Ventral Slot Surgery Cost
2021年10月22日Register here: http://gg.gg/waldt
*Decompressive cervical surgery, either ventral slot or dorsal laminectomy, does not address the instability aspect of this disease process. An excellent case example was presented that demonstrated resolution of disk -associated spinal compression but with progression of spinal cord damage, as noted by serial MRI scans.
*Companion Animal Neurological services-Complete neurological assessment beginning with a 1 hour initial consultation-mri for pets-spinal surgery including hemilaminectomy, ventral slot, spinal stabilization, wobbler, lumbosacral disease, spinal tumors, vertebral tumors.
*Spine surgery is a procedure that aims to change spinal anatomy or add stability with the purpose of improved function and pain relief for your pet. Spine surgery is commonly indicated in certain breeds of dog that have degenerative disc disease.
*Ventral slot: £4700: Lumbosacral epidural: Course of treatment: £2900: Single injection: £630: Lumbosacral distraction fusion: £7000: Cervical distraction fusion: £7000: Advanced imaging: MRI scan (single area including GA) £1900: CT scan (single area including sedation/GA) £950: CT scan (additional area) £200: Puppy or kitten heart.
I was fortunate to moderate this year’s ACVIM Neurology panel discussion at National Harbor in Washington, DC on the topic of surgical options for disk associated cervical spondylomyelopathy (DACSM) in dogs, generically known as Wobbler’s disease. Each year a controversial topic is chosen for presentation at the neurology specialty day portion of the conference. The purpose is to provide a forum to stimulate open discussion on a topic between American and European diplomates, trainees and students.
We are proud to offer on-site magnetic resonance imaging (MRI) for detailed imaging of the brain and spinal cord. Brain surgery, spinal distraction and stabilization, and laminectomy / ventral slot surgery to treat animals suffering from intervertebral disc disease (IVDD) are routinely performed by this talented team of neurosurgeons.
Our panel this year included three experts in the field of neurosurgical approaches to DASCM: Dr. Filippo Adamo from East Bay Veterinary Specialists, Dr. Robert Bergman from Carolina Veterinary Specialists, and Dr. William Thomas from the University of Tennessee. Each one presented a specific case example with different surgical approaches as a springboard to the discussion.
As part of the presentation, the following questions were posed to help focus our discussion. As you would expect, there were divergent opinions but also commonalities.
Here is a summary of some of the questions that we addressed on disk associated cervical spondylomyelopathy (DACSM) in dogs:
*Clinical signs:
*Is there a standardized clinical assessment and scoring system being used?
A standardized neurological assessment and scoring system is currently not being used in the literature. However, a functional scoring system has been validated for use by Olby et al (Am J Vet Res. 2001 Oct;62(10):1624-8) that would be helpful to compare results between studies.
*Is there breed specific pathophysiology resulting in differences in onset and progression of signs?
Breed specific pathophysiology is likely present in the giant breed dogs (eg Great Danes), where rapid bone growth early in the first year of life has been associated with cervical stenosis due to articular facet hypertrophy. Controversy exists on whether this is a hereditary problem or enhanced by high protein diets fed to young dogs, or both.
*What are best objective parameters to correlate to clinical signs and prognosis?
The best objective parameters to correlate clinical signs with prognosis appear to be age of onset, severity of signs, rapidity of progression, and initial response to treatment. Mature dogs with slower progression of signs and that are ambulatory prior to surgery are deemed to have the better prognosis with surgery.
*Diagnosis
*What is the best diagnostic method?
MRI scanning is the recommended diagnostic test of choice. Both static (neutral position) and dynamic (distracted) sagittal and axial views of the cervical spine are recommended.
*Treatment
*What are the parameters for decision on medical versus surgical approach?
The question of when to recommend surgery versus medical management is quite controversial. A wide range of clinical response to medical management ranging from 38 to 81% has been reported. (Table 1). However, dogs that do not respond within the first month of treatment had a guarded prognosis for improvement, and euthanasia was most likely to occur within the first year of treatment in 85% of dogs in one study.
The panel was in general agreement that if neurologic deficits were present associated with lesion on MRI scans, then surgery is their treatment recommendation over medical management.
