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Surgery Brochure

Rebecca Spivack, VMD, DACVS-SA, CCRP

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Veterinary Surgery

We perform many varieties of orthopedic, traumatologic, neurological, thoracic, cardiovascular, abdominal, and reconstructive surgery. Some of these are diagnostic and therapeutic arthroscopy, thoracoscopy, and laparoscopy. Our surgical team is composed of ten highly trained staff. We perform emergency surgery 24 hours a day to maximize positive outcome and optimize patient care.

Some of the Surgical Procedures Commonly Performed by IndyVet:

Orthopedics & Traumatology

• Anglular Limb Deformity Prevention/Correction Distal ulnar ostectomy, proximal ulnar osteotomy, radius curvus, elbow incongruency correction.

• Femoral Head and Neck Ostectomy (FHO) This surgery is for treatment of Legg-Calves-Perthes Disease, Avascular Necrosis and severe hip dysplasia or trauma.

• Fracture Repair We offer the latest technology for bone osteosynthesis including bone plating, locking mechanisms, MIPO (minimally invasive bone osteosynthesis), and ESF (external skeletal fixation).

• Fragmented Coronoid Process (FCP) The fragmented piece of bone is removed either arthroscopically or with open surgery. The removal of FCP aids in alleviating the clinical signs associated with canine elbow dysplasia.

• Juvenile Pubic Symphysiodesis (JPS) This procedure is used for prevention of clinical signs associated with canine hip dysplasia.

• Osteochondritis Dissecans (OCD) of the shoulder, elbow, knee, and tarsus.

• Patellar Luxation Repair is a multi-factorial problem that includes bone and soft tissue abnormalities. IndyVet surgeons approach this orthopedic condition by addressing each causative factor to maximize positive outcome and patient comfort. Some of the procedures involved might include joint capsule releases, retinacular modification, rectus femoris muscle transposition, tibial tuberosity transposition, and various types of arthroplasties. Some adult patients with acute signs of lameness often have concurrent ligament injuries that must be addressed at the time of the patellar laxity surgery.

• PennHip IndyVet is certified to perform PennHip radiographs for early diagnosis and risk assessment of canine hip dysplasia.

• Tibial Plateau Leveling Osteotomy (TPLO) This surgery is performed for repair of the cranial cruciate ligament

• Tibial Tuberosity Advancement (TTA) This surgery is performed for repair of the cranial cruciate ligament

Neurosurgery

• Atlanto-Axial luxation stabilization

• Depressed skull fracture

• Intervertebral Disc Disease( IVDD) Ruptured intervertebral discs are a common cause of paralysis and paresis in veterinary patients. This condition is an extremely painful and debilitating disease. Ruptured or herniated discs are very often a surgical emergency. Prompt evaluation and treatment are crucial to maximize the chances of achieving a positive outcome and returning a patient to normal function. Some of the procedures performed to address this condition include:

  • Hemilaminectomy

  • Dorsal Laminectomy

  • Cervical Ventral Slot

• Peripheral nerve biopsy

Thoracic & Cardiovascular Surgery

• Cardiovascular Surgery

  • Auriculectomy For treatment of cardiac tumors

  • Heartworm Removal For treatment of Caval Syndrome

  • Patent Ductus Arteriosis (PDA) ligation

  • Persistent Right Aortic Arch (PRAA) transection

  • Pericardectomy For treatment of idiopathic pericardial effusion

  • Thoracic Duct Ligation For treatment of idiopathic chylothorax

• Lungs

  • Lung biopsy

  • Lung lobectomies

  • Pneumonectomy

  • Pleural sealing for treatment of idiopathic spontaneous pneumothorax

Abdominal Surgery

• Abdominal hernia repair

• Adrenal tumor excision

• Cholecystectomy

• Cholecysto-duodenostomy

• Sub-Total Colectomy For treatment of idiopathic megacolon

• Cystotomy & Partial Cystectomy For treatment of tumors, polyps, and urinary stones

• Diaphragmatic hernia repair

• Enteric resection and anastomosis For treatment of tumors, perforations, or foreign bodies. We offer the latest technology in GI stapling. These techniques minimize anesthesia time and allow for faster recovery, especially when multiple repairs are needed in the same critically ill patient

• Gastrotomy & Partial Gastrectomy For treatment of tumors and ulcers of the stomach

• Gastro-intestinal biopsies

• Inguinal hernia repair

• Splenectomy

• Liver biopsy Performed both open or by laparoscopy

• Liver lobectomy

• Nephrectomy (removal of a kidney)

• Perineal hernia repair

• Porto-Systemic Shunting repair (PSS) Both intra-hepatic and extra-hepatic shunts can be corrected surgically to alleviate the patient's clinical signs and prolong life expectancy.

• Prostatic Omentalization

• Urolith (urinary stones) removal Urinary stones are formed as a consequence of metabolic imbalances. Often times these stones become lodged along the urinary tract causing a life threatening obstruction. The removal of stones from kidneys, ureters, urinary bladder, and urethra needs very delicate surgery. Often, when the condition is chronic or recurrent, re-routing of the ureters or urethra is necessary to reestablish urinary patency.

Head & Neck Surgery

• Arytenoid Lateralization for laryngeal paralysis

• Brachycephalic Syndrome Remedy Includes correction of stenotic nares, elongated soft palate, and everted laryngeal saccules

• Maxillectomy and Mandibulectomy For removal of oral tumors

• Salivary Mucocele Resection

• Parathyroidectomy

• Permanent Tracheostomy

• Total Ear Canal Ablation (TECA) for treatment of refractory ear infection or ear canal tumor

• Tracheostomy tube placement

• Thyroidectomy

• Ventral Bulla Osteotomy for treatment of middle ear disease

Oncologic Surgery

The internal medicine service also provides diagnosis and treatment for patients with all types of cancer. They provide chemotherapy and immunotherapy for a large number of patients every week. They also facilitate radiation treatment for patients when indicated. Our Oncology and Surgery services work closely to provide diagnosis through surgical biopsies, or surgical palliative debulking of tumors prior to definitive chemotherapy. The surgery department works hand in hand with oncology to achieve the best outcome. The goal of the oncology service is to create the best quality of life possible for each patient. Also, expect to see a new oncology department coming in January 2019.

Reconstructive and Plastic Surgery

• Minimally Invasive Surgery

• Skin Flaps

• Skin Grafting

• Episioplasty for treatment of vaginal-fold infection-related UTIs

• Wound Management and care

Surgery Staff

Rebecca Spivack, VMD, DACVS-SA, CCRP
Nichole Young, RVT
Selena Solorio

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