While orthopedic surgery is common, especially as pets begin to age, the success of these procedures can dictate the quality of your pet’s life. For this reason, many local pet hospitals will send their patients to a veterinary surgeon. Dr. Phil Zeltzman is one such specialist. The difference, however, is that Dr. Zeltzman travels to your family vet’s clinic, performing the procedure as close to your home as possible.
There is a wide range of orthopedic procedures your pet may undergo. Some of the more common include:
The most common procedure Dr. Zeltzman performs is ACL (anterior cruciate ligament) surgery. The ACL or CCL is a ligament that connects the bone above the knee (femur) to the bone below (tibia). Due to injury, age, or being overweight, the ACL can rupture or tear. When this happens, the knee becomes unstable. Left untreated, the injury causes pain and results in irreversible joint damage and arthritis, as well as lameness. However, with surgery most dogs have a full recovery and can go back to having a happy life.
Procedures Dr. Zeltzman offers, depending on the patient, to address an ACL tear include:
- Nylon sutures (lateral suture or fabello-tibial sutures)
- TPLO (tibial plateau leveling osteotomy)
- CBLO (CORA-based leveling osteotomy)
- TTA (tibial tuberosity advancement)
Dr. Zeltzman has performed thousands of these procedures in dogs (and cats), ranging from less than 5 pounds to more than 250 pounds.
From being hit by a car to suffering a fall, there are multiple reasons your pet may suffer a fractured or broken bone. Most fractures require surgery to be repaired and a full recovery to occur.
Every joint in your dog or cat’s body has the ability to dislocate. Some dislocations are congenital, while others are a result of trauma. The most common joint dislocation for pets is the kneecap, which can actually occur in both knees simultaneously. When this happens, the kneecap slides out of the groove that is supposed to hold it in place at the bottom of the femur. Surgery is required to stop the pain and slow down arthritis.
FHO (HIP SURGERY)
The femoral head ostectomy (FHO) is a surgery of the hip. It is performed for reasons that include hip dysplasia, fractures, dislocations, or deterioration of the bone caused by congenital disease.
Other orthopedic procedures Dr. Zeltzman can help with include:
- ACL surgery (standard or extracapsular repair)
- Kneecap dislocation (patellar luxation)
- Tibial Plateau Leveling Osteotomy (TPLO)
- Cora Based Leveling Osteotomy (CBLO)
HIP SURGERY (HIP DYSPLASIA AND FRACTURES)
- Femoral Head Ostectomy (FHO)
- Hip dislocation (luxation)
- Juvenile Pubic Symphysiodesis (JPS)
- Dislocation (luxation)
- Osteo-Chondritis Dissecans (OCD)
- Fragmented Coronoid Process (FCP)
- Osteo-Chondritis Dissecans (OCD)
- Ununited Anconeal Process (UAP)
- Elbow dysplasia
- Arthrodesis (joint fusion)
- Dislocation repair (luxation)
- Ligament rupture (tear) repair
- Tendon rupture (tear) repair
- External fixator
- Plate and screws
As the years pass, veterinarians continue to report more and more incidence of pet cancer. While it sounds like a negative, the reasons for the rise in numbers are actually positive. As the human-animal bond grows, owners are providing their pets with better veterinary care. This has translated into vets discovering and treating cancers that in the past would have gone overlooked.
In addition, veterinary medicine itself has come a long way, allowing pets to live longer lives. Like humans, a longer lifespan for pets translates into the potential for various diseases. Advancements in veterinary diagnostic tools have also allowed vets to diagnose cancer in earlier stages, giving their patients a better chance at a full recovery.
None of the above is meant to scare anyone, but rather to motivate you to seek regular veterinary care for your pet. The quality and length of his or her life depends on it.
WHAT TO LOOK FOR
Cancer can be found in any part of a pet’s body. The most common include the mouth, neck, chest, belly, skin, legs, and bones. While each type of cancer has specific symptoms, there are some general warning signs to be aware of, including:
- Sudden weight loss
- Unusual swelling or growths
- Wounds that do not heal
- Disinterest in food
- Abnormal bleeding or discharge
- Foul odor
- Trouble swallowing or breathing
- Persistent stiffness or lameness
- Struggling to urinate or defecate
- Loss of stamina or lethargy
Dr. Phil Zeltzman is a highly skilled surgeon, specializing in various types of pet cancer surgery. He has seen first hand how early detection can extend or even save the life of a beloved pet.
