SURGICAL SERVICES OFFERED BY VSSON
Orthopedic Surgery:
Arthrodesis:
- Joint Fusion
- Shoulder
- Elbow
- Carpus
- Stifle
- Hock
Fracture Separation of Epiphyseal Plates
- Salter I
- Salter II
- Salter III
- Salter IV
- Salter V
Joint Surgery:
- Shoulder
- OCD (Glenohumeral Arthrotomy)
- Dislocation
- Elbow
- Medial Coronoid (Medial Elbow Arthrotomy)
- Ununited Anconeal Process (Lateral Elbow Arthrotomy)
- Dislocation (Manual and/or Surgical Replacement and
Stabilization)
- Hip
- TPO (Triple Pelvic Osteotomy for Hip Dysplasia)
- Radiographic evaluation of hips
- Ortiloni sign evaluation of dorsal acetabular rim
Appropriate surgical candidates only
- FHO (Femoral Head Ostectomy)
- Joint capsule closure between femur and acetabulum
- Deep gluteal placement between femur and acetabulum
- Dislocation of Hip Joint
- Closed reduction
- Open Surgical Reduction and Stabilization
- Suture joint capsule
- Toogle pin placement
- Screw-suture placement
- Stifle
- Anterior Crutiate Ligament
- Stretched ligament to Partial tear to Complete tear
- From 10 lbs to 110 lbs. or more
- Barclay Slocum and SLOCUM ENTERPRISES:
- Tibial Plateau Leveling Osteotomy (TPLO)
- Plate size depends on dog size and bone size
- Six hole plate and screws
- Seven hole plate and screws
- Eight hole plate and screws
- Pierre M. Montavon and SlobodanTepic with KYON:
- Tibial Tuberosity Advancement (TTA)
- Martin P. DeAngelis with SECUROS and others
- Isometric Extracapsular Suture Placement
- James L. Cook with ARTHRIX:
- Isometric Extracapsular “Tightrope” Suture Placement
- All procedures include:
- Joint Exploration: Medial Arthrotomy
- Debridement of Damaged Ligament
- Evaluation of the Medial Meniscus
- Appropriate Meniscal Procedure Performed
- Caudal Menical Release
- Mid Body Meniscal Release
- Caudal horn Removal
- Total meniscal Removal
- Medial Patellar Luxation:
- Grade I
- Medial Arthrotomy (Medial Retinacular Release)
- Femoral Trochleoplasty
- Grade II & III
- Medial Arthotomy (Medial Retinacular Release)
- Femoral Trochleoplasty
- Tibal Tuberosity Transposition (Suture Stabilization)
- Lateral and distal repositioning
- Lateral Retinacular Imbrication
- Grade IV
- Medial Arthrotomy(Medial Retinacular Release)
- Femoral Trochleoplasty
- Tibial Tuberosity Transposition (Pin stabilization)
- Lateral and distal repositioning
- Lateral Retinacular Imbrication &/or Resection
- Evaluation for Distal Femoral De-rotational Osteotomy
- Fractures
- Elbow
- Lateral condylar
- Supracondylar
- “Y” condylar
Oral Fractures
Long Bone Fracture Fixation:
- Humerus
- Radius and Ulna
- Femur
- Tibia and Fibula
- Metacarpals and Metatarsals
- Fixation Materials
- External Fixation (IMEX System)
- Synthes Plating Systems (1.5mm, 2.0mm, 2.7mm, 3.5mm & 4.5 mm)
- Intramedullary Pins
Pelvic Fracture Fixation:
- Fracture Separation of the Sacroiliac Joint
- Ilial Fractures
- Acetabular Fractures
- Synthes Plating Systems (1.5mm, 2.0mm, 2.7mm & 3.5mm)
Scapular Fracture Fixation:
Angular Deformity Analysis and Repair:
- IMEX External Fixation System
- Synthes Plating System
Tendon Surgery:
- Achilles Tendon Damage
- Bicipital Tendon Inflamation
- Infraspinatus Contracture
- Collateral Ligament Repair
Soft Tissue Procedures:
Abdominal Exploratory:
- Open
- Explore
- Determine surgical issues
- Repair
- Close
Cardiopulmonary System (Thoracic Surgery):
