Soft tissue surgery

Areas of soft tissue surgery

Soft tissue surgery encompasses all procedures that do not involve bones, nerves, or the brain. We offer services covering all areas from head to tail. An overview of our common and exceptional surgeries can be found on this page. Many surgeries can be performed either invasively, supported by minimally invasive techniques, or completely minimally invasive.

Surgery on skin and head

Skin

  • Wundversorgung: Wound care
  • Rekonstruktive Chirurgie: Reconstructive surgery
  • Tumorexstirpationen mit Rekonstruktion: Tumor excisions with reconstruction
  • VAC (Vakuum Assistierte Wundbehandlung): VAC (Vacuum Assisted Closure) wound treatment

Neck – ENT

  • Bite / stick injuries
  • Laryngeal paralysis
  • Lymph node excision
  • Salivary glands (sialoceles)
  • Thyroidectomy
  • Tracheotomy / Tracheostomy
  • Brachycephalic surgery (BOAS)

Head – nose

  • Nosectomy
  • Oronasal fistula – plastic closure
  • Rhinotomy
  • Treatment options for Brachycephalic Syndrome (LATE)
  • Trepanation (Aspergillosis)

Head – Ears

  • Aural hematoma
  • Total ear canal ablation (TECA)
  • Bulla osteotomy (VBO)
  • Resection
  • Reconstruction

Head – Eyes

  • Eyelid fissure surgeries
  • Bulbar exenteration
  • Distichiasis (misplacement of eyelashes)
  • Ectropion
  • Entropion
  • Fixation of prolapsed nictitating gland
  • Corneal suturing
  • Tarsorrhaphy
  • Trichiasis (misdirected eyelashes)
  • Parotid duct relocation
  • Dacryocystorhinostomy

Head – oral cavity

  • Palatal cleft closure (congenital-acquired)
  • Gingivectomy
  • Mandibulectomy
  • Maxillectomy
  • Luxations (dislocations)
  • Soft palate (Brachycephalic- Folded flap palatoplasty)

Thoracic cavity surgery (thoracotomy)

Thorax-heart-vessels

  • Peritoneopericardial hernia
  • Lobectomy (abscesses, tumors, foreign bodies, fistulae)
  • Esophagotomy
  • Pericardiectomy
  • Mediastinectomy (pleural effusion – pyothorax)
  • Thoracic drainage
  • Diaphragmatic rupture
  • Patent ductus arteriosus (PDA)
  • Persistent right aortic arch (PRAA, vascular ring anomaly)
  • Chylothorax
  • Tumor resection
  • Base of heart tumors
  • Atrial tumors
  • Lateral thoracotomy or sternotomy

Also possible minimally invasive (completely or supported).

Abdominal cavity surgery (laparotomy)

Gastrointestinal tract

  • Gastrotomy
  • Gastrectomy
  • Gastropexy (PEG tube, endoscopic or open)
  • Placement of a gastric tube (open or endoscopic)
  • Esophagopexy (hiatal hernia)
  • Pyloromyotomy or X_Y plasty
  • Torsio Ventriculi:Gastric dilatation-volvulus (GDV) or gastric torsion
  • Enterotomy
  • Enterectomy (foreign body, tumor, etc.)
  • Typhlectomy
  • Colectomy (for chronic constipation)
  • Lymph node resection

Also possible minimally invasive (completely or supported).

Spleen, Liver, Gallbladder, Pancreas, Adrenal glands

  • Splenectomy
  • Biopsy
  • Cholecystectomy
  • Cholecystotomy
  • Cholecystoenterostomy
  • Ductus choledochus Stent: Common bile duct stent
  • Hepatic lobectomy
  • Intrahepatic shunts
  • Extrahepatic shunts
  • Pancreatic abscess (omentalization)
  • Pancreatectomy (tumors and abscesses)
  • Adrenal tumors (adrenalectomy with or without vascular involvement)

Also possible minimally invasive (completely or supported).

