Specialist Services for Small Animals

Our clinic offers advanced specialist services for small animals, providing expert care for complex health issues. Our team of specialists is equipped with the latest technology and extensive experience to handle a variety of conditions.

About Our Specialist Services

We understand that some pets require specialised attention and advanced medical interventions. Our team of experienced specialists is committed to offering comprehensive diagnostic, surgical, and therapeutic services tailored to the unique needs of your pets.

Specialist Orthopaedic & Neurosurgery

Our Specialist Orthopaedic & Neurosurgery services focus on the diagnosis, treatment, and rehabilitation of complex musculoskeletal and neurological conditions in animals.

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Fracture Repair

Just like humans, dogs and cats can suffer from fractures due to accidents, fights, or sports injuries, affecting the long bones in their legs. Fractures may be incomplete, where the bone bends but does not break completely, or complete, which can be classified as transverse, oblique, or comminuted. Open fractures involve a wound through the skin, while closed fractures do not. Signs of a fracture include severe lameness and the inability to bear weight on the affected limb. A thorough evaluation by a veterinarian is essential, often involving X-rays to assess any underlying injuries. Treatment options may include casts, splints, or surgical fixation, with the approach determined by the fracture type and the pet's overall health. Post-surgery, it’s vital to monitor bandages, restrict activity, and follow the veterinarian's care instructions. Physical therapy can also aid recovery, helping to improve mobility and reduce pain.

Elbow Dysplasia

Canine elbow dysplasia (ED) is a condition affecting the elbow joint, particularly in large and giant breeds, caused by growth abnormalities in the radius, ulna, and humerus that prevent proper alignment. This misalignment leads to abnormal weight distribution, resulting in pain, lameness, and the eventual development of arthritis. Symptoms often appear as early as 5 months old, with lameness worsening after exercise. Diagnosis typically involves a physical examination and X-rays, and may include advanced imaging like CT or MRI scans. Treatment usually requires surgical intervention for moderate to severe cases, such as removing loose cartilage or correcting joint incongruity, followed by essential post-operative care to limit activity during recovery. While ED cannot be cured, a combination of surgery and medical management can significantly improve a dog's comfort and mobility.

CCL DISEASE

Cranial Cruciate Ligament (CCL) disease is a prevalent cause of hind leg lameness in dogs, affecting the stability of the knee joint, similar to the ACL in humans. Unlike sudden injuries in humans, dogs typically experience gradual degeneration of the CCL, leading to partial or complete ruptures, resulting in pain, limping, and arthritis. All breeds, sizes, and ages can be affected, with overweight or poorly conditioned dogs at higher risk. Common symptoms include difficulty standing, sitting, or jumping. Early detection is crucial, as osteoarthritis may develop before noticeable symptoms appear. Diagnosis involves assessing gait, performing physical exams, and using X-rays to evaluate joint health; specific tests like the cranial drawer and tibial compression tests help assess stability. Timely management can slow the progression of arthritis and relieve discomfort.

Intervertebral Disc Disease (IVDD)

Intervertebral disc disease (IVDD) is a common spinal condition affecting dogs, particularly those with chondrodystrophic traits, such as Dachshunds, Basset Hounds, and Shih Tzus. It involves the degeneration of intervertebral discs, leading to reduced shock absorption, disc herniation, and potentially spinal cord compression. IVDD can manifest as Hansen type I, characterized by the sudden extrusion of inner disc material in smaller breeds, or Hansen type II, involving gradual bulging in larger breeds. Symptoms include localized pain, reluctance to move, abnormal posture, and in severe cases, weakness or paralysis. Diagnosis typically involves a physical examination and advanced imaging techniques like X-rays, CT scans, or MRIs. Treatment options range from conservative management, such as rest and pain relief, to surgical intervention for severe cases, which can relieve pressure on the spinal cord and improve mobility. Post-surgery recovery may include a tailored rehabilitation program, and while some dogs may regain full function, others might require mobility aids if they experience significant mobility loss.

