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Soft Tissue Surgery

Soft Tissue Surgery

 

Soft Tissue Surgery overview

  • Willows has one of the most experienced
    Soft Tissue Surgery teams in the UK
  • Three highly trained Specialists…
      • with over 100 first author papers in peer reviewed journals
      • who are regularly invited to speak at conferences/CPD meetings in the UK and overseas
      • one of whom is also an RCVS Specialist in Veterinary Oncology
 
  • Unsurpassed, comprehensive service,
    24 hours a day, 365 days of the year
  • Hospitalised patients benefit from
    24-hour veterinary and nursing care
  • Urgent and emergency cases seen the same day
  • Free telephone advice given with the minimum
    of delay
  • Willows has one of the most experienced
    Soft Tissue Surgery teams in the UK
  • Three highly trained Specialists…
    • with over 100 first author papers in peer reviewed journals
    • who are regularly invited to speak at conferences/CPD meetings in the UK and overseas
    • one of whom is also an RCVS Specialist in Veterinary Oncology
  • Unsurpassed, comprehensive service,
    24 hours a day, 365 days of the year
  • Hospitalised patients benefit from
    24-hour veterinary and nursing care
  • Urgent and emergency cases seen the same day
  • Free telephone advice given with the minimum
    of delay


Personnel 

RCVS Specialists in Soft Tissue Surgery and European Specialists in Soft Tissue Surgery

 

European Specialist in Small Animal Surgery

 

ECVS Residents in Soft Tissue Surgery

Chris Shales - MA VetMB CertSAS DipECVS MRCVS - RCVS and European Specialist in Small Animal Surgery   Faye Swinbourne - BVM&S MVetMed DipECVS MRCVS - European Specialist in Small Animal Surgery   Julie Riggs - MA VetMB AFHEA DipECVS MRCVS - European Specialist in Small Animal Surgery   Emma Hall - BVSc MRCVS - ECVS Resident in Small Animal Surgery   Tim Easter - BVMedSci BVM BVS MRCVS Resident in Small Animal Surgery   Emma Hall - BVSc MRCVS - ECVS Resident in Small Animal Surgery
                     

Chris Shales

MA VetMB CertSAS DipECVS MRCVS

 

Faye Swinbourne

BVM&S MVetMed DipECVS MRCVS

 

Julie Riggs

MA VetMB AFHEA DipECVS MRCVS

 

Emma Hall

BVSc MRCVS

 

Tim Easter

BVMedSci BVM BVS MRCVS

 

Erika Villedieu

DVM MRCVS

RCVS and European Specialists in Soft Tissue Surgery

Chris Shales - MA VetMB CertSAS DipECVS MRCVS - RCVS and European Specialist in Small Animal Surgery

Chris Shales
MA VetMB CertSAS DipECVS MRCVS

Faye Swinbourne - BVM&S MVetMed DipECVS MRCVS - European Specialist in Small Animal Surgery

Faye Swinbourne
BVM&S MVetMed DipECVS MRCVS

 

European Specialists in Soft Tissue Surgery

Julie Riggs - MA VetMB AFHEA DipECVS MRCVS - European Specialist in Small Animal Surgery

Julie Riggs
MA VetMB AFHEA DipECVS MRCVS

 

ECVS Resident in Soft Tissue Surgery

Emma Hall - BVSc MRCVS - ECVS Resident in Small Animal Surgery

Emma Hall
BVSc MRCVS

Tim Easter - BVMedSci BVM BVS MRCVS - ECVS Resident in Small Animal Surgery

Tim Easter
BVMedSci BVM BVS MRCVS

Erika Villedieu - DVM MRCVS - ECVS Resident in Small Animal Surgery

Erika Villedieu
DVM MRCVS

 

 

 

RCVS and European Specialist in Soft Tissue Surgery
RCVS Specialist in Veterinary Oncology

 Stephen Baines - MA VetMB PhD CertVR CertSAS DipECVS DipClinOnc MRCVS - RCVS and European Specialist in Small Animal Surgery - RCVS Specialist in Veterinary Oncology      
       

Dr Stephen Baines

MA VetMB PhD CertVR CertSAS DipECVS DipClinOnc MRCVS

     

RCVS and European Specialist in Soft Tissue Surgery
RCVS Specialist in Veterinary Oncology

Stephen Baines - MA VetMB PhD CertVR CertSAS DipECVS DipClinOnc MRCVS - RCVS and European Specialist in Small Animal Surgery - RCVS Specialist in Veterinary Oncology

