Crystal the Royal python got in a rather sticky situation, when she managed to tangle herself in some loose duct tape that was being used temporarily in her vivarium when her owners were installing new lights. Unfortunately in her bid to untangle herself she managed to rip the delicate thin skin on her neck and caused a full thickness laceration exposing the underlying muscle. Her owners were panicked and rushed her down to see me, travelling nearly 3 hours in traffic to get to the surgery. Luckily it was my turn to work the Saturday clinic that day and my afternoon wasn’t as busy as usual so we managed to see her quickly and fix her up before more damage was done.
Here she is being given some anaesthetic gas and oxygen, after initially being given sedative drugs via intramuscular injection. At this point we couldn’t see the true extent of her injury, but knew it was bad. I was confident however that we would stitch her up and have her reasonably back to normal in no time. I took the opportunity while she was going under anaesthetic to administer pain relief and antibiotic injections to make her comfortable and prevent infection setting in.
Once she was fully anaesthetised I used surgical spirit to dilute the solvent on the tape and peel it off bit by bit, taking great care not to allow any spirit to contact her delicate tissues underlying her scales or to cause further tears. After removing the tape the area was cleaned and disinfected and prepped for surgery, reducing contamination and minimising the risks of post-operative infection. She was kept on a warm heat pad throughout the procedure to enable her cold-blooded body to maintain it’s metabolism and process the anaesthetic and other drugs effectively. Reptile patients are unique in that all bodily functions rely on external heat from immune function, to heart rate and even breathing rate. Therefore it is vital that they are warmed throughout surgery and maintained in thermostatically controlled conditions whilst hospitalised and in recovery.
I carefully sutured her skin back together taking care not to cause too much tension and not to invert the scale edges so that the wound could knit back together efficiently and heal quickly. Good surgical technique at this stage was critical to obtain a cosmetic and functional wound that would repair over the coming weeks without causing future problems with shedding skin for example.
Here I am hard at work on a Saturday afternoon whilst all my colleagues (apart from my nurse Sharon assisting on anaesthetic duties) were out in the back car park starting our end of summer barbecue, beers and wine in hand. Now there’s dedication, eh?!
After she was stitched back together I reversed her sedative drugs with another injection and set her up in a warm hospital cage on a heat pad to recover from her ordeal. By this point her meds ensured she would awake pain free within a couple of hours. Things are definitely slower in my reptilian patients compared with dogs and cats.
This was the finished handiwork post-operatively. I am happy to say she went home very alert and happy on the Monday morning to her relieved owners and will come back to visit me to remove her sutures in 4-6 weeks.