• Minimally Invasive Surgery (Laparoscopic)

Small Animal Clinic is one of the only animal clinics in India offering laparoscopic surgery. offering Minimally Invasive Surgery. In fact, it is estimated that only 1% of veterinary practices in the India use laparoscopy.

Laparoscopy is a minimally invasive technique for viewing the internal structures of the abdominal cavity.

Minimally invasive means minimal disruption of surrounding tissue and organs, minimizing patient discomfort after surgery. We believe that all surgical patients experience pain. That is why all of our surgical patients are treated before, during and after their surgery with pain medication.

Procedures performed Laparoscopically or Lap Assisted:
• Dog Spay
• Major Organ Biopsy
• Bladder Stone Removal
• Gastroplexy (to prevent gastric torsion)(Stomach bloat/GVD)
• Cryptorchid Neuter
• Nasal flushing/biopsy
• Ear examination/flushing
• Laparoscopic undescended testicle surgery
• ENT minimum invasive surgery- Rhinoscopy

   
Why laparoscopic?

• The small incision size minimizes tissue trauma and pain
• Tissue is removed without tearing, minimizing pain.
• Better visualizationof surgical procedure, minimizing complications.
• Your pet is back to normal much more quickly.
   

Laparoscopic Spays....Advantages over Traditional Spay Technique:

Minimally invasive ovariectomy is a major advancement over traditional spay surgery and Dr. Pardeshi is one of the few veterinarians in the country to offer this procedure.

Traditional spays are performed through a 2-4" incision into the abdomen through which the ovarian ligament is TORN from the abdominal wall. This tearing causes brusing to the abdominal wall and signficant post-operative pain. By performing the procedure laparscopically, the patient experiences less trauma and minimal pain.

In a laparoscopic dog spay the procedure is performed through 2 / 3 small incisions in the abdomen, typically 5-10mm in size. With the laparoscope, we are able to perform the surgery with magnified views of the organs, allowing for greater precision. The ovarian ligament is carefully cauterized and when appropriate, ligated (rather than torn). With laparscopic spays we are able to offer our patients reduced pain, minimal recovery time and less trauma than traditional spays.

Another improvement in this procedure is the removal of only the ovaries. This is done based upon a study published in the Journal of Veterinary Surgery in 2006.). This study compared ovariectomy (removal of the ovaries) to ovariohysterectomy (removal of ovaries and uterus).
The ovariectomy procedure is even less traumatic to your pet when done laparscopically. This will enable your pet to return to normal activities sooner, have less discomfort, and your pet will not usually need an E-collar.

Not all pets are candidates for laparoscopic spays. Because of this, a pre-surgical evaluation by Dr. Pardeshi is required before an appointment can be scheduled.

 

• Are there any disadvantages to Laparoscopic Spays over the traditional method?
Laparoscopic surgeries cost a little more due to the additional training required by the doctor and the signficant investment in equipment including the scopes, video monitors, ports, and specially designed laparscopic instruments.

Because of the size of the patient and the size of the instrumentation, there is not a significant benefit to have the procedure done laparoscopically.

Video otoscopy showing why a chronic recurring ear infection was happening in this dog. After thoroughly cleaning out the ear canal, a tear in the ear drum was found causing a middle ear infection. Before coming to us, the dog had never had an ear flush performed under anesthesia so the ears were never properly cleaned out before using medication. After we found the tear in the ear drum, we flushed out the middle ear and then put this dog on about 4 weeks of oral antibiotics and ear medications. The ear drum repaired itself after a couple weeks and the dog has never been happier.

Removing an ear poly from a cat's ear. The ear poly was causing recurring ear infections.  Flushing a dog's ear using the laparoscope. Notice the difference from before and after the flushing. 
 
Ultrasound
   
The latest veterinary ultrasound equipment in order to diagnose your pet's health issues. Ultrasound uses high-frequency soundwaves to produce a real-time moving image of your pet's internal organs.

Ultrasound is used for a wide-range of diagnostic procedures. It is particularly useful in viewing your pet's abdominal organs and performing pregnancy evaluations. Ultrasound is also useful in evaluating heart functions and bladder scans. Ultrasound is used to guide cystocentesis procedures, in which a small needle is inserted into the urinary bladder and used to remove a urine sample.

Gaseous Anaesthesia New!

Owners of pets are often concerned about having them undergo anaesthesia. This is where modern anaesthetic agents, monitoring equipment and indeed the skill of the veterinarian come into their own. Gaseous anaesthesia is more safer than conventional anaesthesia and shows faster recovery.

Gaseous anaesthesia (Isoflurane) has less effect on heart and blood pressure and does not rely on being excreted by the liver or kidneys and is therefore safer where the function of these organs is impaired or inadequate. Recovery is also rapid and calm.