TPLO SURGERY

Tibial Plateau Levelling Osteotomy (TPLO) is a specialised surgical procedure for treating dogs with cranial cruciate ligament (CCL) injuries. It involves creating a curved cut in the tibia and rotating the tibial plateau to stabilise the knee joint without relying on the CCL. A metal plate and screws secure the bone in its new position, which are typically left in place unless complications arise. TPLO surgery offers superior long-term outcomes compared to traditional ligament replacement techniques, allowing for quicker recovery and enabling dogs to start using the affected limb within days. With a success rate exceeding 90%, many dogs return to normal activity levels post-recovery, making it a trusted option for performance dogs. Advanced techniques, like gait analysis, are utilised to assess walking patterns before and after surgery to ensure optimal results.

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Specialist Soft Tissue Surgery

Specialist Soft Tissue Surgery encompasses a wide range of surgical procedures focused on the treatment of organs, skin, and internal structures in small animals.

Splenectomy

A splenectomy is a surgical procedure that may be necessary for dogs when certain medical conditions arise. The spleen (which plays a role in filtering blood, storing red and white blood cells, and supporting the immune system) sometimes needs to be removed due to issues like tumours, trauma, or ruptures. During a splenectomy, the dog is placed under general anesthesia, and the surgeon makes an incision in the abdomen to remove the spleen. Recovery usually takes about 10 to 14 days, during which time it is important to keep the dog in a calm environment and monitor the incision for signs of infection or internal bleeding.

Patent Ductus Arteriosus (PDA)

Patent ductus arteriosus (PDA) is a congenital heart defect where a fetal blood vessel (ductus arteriosus) fails to close after birth. This vessel, which connects the aorta and pulmonary artery, allows blood to bypass the lungs while the fetus receives oxygen from the placenta. When a puppy takes its first breath, the ductus normally closes, ensuring blood circulates through the lungs for oxygenation. However, if it remains open, or “patent,” blood is redirected from the aorta back into the pulmonary artery, leading to increased workload on the heart. Over time, this can result in heart enlargement, congestive heart failure, or even reverse PDA. PDA is more common in female dogs and certain small breeds (Maltese, Pomeranians, and Shetland Sheepdogs). The diagnosis typically occurs when a veterinarian detects a loud heart murmur during an exam. Chest x-rays and an echocardiogram can confirm the diagnosis. Treatment includes surgical closure of the duct with a high success rate if treated early.

Anal Sac Problems & Anal Sacculectomy

Anal sacs are small pouches located near the anus of dogs and cats that produce smelly secretions. Although most pets experience no issues with their anal sacs, some may develop infections or cancer in these glands. Anal sac infections can cause pain and discomfort and may require surgery, known as an anal sacculectomy. Anal sac cancers, such as apocrine gland adenocarcinoma, are more common in older pets and may present as a lump near the anus. The diagnosis is typically made by a rectal examination and confirmed by fine needle aspiration (FNA). Surgery may be necessary to remove the affected sac and, if needed, nearby lymph nodes. While all surgeries carry some risk, including infection or complications with major blood vessels, these risks are minimized when performed by specialized veterinary surgeons. After surgery, pets will need a quiet recovery period and proper wound care.

Skin Flaps

Skin flaps are used to treat wounds caused by trauma, burns, or surgery. A skin flap is a section of skin that remains attached to the body via a major artery and vein, allowing it to heal more effectively. Skin flaps are preferred over skin grafts because they have their own blood supply, making them more resilient to factors like movement, fluid buildup, and infection. In contrast, a skin graft is a thin layer of skin removed from the body and placed over a wound, relying on blood vessels from the wound to attach over time. There is a risk that the tip of the flap could fail, potentially requiring additional surgery, however, most skin flaps heal successfully without complications, providing a reliable way to treat large or difficult wounds.

