Fluoroscopy

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Intraoperative Fluoroscopy

We have a high quality mobile fluoroscopy unit for minimally invasive orthopaedic surgery which allows many fractures in puppies and kittens to be repaired closed without the need to make an incision. This is common in ‘human orthopaedic surgery’ and greatly reduces the pain and complications. The unit delivers x-rays, just like a stationary machine. The semicircular arm is referred to as a ‘C-arm’ and the orientation of this arm can be changed to allow imaging in any position. Sterile plastic covers are generally placed over the ends of the arm that will contact the surgical field. The surgeon and assistants are required to wear lead aprons to reduce radiation exposure . Radiolucent patient tables (x-ray transparent) allow us to image through the table. The use of intraoperative imaging allows optimal placement of surgical implants and reduces the postoperative complication rate. The surgeon can be sure that the fracture interface is aligned properly and the wires, pins, screws are correctly positioned and of a suitable length. PESC surgeons have extensive experience with the use of mobile C-arm technology.

Arthroscopy

Arthroscopy for dogs became popular about ten years ago. Dr Chris Preston trained at the University of California, under the instruction of Dr. Kurt Schulz, one of the leading arthroscopic surgeons of the world. Chris is undoubtedly Australia’s most experienced canine arthroscopist having performed shoulder, elbow, hip, knee and ankle arthroscopy on thousands of lame dogs.

The techniques are difficult due to the small size of the telescopes (2.3mm, 2.7mm & 4.0mm) and the small size of most canine joints. Dexterity and skill are required. Additionally the equipment is expensive. However, the advantages for your pet are immense with improved visualization of structures and no wound to lick at or chew. Most dogs are discharged the day of surgery and do not require overnight hospitalization. We record the representative part of the procedure and play it back to you at discharge so you are fully informed of the cause of the lameness.

Knee - Rupture of the Anterior Cruciate Ligament

Shoulder - Osteochondrosis Dessicans (OCD cartilage flap)

Elbow - Fragmentation of the Coronoid Process - Elbow Dysplasia

Laparoscopy

Use of rigid telescopes to explore inside the abdominal cavity (belly) whilst gas is expanding the abdominal wall allows excellent visualization of internal structures. This has proven most useful for assessment of the liver prior to opening the abdomen, if we suspect spread of cancer in the liver (metastatic extension) as well as performing an elective gastropexy to prevent gastric torsion (bloat) in giant breed dogs. Skill is required to collect liver and other organ biopsies in a non-invasive manner which translates into shorter hospital stays and less pain for your pet. We have a range of telescopes to suit all size pets.