Veterinary Surgical Services in Bellingham, WA

Orthopedic Surgery

Our orthopedic services address joint, bone, and ligament conditions.

Orthopedic Surgeries

• Angular limb deformity repair
• Arthroscopy of the shoulder, elbow, stifle, and hock joints
• Cranial Cruciate Ligament (CCL) Rupture Treatment:
  • Biomechanical repairs:
    • Tibial plateau leveling osteotomy (TPLO) (Surgery to stabilize the knee joint after an ACL tear by reshaping the tibia.)
    • CORA Based Levelling Osteotomy (CBLO)
    • Cranial Closing Wedge Osteotomy (CCWO)
    • Tibial Tuberosity Transposition (TTT) Surgery that adjusts the bone position in the knee to improve alignment and fix kneecap dislocation.
    • Trochleoplasty (Surgery to deepen the knee groove, preventing kneecap dislocation.)

• • Conventional imbrication techniques
  • Arthroscopic Cruciate Ligament evaluation and meniscus treatment
• Elbow Dysplasia
  • Proximal Abduction Ulnar Osteotomy (PAUL) Procedure
  • Arthroscopic Evaluation and Treatment
  • Fragmented Medial Coronoid Process (FMCP)
  • Ununited Anconeal Process (UAP)
  • Incomplete Ossification of the Humeral Condyle (IOHC)
• Fracture repair
  • AO ASIF Synthes (A state-of-the-art system for fixing bone fractures with precision tools and implants.)
  • Kyon Advanced Locking Plate System (ALPS) (Advanced bone plating system used to repair fractures and stabilize bones.)
• Hip dysplasia & hip osteoarthritis treatment
  • KYON Cementless Total hip replacement via collaboration with our Surrey location
  • Triple pelvic osteotomy (TPO)
  • Femoral head ostectomy (FHO)
• Patella luxation repair
  • Patella groove replacement (PGR) via collaboration with our Surrey location (Surgery to replace the groove where the kneecap moves, helping to restore normal knee function.)
  • Tibial tuberosity transposition
  • Soft tissue imbrication/release
  • Trochleoplasty
  • Corrective osteotomy (Bone realignment surgery to correct deformities and improve mobility.)
• Soft Tissue Imbrication / Release (Adjusts the soft tissues around joints to improve stability or range of motion.)
• Other Orthopedic Procedures, including:
  • Amputation (for tumors, e.g. osteosarcoma; or non-salvageable trauma. Removes a limb affected by severe trauma or tumors, like osteosarcoma, to improve the pet’s quality of life.)
  • Hemipelvectomy (for tumors involving the ilium, ischium, pubis, or anywhere in the pelvis. Removes part of the pelvis to treat tumors while preserving mobility.)
  • Limb-spare for distal radius osteosarcoma (Preserves the limb while removing cancer, typically for bone tumors like distal radius osteosarcoma.)
  • Proximal Abducting Ulnar Osteotomy (PAUL) technique for elbow dysplasia (A technique to relieve elbow pain and improve mobility in dogs with elbow dysplasia – a condition related to the abnormal development of the elbow joint).

Soft Tissue Surgery

Our general surgery services address conditions involving the head, neck, thoracic, abdominal, and skin structures.

Soft Tissue Surgeries

Abdominal surgery:

• Extrahepatic portosystemic shunt attenuation (e.g. with ameroid constrictor or cellophane band)
• Liver and biliary/gall bladder surgeries
• Laparoscopic liver biopsy (e.g. for hepatopathy workup including copper testing, cultures, histopathology)
• Cholecystectomy (e.g. for gall bladder mucocele)
• Splenectomy
• Adrenalectomy (adrenal tumors such as pheochromocytoma or carcinoma; laparoscopic if no caval invasion, otherwise open)
• Pancreatectomy, partial (for insulinoma)
• Common bile duct stenting or re-routing via cholecystoenterostomy (for common bile duct obstruction)

Gastrointestinal surgery

• Foreign body removal
• Megacolon treatment via subtotal colectomy
• Gastrointestinal tumor resection (e.g. gastric or intestinal, including colon; carcinomas or adenocarcinomas or gastrointestinal stromal tumors, leimyosarcomas, etc.)
• Laparoscopic-assisted gastrointestinal biopsies (full-thickness for IBD vs. lymphoma)
• Laparoscopic gastropexy (± ovariectomy/spay or orchiectomy/neuter, if owner wishes)

Kidney and urinary bladder surgery

• Canine Urethral Obstruction / Feline Urethral Obstruction
•  Subcutaneous ureteral bypass or ureteral reimplantation (e.g. cats with ureteral obstruction)
• Urethral ± ureteral stenting (salvage for transitional cell carcinoma TCC)
  • Urolithiasis (Urinary Stones)
  • Nephrectomy
• Artificial urethral sphincter placement (for urethral sphincter mechanism incompetence, urinary incontinence)
• Sealed partial cystectomy (for non-trigonal bladder tumors such as transitional cell carcinoma TCC)
• Prescrotal urethrostomy (e.g. with penile amputation due to tumors or trauma, or alone for recurrent urethral stone obstruction)

Head and Neck:

•  Tracheal stent (old dog w/ collapsing trachea or intraluminal tracheal tumor)
• Tracheal rings (young dog w/ collapsing trachea)
• Sialadenectomy (for sialocele aka mucocele)
• Thyroidectomy (thyroid tumors)
• Parathyroidectomy (for primary hyperparathyroidism with hypercalcemia)
• Unilateral arytenoid lateralization (tie-back for laryngeal paralysis aka lar par)
• Total ear canal ablation and bulla osteotomy (TECA-BO)
• Brachycephalic airway syndrome treatment
• Salivary mucocele surgery

Oncological:

• Hemipelvectomy (for tumors involving the ilium, ischium, pubis, or anywhere in the pelvis)
• Surgical limb-spare for distal radius osteosarcoma via lateral manus transposition
• Body wall resection and reconstruction (e.g. for rib tumor)
• Rectal mass resection
• Mastectomy for mammary tumors

Perineal and Rectal:

• Perineal hernia repair
• Anal and rectal tumor resection
• Herniorrhaphy
• Anal sacculectomy (with or without sublumbar lymph node excision; for apocrine gland of the anal sac adenocarcinoma)
• Herniorrhaphy (e.g. perineal, or inguinal, or umbilical hernias)
• Rectal mass resection (via rectal mucosal eversion or pull-through)

Skin & Reconstruction:

• Traumatic wound management
• Axial pattern flap wound management
• Caudectomy (for screwtail)
• Axial pattern flap wound management
• Specialized skin grafts to cover large wounds and restore function.
• Traumatic wound management and reconstruction
• Repairs severe wounds, often using advanced techniques for optimal healing.

Thoracic:

• Pericardectomy
• Tracheal stent (old dog w/ collapsing trachea or intraluminal tracheal tumor)
• Lung lobectomy (for pulmonary carcinoma or other lung tumor, lung abscess, etc.)

Cardiac surgical procedures:

• Patent ductus arteriosus (PDA)
• Peristent right aortic arch (PRAA) or other vascular ring anomaly
• Ventricular septal defect (VSD) palliation via MPA banding
• Thymoma
• Diaphragmatic hernia
• Spontaneous pneumothorax
• Idiopathic chylothorax
• Pyothorax