We find it particularly useful for very young, sick or elderly patients, exotic animals and birds. However the benefits for the heart, liver and kidneys together with improved and rapid recovery, even in normal healthy patients, are such that we would prefer to use Isoflurane for all surgical operations.

To further safeguard your pet, we are now able to offer pulse oximetry during anaesthesia. This machine monitors the patients pulse continuously and also measures the amount of oxygen in the blood, giving an early warning of any problems, and enabling us to be absolutely certain that the brain is receiving sufficient oxygen during anaesthesia.

Inhalation anaesthesia!

Vaginal cytology and artificial insemination New!

We at Small Animal Clinic, do go for Vaginal cytology for knowing exact day of ovulation and also do go for artificial insemination in circumstances where male dog's sperm count is low , dog is not able to mount , or other physical problem of male / female dogs.
Ultrasonic scaling of teeth New!

Inspect your dogs mouth and smell the dogs breath regularly. Watch for hard, yellow build-up on the sides of your dog's molars. This build-up is called plaque. If left untreated it calcifies into tartar. Tartar is like a shell coating the teeth. If left untreated the teeth decay, become loose, painful and smelly.

If you do notice the teeth require cleaning, take your dog to your Vet for a consultation and an appointment will be made for the dog to have ultrasonic de-scaling .This has to be done with the dog under a general anesthesia.

Chewing tennis balls and toys often leads to the teeth wearing down faster than normal. So, watch for wearing if your adult dog continually chews.

Normally dogs which are on home made diets needs more scaling than dogs on dry dog food as dry dog food pellets makes normal cleaning of teeth while chewing .

Do brush your dogs / cats teeth regularly to avoid these problems. Don't use human paste as it contains floride and foaming agents.

Comprehensive Wellness Exams

Examinations are critical to help veterinarians find diseases early before they become too advanced and more difficult to treat or control. We offer a comprehensive physical examination that helps to evaluate the overall health of your pet and to detect any problems that may have potential to become serious illnesses.

Dogs and cats age about seven times as fast as we do. So as pets age they should be examined even more often. Depending upon the age of your pet, blood tests or other diagnostics may be recommended as part of regular wellness care and disease prevention. Examinations also give you an opportunity to ask questions about your pet's health to minimize disease or injury and ultimately enhance the quality of your pet's life.

Rhinoscopy

Rhinoscopy of dog nose showing fungal growth
( white patches)

Digital X-Ray

Digital x ray with C R


We offer x-ray technology to image both musculoskeletal and soft tissue body structures. We also offer digital intraoral dental radiography, which enables detailed and accurate visualization of the teeth, jaw and oral cavity

Laboratory Services

Fully automatic veterinary biochemistry analyser

Veterinary ELISA machine

Fully automatic Veterinary Blood Analyser


Veterinary ECG Machine


Veterinary Multipara Monitor


Budding yeast from infected ear canal


Demodex mite – Live


• Microchip Implantation

Small Animal Clinic of Pune participates in this extremely successful system that helps reunite lost pets with clients and reduces the number of pets needlessly euthanized in shelters.

Here's how it works:
A harmless microchip with a unique 10-digit identification number is safely injected into the shoulder blade area of your dog or cat

• Surgery

We offer the most progressive surgical techniques and upgraded technology. We have a modern surgical suites fully equipped with monitoring devices for ECG, blood pressure and oxygen saturation parameters, Isoflurane and sevoflurane inhalant anesthesia and a fully trained technician to ensure the safest and most effective surgical care of your pet
• Pharmacy

Small Animal Clinic of Pune has a full in-house pharmacy for your pet's prescription needs. In addition to prescribed medications, we also carry various over the counter medications, heartworm and flea and tick prevention

Cataract surgery-


A cataract is any opacity within a lens. The opacity can be very small (incipient cataract) and not interfere with vision. It can involve more of the lens (immature cataract) and cause blurred vision. Eventually, the entire lens can become cloudy, and all functional vision lost. This is called a mature cataract. Some mature cataracts will transform over time into hyper mature cataracts.

Mature Cataract Immature Cataract

Immature, mature, and hyper mature cataracts can cause a serious reactive inflammation inside the eye (Lens Induced uveitis, that must be medically treated, It can lead to complications such as glaucoma or a detached retina if cataract surgery is not performed, and This uveitis decreases the success rate of cataract surgery.

In dog with diabetes, cataracts develop very fast and they can lead to medical and surgical emergency. Once a lens has developed a cataract, it should removed surgically. cataract surgery is extremely delicate surgery and is performed under general anesthesia with high-magnification using an operating microscope. Some dogs require anti-inflammatory medication for several weeks, months, or lifetime following cataract surgery.

The earlier the cataract can be removed, the better result for cataract surgery.

