The Department of surgical services was established over 40 years ago by Dr. Anthony Palminteri, founder of Oradell Animal Hospital and followed shortly thereafter by co-owner Dr. William Stockman. Drs. Palminteri and Stockman received specialized surgical training at the ASPCA’s Henry Bergh Memorial Hospital in New York City, and Dr. Palminteri was among the first group of veterinary surgeons to be certified by the American College of Veterinary Surgeons (ACVS) in 1968.
Today, Oradell Animal Hospital has four board certified surgeons on staff who maintain the highest surgical standards while performing the latest techniques in soft tissue and orthopedic surgery. Our state-of-the-art facility contains special surgical suites dedicated to general, orthopedic, and cardiovascular surgeries, laparoscopy and arthrosocopy.
Tibial tuberosity advancement for the treatment of tearing of the cranial cruciate ligament in dogs.
Tearing of the cranial (or anterior) cruciate ligament CrCL in dogs commonly occurs in middle aged, overweight dogs, but we have seen it in dogs as young as 10 months old. The limp or lameness can happen suddenly or it can wax and wane for months. Anti-inflammatory medications will help the knee to feel better, but in dogs over 15 to 20 pounds, surgery is required to achieve the best possible outcome. In medium to large breed dogs the treatment of choice at Oradell Animal Hospital is tibial tuberosity advancement (TTA). At the time of surgery, the knee joint (or in dogs the stifle joint) is examined either in the traditional open method or with arthroscopy to assess the integrity of the CrCL and remove any damaged portion. The joint is also inspected for degree of arthritis and the medial meniscus is examined because 1/3 of dogs with a CrCL tear will also tear the meniscus. Then, instead of trying to replace the ligament, the forces around the knee are adjusted by moving the front of the lower bone (tibia) forward to stabilize the joint. This action eliminates the force pushing the tibia forward when the CrCL is not functioning properly. This involves cutting the bone and placing a titanium spacer in order to keep the bone in its new position. Additionally, a plate is applied to reinforce the repair.
Following surgery, the knee needs to be protected from overuse by having the dog refrain from running, jumping, rough play, or fast stairs. Walking is encouraged as part of a detailed postoperative rehabilitation plan. Pain medications and antibiotics are routinely used following orthopedic surgery. Typically, the patient is seen at 2 weeks for staple or suture removal and again at 2 months for recheck x-rays of the knee to assess bone healing. At this time an increase in activity back to a normal level is expected. Many dogs will tear their other knee’s CrCL, so keeping them lean and active to improve muscle strength is important.
Hoffmann DE, Miller JM, Ober CP, Lanz OI, Martin RA, Shires PK. Tibial tuberosity advancement in 65 canine stifles. Vet Comp Orthop Traumatol 2006;19:219-227.
Laparoscopic and Thoracoscopic Surgical Procedures
Oradell Animal Hospital is proud to offer a variety of abdominal and thoracic surgery completed in a minimally invasive manner. Dr. Miller, one of our board-certified small animal surgeons, has over a decade of training in laparoscopic and thoracoscopic surgical procedures. Laparoscopy is the use of a small (5mm) camera and similar sized instruments to performed surgery inside of the body without large incisions with massive tissue exposure. The benefits of this technique include smaller incisions, less postoperative pain, lower infection rates and a shorter duration of the hospital stay.
Spaying is done on female dogs and cats to eliminate the possibility of pregnancy, prevent breast cancer, and reduce behavioral problems. This spay procedure can be performed in the traditional open abdomen method or as a laparoscopic procedure. Following a laparoscopic spay, there is less pain and less tissue trauma.
Some liver diseases will require a tissue biopsy in order to diagnose the disease. A small needle biopsy can be performed with ultrasound guidance, but often the sample is too small to make a diagnosis and the risk of bleeding is higher. With a laparoscopic liver biopsy, the surgeon can visualize the site for biopsy and manage any bleeding more securely. Multiple areas can also be easily sampled. This is usually an outpatient procedure.
GDV, or stomach bloat and twisting, is a common, life-threatening disease that occurs in older large breed dogs. This causes stomach damage and requires emergency surgery to untwist the stomach and prevent future twisting. In large breeds with a deep chest, a procedure to tack the stomach down can be performed at the time of neuter or spay to prevent GDV later in life. This procedure can be performed laparoscopically with smaller incisions and less pain.
Many other minimally invasive procedures can be accomplished effectively now:
Adrenal gland removal
Gall bladder removal
Pericardial sac removal
Cryptorchid testis removal
Feeding tube placement
Persistent right aortic arch resection