Other cancer procedures Dr. Zeltzman can help with include:
- Cisplatin beads (tiny local chemo pearls that dissolve)
- Feline fibrosarcoma
- Jaw surgery (Mandibulectomy / Maxillectomy)
- Jaw surgery (Mandibulectomy / Maxillectomy)
- Limb-sparing for cancer (osteosarcoma)
- Mastectomy (mammary tumors)
- Nasal tumors (rhinotomy, rhinoplasty)
- Tumors in multiple other locations (mentioned above and below).
Post-Surgical Veterinary Care
Your pet may be through with his or her surgery, but the road to recovery has just begun. Equally important to the procedure itself, the post-surgical care your pet receives will greatly impact recovery, as well as his or her comfort along the way.
Dr. Zeltzman takes a holistic approach to post-surgical care, keeping in mind his patients’ wellbeing far beyond their recovery from surgery. He begins this process by considering the whole patient, as opposed to just the surgery site. This starts with a consultation provided to every owner and a discussion about the appropriate food for their pet, depending on their condition.
Regardless of the procedure your pet undergoes, you as the owner will receive discharge instructions specifically tailored to his or her needs. This includes instructions for incision care, exercise restrictions, physical therapy, medications, follow-up appointments, X-ray schedule, and bandage changes.
No matter if your pet undergoes a simple soft tissue procedure or a more complex neurologic surgery, he or she needs proper and compassionate follow-up care.
Help for Overweight Pets
Like humans, the general health of pets is affected by the ability to manage weight. Obesity, or even being overweight, can not only lead to a variety of insidious conditions and diseases but also on average it shortens the life of the pet by two years.
Vets across the country are reporting more and more incidence of overweight and obese pets. While the reason for this is unclear, what is certain is a greater number of pets will be susceptible to joint injuries such as ACL tears, heart disease, diabetes, cancer, and more.
Dr. Zeltzman is so concerned about the rise in overweight pets that he includes food recommendations in all of his discharge instructions, in order to ensure his patients maintain a healthy weight during their recovery from surgery. In addition, he is the co-author of Walk a Hound, Lose a Pound, a practical and easy-to-read book about helping dogs and their owners lose weight and stay fit together.
Soft Tissue Surgery
Soft tissue surgery is a large subject, as it comprises any surgery that is not orthopedic. Procedures can range from simple cyst removals to complex and involved operations. Dr. Phil Zeltzman has more than two decades of experience in all forms of soft tissue surgery. Some of the procedures he commonly performs include:
Also known as exploratory laparotomy, belly surgery is performed for several reasons. They include the removal of diseased organs, removing bladder stones, taking biopsies, and removing foreign bodies. Yes, pets have been known to swallow a number of inedible items, including socks, locks, and rocks.
Dr. Zeltzman performs a preventive operation known as a prophylactic gastropexy. Meant for dogs at risk for GDV or “stomach twisting,” the surgery attaches the stomach to the inside of the belly, keeping it from twisting and possibly taking the animal’s life.
Cysts and tumors can appear anywhere on or inside an animal’s body. They typically require removal. They may also be biopsied in order to first determine if the mass is either malignant (cancerous) or benign (non-cancerous).
BLADDER AND URINARY SURGERY
The most common bladder surgery for dogs is the removal of bladder stones. For cats, it’s a procedure known as a perineal urethrostomy (PU). Male cats have a tendency to experience blockages in their urethra. When this happens several times, a PU is performed to widen the exit route.
Oftentimes, cats experience ear polyps, which are removed with various surgeries. Certain breeds of dogs, most often Cocker Spaniels, can have issues with ear infections. If the infection is bad enough, it may require a total ear canal ablation (TECA), or removal of the ear canal. As invasive as it sounds, the procedure yields terrific results, allowing pets to live ear infection and pain-free.
Dogs, mostly Labs, can have a condition that paralyzes their larynx, or voice box. While it is a stressful condition, the “tie back” surgery widens the airway and is the difference between suffocating and breathing comfortably. In good hands, the complication rate is low.
