“A hygroma is a false bursa, which is a nonpainful , fluid-filled swelling surrounded by a thick, fibrous capsule that develops under the skin. “ What is a hygroma ? Hygroma most commonly develop on the outside of the elbow. Hygroma can become infected in which case they are painful.
A hygroma is caused by repeated trauma to an area over a bony prominence. What causes a hygroma ? The trauma most often occurs as a result of lying on hard surfaces, such as cement or hardwood floors. It is more common in larger breed dogs in which more weight is placed on the bony area having contact with the hard surface.
ANATOMY OF DOG ELBOW
CASE RECORD Case no : 224/814 Date : 26-3-2013 Owner’s name : Khodidas A .Patel Village : Deesa Species : Dog Sex : M ale Age : 6 year
The soft mass present at elbow joint since last 1 month Rupture 5 days before & fluid came out HISTORY
CLINICAL OBSERVATION Temperature : 101.5 Ëš F Respiration rate : 25/min. Pulse rate : 7 5/min. Ruptured capped elbow Not showing pain Pedunculated mass was not infected
SURGICAL TREATMENT HYGROMA IN DOG
SITE OF HYGROMA HYGROMA MASS ELBOW JOINT
MANUAL HANDLING BY HAND AND BIND A BANDAG AROUND MOUTH SEDATION BY : ATROPINE SULPHATE: .02mg/kg XYLAZINE:1 mg/kg RESTRAINING OF ANIMAL
SCRUBBING SHAVING Preparation of surgical site SCRUBBING WASHING
TRANSFER ON STRATURE PRE OPERATIVE PREPARATION & TASK PREPARED SITE FOR FLUID THERAPY BETWEEN STIFLE AND HOCK JOINT TRANSFER ON STRATURE
SURGICAL TABLE WITH SURGICAL PACK & SURGICAL ACCESSORIES SURGICAL PACK
SAPHENOUS VEIN INSERTING BUTTERFLY CATHETER IN SAPHENOUS VEIN FOR FLUID THERAPY
FIXING OF BUTTERFLY CATHETER WITH BANDAGE STARTING OF FLUID THERAPY
Diazepam(0.50mg/kg) + Ketamine (10 mg/kg) Total maintaining dose during operation Ketamine+Diazepam 3ml+3ml
Elliptical incision on lateral side
En-block resection of mass
Complete removal of mass
Simple continuous suturing of sub - cutanous layer by Vicryl #1
Bandaging after Application of Cotton Bandage Apply Adhesive Tape
Completion of Bandaging
Melonex - 3ml (@ 0.5 mg/kg BW) Tab. Ceftriaxone 500 mg BID (@ 10 mg/kg BW) 3) Advised for regular antiseptic dressing with 5% Betadine solution and local application of the Betadine ointment . 4) Avoid rubbing on hard surface POST OPERATIVE CARE