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Thread: Large Hematoma after TPLO surgery

  1. #1
    Pooper scooper ssesler's Avatar
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    Default Large Hematoma after TPLO surgery

    My Truman ruptured his ACL and had TPLO surgery on Dec 6th. He had the typical after surgery swelling, but it went way down by the 12th. On the 13th, I noticed that he had significant swelling above the staples and he started dragging his leg. I contacted the vets office who did his surgery and they suggested I take him to my primary vet (because I live 2 hours away from the vet who did the surgery). My primary vet thought the swelling was normal and believed he was dragging his leg due to pain. (He was still on Tramadol, but he finished the Rimadyl the day before) My vet suggested continuing the Rimadyl and he put Truman on an antibiotic (he was not given one after surgery). Well, yesterday his leg got larger. I called the vet who did the surgery and had to leave a voicemail. Had to call back and finally spoke with the vet. I emailed him some pictures to which, when he saw them said, ďOH MY. He has a large hematomaĒ The vet thought Truman had ripped his internal stitches. (Not certain how this happened as heís been with me 17 hours out of the day and in his crate for the remainder.) Anyway, I was told to put warm compresses on the hematoma. I did as instructed, but today itís even larger! My poor baby is a puppy mill rescue baby. Heís been through 7 surgeries and now is going through this. He seems to be ok, eating and drinking wise, but looks miserable. I have an appointment on Monday to get his staples removed and the vet who did the surgery will evaluate him at that time, but I donít know if I can wait that long! Has anyone else had experience with this??? Should the hematoma get larger? Iím wondering if I should put cold compresses instead of using warm. Iíve searched the net, but canít find anything. <SIGH> Any input would be greatly appreciated.

    -hematomaphoto-jpg-tphoto-jpg

  2. #2
    The Ultimate Sourmug Sherry's Avatar
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    Default Re: Large Hematoma after TPLO surgery

    Oh dear, I've heard and have, a female who, when she was spayed, filled with fluid causing a very large lump. She was allergic to the stitches witch is common, sorta. The vet argued with me and of course I won, we drained the bulge, it was bloody infection, as I had suspected. Needless to say, I have a new vet. Does it drain at the staple area when you lightly squeeze it? If so, that can be fixed by removing those staples and draining. Drawing fluid out with a syringe. the poor guy has really been through enough already. Does the area feel hot to the touch? that's another sign of the infection. Bet Monday can't come soon enough for the two of you.

    Oh and by the way , hes a lovely fella, really cute. He's lucky to have you. Thanks a bunch for being his best friend.
    Life is like a box of chocolate covered

  3. #3
    Pooper scooper ssesler's Avatar
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    Default Re: Large Hematoma after TPLO surgery

    Thank for responding! The incision site looks good. No drainage. The area is warm though and is more red than it has been. My primary vet did give me an antibiotic, but that was a week after the surgery was done. The surgeon said he was given IV antibiotics before and during surgery.

    Allergy to sutures... I will definitely ask about that. Good to know!

    And no... Monday can not come soon enough.

  4. #4
    The Ultimate Sourmug Sherry's Avatar
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    Default Re: Large Hematoma after TPLO surgery

    You are quite welcome. I hope it's something simple. My thought's are with you and Truman, let us know the outcome.
    Life is like a box of chocolate covered

  5. #5
    Pooper scooper ssesler's Avatar
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    Default Re: Large Hematoma after TPLO surgery

    Will do!

  6. #6
    BullyWood Movie Star Fontanafox's Avatar
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    Default Re: Large Hematoma after TPLO surgery

    Oh dear! Sorry you both are going through this! I don't have any advice but sending you hugs. I don't know how they can make you wait til Monday.

    Wilson & BabyGirl

  7. #7
    Head Pooper Scooper I am an EBN Reporter
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    Davidh's Avatar
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    Default Re: Large Hematoma after TPLO surgery

    I'm with @Sherry, I think it is an infection or allergic reaction from the sutures. It needs to be drained. Definitely take him first thing Monday morning. That vet should have had you bring him today to drain and check it.
    Have a Great Bully Day.
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  8. #8
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    Default Re: Large Hematoma after TPLO surgery

    My Jake had a suture allergy..I agree with David..your vet needs to be more concerned. Poor Truman..good luck..I hope he quickly feels better..he is sooo lucky to have you!

  9. #9
    Pooper scooper ssesler's Avatar
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    Default Re: Large Hematoma after TPLO surgery

    I just returned from the orthopedic surgeon. He believes the large mass is a seroma. He didn't think it was infection because Truman wasn't showing signs of pain. I reminded him that Truman IS a bulldog, has had many surgeries and has a wicked high pain tolerance. I asked him if it could be a reaction to the sutures. He thought it was possible but unlikely. He said he didn't want to drain it because it would introduce bacteria into the area which could lead to more "severe things". He again stated I should apply warm compress and keep an eye on it for any changes. He is still on an antibiotic (which I had to get from my primary vet), so I will continue on it. The surgeon thought it would take a few weeks for the body to absorb the extra fluid.
    Last edited by ssesler; 12-19-2011 at 01:52 PM.

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    Default Re: Large Hematoma after TPLO surgery

    Wow that leg does look huge ... I know what you were told by the vet and go ahead obviously and follow his directions. Just remember one thing .. nobody knows your bully better than you. So keep an eye on him, and if there is ANYTHING that just doesnt seem right then get him back to the vet pronto .... go with your gut on this one!!

  11. #11
    BullyWood Movie Star I am an EBN Reporter
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    Default Re: Large Hematoma after TPLO surgery

    Keep us updated! I hope that Truman feels better soon and the swelling goes down...that is a lot to worry about!

  12. #12
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    Default Re: Large Hematoma after TPLO surgery

    oh dear.. I am thinking of you guys.. and I agree YOU are his best resource.. keep an eye on it.. poor little guy big big hugs to you both.. please keep us posted.

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