Dr Stephen Baines
MA VetMB PhD CertVR CertSAS DipECVS DipClinOnc MRCVS

Fully supported by a team of Imaging and Anaesthesia Specialists and where necessary, by Internal Medicine Specialists

 

TOP

Common clinical problems managed and procedures performed

     
  • Gastrointestinal 
      • Oesophageal FB removal, small intestinal and colorectal surgery,
        anal furunculosis 
  • Wound management and reconstruction 
      • Local subdermal plexus flaps, axial pattern flaps, etc. 
  • Cardiothoracic 
      • Congenital cardiac defects, pericardiectomy, lung lobectomy,
        thymectomy, pyothorax and chylothorax 
  • Endocrine surgery 
      • Pancreatectomy (insulinoma), adrenalectomy, thyroidectomy and parathyroidectomy 
  • Hernia/rupture surgery 
      • Perineal ruptures, diaphragmatic ruptures, hiatal hernia and pericardioperitoneal diaphragmatic herniation
  Perineal rupture repair

Perineal rupture repair 

Wound reconstruction using a facial axial pattern flap

Wound reconstruction using a facial axial pattern flap

Total ear canal ablation in a cat

Total ear canal ablation in a cat

TOP

Common clinical problems managed and procedures performed

  • Gastrointestinal 
    • Oesophageal FB removal, small intestinal and colorectal surgery,
      anal furunculosis 
  • Wound management and reconstruction 
    • Local subdermal plexus flaps, axial pattern flaps, etc. 
  • Cardiothoracic 
    • Congenital cardiac defects, pericardiectomy, lung lobectomy, thymectomy, pyothorax and chylothorax 
  • Endocrine surgery 
    • Pancreatectomy (insulinoma), adrenalectomy, thyroidectomy and parathyroidectomy 
  • Hernia/rupture surgery 
    • Perineal ruptures, diaphragmatic ruptures, hiatal hernia and pericardioperitoneal diaphragmatic herniation
Perineal rupture repair

Perineal rupture repair 

Wound reconstruction using a facial axial pattern flap

Wound reconstruction using a facial axial pattern flap

Total ear canal ablation in a cat

Total ear canal ablation in a cat

Areas of special interest  

TOP

Airway disease

     

Surgical management available for idiopathic bilateral laryngeal paralysis

  • Unsurpassed experience of arytenoid lateralisation surgery

Surgical management available for brachycephalic syndrome

  • Rhinoplasty
  • Staphylectomy
  • Excision of laryngeal saccules
  • Arytenoid laryngoplasty for severe laryngeal collapse

Surgical management available for collapsing trachea

  • Placement of intraluminal stents
  • Placement of extraluminal prosthetic tracheal rings

Management of fungal rhinitis

  • Endoscopic removal of fungal plaques
  • Topical non-invasive administration of anti-fungal agents
  • Open rhinotomy surgery for select cases
  Rhinoplasty in a Persian cat - pre-operative appearance

 

Rhinoplasty in a Persian cat - post-operative appearanceRhinoplasty in a Persian cat - pre- and post-operative appearance

Intra-nasal endoscopic view of fungal plaque due to aspergillosis

Intra-nasal endoscopic view of fungal plaque due to aspergillosis

TOP

Airway disease

Surgical management available for idiopathic bilateral laryngeal paralysis

  • Unsurpassed experience of arytenoid lateralisation surgery

Surgical management available for brachycephalic syndrome

  • Rhinoplasty
  • Staphylectomy
  • Excision of laryngeal saccules
  • Arytenoid laryngoplasty for severe laryngeal collapse

Surgical management available for collapsing trachea

  • Placement of intraluminal stents
  • Placement of extraluminal prosthetic tracheal rings

Management of fungal rhinitis

  • Endoscopic removal of fungal plaques
  • Topical non-invasive administration of anti-fungal agents
  • Open rhinotomy surgery for select cases
Rhinoplasty in a Persian cat - pre-operative appearance

 

Rhinoplasty in a Persian cat - post-operative appearanceRhinoplasty in a Persian cat - pre- and post-operative appearance

Intra-nasal endoscopic view of fungal plaque due to aspergillosis

Intra-nasal endoscopic view of fungal plaque due to aspergillosis

 

 

TOP

Surgical Oncology

     

Particular areas of interest include:

  • Soft tissue sarcomas
  • Mast cell tumours
  • Oral tumours
  • Thoracic tumours – lung, thymoma, chest wall
  • Abdominal tumours – liver, spleen, pancreas, kidney, adrenal,
    intestinal, colorectal
  Surgical resection of a large rib chondrosarcoma

Surgical resection of a large rib chondrosarcoma

TOP

Surgical Oncology

Particular areas of interest include:

  • Soft tissue sarcomas
  • Mast cell tumours
  • Oral tumours
  • Thoracic tumours – lung, thymoma, chest wall
  • Abdominal tumours – liver, spleen, pancreas, kidney, adrenal, intestinal, colorectal
Surgical resection of a large rib chondrosarcoma

Surgical resection of a large rib chondrosarcoma

 

TOP

Urinary incontinence

     

Surgical management available for ureteral ectopia

  • Neoureterocystostomy
  • Neoureterostomy

Surgical management available for urethral sphincter mechanism
incompetence (USMI)

  • Urethroscopy and the transurethral injection of a bulking agent
  • Urethropexy
  • Colposuspension
  Contrast radiography demonstrating an ectopic ureter

Contrast radiography demonstrating an ectopic ureter

Intramural ectopic ureter seen on cystoscopy

Intramural ectopic ureter seen on cystoscopy

TOP

Urinary incontinence

Surgical management available for ureteral ectopia

  • Neoureterocystostomy
  • Neoureterostomy

Surgical management available for urethral sphincter mechanism incompetence (USMI)

  • Urethroscopy and the transurethral injection of a bulking agent
  • Urethropexy
  • Colposuspension
Contrast radiography demonstrating an ectopic ureter

Contrast radiography demonstrating an ectopic ureter

Intramural ectopic ureter seen on cystoscopy

Intramural ectopic ureter seen on cystoscopy

 

TOP

Porto-systemic shunts

     

Our Specialists have performed over 600 extra- and intra-hepatic
shunt procedures

  • Full ligation
  • Partial attenuation
  • Cellophane banding
  • Ameroid constrictor
  • Intravascular repair
  • Transvenous coil occlusion/embolisation
  Willows' Specialists have unsurpassed expertise in shunt surgery

Willows' Specialists have unsurpassed expertise in shunt surgery

Porto-azygous shunt - subtraction fluoroscopy after contrast injection

Porto-azygous shunt - subtraction fluoroscopy after contrast injection

TOP

Porto-systemic shunts

Our Specialists have performed over 600 extra- and intra-hepatic shunt procedures

  • Full ligation
  • Partial attenuation
  • Cellophane banding
  • Ameroid constrictor
  • Intravascular repair
  • Transvenous coil occlusion/embolisation
Willows' Specialists have unsurpassed expertise in shunt surgery

Willows' Specialists have unsurpassed expertise in shunt surgery

Porto-azygous shunt - subtraction fluoroscopy after contrast injection

Porto-azygous shunt - subtraction fluoroscopy after contrast injection

 

TOP

Minimally Invasive Surgery

     

Willows offers a full range of minimally invasive surgery techniques.

Common veterinary applications include:

    Laparoscopy

  • Laparoscopy-assisted procedures,
    e.g. gastropexy, cystotomy
  • Cholecystectomy, adrenalectomy, partial pancreatectomy
  • Elective ovariectomy and cryptorchidectomy

    Thoracoscopy

  • Exploratory thoracoscopy and biopsies
  • Pericardectomy
  • Lung lobectomy
  • Thoracic duct ligation
  • Resection of cranial mediastinal masses
  Laparoscopy procedure at Willows

Laparoscopy procedure at Willows

Laparoscopic orchidectomy

Laparoscopic orchidectomy

Laparoscopic liver biopsy

Laparoscopic liver biopsy

Ovariectomy

Ovariectomy

TOP

Minimally Invasive Surgery

Willows offers a full range of minimally invasive surgery techniques.

Common veterinary applications include:

    Laparoscopy

  • Laparoscopy-assisted procedures,
    e.g. gastropexy, cystotomy
  • Cholecystectomy, adrenalectomy, partial pancreatectomy
  • Elective ovariectomy and cryptorchidectomy

    Thoracoscopy

  • Exploratory thoracoscopy and biopsies
  • Pericardectomy
  • Lung lobectomy
  • Thoracic duct ligation
  • Resection of cranial mediastinal masses
Laparoscopy procedure at Willows

Laparoscopy procedure at Willows

Laparoscopic orchidectomy

Laparoscopic orchidectomy

Laparoscopic liver biopsy

Laparoscopic liver biopsy

Ovariectomy

Ovariectomy

 

TOP

Interventional radiology

     

Willows offers a wide range of interventional radiology techniques and stents
for the management of a number of disorders affecting dogs and cats.

