We are committed to caring for your pet – while maintaining the highest level of safety for our Associates and pet owners. We thank you for your continued patience and support. 
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Ectopic ureter laser ablation:
Ectopic ureters are a congenital abnormality (present at birth). This is caused because the ureter (tube connecting the kidneys and bladder) tunnels through the bladder (instead of opening into the bladder, which is the reservoir of urine), but opens into the urethra. This leads to leakage of urine and subsequently, incontinence. Holmium laser can be used to correct ectopic ureters by ablating the ectopic ureter (correcting its opening). Ectopic ureter is one of the most common causes of incontinence in young dogs. This technique is minimally invasive as it does not require surgical intervention (need for incisions or sutures) because it is done via cystoscopy (camera used to visualize the urinary tract). A retrograde ureterogram and cystogram are performed during the ectopic laser ablation to ensure that the ureter is tunneling through the bladder and subsequently opening into the urethra (tube that connects the bladder to the outside) versus connecting and opening directly into the urethra.

Approximately 75% of dogs are continent after undergoing ectopic ureter laser ablation as well as medical therapy. The remainder 25% of dogs that are not continent may require additional therapy such as the placement of a hydraulic urethral occlude or collagen implant.

Besides improving incontinence, correction of an ectopic ureter helps prevent ascending infections to the kidneys because it corrects the direct connection between the urethra and the kidney. Therefore, bacteria would have to colonize the urethra, bladder, and subsequently the kidneys providing maximal protection.

Lithotripsy (use of Holmium laser to break stones/calculi within the bladder and urethra):
Lithotripsy is considered the standard of care for removing stones or calculi from the urinary tract in humans. This technique provides a minimally invasive form of treating bladder or urethral stones in dogs and cats. Laser is used to break stones into small fragments that can be subsequently removed with a basket via cystoscopy. This technique is considered ideal for small bladder or urethral stones in female dogs and cats as well as male dogs [over 10 kg (22 lb)]. Occasionally, dogs less than 10 kg can undergo lithotripsy. However, this depends on the urethral diameter because it is necessary to pass a flexible cystoscope in order to perform this procedure. Lithotripsy can also be used for large bladder stones. Nevertheless, the larger the stone, the longer the procedure may take. Additionally, it is possible that more than one procedure may be necessary to remove large stones or a large number of stones. This occurs when the bladder is very inflamed and bleeds easily/. Excessive bleeding hinders adequate visualization, which is essential for the successful removal of all stones. Besides being less invasive than surgery, lithotripsy does not require suturing the bladder wall, which could serve as a nidus for more stone formation or suture reaction. This technique can be used for all types of stones (e.g. calcium oxalate, struvite, urate, cysteine, among others).

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Surgery

All of our surgical patients recover in our Intensive Care Unit which is staffed 24 hours daily with veterinarians and technicians. This allows our patients to be monitored around the clock and have all of their needs tended to at any hour of the day.

Our operating rooms are stocked with extensive monitoring equipment so that we can continuously monitor heart rate, blood pressure, respiratory rate and effort, oxygen perfusion, and body temperature on our anesthetized patients. The operating rooms are also supplied with artificial warming devices to help prevent our patients from becoming hypothermic (low body temperature) which could affect recovery from anesthesia.

At VCA Arboretum View Animal Hospital we use locking plate systems with locking screws for our TPLO procedures. The use of locking screws for TPLOs has been shown to increase stabilization and provides improved healing.

VCA Arboretum View Surgery Services:

Soft Tissue Surgery

  • Adrenalectomy
  • Amputations
  • Arytenoid lateralization
  • Brachycephalic syndrome (elongated soft palate stenotic nares)
  • Cardiac surgery surgery: PDA ligation, PRAA transaction
  • Cholecystectomy
  • Gastrointestinal surgery/resection
  • Liver lobectomy
  • Lung lobectomy
  • Nephrectomy
  • TECA
  • Upper respiratory
  • Urogenital
  • Wound reconstruction

Oncologic Surgery

  • Abdominal
  • Large body wall resection/reconstruction
  • Thoracic
  • Urinary tract

Neurological Diagnosis and Surgery

  • MRI, CT and digital myelography
  • Intervertebral disc disease (cervical, thoracolumbar, lumbosacral)
  • Spinal fracture stabilization (post trauma)
  • Spinal tumors

Laparoscopy and Thoracoscopy Stapling

  • Full complement of TA, GIA stapling devices

Orthopedic Surgery

  • Cruciate ligament repair surgery (TPLO, tight rope suture, lateral suture)
  • Advanced fixation of fractures (bone plating, interlocking nail fixation, external fixator application)
  • Arthroscopic exploration and treatment
  • Angular limb deformity correction
  • Intraoperative fluoroscopy allowing for minimally invasive techniques and shorter surgical time plus more accurate implant application
  • Luxating patella
  • Tendon repair
  • Total Knee Replacement

Examination and Evaluation

  • Including lameness evaluation

Anesthesia Services

  • Balanced anesthetic techniques (local/regional nerve blocks, opioid constant rate infusions, NSAIDs)
  • Positive pressure ventilation
  • State-of-the-art vital signs monitoring including invasive blood pressure

What Is A Board Certified Veterinary Surgeon?