OTHER SOFT TISSUE PROCEDURES DR. ZELTZMAN CAN HELP WITH INCLUDE:
- Abdominal surgery
- Abdominal port placement for chronic effusions
- Adrenal gland removal
- Bladder (stone removal, masses)
- Colon surgery
- Diaphragmatic hernia
- Ectopic ureter
- Exploratory laparotomy
- Gallbladder (removal vs. re-routing)
- Hemoabdomen (internal bleeding)
- Incontinence treatment
- Intestinal obstruction (foreign bodies)
- Intestinal surgery
- Kidney surgery
- Liver biopsy, including “keyhole” liver biopsy
- Liver surgery
- Pancreas surgery
- Pleuro-Peritoneal Diaphragmatic Hernia (PPDH)
- Prophylactic gastropexy (“twisted stomach” or bloat or GDV prevention)
- Prostate surgery
- Spleen removal (splenectomy, bleeding masses)
- Stomach surgery (foreign bodies)
- Urethra surgery
- Uterus infection (pyometra)
THORACIC SURGERY (THORACOTOMY)
- Esophagus surgery
- Patent Ductus Arteriosus (PDA)
- Persistent Right Aortic Arch (PRAA)
- Pleural port placement for fluid buildup
- Lung surgery, including “keyhole” lung biopsy
HEAD AND NECK SURGERY
- Cheiloplasty (for excessive drooling)
- Cleft palate
- Ear and throat polyps in cats
- Ear hematoma
- Elongated soft palate
- Everted laryngeal saccules
- Eye and eyelid surgery
- Facial fold removal
- Laryngeal paralysis (“Tie back”)
- Lateral Bulla Osteotomy (LBO)
- Lateral ear resection
- Oro-nasal fistula
- Para-thyroid gland removal
- Salivary gland surgery (mucocele, sialocele)
- Stenotic nares (narrow nostrils)
- Thyroid gland removal (cat or dog)
- Total Ear Canal Ablation (TECA)
- Ventral Bulla Osteotomy (VBO)
“BACK END” SURGERY
- Anal sac surgery
- “Corkscrew” tail removal
- Perianal fistula management
- Perineal hernia
- Prepubic urethrostomy (P/U salvage or revision, urethral tear or stenosis)
- Urethrostomy (perineal or P/U in cats, scrotal in dogs)
- Redundant vulvar fold (vulvoplasty, episioplasty)
- Scrotal ablation
- Open wound management (trauma)
- Skin flaps
- Skin grafts
- Vacuum-Assisted Closure (VAC) of open wounds
- Blocked urethra (cat or dog)
- Foreign bodies
- Gastric Dilatation-Volvulus (GDV)
- Spleen removal (splenectomy)
Other soft tissue procedures include other types of hernias, soft tissue biopsies, elbow hygroma, lymph node removal or biopsy, feeding tube placement etc.
Neurologic surgery encompasses many procedures regarding various disorders of the brain, inner ear, spinal cord, and vertebrae, as well as diseases affecting muscles, nerves, and the peripheral nervous system.
Dr. Zeltzman commonly performs surgery of the neck and back. The majority of the procedures he performs involve dogs with slipped discs in the back. While the condition can affect any dog, the breed that suffers from it the most is the Dachshund. Slipped discs in the neck can also occur. Cats can occasionally suffer from slipped discs. If your pet is suffering from a slipped disc, surgery is often necessary. Without the procedure, the pet may become partially or completely paralyzed.
Other neurological procedures or tests Dr. Zeltzman can help with include:
- Atlanto-axial (sub)luxation
- “Bulging” disc (back and neck)
- Cauda equina (L/S syndrome)
- CSF tap (spinal tap)
- Degenerative myelopathy
- Spinal tap (CSF tap)
- Spinal tumor
- Vertebral fracture and/or dislocation (luxation)
- Wobbler syndrome (cervical vertebral instability syndrome)
- Muscle and nerve biopsies
- Chiari-like malformation
- Syringomyelia workup
Pet Pain Management
For both humans and pets, pain is truly a four-letter word. This is why Dr. Zeltzman considers pain management the number one priority when it comes to caring for your pet before, during, and after his or her surgery. Committed to the personalized treatment of your pet, Dr. Zeltzman offers the latest in pain management options.
For some surgeries, depending on the patient, pain medication may be administered before surgery. This could include an epidural, medication within an IV, or drugs placed directly into a joint. Regardless, the goal for Dr. Zeltzman is to keep your pet as comfortable and safe as possible.
Once your pet’s surgery has been completed, he or she will be sent home with anti-inflammatory and/or morphine-like drugs. The former is to reduce the swelling associated with surgery, while the latter is meant to manage the accompanying pain. In addition, your pet may also receive antibiotics or other necessary medications.