Dog versus part 2

There are 2 bread-and-butter cases we see in ER medicine - vomiting/diarrhea and lacerations. We put dogs back together from various shenanigans on a regular basis. I am not a fan of wound care. I can't really explain why, but it is something I rarely, if ever, enjoy. The machete dog was an exception. That was really fun to fix. Last night's bloodbath was most definitely not.

This was dog versus tractor hay fork tine. Luckily for the dog, the tine didn't go any farther into his body than through the skin and fatty subcutaneous tissue. Still, this mess took 3 hours to clean up - 1 hour of preparation by my technician while under anesthesia (clipping, cleaning, blunt debridement), and 2 hours by me (1 hour of sharp debridement, 1 hour of suturing).

When all is said and done, I can only hope that the flap I sewed back on remains viable. We'll see...(p.s. I forgot to take the after pics...sorry).