthetic risks of operating on a very old dog,
the other challenge is getting sufficient skin to stitch
after excision of the gigantic circum-anal tumours.
There may be large skin gaps which cannot heal well and
therefore get infected.
Should this surgery just be rejected as being
inoperable? What is inoperable? It means that it is a
surgery not suitable for operation without risk. Another
example is that the tumours are malignant and have
spread to other organs i.e. metastasized, rendering
surgery useless.
I study the 3 images. In this type of high risk case, a
short surgery of less than 15 minutes under just
isoflurane anaesthesia is best for survival.
Unfortunately, this will be at least one hour operation!
I got the dog on antibiotics and Tardak injection for 7
days first. Blood test showed high liver ALT and urea.
To operate or not to? The dog may just die on the
operating table. It is a very difficult decision for the
owner.
TOA
PAYOH VETS