Lung Torsion

Lung lobe torsion is a rare condition where a lung lobe twists on its attachment, cutting off its blood supply. Affected dogs are usually 4-5 years old, with males being more prone. Causes for lung torsions can be spontaneous or linked to conditions like chylothorax, tumours, or prior thoracic surgery. The twisting leads to lung congestion, fluid buildup (pleural effusion), or air in the chest (pneumothorax), making breathing difficult. Symptoms can range from sudden to a more gradual onset, including coughing, lethargy, and difficulty breathing. To diagnose lung lobe torsion, blood tests and imaging like x-rays or CT scans are essential. Treatment begins with stabilizing the patient, often requiring drainage of fluid or air through a procedure called thoracocentesis. The definitive treatment is surgical removal of the affected lung lobe (lobectomy), performed through a thoracotomy (incision into the chest).

Brachycephalic Obstructive Airway Syndrome (BOAS)

Brachycephalic Obstructive Airway Syndrome (BOAS) affects short-muzzled breeds like Bulldogs, Pugs, and French Bulldogs, causing breathing difficulties due to airway obstructions like narrowed nostrils, elongated soft palates, and narrow windpipes. Symptoms include noisy breathing, exercise intolerance, regurgitation of food or foamy saliva, and in severe cases, collapse or blue gums. While mild cases can be managed with weight control and minimizing stress, severe cases often require surgery to improve airflow, with earlier intervention leading to better outcomes. Surgical options include widening of the nostrils (Naroplasty) or shortening the soft palate (Soft Palate Resection).

BOOK A CONSULTATION WITH A MEMBER OF OUR CARING, SPECIALIST TEAM

For more information about our Small Animal Specialist services, please contact us. Our dedicated team will be able to assist you with bookings, emergency call-outs and telephonic consultations.

Specialist Surgical Oncology

Specialist Surgical Oncology focuses on the surgical treatment of cancer in small animals, offering advanced procedures to remove tumours and manage cancerous conditions.

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Oral tumours

Oral tumours

Oral tumours are relatively common in dogs and cats. Tumour does not imply cancer and there are benign tumours that occur. These often are slow growing and do not cause many symptoms. The most common malignant cancer in a dog and cats’ mouth is melanoma and squamous cell carcinoma respectively.

Treatment of Oral Tumours

Treatment of Oral Tumours

The most effective option in most cases is surgical removal. The degree of complexity of the resection is dependent on where the mass is exactly, how extensive it is and what the tumour type is. Some dogs and cats will require some bone to be removed with the tumour to ensure a complete (or margin negative) resection. The good news is that most dogs and cats do very well with surgery and are able to return to a normal quality of life.

AGASACA or Apocrine Gland Anal Sac Adenocarcinoma

AGASACA or Apocrine Gland Anal Sac Adenocarcinoma

Dogs and cats have anal sacs. These are two blind-ending sacs on either side of the anus located between the external and internal anal sphincter muscles. Dogs and cats may develop cancer from one or both anal sacs that will either cause some discomfort or a mass is noted on an annual vet visit incidentally. The diagnosis is made relatively easily by getting a fine needle sample for cytology.

Surgical Treatment for AGASACA

Surgical Treatment for AGASACA

Complete tumour resection involves the surgical removal of tumours, such as mast cell tumours (MCT) and soft tissue sarcomas (STS), with the goal of excising all cancerous tissue while leaving clear margins. This procedure is critical in preventing the recurrence of these tumours and is often followed by additional treatments like chemotherapy or radiation if needed.

MCT or Mast Cell Tumours

MCT or Mast Cell Tumours

Mast cell tumours (MCT) are the most common type of skin cancer we see in dogs and on a gender-adjusted basis, the most common cancer we see in dogs. They arise in three general locations in dogs (1) cutaneous or skin (2) subcutaneous or under skin (3) mucosal derived or the lining of the mouth or vagina. The cutaneous site is the most common. The majority of dogs with MCT are curable with surgery but some do have a more aggressive form of the disease and require chemotherapy.

