Abdominal surgeries commonly provided by Dr. Agrodnia include:
- Diaphragmatic hernia repair: congenital or traumatic
- GDV: Gastric Dilatation and Volvulus: prophylactic or emergency
- Intestinal tract surgery for foreign body removal: R&A, Intussusception, cancers
- Colon surgery: commonly for cats when their colon stops working, dilates and becomes a megacolon. Options such as subtotal or complete colectomy are discussed during the consultation
- Rectal surgery for polyp removal of cancers: Depending on the specific need, this is often an outpatient procedure
- Anal gland surgery: commonly for removal of recurrent abscessed anal sacs or cancers. Almost all anal sac perianal gland adenocarcinomas can be removed surgically, even when large, typically with long term survival. Dr. Agrodnia had worked with several oncologists over the years and is very experienced in oncologic procedures.
- Liver surgery: Liver Lobectomies and biliary surgery are commonly performed by Dr. Agrodnia. Experience matters to ensure your pets’ safety during these procedures. Biliary surgery, either bypass procedures such as cholecystoduodenostomy in cats, or removal of the gall bladder, cholecystectomy in shelties require expertise and finesse, and are expected to have excellent outcomes.
- Portosystemic Shunt surgeries: Most small breed dogs such as yorkies, maltese, bichons, and shih tzus with classic blood test results, high bile acids, and classic histories of inappropriate mentation after eating high protein meals, will have extrahepatic portosystemic shunts. The shunt vessel allows blood from the intestinal tract to bypass detoxification in the liver and go directly to the heart. This prevents the liver from receiving the bloodflow it needs, and exposes the body to dangerous ammonia levels. Slow attenuation of this vessel with surgery allows an increase in bloodflow to the liver, which the liver needs to grow and stay healthy. Most dogs are significantly helped with closing of this vessel. Some have a return to normal bile acids and no longer require dietary or medication management.
- Spleen removal: for twisting of the spleen (German Shepherds and Basset Hounds most commonly), rupture of a splenic mass, or prophylactic spleen removal if a concerning mass is found. Most dogs will go home the day after surgery.
- Adrenal Gland Removal: Most adrenal gland tumors can be removed safely, and should be removed before they cause problems. Dr. Agrodnia has safely removed several tumors that were also causing clots or growing into the vena cava.
- Kidney surgery for cysts or traumas: This surgery, known as a nephrectomy, can be done safely when one kidney is involved, as in people.
- Ureteral surgery: Ectopic ureters are a congenital birth defect that can affect dogs of all sizes. Surgically opening the ureter into the bladder is curative of urine dribbling in most cases. Some dogs will have urethral sphincters that do not tighten appropriately and still require medical management. Urethral sphincter surgery is an option as well.
- Perineal hernia surgery: A loss of muscle support of the bottom during defecation can cause herniation of bladder or abdominal contents. This can be life threatening if the animal’s bladder becomes entrapped and urine can not pass. This condition occurs most commonly in intact male dogs and neutering at the time of surgery is essential. Surgical reinforcement of the muscle layer is expected to be curative in most cases, although recurrence is possible.
- PU surgery in cats: Perineal Urethrostomy surgery is shortening of the urethra to the point where the diameter is significantly wider. This is performed most commonly in cats that have recurrent obstruction from crystals or stones. Dr. Agrodnia has performed this procedure in her own cats and is intimately familiar with its excellent success rate.