*Why do some dogs tolerate spinal decompression better than others?
Decompressive cervical surgery, either ventral slot or dorsal laminectomy, does not address the instability aspect of this disease process. An excellent case example was presented that demonstrated resolution of disk -associated spinal compression but with progression of spinal cord damage, as noted by serial MRI scans.
*When is decompression recommended?
In general, a decompressive surgery is recommended when a static compressive lesion of the cervical spine is present that does not improve with simulated distraction, extradural disk rupture is present, or stenosis is present from facet and/or bone lesions.
*When is stabilization is recommended?
In general, cervical stabilization is recommended when a dynamic compressive lesion is observed on MRI scanning demonstrating improvement with simulated distraction and/or presence of moderate intramedullary T2W hyperintensity (associated with gliosis).
*What is the preferred method of stabilization?
Several methods of cervical stabilization are currently being used in veterinary medicine. No evidence currently exists that one method is superior in regards to outcome. Decision making is dictated by surgical preference and experience, cost of the procedure, patient size, and single or multiple sites to be surgically addressed.
A newer technique of cervical disk arthroplasty (artificial disk replacement) was presented by Dr. Adamo that appears promising, as this procedure is less invasive, allows for quicker post-operative recovery, and multiple affected sites can be surgically addressed at one surgery.
*Prognosis
*How can we best advise owners on short and longer-term prognosis?
A review of the published literature of 235 cases treated with surgical intervention had a surprising close range of 70-72% listed as a successful outcome. However, there was a relative large degree of variability in the criteria of success, duration of observation, and when the paper was published (1 to 30 years).
In general, the panel agreed that there is a strong probability that surgery will improve the clinical outcome in dogs affected by DACSM provided that they are treated in the early stage of the disease with ambulatory function preserved.
Table 1. Summary of clinical outcome with medical management in dogs with DASCM.
Table 2. Summary of clinical outcome with surgical management in dogs with DASCM from literature review.
Fixed Pricing – we don’t believe in nasty surprises so the price we quote is the price you payVentral Slot Surgery Cost Chart
We believe that specialist care should be accessible and affordable. Our fixed pricing structure complements our ethos – that everything we do should be communicated openly to referring vets and to pet owners, and is backed up by a unique Surgical Complications Guarantee that covers any complications arising from surgery within 6 months of the procedure.
Our specialist surgical teams are up to date with the latest surgical techniques, and routinely carry out highly complex surgeries, enabling us to confidently take on the most challenging cases. If a price for a surgery is not listed then please do not hesitate to contact us to discuss the case.
Prices valid from 1st June 2020Ventral Slot Surgery Cost WithoutCruciate(MMP)£3,000
Includes: Consultation + Radiographs + Surgery + Hospitalisation as needed + Discharge with NSAIDs for up 2 weeks. General anaesthetic and Radiographs at 4-6 weeks.Cruciate(CCWO/TPLO)£3,750Ventral Slot Surgery Cost Per
Includes: Consultation + Radiographs + Surgery + Hospitalisation as needed + Discharge with NSAIDs for up 2 weeks + General anaesthetic and Radiographs at 4-6 weeksTotal Hip Replacement£6,500
Includes: 1st Visit- Consultation + Templating Radiographs
2nd Visit- Surgery, implants and drugs + Hospitalisation as needed + Discharge with NSAIDs for up 2 weeks + General anaesthetic and Radiographs at 8-12 weeks.
