How your puppy can live longer.

"The puppy had died." the breeder said to the vet.



"The puppy had died!" Mr Formicelli's assistant told me when I phoned to enquire about the 8-week-old Chihuahua operated by me two days ago.

He was a happy Chihuahua puppy, with a zest for living. It was interested in what was going on and would bark for some personal attention. It ate ravenously and that was what made it so chubby.

How could he die when it had survived the anaesthesia and surgery and was eating well the day after surgery?  What it due to heart failure?  Too obese?  Post-surgical complications?

Puppies do die for various reasons, even without surgeries. Mr Formicelli had seen more puppy deaths than he could remember as he was a large breeding farm.  I did not know what to say. 

Death of healthy puppies are uncommon in veterinary surgeries and so, every loss is a shock. Most vets don't operate on puppies likely to die. 

Mr Formicelli had requested the large inguinal-scrotal hernia to be repaired as the puppy was not marketable. Surprisingly, the swelling which consisted of intestinal loops and fat did not bother this puppy.  Nobody would pay a thousand and five dollars for him though.  He needed to be operated and being so young, he might had died on the operating table.

If he was operated much later, his chances of surviving on the operating table are much higher. Some vet professors recommend anaesthesia after 12 weeks of age to be safe for puppies. This puppy was operated at week 8. 

However, he had survived and now, he was dead.  How did it happen? What was the cause of his untimely death?

Before I could ask a question, the assistant laughed, "The Chihuahua is very much alive and kicking. Eating a lot." 

"Well," I reprimanded him. "Please don't joke about deaths. I am a serious person as regards the follow up on patients."

His joke hit my raw nerve. If given the choice, I would not operate on such young puppies.  Puppies younger than 12 weeks old anyway. 

The assistant was an extremely good worker. On day 3, I went to vaccinate the other puppies and he had a better idea than me. He stuck a very sticky plaster on the wound to change the loose type with a swab used by me.  He had been told to change plasters on day 3 and he had done it. 



"This plaster prevents the puppy from licking its wound," he said. Good idea. But would the wound fester with infections under the sticky plaster?

"The wound healing may not be so good since the cells can't breathe under a sticky plaster," I said. "You will not be able to check whether the wound is healing or not."

Pet shop owner takes excellent care of wound. Wound very clean.
After surgery, the care of the wound by the pet owner is most important.  Most dogs will lick off the stitches and cause infections. An Elizabeth collar may be practical in such cases or a water resistant plaster with swab inside. This must be changed every 3 days.  If the wound is inflamed, consult your vet quickly.

So, what to do now?

"Most likely an Elizabeth collar," I advised. "If you can make sure that the puppy would eat when it has this collar." Some puppies just don't like it and will stop eating.


I doubt this Chihuahua will stop its enjoyment of food. The Chihuahua yelped when the sticky plaster was pulled off and began licking the wound.

"There is still a swelling," Mr Formicelli's mother commented as she came into the room to find out why the Chihuahua was giving a shriek. I was holding the puppy while the assistant was pulling off the plaster.

She was the most pro-active pet shop owner of all I ever met and that she was the best of all pet shop owners. 

No more inguinal scrotal swelling 3 days after surgery. Chihuahua 8 weeks old.
"That swelling is the right testicle," I explained as best as I could in the Hokkien dialect. "I had pulled it down and put it inside the right scrotal sac."  She knew what a testicle was and walked away to attend to the busy pet shop customers. 

Never mind about the technical details of how I did it. How I opened the scrotal hernia, pushed the intestinal loops and fat into the small opening into the body and stitched up the scrotal sac. A scrotal hernia is  a rare case in puppies and I had the opportunity to see how the testicle descended through a gap in the muscle from inside the body to the scrotum. The gap was 3 mm wide and some intestinal fat had prolapsed through.   

A size 7.5 Elizabeth collar fitted the Chihuahua like a glove. Another 10 days and his skin wound should have healed. I hope he would find a good owner and live a long life.
 

11 weeks old Chihuahua puppy. Active and interested in what is going on.11 weeks old as at March 1, 2004 at a pet shop for second vaccination.

A very lively and extrovert attractive Chihuahua puppy.

Extracts from the
Asiahomes.com Book:
How Your Puppy Can Live Longer
 
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS.

Buyers interested in this book, email to judy@asiahomes.com
©Asia USA Realty (Singapore) asiahomes.com Pte Ltd 02 Mar 2004.
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