A board certified veterinary surgeon is a licensed veterinarian who has obtained intensive, additional surgical training. A veterinary surgeon can offer special assistance in the following kinds of cases:

  • Traumatic injury and emergencies (such as fractures, skin wounds and lacerations, correction of gastric dilatation-volvulus, and exploratory (abdominal/thoracic) surgery
  • Orthopedic surgeries (such as total hip replacements (THRs), cruciate ligament surgeries (TPLOs), and arthroscopy for joint exploration).
  • Soft tissue surgeries (such as tumor/cancer removal and correction of congenital defects).
  • Neurological surgeries (such as herniated discs and spinal injuries).

While your general practitioner veterinarian can diagnose and treat many health problems, certain diseases and conditions require the care of a doctor who has had specialized, intensive surgical training in order to provide the very best outcome for your pet. Your veterinary surgeon will work closely with your general practitioner veterinarian, as well as'"depending on your pet's condition'"other board certified specialists in internal medicine, veterinary oncology, veterinary neurology, and veterinary radiology.

Why Does My Pet Need A Veterinary Surgeon?

Just as your own primary care physician may feel the need to refer you to the care of a specialist from time to time, your general practitioner veterinarian may feel your pet needs the additional expertise of a board certified surgeon for certain surgeries. In fact, many general practitioner veterinarians refer all but the most routine of surgeries to specialists'"orthopedic and neurology cases, reconstructive surgeries, tumor removals, etc.

Board certified veterinary surgeons also are often affiliated with referral hospitals where they may have access to specialized diagnostic or surgical equipment, the latest and safest anesthesia monitoring equipment, physical therapy or rehabilitation capabilities, and other critical care services that a general practitioner may not have access to. All of these specialized services may be necessary for the optimal care and recovery of your pet.

You can be assured that a veterinarian who knows when to refer you and your pet to a veterinary surgeon is one that is caring and committed to ensuring that your pet receives the highest standard of care for his or her problem.

What Kinds of Problems Require the Expertise of a Veterinary Surgeon?

Board certified veterinary surgeons can repair complex fractures and use advanced techniques to repair torn ligaments (ruptured cruciate ligaments) within the knee. They can also remove cancerous growths, manage extensive or non-healing wounds, and perform reconstructive surgery, such as grafting skin over large injuries. Veterinary surgeons can perform intricate surgeries in the chest or abdomen, such as kidney transplants in cats or repairing heart defects in dogs. Spinal injuries and herniated discs are problems that are also commonly referred to board certified surgeons. Veterinary surgery is also expanding into minimally invasive surgery, such as arthroscopy, thorascopy, and laparoscopy.

Will My Regular Veterinarian Still Be Involved?

In many if not most surgical cases, your regular veterinarian will still supervise your pet's veterinary care, especially if your pet is continuing to cope with a disease or chronic condition. It depends on your pet's particular disease and health problem, however. Typically, though, your general practitioner veterinarian will oversee many aspects of your pet's pre-op and post-op care, just as in human medicine. Recovery periods are often prolonged in many surgical cases, particularly in orthopedic surgery, and it is very important to follow your veterinary team's recommendations concerning at-home recovery guidelines for your pet, follow up care and appointments, as well as any rehabilitation that has been prescribed.

Did You Know?

Just as in humans, a pet's recovery from veterinary surgery can go more smoothly or even result in a better outcome with the addition of rehabilitation options. Many veterinary referral hospitals offer rehabilitation services, such as water therapy, physical therapy, and massage therapy, as an adjunct to surgical care.

Just as in people, laser surgery is becoming a much more common surgical technique in veterinary medicine, bringing with it the same advantages of reduced blood loss and shorter recovery times.

If you think that your pet may be a candidate for veterinary surgery, talk to your general practitioner veterinarian, or find a board certified veterinary surgeon near you today.

Our Surgery Services

Aggressive Analgesia
Bone and Joint Surgery
Bone Biopsy
Comprehensive Per-Operative Monitoring

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