Fixed surgical package price includes consultation, diagnostics, surgery, all drugs related to initial surgery, 1st set of follow up radiographs and dispensed drugs for up to two weeks as detailed below. Where bilateral surgery or multiple surgeries are performed, under the same anaesthetic, the higher package price is fully charged and the additional surgery(s) are charged at 3/4 of their price. There is a 20% surcharge if the work is completed ‘Out of Hours’. “All inclusive” fees include the surgical complications guarantee.Referral ConsultationConsult included in Fixed Price Packages below, only payable if no investigation/surgery takes place.£200Orthopaedics
Consultation + GA + Radiographs (as many as are needed). Joint taps (as many as needed). Discharge with up to 2 weeks NSAIDs£900Lameness Investigation 2
Consultation + GA + Radiographs (as many as are needed) + Joint taps (as many as needed) + CT (as many sites as are indicated). Discharge with up to 2 weeks NSAIDs£1,500
Consultation + GA + Radiographs (as many as are needed) + Joint taps (as many as needed) + CT (as many sites as are indicated) + Arthroscopy/Arthrotomy (one joint). Discharge with up to 2 weeks NSAIDs£3,500Lameness Investigation 4
Consultation + GA + Radiographs (as many as are needed) + Joint taps (as many as needed) + CT (as many sites as are indicated) + Arthroscopy/Arthrotomy (two joints). Discharge with up to 2 weeks NSAIDs£4,500 HIF Transcondylar screw – Unilateral£1,800£3,000 Ulnar osteotomy£1,500£3,000Arthroscopy/Arthrotomy (one joint)
Consultation + Surgery and drugs + Hospitalisation as needed + Follow up examination at 6 weeks£2,500
(Pin/Wire/Screws) Consultation + Radiographs + Surgery, Implants and drugs + Hospitalisation as needed + GA and Radiographs at 4-6 weeks£3,000Fracture Repair 2
(Plate, Plate-Rod, Ex Fix) Consultation + Radiographs/CT + Surgery, Implants and drugs + Hospitalisation as needed + GA and Radiographs at 4-6 weeks£3,750
(Pelvis, double plate) Consultation + Radiographs/CT + Surgery, Implants and drugs + Hospitalisation as needed + GA and Radiographs at 4-6 weeks£4,250Fracture Repair 4
(Y-T elbows, spinal) Consultation + Radiographs/CT + Surgery, Implants and drugs + Hospitalisation as needed + GA and Radiographs at 4-6 weeks£5,000MMP
Consultation + Radiographs + Surgery, Implants and drugs + Hospitalisation as needed + GA and Radiographs at 4-6 weeks. Discharge with NSAIDs for up 2 weeks.£3,000
Consultation + Radiographs + Surgery, Implants and drugs + Hospitalisation as needed + GA and Radiographs at 4-6 weeks. Discharge with NSAIDs for up 2 weeks.£3,750THR
1st Visit- Consultation + Templating Radiographs, 2nd Visit- Surgery, implants and drugs + Hospitalisation as needed + Discharge with NSAIDs for up 2 weeks + General anaesthetic and Radiographs at 8-12 weeks.£6,500
(Stand-alone procedure) Consultation + Radiographs + Surgery and drugs + Hospitalisation as needed. Discharge with NSAIDs for up to 2 weeks.£2,250Surgical hip reduction
Consultation + Radiographs + Surgery, implants and drugs + Hospitalisation as needed + Discharge with NSAIDs for up to 2 weeks + GA and Radiographs at 4-6 weeks.£3,500
(Surgical reduction and stabilization) Consultation + Radiographs + Surgery, implants and drugs + Hospitalisation as needed + Discharge with NSAIDs for up to 2 weeks + GA and Radiographs at 4-6 weeks.£4,500Patellar Luxation
(Tibial Tuberosity Transposition + Ridgestop/Trochleoplasty) Consultation + Radiographs + Surgery, implants and drugs + Hospitalisation as needed + Discharge with NSAIDs for up to 2 weeks + GA and Radiographs at 4-6 weeks.£3,000
(Osteotomy/ostectomy and Plate or Ex Fix, fee after Lameness 2) Surgery, 3D printed guides, implants and drugs + Radiographs + Hospitalisation as needed + Discharge with NSAIDs for up to 2 weeks + GA and Radiographs at 4-6 weeks.£4,000Add-ons if not included in package above£250-£1,000Pancarpal arthrodesis
Consultation + Radiographs/CT + Surgery, implants and drugs + Dressings + Hospitalisation as needed + Discharge with NSAIDs for up to 2 weeks + GA and Radiographs at 6 weeks.£4,500
Consultation + Radiographs/CT + Surgery, implants and drugs + Dressings + Hospitalisation as needed + Discharge with NSAIDs for up to 2 weeks + GA and Radiographs at 6 weeks.£3,750Partial tarsal arthrodesis
Consultation + Radiographs/CT + Surgery, implants and drugs + Dressings + Hospitalisation as needed + Discharge with NSAIDs for up to 2 weeks + GA and Radiographs at 6 weeks.£3,750
