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Date:   05 September, 2011  

 Small animals - dogs, cats, hamsters, guinea pigs, turtles & rabbits
The inoperable gigantic circum-anal tumours
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS 
Be Kind To Pets
Veterinary Education
Project 2010-0129
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.

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tel: +65 9668-6469, 6254-3326 
Be Kind To Pets
Veterinary Education
Project 2010-0129
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Clinical Research

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