Surgical excision of massive sterile pyogranuloma using thoracodorsal skin flap pattern in a dachshund dog

A six month old female intact Dachshund weighing 7 kg was presented to Small Animal Clinic – Outpatient Surgery Unit of MVC Teaching Hospital with history of progressive nodular enlargement on palmar aspect of right forelimb. On clinical examination, mass was hard, indurated and non painful with multiple nodules extending from palmar aspect of elbow region to carpal region with mild hair loss on the lateral aspect. On the day of presentation, survey dorsopalmar and lateral radiograph of right forelimb and lateral thoracic radiograph was taken to rule out bony involvement and metastasis if any respectively which revealed absence of abnormality and culture was negative for sample .Fine needle aspiration cytology was taken to investigate the nature of cells. Since FNAC was inconclusive. The following day punch biopsy was taken with the consent of the owner to investigate the abnormality. The post operative wound defect was thereby measured and was used to mark the dimensions of the thoracodorsal flap. Subjective evaluation of flap was performed to assess color, odor and exudates. Color flow Doppler was performed on 7th, 14th and 21st day to assess vascularity and flap uptake. Growth of hair follicles, warmness of flap and absence of any flap complication substantiates complete flap uptake and uneventful recovery.