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Is this post abdominal surgery (i.e. spay) lump "normal"?

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Cat getting examined by a Veterinarian Andy Sotiriou/Digital Vision/Getty Images

Question: Is this post abdominal surgery (i.e. spay) lump "normal"?

A question that is commonly asked after a routine spay (ovariohysterectomy) surgery is: "should I be concerned about the lump in the incision area?" This is especially true for cats. Is a post-operative swelling "normal" or cause for concern? This FAQ cannot offer a diagnosis or treatment, but will point out some common findings and when a call to your vet is warranted.

Answer: Please note: if you have any questions about your pet's care after surgery (or any time your pet is not well!), please call your veterinarian as soon as possible. They are the only ones who know your pet and the medical history. It is better to call sooner rather than later.

Surgical closure of the incision
For traditional abdominal surgeries, most vets do what is called a 3-layer closure. The first (inner-most) layer is the strength layer. This closure is sutures up the body wall. The second layer is the subcutaneous layer; the connective tissue (and fat) between the body wall and skin. The final layer, the one everyone sees, is the skin closure.

Pets will often lick or chew at the suture line. Some animals just a few times, other animals will be obsessive about it; possibly removing sutures in the process. Cats are particularly adept at removing sutures prematurely (before the recommended 10-14 day time).

It is important to note that many vets bury the sutures with suture material that dissolves, so there are no sutures to remove. Additionally, some vets use surgical skin glue to speed closure and healing. Your vet will give specific post-surgery instructions upon discharge.

What is "normal" for post-surgical healing?
This varies of course, with the suture materials used, the doctor's technique, and the patient. It is very important to keep your pet from licking and chewing and to keep your pet physically quiet (no vigorous activity) while healing during the 10 - 14 days post surgery time. Any redness, painful swelling, and drainage should be mentioned to your veterinarian right away, especially if your pet is listless and not eating.

A lump can be "normal," sometimes
A firm, non-painful swelling under the incision that appears a few days or a week after surgery is fairly common, particularly in cats. This the body's way of working on the sutures, called a suture reaction. Some animals "react", most don't at all. These types of lumps can take several days or weeks to shrink to normal. If you notice a lump, call your veterinarian. They may want to check it out and make note of it.

When a post-surgery lump is not OK
If you see any redness, swelling, pain, or drainage from the incision, or your pet is listless and not eating, this may be serious - call your veterinarian as soon as possible.

Related Reading:
Veterinary Q a A: Suture Site Healing
With a photo of a dog's surgery site, submitted by a viewer.

 

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