Specialty Surgeries / Procedures

Dr Seth Has Experience With The Following Specialty Surgeries

 

(**Dr Seth is not a boarded specialty surgeon**)

(He has taken a special interest in continuing education and hands on experience to provide these surgeries at a more affordable price when the cost of the specialist is prohibitive)

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TPLO

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ACL Repair 

Our dogs are more frequently experiencing ACL (Cruciate Ligament) tears. There are 3 common ways to surgically repair an ACL tear. Two are ideally done with a specialist ($$$)- the TPLO and TTA. 

Dr Seth performs a modified lateral suture technique. He has successfully corrected close to 400 dogs with this technique. With the new line technology, it can be reliably utilized in pets from 10lbs to 150lbs. 

If your pet has been diagnosed with an ACL tear and want an option more cost conscious than the TPLO/TTA- contact us and we can discuss your options. 

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TTA

PRP (Platelet Rich Plasma)
&
Stem Cell Injections

Plasma is the liquid within which the other components of blood, such as red blood cells and platelets, are suspended. It is mostly comprised of water. Platelets are small fragments of cells that play a role in the blood clotting process and also promote healing.

Platelet-rich plasma (PRP) is derived from the patient’s own blood. Veterinarians process the plasma so that it has a higher-than-usual concentration of platelets. The plasma contains growth factors and proteins that accelerate the healing of tendons and ligaments and may promote regeneration of cartilage or bone.

PRP injections can decrease pain associated with arthritis by reducing inflammation in the joints. They may also help tendon or ligament injuries heal. Patients with chronic, slow, or non-healing wounds may also benefit from PRP.

 

Platelets are a cell-like component of blood and are primarily responsible for the development of clots. Platelets also contain a remarkable array of growth factors involved in healing. The list includes platelet-derived growth factors (PDGF), ß-thromboglobulin, fibroblast growth factor, insulin-like growth factor 1, epidermal growth factor, and vascular endothelial growth factor. These growth factors are primarily responsible for the recruitment and differentiation of progenitor cells; promoting angiogenesis, new tissue growth, and replenishing the extracellular matrix.

  • Stem Cells
    When stem cells are injected in a concentrated form, they perform various functions to repair and regenerate tissue. They have the ability to differentiate into the surrounding tissue types, which can include bone, cartilage, tendon, ligament, muscle, and nervous tissue. Other primary functions of stem cells in regenerative therapy include:

    • Activate surrounding resident stem cells

    • Stimulate new blood supply

    • Recruit additional cell types to aid in tissue repair and “clean-up”

    • Stimulate healing and tissue growth with the release of cytokines and growth factors

    • Decrease inflammation by moderating inflammatory pathways

    • Reduce and/ or eliminate scar tissue

    • Create a scaffold for healing tissues via extracellular matrix

Indications for Use

Regenerative therapies, including platelet rich plasma (PRP) and bone marrow aspirate concentrate (BMAC) stem cell therapies, can be used for a wide range of conditions including:

  • Osteoarthritis

  • Ligament Injuries

  • Tendon Injuries

  • Burn Wounds

  • Open Wounds

  • Bone Grafts

  • Certain Spinal Conditions

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Laser Light Therapy 

Photobiomodulation (PBM) therapy occurs when a dose of light energy reaches target tissue and results in decreased inflammation, decreased pain, and accelerated healing. This doctor-prescribed, technician-driven modality effectively treats a wide variety of conditions including pre-surgical, post-surgical, acute, and chronic disease states.

 

What is Photobiomodulation Therapy?

Photobiomodulation therapy is defined as a form of light therapy that utilizes non-ionizing light sources, including lasers, light emitting diodes, and/or broadband light, in the visible (400 – 700 nm) and near-infrared (700 – 1100 nm) electromagnetic spectrum. It is a nonthermal process involving endogenous chromophores eliciting photophysical (i.e., linear and nonlinear) and photochemical events at various biological scales. This process results in beneficial therapeutic outcomes including but not limited to the alleviation of pain or inflammation, immunomodulation, and promotion of wound healing and tissue regeneration.1 The term photobiomodulation (PBM) therapy is now being used by researchers and practitioners instead of terms such as low level laser therapy (LLLT), cold laser, or laser therapy.

The fundamental principles that underpin photobiomodulation (PBM) therapy, as currently understood in the scientific literature, are relatively straightforward. There is consensus that the application of a therapeutic dose of light to impaired or dysfunctional tissue leads to a cellular response mediated by mitochondrial mechanisms that reduce pain and inflammation and speed healing.

The primary target (chromophore) for the process is the cytochrome c complex, which is found in the inner membrane of the cell mitochondria. Cytochrome c is a vital component of the electron transport chain that drives cellular metabolism. As light is absorbed, cytochrome c is stimulated, leading to increased production of adenosine triphosphate (ATP), the molecule that facilitates energy transfer within the cell. In addition to ATP, laser stimulation also produces free nitric oxide and reactive oxygen species. Nitric oxide is a powerful vasodilator and an important cellular signaling molecule involved in many physiological processes. Reactive oxygen species have been shown to affect many important physiological signaling pathways including the inflammatory response. In concert, the production of these signaling molecules has been shown to induce growth factor production, to increase cell proliferation and motility, and to promote extracellular matrix deposition and pro-survival pathways. Outside the cell, nitric oxide signaling drives vasodilation, which improves microcirculation in the damaged tissue, delivering oxygen, vital sugars, proteins, and salts while removing wastes.

FHO (Femoral Head Osteotomy

There are times when dogs and cats are in need of a salvage procedure when there is a traumatic or degenerative process going on with their ball and socket joint. In dogs, hip dysplasia and chronic arthritis are the two most common pre-dispositions. 

In cats a femoral head/neck fracture  and arthritis are most common.

This procedure is the alternative to a total hip replacement. It removes the offending painful ball from the socket joint and a "false joint" is created. The pet can still run and play and maintain quality of life after this procedure. 

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Patellar Luxation 

At this time I offer a medial release/lateral imbrication for Grade 1-2 patella luxations. Grade 3 and higher generally need a more invasive surgery to correct and I plan to take continuing education courses to offer further surgical options for pets that suffer from this condition. 

Thermal Imaging

What is Veterinary Thermal Imaging?

Veterinary Thermography – Unique Patient Evaluation

Veterinary thermal imaging uses a camera to measure a patient’s body surface temperatures.  This veterinary-specific software converts the temperatures into images that help evaluate physiology.  Thermal images use colors to represent the body’s surface temperatures of the animal. This provides a physiological map of the patient and allows veterinarians to see the unseen. 

Digatherm® makes reading and interpreting thermal images easy.  Colors clearly represent and correlate with temperatures on the thermal image. Because of this, clinicians can easily identify areas of increased or decreased temperatures.  Thermal imaging for animals helps pinpoint where problems are and knowing where to look further. 

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Other Procedures

+PRAA (Persistant Right Aortic Arch

+Simple External Hepatic Shunt Constrictor Ring Application

+PDA (Patent Ductus Arteriosus)

+Episioplasty (For hooded/recessed vulva)

+Splenectomy

+Bladder Stones (Cystotomy)

+Intestinal Surgery (Resection/Anastamosis)

+Simple oblique fracture reduction (pin and cerclage)

+Diaphragmatic Hernia Repair

+Open chest lung abcess/cyst removal

+Nephrectomy (Kidney removal)

+Thyroidectomy

+Partial Mandibulectomy

+Eye Enucleation

+Amputation