- Thoractomy (Lateral or Sternal)
- Open
- Explore
- Determine surgical issues
- Close
- Additional fees for procedures done based on complexity
- Patent Ductus Arteriosus
- Pulmonary Lobectomy
- Pericardectomy
- Esophagotomy
- Pyothorax
- Pleural Debridement
- Chest tube drainage
- Chylothorax
- Mini Abdominal Incision
- Mesenteric lymph node ethylene blue injection
Thoracotomy
- Thoracic duct ligation
- Pericardectomy
- Diaphragmatic Hernia Repair
Endocrine System Surgery:
- Adrenal Gland Surgery:
- Adrenalectomy
- Neoplasia
- Adrenal Driven Cushing disease
- Adrenal biopsy
- Pancreatic Surgery:
- Partial Pancreatectomy
- Insulinoma, with staples
- Insulinoma, with suture
- Pancreatic biopsy
- Pancreatic Abscess Drainage
- Pancreatic Adenocarcinoma
- Biliary Decompression
- Gastric By-Pass (Roux-en-Y)
- Thyroid Surgery:
- Feline Hyperthyroidism
- Neoplasia
- Parathyroid Surgery:
Gastrointestinal System:
- Esophagus:
- Cervical Esophagotomy
- Thoracic Esophagotomy
- Cervical Esophageal Fistula
- Vascular Ring Anomaly
- Esophageal Feeding Tube
- Stomach:
- Gastrotomy
- Gastrostomy Tube
- Feeding tube
- Pezar tube
- Low profile tube
Left side
- Distal Gastrectomy
- Bilroth I Reconstruction
- Bilroth II Reconstruction
- Roux-en-Y Reconstruction
- Gastrojejunostomy
- Gastropexy
- Operative
- Incisional
- Circumcostal
- Belt Loop
- Tube
- Endoscopically Assisted
- incisional
- Minimally Invasive
- Intestine:
- Intestinal Resection and Anastamosis (Gambee Closure)
- Enterotomy (Gambee Closure)
- Intestinal biopsy
- Punch
- Incisional
- Full thickness
- Enterostomy Tube Placement
- Colon:
- Colectomy (Feline Megacolon)
- Colopexy (Prolapsed Rectum)
- Anus:
- Anal Sacculectomy
- Anal Sac Fistula (previous ruptured anal sac)
- Perianal Fistulas
- Anal Sac Neoplasia (Adenocarcinoma)
- Perianal Adenoma
- Perianal Adenocarcinoma
Genital System:
- Ovary:
- Ovarectomy (Neoplasia)
- Ovariohysterectomy
- Uterus:
- Ovariohysterectomy
- C-Section
- Pyometra
- Uterine Stump Granuloma resection
- Uterine Prolapse Reduction with Vaginal and/or Uteropexy
- Uterine Neoplasia
- Vagina and Vaginal Vault:
- Vaginal Hyperplasia and/or Vaginal Prolapse with OHE
- Vaginal Neoplasia Resection (Episioplasty)
- Pseudohemaphodite Repair
- True Hemaphodite Repair
- Penis, Penile Urethra and Prepuce:
- Phimosis
- Paraphimosis
- Persistant Penile Frenulum
- Prescrotal Urethrotomy
- Scrotal Urethrostomy
- Retractor Penis Muscle Imbrication
- Cranial Preputial Muscle Advancement
- Testicle and Scrotum:
- Castration with Scrotal Ablation
- Testicular tumors
- Scrotal and Abdominal
- Interstitial
- Seminoma
- Sertoli
- Testicular Biopsy
Head and Neck Surgery:
-
Chronic External Ear Disease:
- Lateral Ear Resection:
- Bilateral Lateral Ear Resection:
- Unilateral Ear Ablation With Lateral Bulla Osteotomy (TECA with LBO)
- Bilateral TECA
- Nasopharyngeal polyps (Feline)
- All Clinical Presentations:
- Unilateral Otitis Externa
- Nasal Discharge (lodged above the soft palate)
Inspiratory Dyspnea with occasional gagging (pharyngeal)
- Removal with Ventral Bulla Osteotomy (VBO)
- Laryngeal Paralysis:
- Confirm diagnosis with doxapram
- Laryngeal Tie Back
- Temporary Tracheostomy (if needed)
- Ventriculocordectomy (debark):
Oral- Ventral Laryngotomy
- Salivary Mucocoele:
- Mandibular and Sublingual Sialadenectomy
- Ventral Cervical
- Ranula
