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Pet Forum / Miscellaneous / Animal Health / January 2004Bad vet?
Hello, I have a question, I had a 6 month old kitten spayed on Monday, the vet said he would glue her, which was fine with me, but the day after she got home, it looked like the insision was opening up. I took her to another vet and she said there was WAY to much glue on her and it was mixed in with the internal stitches (a real mess). Took her a while, but she took most all of the glue off of the cat. She (the vet) said it looked like it was done by someone that didn't know what they were doing. The actual vet that did it, has been in business for over 30 years. When I called him to ask about it, he just said everything went fine in surgery, and made me feel like the bad guy?? I just feel bad about the whole thing, the cat is wore out had a very stressful week, plus I know the old vet and am so dissapointed in him. Any thoughts, would be helpful. Thank you, Aimee Sorry Aimee but your old vet is a quack. This is a very easy "routine" surgery. Any surgery can go wrong, but this was botched. Switch vets. Sounds like the 2nd vet has more on the ball. Mary Ellen (vet tech) > Hello, > [quoted text clipped - 14 lines] > > Thank you, Aimee Dear Aimee, This type of a scenerio is very unfortunate. However, I am an old vet as well. 37 years to be exact which brings a lot of experience to the table. We use glue on almost all of our cat spays with excellent results. Most of our incisions are less than an inch long and gluing the incision is a good option. There are two other layers of incisions underneath the skin so the whole incision is not glued. The advantage to this is that it is quicker and saves time which results in less cost the the customer and then they don't have to bring the kitty back for suture removal. There are several skin glues on the market. Some leave what looks like a huge amount of residue on the incision and the owners sometimes have a problem with this. However, this falls off during the healing process and gives a real nice incision line. The one we currently use is a newer one which does not do this. However, However and I say this twice. The incision line is adequate in most instances but there can be a time if the cat puts excess stress on the incision this can break down. Overall I wold vote for the glue for the above reasons and for overall client satisfaction. One must remember there are pro's and con's to every procedure and one must make a judegment based on the whole picture rather than just on one cat. If this happens we of course take care of the problem without any additional expense to the owner. It is unfortunate that this old vet was labeled a quack within the context of using glue on one spay incision. It is a fine procedure in nearly all cat spays and one must keep in mind that coventional sutures do also cause problems including clients that do not return to have the sutures removed. In fact we had more of a problem with complications from non removal than we have with the glue. I hope this explains the situation a little. And I hope that your kitty is making a good recovery. OLD VET >Sorry Aimee but your old vet is a quack. This is a very easy "routine" >surgery. Any surgery can go wrong, but this was botched. Switch vets. Sounds [quoted text clipped - 18 lines] >> >> Thank you, Aimee >I have a question, I had a 6 month old kitten spayed on Monday, the vet >said he would glue her, which was fine with me, but the day after she >got home, it looked like the insision was opening up. I took her to >another vet You don't mention whether you contacted (or tried to contact) the veterinarian who did the surgery at the time you first noticed that there may be something wrong. It is very difficult to tell about a problem in a surgical incision - whether it was done poorly or whether it was disrupted by the patient. If you had enough faith in the surgeon to trust your cat for spaying in the first place, it would have been wise to attempt to contact him before going to the second one. Most veterinarians respond very readily if we suspect that a surgical patient is having problems. Use of "glue" (cyanomethylmethacrylate) is more recent than conventional sutures. I have been using stainless steel sutures in feline skin closure for almost 40 years. I'm sure that is considered archaic but it gives me comfort to think that (a) the material is strong enough to resist most attempts to dislodge it (b) it has no chemical reaction at least over several years (c) the sharp ends discourage licking. Perhaps if I had "cut my teeth" on adhesive instead of adfixing them with it , I would think otherwise. Stephen Dubin VMD > Use of "glue" (cyanomethylmethacrylate) > is more recent than conventional sutures. [quoted text clipped - 9 lines] > on adhesive instead of adfixing them with it > , I would think otherwise. Do some vets really glue as the primary closure? I use tissue glue, but only if needed at the edge of my incision to close up the hole where I buried the knot from my subcuticular suture line (sorry for the run-on sentence :-)). I used to use nylon for skin sutures on all spays/dog neuters, but my current boss doesn't put in any skin sutures on routine surgeries. Spays still get closed in 3 layers, it's just a buried suture rather than skin sutures. I was skeptical at first, but it seems to work really well. Not having any sutures there means that most cats leave their incisions alone. The only problem I have is if I accidentally put too much glue, then it seems to cause some irritation. Just curious... Deborah, DVM |
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