Indirect opthalmoscopy

Slit lamp

Phaco surgery

Cataract surgery is performed using a process called phacoemulsification. Phacoemulsification uses an instrument to deliver ultrasonic energy to the cataract. Break up of the cataractous material occurs so that it can be aspirated from the eye. A very small incision is made into the cornea to allow the instrument into the eye. An artificial lens is then generally placed in the eye where the cataract used to be (in some instances placement of an artificial lens is not possible, but in these cases vision is still better than it is with a cataract .

Flexible endoscopy- Gastroscopy and Colonoscopy

At Small Animal Clinic, we have flexible video endoscopy system .This is to access your pets esophagus , stomach and small portion of duodenum ( small intestine) Colonoscopy involves accessing of colon and rectal area. Procedure is very simple and minimum invasive.

Your dog has been scheduled for an endoscopic examination. The purpose of this procedure is to make a diagnosis of the disease that has been causing your pet's clinical signs of vomiting, diarrhea, weight loss, abdominal pain or swelling or loss of appetite.
An endoscope is a flexible tube with a viewing port and a video camera attachment that is inserted either into the stomach through the mouth or the colon via the rectum. The endoscope permits inspection of the inside of these hollow organs. If the stomach is being examined, the esophagus can be inspected as the endoscope is being passed into the stomach.
endoscopy-gastrointestinal-1_2009The endoscope allows full color viewing of the esophagus, stomach and the upper part of the small intestine or the colon.
The examiner can identify abnormalities such as inflammation, abnormal swelling, or areas of scarring or stricture (abnormal narrowing). If a foreign body such as a bone, stick, rock, toy, coin, or hairball is seen, it can usually be seen and retrieved.
While seeing an abnormal lesion or suspicious area gives valuable information, it is usually necessary to biopsy the area in order to reach a diagnosis. The endoscope has a tiny channel through which a biopsy instrument can be passed. Precise biopsy samples can be taken of any abnormal areas and then submitted to a pathologist for microscopic evaluation.
In many cases we can diagnose cancer of the gastrointestinal tract using the endoscope. However, some tumors do not affect the mucosa or inner lining of the stomach or colon. Since the biopsy procedure only samples the mucosa it is possible to miss detecting a tumor that involves only the deeper layers of the intestinal tract. In these unusual cases, the biopsy results are normal yet the dog continues to experience clinical signs. In order to reach a diagnosis in these cases, full-thickness biopsies obtained through an exploratory surgery, (exploratory laparotomy) or non-invasive tests such as an MRI (Magnetic Resonance Imaging) may be required.
It is vital that the stomach and intestinal tract be empty of all food and fecal matter prior to an endoscopic evaluation. A complete twelve-hour fast is usually sufficient if the stomach is being examined. If the colon is to be examined, oral medication is begun twelve to eighteen hours before the procedure to remove fecal material from the entire intestinal tract. Fasting for twelve to eighteen hours is also necessary so that new fecal material does not form. On the morning of the procedure, one or more enemas are given to remove any remaining stool from the lower intestinal tract.

Is general anesthesia required?

"It is impossible to safely pass an endoscope into a conscious dog's stomach or colon."
Yes. It is impossible to safely pass an endoscope into a conscious dog's stomach or colon. Most dogs will require only a short-acting anesthesia and the patient is allowed to go home shortly after completion of the procedure.

Laboratory testing is the foundation of diagnostics in veterinary medicine. As a dedicated provider of quality veterinary care we provide our patients with both referral laboratory and on-site services. General laboratory samples are entrusted to the experts at our outside reference laboratory. However, rapid results are crucial for emergency care. Our in-house laboratory equipment provides us with the necessary information for treating our emergency patients promptly and running important pre-anesthetic panels. In addition, our on-site laboratory equipment enables us to continuously monitor critical patients' blood values as needed

Endoscopy Machine


Stapler pins in abdomen engulfed by dog



Arthroscopy

Arthroscopy is a minimally invasive technique which permits a thoughtful and detailed inspection of all the major joints in dogs.

The considerable magnification of joint structures, alongside the mobility of the instruments within the joint space, permits accurate observation of intra-articular structures and their pathological changes.

Arthroscopy can reveal discrete or early articular lesions when radiography fails to demonstrate evidence of disease. There is little morbidity and minimal risk of complications.

The two greatest disadvantages of small animal arthroscopy are the cost and care of the equipment and the training and experience required for practical application. In summary arthroscopy results in less surgical morbidity, less post-operative pain and faster recovery compared with arthrotomy, and multiple joints can be treated on the same day.

The most common indications for arthroscopy in dogs are the diagnosis and treatment of a fractured coronoid process (FCP) and OCD of the elbow, treatment of shoulder OCD and diagnosis and treatment of shoulder joint instability, pre- and post-operative evaluation of cranial cruciate rupture, pre- and post-operative evaluation of the hip joint associated triple pelvic osteotomy, tarsal and stifle OCD, and exploration of any suspected painful joint.

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