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.
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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."

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.

"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.
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