Consultation + Radiographs/CT + Surgery, implants and drugs + Dressings + Hospitalisation as needed + Discharge with NSAIDs for up to 2 weeks + GA and Radiographs at 6 weeks.£4,500Shoulder/Stifle arthrodesis
Consultation + Radiographs + Surgery, implants and drugs + Dressings + Hospitalisation as needed + Discharge with NSAIDs for up to 2 weeks + GA and Radiographs at 6 weeks.£4,750Spinal
Consultation + Neurological Assessment + CT (including contrast, as many sites as are indicated) + CSF tap. Discharge with up to 2 weeks medication£1,750Thoraco-lumbar hemilaminectomy
Consultation + Neurological Assessment + Radiographs + CT-myelography + Surgery and drugs + Up to 3 nights hospitalisation + Discharge with up to weeks analgesia + Follow up examination at 4 weeks if required.£4,500
Consultation + Neurological Assessment + Radiographs + CT-myelography + Surgery and drugs + Up to 3 nights hospitalisation + Discharge with up to weeks analgesia + Follow up examination at 4 weeks if required.£4,500Dorsal laminectomy (after neurological investigation)
Surgery and drugs + Up to 3 nights hospitalisation + Discharge with up to weeks analgesia + Follow up examination at 4 weeks if required.£3,000Spinal stabilisation / Distraction-Fusion (after neurological investigation)
Surgery and drugs + Up to 3 nights hospitalisation + Discharge with up to weeks analgesia + Follow up examination at 4 weeks if required.£3,500Foraminotomy Unilateral (after neurological investigation)
Surgery and drugs + Up to 3 nights hospitalisation + Discharge with up to weeks analgesia + Follow up examination at 4 weeks if required.£3,500Foraminotomy Bilateral (after neurological investigation)
Surgery and drugs + Up to 3 nights hospitalisation + Discharge with up to weeks analgesia + Follow up examination at 4 weeks if required.£5,000Soft Tissue
Consultation + Bloods + Fluids + Radiographs as needed + ultrasound as needed + Surgery (inc gastropexy) and drugs + Hospitalisation as needed£4,000Septic Peritonitis
Consultation + Bloods + Fluids + Radiographs as needed + ultrasound as needed + Surgery and drugs + Hospitalisation as needed£5,000
Consultation + Bloods + Fluids + Radiographs as needed + ultrasound as needed + Surgery and drugs + Hospitalisation as needed£1,750Caesarean
Consultation + Bloods + Fluids + Radiographs as needed + ultrasound as needed + Surgery and drugs + Hospitalisation as needed£1,750
Consultation + Bloods + Fluids + Radiographs as needed + ultrasound as needed + Surgery and drugs + Hospitalisation as needed£3,750Cholecystectomy
Consultation + Bloods + Fluids + Radiographs as needed + ultrasound as needed + Surgery and drugs + Hospitalisation as needed£3,500
Consultation + Bloods + Fluids + Radiographs as needed + ultrasound as needed + Surgery and drugs + Hospitalisation as needed£3,250Cystotomy
Consultation + Bloods + Fluids + Radiographs as needed + ultrasound as needed + Surgery and drugs + Hospitalisation as needed£3,000
Consultation + Bloods + Fluids + Radiographs as needed + ultrasound as needed + Surgery and drugs + Hospitalisation as needed£3,250Extra-hepatic Portosystemic Shunt
Consultation + all bloods + ultrasound as needed + CT as needed + Surgery (including implants/devices) and drugs + Hospitalisation as needed£4,500
Consultation + Bloods + Fluids + Radiographs + Attempted catheterisation and relieve + Surgery (perineal, scrotal +/- laparotomy as needed) and drugs + Hospitalisation as needed.£4,000Partial Mandibulectomy/maxillectomy
(Smaller, rostral lesions discounted 33.3%) Consultation + Bloods + Fluids + CT as needed + Surgery and drugs + Histopathology + Hospitalisation as needed£4,000
Consultation + Bloods + Radiographs as needed + CT as needed + Fluids + Surgery and drugs + Hospitalisation as needed.£3,250TECA – Bilateral
Consultation + Bloods + Radiographs as needed + CT as needed + Fluids + Surgery and drugs + Hospitalisation as needed.£5,500
Consultation + Bloods + Fluids + CT + Surgery and drugs + Hospitalisation as needed£2,750Laryngeal Tie-back
Consultation + Bloods + Fluids + CT + Surgery and drugs + Hospitalisation as needed£3,500
Consultation + Fluids + Radiographs as needed + Surgery and drugs + Hospitalisation as needed£2,000Surface Tumour Removal and Reconstruction 1
(Standard wound closure) Consultation + Bloods + Fluids + Surgery and drugs + Histopathology + Hospitalisation as needed.