Urogenital system and abdomen

  • Kastration männlich (mit Skrotektomie): Castration (male, with scrotectomy)
  • Kryptorchismus (inguinal, abdominal): Cryptorchidism (inguinal, abdominal)
  • Kastration weiblich (Ovariektomie/Ovariohysterektomie): Spaying (female, ovariohysterectomy)
  • Pyometra (Gebärmuttervereiterung): Pyometra (uterine infection)
  • Sectio caesarea: Cesarean section
  • Nephrektomie: Nephrectomy
  • Nephrotomie: Nephrotomy
  • Nierenbiopsie: Kidney biopsy
  • ektopischer Ureter: Ectopic ureter
  • Urininkontinenz: Urinary incontinence
  • Urethrostomie: Urethrostomy
  • Urethrotomie: Urethrotomy
  • Zystektomie: Cystectomy
  • Cystotomy
  • Penile amputation (tomcat)
  • Prostate omentalization (cysts, abscesses)
  • Mastectomy (unilateral, bilateral, nodulectomy, partial)
  • Lymph node resection (internal iliac, medial iliac, sacral)
  • Hernias (umbilical, inguinal)
  • Abdominal wall rupture (traumatic)

Also possible minimally invasive (completely or supported).

Anus, perineum

  • Anal sac resection (inflammation – tumor)
  • Perineal hernia
  • Perianal fistulas
  • Perianal tumors
  • Wound
  • Fistula
  • Atresia ani
  • Rectal tumors

Minimally invasive procedures

Laparoscopy and thoracotomy

Many surgeries are performed traditionally as open procedures, but an increasing number of surgeries now offer the option of minimally invasive or minimally invasive-assisted procedures. This helps to minimize the risk of infection, as incisions are much smaller, reducing the risk of hernias, and patients experience significantly less pain. This is another core focus area of our surgical department. In addition to standard procedures, we also offer a range of exceptional surgeries:

Traditional procedures

  • Endoscopic castration (ovariectomy-ovariohysterectomy-cryptorchidism)
  • Gastropexy (supported or complete)
  • Biopsies (liver, lymph nodes, pancreas, kidneys, gastrointestinal)
  • Cystostomyscopy (urinary stones)

Advanced minimally invasive surgeries

  • Cholecystectomy (gallbladder mucocele)
  • Adrenalectomy
  • Pancreatectomy
  • Lymph node resection
  • Ureteronephrectomy
  • Endoscopic laser resection of ectopic ureter
  • Pericardectomy
  • Lung lobe resection
  • Ligation of thoracic duct (chylothorax)
  • Resection of right atrial tumor (heart)
  • Mediastinectomy (pyothorax-mediastinal mass)
  • Treatment of pneumothorax

Interventional Radiology – Radiosurgery

  • Nasopharyngeal ballooning (nasopharyngeal stenosis)
  • Nasopharyngeal stent
  • Esophageal ballooning (stenosis – stricture)
  • Esophageal stent
  • Tracheal stent (tracheal collapse)
  • Intrahepatic shunt (coil embolization)
  • Non-resectable liver tumor – glue/chemo embolization
  • Non-resectable pancreatic tumor – glue/chemo embolization
  • SUB (subcutaneous ureter bypass)
  • Ureteral stent
  • Urethral stent (tumor-stenosis-trauma)

Brachycephalic syndrome

Multilevel Therapie: Multilevel therapy

  • Nasal openings
  • Nasal vestibule
  • LATE (Laser Assisted Turbinectomy)
  • Soft palate (palatal flap) – Folded Flap Palatoplasty
  • Tonsillectomy
  • Resection of everted saccules
  • Treatment of laryngeal collapse
  • Treatment of everted – excessive tissue (laser)

Intensive follow-up care – Especially with brachycephalic breeds, intensive postoperative care alongside the surgery itself largely determines the success of the operation.

 

Laryngeal paralysis

  • Multilevel examinations (GOLPP – Geriatric Onset Laryngeal Paralysis – Paresis)

      • Soft tissue surgery

      • Neurology (neurodiagnostics – EMG)

      • Imaging (fluoroscopy – X-ray – CT)

      • Internal medicine
  • “Tie-Back” – Lateralization – Dorsal rotation tie back
  • Intensive postoperative care

Liver shunts

Both extrahepatic and intrahepatic shunts:

  • Soft tissue surgery
  • Neurology
  • Internal medicine
  • Surgery
  • Interventional radiology

Oncological surgery

For all oncological patients, there is also the possibility to continue to receive medical oncological care through our oncology department.

Medizinische Onkologie

Weitere Eingriffe finden Sie in den Fachbereichen Orthopädie und Neurologie.

Pieter Nelissen

Chief Physician Surgery
MVM MRCVS CertSAS DECVS
EBVS European Specialist in Small Animal Surgery
RCVS recognised Specialist in Small Animal Surgery

Please don’t hesitate to contact us if you have any questions or need assistance. We are happy to help you.

e-Mail: info@frontier.vet
phone: +49 (0) 89 904 29 56-0