Advanced Vet Surgery

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Treatment of a patient with a CCL (cranial cruciate ligament) tear and a long standing MPL (medial patella luxation). Th...
27/01/2024

Treatment of a patient with a CCL (cranial cruciate ligament) tear and a long standing MPL (medial patella luxation). This required moving the articulating surface of the tibia medial relative to the tibial tuberosity (the point where the patella tendon attaches on the front of the shin bone) to treat the MPL, at the same time as performing a TPLO to treat the CCL tear. When the tibia is cut and moved a plate is used to hd the plate in position whilst it heals. In this case the plate requires extra bending to fit the bone surfaces.

I listened to 10 hours 11 minutes of music on 25th May, which translates to over 5 hours driving and 5 hours operating. ...
30/11/2023

I listened to 10 hours 11 minutes of music on 25th May, which translates to over 5 hours driving and 5 hours operating. Long day 😴

Vulvoplasty performed to remove excessive skin folding over the v***a causing severe ulcerative dermatitis and hyperplas...
23/07/2023

Vulvoplasty performed to remove excessive skin folding over the v***a causing severe ulcerative dermatitis and hyperplasia.
An ellipse of skin was excised surrounding the v***a and the skin sutured in place, which allows air to access the v***a rather than having the warm, urine soaked skin which is perfect for bacterial infection.

A cranial cruciate ligament tear and chronic medial patella luxation corrected using a modified TPLO (tibial plateau lev...
13/06/2023

A cranial cruciate ligament tear and chronic medial patella luxation corrected using a modified TPLO (tibial plateau levelling osteotomy). The proximal portion of the tibia is translated medially, which lateralises the tibial tuberosity and patella tendon insertion. Here the tibia was medialised 5mm to improve patella tracking. This requires the plate to be heavily contoured to fit the new plateau with angling the screws proximally up into the joint.

Nephrectomy (kidney removal) performed following investigation of weight loss and inappetance and abdominal ultrasound, ...
28/05/2023

Nephrectomy (kidney removal) performed following investigation of weight loss and inappetance and abdominal ultrasound, which revealed a soft tissue mass of the left kidney. No other abnormalities or secondary masses were detected. I'm guessing sarcoma, but carcinoma is also possible. Histopathology will tell us in a few days, I'm hoping it is good 🤞

Reconstruction of a cleft palate (both hard and soft palates) in an 8 month old patient who was having severe recurrent ...
23/03/2023

Reconstruction of a cleft palate (both hard and soft palates) in an 8 month old patient who was having severe recurrent rhinitis (inflammation of the nasal passage) due to food impaction and infection.
Reconstruction involved a bipedicle flap to fill the hard palate defect, and primary 2 layer repair of the soft palate.

Great to be back attending international conferences with presentations by some of the leading veterinary orthopaedic gu...
21/03/2023

Great to be back attending international conferences with presentations by some of the leading veterinary orthopaedic gurus of the profession.

A client baked me a cookie for operating on her dogs knee 🍪. Absolutely made my day 😁
01/09/2022

A client baked me a cookie for operating on her dogs knee 🍪. Absolutely made my day 😁

Ununited Anconeal Process (UAP) excision.UAP is a developmental condition where a portion of bone at the back of the elb...
25/03/2022

Ununited Anconeal Process (UAP) excision.
UAP is a developmental condition where a portion of bone at the back of the elbow joint fails to fuse in position as the young dog grows, and is most commonlyseen in larger breed dogs. The failure to fuse means the bone can become dislodged and be painful in the elbow causing lameness.
Surgery either involves reattachment using a screw or removal, depending on the age of the patient. In this case removal was opted for.

Medial patella luxation, where the knee cap dislocates to the inside of the knee, secondary to a non-existent trochlear ...
19/02/2022

Medial patella luxation, where the knee cap dislocates to the inside of the knee, secondary to a non-existent trochlear groove (groove where the knee cap sits). Correction in this case required creation of a new groove (block recession trochleoplasty) to allow the knee cap (patella) to sit in the middle of the knee.

29/01/2022

So the results are finalised...
The most popular names of patients I operated on this year are 🥁🥁🥁

Bella 11 🏆🏅🎉
Molly 10
Bonnie 9
Lilly 8
Charlie 7
Lucy 7
Nala 7
Rosie 7

Interestingly, the most commonly used names were all girls names.

Happy new year and best wishes 😊

Life is complicated and sometimes so is surgery and recovery. A TWO performed 2 weeks prior, patient escaped and ran cha...
04/11/2021

Life is complicated and sometimes so is surgery and recovery.
A TWO performed 2 weeks prior, patient escaped and ran chasing another dog, caused an avulsion fracture of the tibial tuberosity which required reduction and fixation using a 1.25mm diameter pin and 0.8mm thick wire. Luckily the plate and screws were all stable.

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