Traditional and Laser Surgery for Your Pet
All Pets Vet Hospital offers the highest level of advanced surgical services such as soft tissue surgery, cryosurgery, laprascopy, endoscopy, orthopedic surgery, and laser surgery. In addition, All Pets offers routine surgical services such as spay, neuter, oral, and soft-tissue surgery, with diagnostic services for early detection of developing problems.
Our goal is to provide advanced care with sincere compassion. Through continuing education of our staff, we will also educate and instruct our clients on the most current treatment options for their pets' conditions. In addition, we use a multi-disciplinary approach, working in conjunction with surgical specialists and our trained staff to compassionately restore and maintain the health of all patients.
- Cruciate ligament injuries
- Luxating patellae
- Hip dysplasia
- Jaw fractures
- Elbow and shoulder conditions
- Angular deformity
Soft Tissue Surgery
- Tumor removal
- Foreign body removal
- Gastric dilatation/volvulus
- Intestinal resection
- Abdominal tumors
- Hernia- umbilical, inguinal, diaphragmatic
- Ear procedures
What are the benefits of laser surgery for my pet?
There are three major advantages of laser surgery when compared to traditional stainless steel surgical scalpels– decreased pain, reduced bleeding and blood loss, and reduced risk of infection.
Decreased post-operative pain is accomplished when the laser seals the nerve endings as it cuts. This reduces pain impulses from the surgery site in the immediate post-operative period. Also, the decreased pain involved with laser surgery may allow the surgeon to remove small skin tumors using local anesthesia rather than having the pet undergo general anesthesia.
Reduced bleeding and blood loss is achieved through cauterization of blood vessels as the laser beam vaporizes the tissues.
Reduced risk of surgical infection occurs due to the superheating of the tissues in the incision site, destroying any bacteria that are present at the time of surgery.
What surgeries can be performed with the laser?
Almost any soft-tissue surgery may be performed with the CO2 laser. Routine procedures such as ovariohysterectomy (spay) or castration (neutering) are commonly done with the laser. The CO2 laser is also used for skin tumor removal, eyelid surgery such as correction of entropion or ectropion, and some mouth and throat procedures. Your veterinarian will discuss whether CO2 laser is appropriate for use during your pet's surgery.
What Is Laparoscopy?
Laparoscopy is a minimally invasive technique for viewing the internal structures of the abdominal cavity. The minimal invasiveness of the procedure, diagnostic accuracy, and rapid patient recovery make laparoscopy a preferred technique over other more invasive procedures.
Small animal laparoscopy initially evolved as a diagnostic tool, but it has progressed to where there is now ever increasing interest in the application of minimally invasive laparoscopic surgical procedures. In 2009, Dr. Alsamadisi participated in Colorado State University's Advanced Minimally Invasive Surgical Laparoscopy as well as Laparoscopic Ovariectomy courses.
In 2006, Dr. Sam also attended a course titled Laparoscopy, Thoracoscopy, and Laparoscopic Surgery at Ohio State University, College of Veterinary Medicine.
Laparoscopy is relatively simple to perform and considered to be safe, having few complications. Common indications for laparoscopy are to examine and biopsy the abdominal organs or masses or to perform surgical procedures.
Diagnostic laparoscopy is commonly used as a method for obtaining liver, pancreas, kidney, splenic, intestinal and tumor biopsy specimens. It is generally accepted that laparoscopy provides better biopsy tissues than other traditional methods.
The many advantages of surgical laparoscopy over a conventional open surgical exploratory laparotomy include improved patient recovery because of smaller surgical sites, lower postoperative morbidity, decreased infection rate, and less postoperative pain. Frequently, the hospitalization and convalescence times are shorter following a laparoscopic procedure. Often, the patients that are at high risk for surgical exploration may be good candidates for a less invasive laparoscopic procedure.
McCarthy, Timothy. Veterinary Endoscopy for the Small Animal Practice. St. Louis, Missouri:
Elsevier Saunders, 2005, pp.357-358
For more information about laparoscopy go to www.vet.uga.edu/mis/
If your pet exhibits symptoms, such as vomiting with or without blood and/or blood in the stool, or if there is a foreign body in the esophagus, then an endoscopic exam can help diagnose the problem and, in some cases, resolve it.
Veterinary endoscopy is a gentle noninvasive procedure for the diagnosis and treatment of upper and lower gastrointestinal (GI) tract problems. With an endoscope, we can perform a more complete, nonsurgical examination of the GI tract, including the esophagus, stomach, and some areas of the intestines. We are also able to perform colonoscopies.
In 2006, Dr. Alsamadisi trained at The Virginia-Maryland Regional College of Veterinary Medicine in gastrointestinal endoscopy. This training allows him to use the endoscope to visualize areas that are normally not accessible without invasive surgery.
The scope is equipped with a lighted camera and pictures are transferred to a monitor to be evaluated. Using the scope, we can diagnose gastrointestinal disorders, cancerous growths, polyps, and more.
The endoscope can also be used to obtain a biopsy of potentially infected or cancerous material. The endoscope serves as the "eye," allowing us to obtain the best possible sample or biopsy for evaluation. This procedure is helpful in diagnosing malignancies in the GI tract as well as GI disorders, such as inflammatory bowel disease. The pictures and biopsies obtained with the endoscope can then be sent to specialists for further evaluation.
We can also use the endoscope to aid in the removal of foreign bodies. A foreign body is anything that "does not belong" in the animal's GI tract. Often, animals swallow things that they should not, including toys, buttons, sewing needles, string, and even pantyhose. Using the endoscope as a guide, we may be able to remove such objects rather than resorting to major surgery.
This equipment has revolutionized human medicine and surgery. It is likely to do the same for veterinary medicine. We are now able to do exploratory surgery and take biopsies in the abdomen, chest, and joints without the necessity of invasive large-incision surgery.
With the flexible scope we are able to view, biopsy, and remove foreign bodies from the air passageways, lungs, stomach, and small intestine. This significantly reduces the risk of long anesthetic periods and the pain and discomfort of a large incision for your pet.
Cryosurgery is the use of very cold temperatures to produce a controlled and predictable effect to the area to which the cold is applied. In our office, we use liquid nitrogen to reduce the temperature of the targeted area to minus 20 degrees Celsius. We often use a cryosurgical unit that has an assortment of varying sizes of applicator tips, configurations, and spray applicators.
When the cells of the target area are cooled to such significantly cold temperatures, the targeted tissue is destroyed. Ideally, the best results are when the area is cooled quickly and allowed to thaw slowly. Quite often, we will apply liquid nitrogen to the area twice, thus producing two freeze/thaw cycles. This results in much better overall results.
If the tissue we are freezing is in a location and size that is amenable, we will often use a pyrometer—a special type of thermometer—to insure that we attain the minus 20 degrees Celsius temperature.
Some indications for cryosurgery are:
- Oral tumors
- Skin conditions
- Rectal tumors and polyps
- Perianal fistulae
- Eye conditions—eyelid hairs, eyelid tumors, glaucoma