Staging for Mast Cell Tumours

Staging for Mast Cell Tumours

Clinical staging is a term used in oncology, which describes the process of determining the extent of disease. It usually follows the WHO guide of TNM. T = tumour. The size, number of masses, appearance, site, and speed of growth is noted. N = regional lymph node status. The lymph node draining the site of the MCT is determined and that lymph node is sampled to determine if there is any spread of disease to it or not. M = metastasis. This is to see if there are any other sites of spread outside of the regional lymph node. In MCT, this usually is the spleen and liver. Tests to work out the clinical stage for MCT are usually a thorough physical examination, blood tests, fine needle aspirate samples of the regional lymph node, sentinel lymph node mapping, and abdominal ultrasound. In some rare cases, advanced imaging like MRI or CT may be needed.

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Specialist Ophthalmology

A standard consultation is about 30min in duration. Assessment of vision, ocular comfort, ocular discharge and a neuro-ophthalmic examination will be performed. The tear production and intraocular pressures will be measured. The periocular tissues, eyelids, conjunctiva, cornea and intraocular structures (iris and lens) will be examined with a slitlamp biomicroscope. The posterior segment will be assessed with an indirect ophthalmoscope to assess the fundus. Direct ophthalmoscopy with a panophthalmoscope might be added if needed.

Glaucoma

Glaucoma

Glaucoma is caused by increased pressure inside the eye. It is caused by fluid inside the eye not being able to drain effectively. It can be due to genetic or congenital abnormalities or secondary blockage of the drainage angle through severe inflammatory cells, excessive blood, lens luxations or tumours.

Uveitis

Uveitis

Uveitis means inflammation of the vascular-rich parts of the eye namely the iris, ciliary body and sometimes even the choroid in the back part of the eye can also be involved. Uveitis is a serious condition that can have severe consequences like glaucoma, attachments, cataracts and even blindness. Early diagnosis and management is recommended to prevent further damage to the eye.

Corneal Ulcers

Corneal Ulcers

Corneal ulcers are the most common ocular disease in companion animal practice It is essentially a wound to the cornea and can range from simple superficial breaks or abrasions to full thickness corneal perforations with iris prolapse. The depth of the wound determine the treatment options of conservative treatment to surgical options to repair the ulcers. Algar brush procedures, striate keratotomies and conjunctival grafts are some of the surgeries indicated for certain types of corneal ulcers.

Dry Eye

Dry Eye

Dry eye is a term used for poor tear production. Tears are very important to keep the cornea clean and healthy and protects it from wind, dust and small foreign bodies. A simple Schirmer tear test can be used to measure the tear production. Treatment requires life-long care, treatment and monitoring

About Vetscape Animal Hospital

Innovation, Excellence, Dedication

Vetscape Animal Hospital was established in 2019 and has meticulously grown our facilities and specialist teams to today’s mixed practice serving equine and small animals. We collaborate with and support veterinary practices across the Western Cape to offer the best range of skills and experience for every individual case.

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"My experience at Vetscape Paarl was exceptional."

The receptionists exuded warmth and kindness, making me and my dog feel truly welcome. Nico, the vet who assisted us, was outstanding. His expertise and genuine care were evident from the start. My beagle has allergies, and Nico went above and beyond to provide invaluable information and top-notch care. His compassion and dedication are unparalleled; I wouldn't consider going anywhere else for my pet's needs. Even if I were to relocate, I'd make a point to return to this branch specifically for Nico's exceptional service. He truly prioritizes the well-being of the animals over anything else.

Nicole

"Exceptional service from Vetscape."

The reception staff is friendly, and Dr Brandon is a gem. We were updated regularly while our girl was in their care. Love Vetscape

Tessa

"I could not recommend Vetscape more."

Beyond their specialists, level of care and superior treatment they are beyond kind. My dog is by no means an easy one, many vets before see him coming and roll their eyes and he’s often treated badly because of it. Vetscape have been nothing short of absolutely incredible, kind, compassionate and patient with him. The vets, nurses and all staff there treat your animals as members of your family and not just a pet. Thank you Vetscape for taking care of my Max.

Franki

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