This service is provided by close co-operation between Specialists in Soft Tissue Surgery, Internal Medicine and Diagnostic Imaging.

Facilities include:

  • State-of-the-art, Specialist-run imaging facilities
    • Ultrasonography
    • 16-slice computed tomography (CT)
    • Fluoroscopy with digital subtraction and road mapping
  • Full range of catheters, guidewires, balloons, stents and coils

Current veterinary applications include:

    Vascular:

  • Trans-arterial embolisation for haemorrhage, vascular malformations or metastases
  • Intra-arterial chemotherapy and chemo-embolisation for malignancies
  • Transvenous coil embolisation of portosystemic shunts
  • Palliative venous stenting for malignant obstructions

    Non-vascular:

  • Tracheal stenting for tracheal collapse
  • Palliative stenting for benign stenosis,
    e.g. nasopharyngeal stenosis
  • Palliative stenting for malignant obstruction,
    e.g. oesophagus, colon, urethra
  • Ureteral stenting for ureteric calculi
  • Retrieval of tracheobronchial foreign bodies
  • Balloon dilation of benign stenosis,
    e.g. oesophageal stricture
  • Antegrade urethral catheterisation in urethral obstruction or trauma
  Fluoroscopic placement of a tracheal stent

Fluoroscopic placement of a tracheal stent

Radiographic view of a tracheal stent placed for treatment of collapsing tracheaEndoscopic view of a tracheal stent placed for treatment of collapsing trachea

Radiographic and endoscopic views of a tracheal stent placed for treatment of collapsing trachea

Oesophageal stent used for treatment of intractable oesophageal stricture

Oesophageal stent used for treatment of intractable oesophageal stricture

Urethral stent in a male dog with prostatic/urethral carcinoma

Urethral stent in a male dog with prostatic/urethral carcinoma

Portosystemic shunt seen on colour-flow Doppler ultrasonography

Portosystemic shunt seen on colour-flow Doppler ultrasonography

Post-contrast volume rendered CT scan showing abdominal vasculature

Post-contrast volume rendered CT scan showing abdominal vasculature

TOP

Interventional radiology

Willows offers a wide range of interventional radiology techniques and stents for the management of a number of disorders affecting dogs and cats.

This service is provided by close co-operation between Specialists in Soft Tissue Surgery, Internal Medicine and Diagnostic Imaging.

Facilities include:

  • State-of-the-art, Specialist-run imaging facilities
    • Ultrasonography
    • 16-slice computed tomography (CT)
    • Fluoroscopy with digital subtraction and road mapping
  • Full range of catheters, guidewires, balloons, stents and coils

Current veterinary applications include:

    Vascular:

  • Trans-arterial embolisation for haemorrhage, vascular malformations or metastases
  • Intra-arterial chemotherapy and chemo-embolisation for malignancies
  • Transvenous coil embolisation of portosystemic shunts
  • Palliative venous stenting for malignant obstructions

    Non-vascular:

  • Tracheal stenting for tracheal collapse
  • Palliative stenting for benign stenosis,
    e.g. nasopharyngeal stenosis
  • Palliative stenting for malignant obstruction,
    e.g. oesophagus, colon, urethra
  • Ureteral stenting for ureteric calculi
  • Retrieval of tracheobronchial foreign bodies
  • Balloon dilation of benign stenosis,
    e.g. oesophageal stricture
  • Antegrade urethral catheterisation in urethral obstruction or trauma
Fluoroscopic placement of a tracheal stent

Fluoroscopic placement of a tracheal stent

Radiographic view of a tracheal stent placed for treatment of collapsing trachea Endoscopic view of a tracheal stent placed for treatment of collapsing trachea

Radiographic and endoscopic views of a tracheal stent placed for treatment of collapsing trachea

Oesophageal stent used for treatment of intractable oesophageal stricture

Oesophageal stent used for treatment of intractable oesophageal stricture

Urethral stent in a male dog with prostatic/urethral carcinoma

Urethral stent in a male dog with prostatic/urethral carcinoma

Portosystemic shunt seen on colour-flow Doppler ultrasonography

Portosystemic shunt seen on colour-flow Doppler ultrasonography

Post-contrast volume rendered CT scan showing abdominal vasculature

Post-contrast volume rendered CT scan showing abdominal vasculature