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(Wide excision +/- local flap for wound closure) Consultation + Bloods + Met Search (CT) + Fluids + Surgery and drugs + Histopathology + Hospitalisation as needed.£3,000Surface/Subcutaneous Tumour Removal and Reconstruction 3
(Axial pattern wound closure) Consultation + Bloods + Met Search (Radiographs/CT) + Fluids + Surgery and drugs + Histopathology + Hospitalisation as needed.£4,500
Consultation + Bloods + CT + Chest drainage (including drains and other consumables) + drugs + hospitalisation as required£2,000Thoracotomy/Lung Lobectomy
Consultation + Bloods + CT + Surgery and drugs + Chest drainage (including drains and other consumables) + Histopathology + Hospitalisation as needed£4,000
(Herniorrhaphy and castration. Colopexy £1500 add on if needed) Consultation + Bloods + Fluids + Radiographs as needed + Surgery and d
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*Decompressive cervical surgery, either ventral slot or dorsal laminectomy, does not address the instability aspect of this disease process. An excellent case example was presented that demonstrated resolution of disk -associated spinal compression but with progression of spinal cord damage, as noted by serial MRI scans.
*Companion Animal Neurological services-Complete neurological assessment beginning with a 1 hour initial consultation-mri for pets-spinal surgery including hemilaminectomy, ventral slot, spinal stabilization, wobbler, lumbosacral disease, spinal tumors, vertebral tumors.
*Spine surgery is a procedure that aims to change spinal anatomy or add stability with the purpose of improved function and pain relief for your pet. Spine surgery is commonly indicated in certain breeds of dog that have degenerative disc disease.
*Ventral slot: £4700: Lumbosacral epidural: Course of treatment: £2900: Single injection: £630: Lumbosacral distraction fusion: £7000: Cervical distraction fusion: £7000: Advanced imaging: MRI scan (single area including GA) £1900: CT scan (single area including sedation/GA) £950: CT scan (additional area) £200: Puppy or kitten heart.
I was fortunate to moderate this year’s ACVIM Neurology panel discussion at National Harbor in Washington, DC on the topic of surgical options for disk associated cervical spondylomyelopathy (DACSM) in dogs, generically known as Wobbler’s disease. Each year a controversial topic is chosen for presentation at the neurology specialty day portion of the conference. The purpose is to provide a forum to stimulate open discussion on a topic between American and European diplomates, trainees and students.
We are proud to offer on-site magnetic resonance imaging (MRI) for detailed imaging of the brain and spinal cord. Brain surgery, spinal distraction and stabilization, and laminectomy / ventral slot surgery to treat animals suffering from intervertebral disc disease (IVDD) are routinely performed by this talented team of neurosurgeons.
Our panel this year included three experts in the field of neurosurgical approaches to DASCM: Dr. Filippo Adamo from East Bay Veterinary Specialists, Dr. Robert Bergman from Carolina Veterinary Specialists, and Dr. William Thomas from the University of Tennessee. Each one presented a specific case example with different surgical approaches as a springboard to the discussion.
As part of the presentation, the following questions were posed to help focus our discussion. As you would expect, there were divergent opinions but also commonalities.