- Pharyngeal
- Zygomatic Sialadenectomy
- Brachycephalic Syndrome:
Elective or Emergency- Component evaluation with surgical repair
- Nostrils, soft palate, laryngeal saccules, tonsils, trachea
- Temporary Tracheostomy post repair (if needed)
- Cleft Palate Repair (hard and soft):
- Cleft Palate Repair (soft):
- Oral Tumor Surgery:
- Mandibulectomy
- Unilateral Rostral Mandibulectomy
Bilateral Rostral Mandibulectomy- Unilateral Total Mandibulectomy
- Mandibule Saving En-Block Resection
- Maxillectomy
- Additional fees for subsequent oronasal fistula repair (if needed)
- Medical Oncology Consultation
- Permanent Tracheostomy:
- Temporary Tracheostomy:
Hepatobiliary Surgery:
- Cholecystectomy (Kiwi Bladder)
- Choleocystoduodenostomy (Liver decompression)
- Choleducotomy
- Intestinal Roux-en-Y (Liver decompression)
- Liver Biopsy (wedge, guillotine, tru-cut, or punch)
- Partial Hepatectomy with suture
- Partial Hepatectomy with TA stapler
- Portosystemic Shunts:
- Jejunal Portogram (if needed)
Portal Pressure measurements (if needed)
- Extra Hepatic Shunts
- Dissection
- Portocaval
- Portoazygous
- Ameroid Ring
- Cellaphane Band
- Intra Hepatic Shunts
- Dissection
- Ameroid Ring or Cellophane Band
- Includes Liver Biopsy (Microvascular dysplasia, Portal vein hypoplasia)
Hemolymphatic Surgery:
- Splenic Surgery:
- Partial Splenectomy (Biopsy)
- Total Splenectomy (Neoplasia, Trauma)
- Lymph Node Surgery:
Hernia Surgery:
- Perineal Hernia Repair:
- Internal Obturator Roll Up
- Diaghragmatic Hernia Repair
- Umbilical Hernia
- Inquinal Hernia
- Scrotal Hernia
Integument System Surgery:
- Skin Fold resections:
- Screw Tail Amputation
- Facial Fold
- Perivaginal fold
- Lip fold
- Skin Grafting:
- Split thickness free graft (meshed)
- Punch grafts
- Axial Pattern Flaps
Musculoskeletal System:
- Orthopedic Surgery
- Amputation
- P III
- Toe
- Foreleg
- Hindleg
Oncology (Surgical Emphasis):
- Major Mass Removals
- Integument
- Musculoskeletal
- Hemolymphatic
- Abdominal Cavity
- Thoracic Cavity
- Margin Evaluation
- Color Marking
- Tissue Sampling
- Medical Oncology Consultation Available
- Radiation Referral Available
Plastic and Reconstructive Surgery:
Urinary System Surgery:
- Kidney and Ureter:
- Nephrectomy and Ureterectomy
- Partial Nephectomy (Trauma)
- Nephrolithotomy (limited and rapid to minimize renal damage)
- Ureterotomy (stone removal, cats)
- Ureteroneocystostomy
- Jejunal Conduit (short ureter)
- Urinary Bladder and Urethra:
- Cystotomy
- Stone Removal with Extensive Flushing (male or female)
- Cystectomy
- Cystostomy Tube Drainage (low profile)
- Prescrotal Urethrotomy
- Scrotal Urethrostomy
- Urethral Prolapse
- Prostate:
- Abscess Drainage
- Marsupialization
- Pen Rose Drainage
- Omentalization
- Biopsy
- Paraprostatic cysts
- Resection
- Drainage
- Marsupialization
Thoracic Exploratory:
- Open
- Explore
- Determine Surgical Issues
- Repair
- Close
- See Cardiopulmonary Surgery
Special Feline Procedures
-
Perineal Urethrostomy
- Perineal Urethrostomy Stricture Revision
- Prepubic Urethrostomy
- Colectomy (megacolon)
- Ureterotomy (ureteral stones)
- Fibrosarcoma Resection
- All Forms
- Vaccine Induced with margin evaluation
- Thyroidectomy
- Bilateral
Hyperthyroidism
- Naopharyngeal Polyps
- External Ear canal
- Pharyngeal
- Caudal Nasopharynx
- Removal with VBO (Ventral BullaOsteotomy)
