Springwell Veterinary Surgery is unique locally, in being able to offer the option of performing Endoscopic "Keyhole" surgery. This is a minimally invasive alternative to many procedures traditionally performed by open surgery. By performing procedures endoscopically our patients can benefit from all of the advantages that we see in our laparoscopic spays, including rapid recovery times, absence of pain, easy wound management and reduction in the use of perioperative antibiotics.
Endoscopic surgery is performed with the use of video endoscopic telescopes and specially designed instrumentation. These are positioned in the abdomen or thorax via valved ports. The location and number of ports used is dictated by surgical anatomy. The sizes are determined by the weight of the dog, the nature of the procedure, and the choice of telescope, but may be 3.9mm, 5.0mm, 6.0mm or 11.0mm. A working surgical field is maintained in the abdomen with carbon dioxide insufflation automatically controlled by a device, which manages gas flow rates and pressures.
A tumour within the liver of a dog
Compared with traditional operations involving large incisions or significant tissue ‘handling’ the benefits of endosurgery are almost immeasurable, and patient recovery is dramatically improved.
Not all procedures can be performed within the abdomen/thorax endoscopically but we are able in some cases to perform these procedures by exteriorising the tissues for surgery, e.g. intestinal foreign body removal.
Using keyhole techniques to assist these procedures we can often dramatically reduce wound sizes. We are able to examine organs far more thoroughly than by standard methods because our telescopes magnify what we see and enable remote access.
Patrick qualified as a Veterinary Surgeon from Liverpool University in 1986. Working in Frome in Somerset for a year after graduation helped me develop an interest in both horses and small animals.