Here is a summary of some of the questions that we addressed on disk associated cervical spondylomyelopathy (DACSM) in dogs:
*Clinical signs:
*Is there a standardized clinical assessment and scoring system being used?
A standardized neurological assessment and scoring system is currently not being used in the literature. However, a functional scoring system has been validated for use by Olby et al (Am J Vet Res. 2001 Oct;62(10):1624-8) that would be helpful to compare results between studies.
*Is there breed specific pathophysiology resulting in differences in onset and progression of signs?
Breed specific pathophysiology is likely present in the giant breed dogs (eg Great Danes), where rapid bone growth early in the first year of life has been associated with cervical stenosis due to articular facet hypertrophy. Controversy exists on whether this is a hereditary problem or enhanced by high protein diets fed to young dogs, or both.
*What are best objective parameters to correlate to clinical signs and prognosis?
The best objective parameters to correlate clinical signs with prognosis appear to be age of onset, severity of signs, rapidity of progression, and initial response to treatment. Mature dogs with slower progression of signs and that are ambulatory prior to surgery are deemed to have the better prognosis with surgery.
*Diagnosis
*What is the best diagnostic method?
MRI scanning is the recommended diagnostic test of choice. Both static (neutral position) and dynamic (distracted) sagittal and axial views of the cervical spine are recommended.
*Treatment
*What are the parameters for decision on medical versus surgical approach?
The question of when to recommend surgery versus medical management is quite controversial. A wide range of clinical response to medical management ranging from 38 to 81% has been reported. (Table 1). However, dogs that do not respond within the first month of treatment had a guarded prognosis for improvement, and euthanasia was most likely to occur within the first year of treatment in 85% of dogs in one study.
The panel was in general agreement that if neurologic deficits were present associated with lesion on MRI scans, then surgery is their treatment recommendation over medical management.
*Why do some dogs tolerate spinal decompression better than others?
Decompressive cervical surgery, either ventral slot or dorsal laminectomy, does not address the instability aspect of this disease process. An excellent case example was presented that demonstrated resolution of disk -associated spinal compression but with progression of spinal cord damage, as noted by serial MRI scans.
*When is decompression recommended?
In general, a decompressive surgery is recommended when a static compressive lesion of the cervical spine is present that does not improve with simulated distraction, extradural disk rupture is present, or stenosis is present from facet and/or bone lesions.
*When is stabilization is recommended?
In general, cervical stabilization is recommended when a dynamic compressive lesion is observed on MRI scanning demonstrating improvement with simulated distraction and/or presence of moderate intramedullary T2W hyperintensity (associated with gliosis).
*What is the preferred method of stabilization?
Several methods of cervical stabilization are currently being used in veterinary medicine. No evidence currently exists that one method is superior in regards to outcome. Decision making is dictated by surgical preference and experience, cost of the procedure, patient size, and single or multiple sites to be surgically addressed.
A newer technique of cervical disk arthroplasty (artificial disk replacement) was presented by Dr. Adamo that appears promising, as this procedure is less invasive, allows for quicker post-operative recovery, and multiple affected sites can be surgically addressed at one surgery.
*Prognosis
*How can we best advise owners on short and longer-term prognosis?
A review of the published literature of 235 cases treated with surgical intervention had a surprising close range of 70-72% listed as a successful outcome. However, there was a relative large degree of variability in the criteria of success, duration of observation, and when the paper was published (1 to 30 years).
In general, the panel agreed that there is a strong probability that surgery will improve the clinical outcome in dogs affected by DACSM provided that they are treated in the early stage of the disease with ambulatory function preserved.
Table 1. Summary of clinical outcome with medical management in dogs with DASCM.
Table 2. Summary of clinical outcome with surgical management in dogs with DASCM from literature review.
Fixed Pricing – we don’t believe in nasty surprises so the price we quote is the price you payVentral Slot Surgery Cost Chart
We believe that specialist care should be accessible and affordable. Our fixed pricing structure complements our ethos – that everything we do should be communicated openly to referring vets and to pet owners, and is backed up by a unique Surgical Complications Guarantee that covers any complications arising from surgery within 6 months of the procedure.
Our specialist surgical teams are up to date with the latest surgical techniques, and routinely carry out highly complex surgeries, enabling us to confidently take on the most challenging cases. If a price for a surgery is not listed then please do not hesitate to contact us to discuss the case.
Prices valid from 1st June 2020Ventral Slot Surgery Cost WithoutCruciate(MMP)£3,000
Includes: Consultation + Radiographs + Surgery + Hospitalisation as needed + Discharge with NSAIDs for up 2 weeks. General anaesthetic and Radiographs at 4-6 weeks.Cruciate(CCWO/TPLO)£3,750Ventral Slot Surgery Cost Per
Includes: Consultation + Radiographs + Surgery + Hospitalisation as needed + Discharge with NSAIDs for up 2 weeks + General anaesthetic and Radiographs at 4-6 weeksTotal Hip Replacement£6,500
Includes: 1st Visit- Consultation + Templating Radiographs
2nd Visit- Surgery, implants and drugs + Hospitalisation as needed + Discharge with NSAIDs for up 2 weeks + General anaesthetic and Radiographs at 8-12 weeks.
Fixed surgical package price includes consultation, diagnostics, surgery, all drugs related to initial surgery, 1st set of follow up radiographs and dispensed drugs for up to two weeks as detailed below. Where bilateral surgery or multiple surgeries are performed, under the same anaesthetic, the higher package price is fully charged and the additional surgery(s) are charged at 3/4 of their price. There is a 20% surcharge if the work is completed ‘Out of Hours’. “All inclusive” fees include the surgical complications guarantee.Referral ConsultationConsult included in Fixed Price Packages below, only payable if no investigation/surgery takes place.£200Orthopaedics
Consultation + GA + Radiographs (as many as are needed). Joint taps (as many as needed). Discharge with up to 2 weeks NSAIDs£900Lameness Investigation 2
Consultation + GA + Radiographs (as many as are needed) + Joint taps (as many as needed) + CT (as many sites as are indicated). Discharge with up to 2 weeks NSAIDs£1,500
Consultation + GA + Radiographs (as many as are needed) + Joint taps (as many as needed) + CT (as many sites as are indicated) + Arthroscopy/Arthrotomy (one joint). Discharge with up to 2 weeks NSAIDs£3,500Lameness Investigation 4
Consultation + GA + Radiographs (as many as are needed) + Joint taps (as many as needed) + CT (as many sites as are indicated) + Arthroscopy/Arthrotomy (two joints). Discharge with up to 2 weeks NSAIDs£4,500 HIF Transcondylar screw – Unilateral£1,800£3,000 Ulnar osteotomy£1,500£3,000Arthroscopy/Arthrotomy (one joint)
Consultation + Surgery and drugs + Hospitalisation as needed + Follow up examination at 6 weeks£2,500
(Pin/Wire/Screws) Consultation + Radiographs + Surgery, Implants and drugs + Hospitalisation as needed + GA and Radiographs at 4-6 weeks£3,000Fracture Repair 2
(Plate, Plate-Rod, Ex Fix) Consultation + Radiographs/CT + Surgery, Implants and drugs + Hospitalisation as needed + GA and Radiographs at 4-6 weeks£3,750
(Pelvis, double plate) Consultation + Radiographs/CT + Surgery, Implants and drugs + Hospitalisation as needed + GA and Radiographs at 4-6 weeks£4,250Fracture Repair 4
(Y-T elbows, spinal) Consultation + Radiographs/CT + Surgery, Implants and drugs + Hospitalisation as needed + GA and Radiographs at 4-6 weeks£5,000MMP
Consultation + Radiographs + Surgery, Implants and drugs + Hospitalisation as needed + GA and Radiographs at 4-6 weeks. Discharge with NSAIDs for up 2 weeks.£3,000
Consultation + Radiographs + Surgery, Implants and drugs + Hospitalisation as needed + GA and Radiographs at 4-6 weeks. Discharge with NSAIDs for up 2 weeks.£3,750THR
1st Visit- Consultation + Templating Radiographs, 2nd Visit- Surgery, implants and drugs + Hospitalisation as needed + Discharge with NSAIDs for up 2 weeks + General anaesthetic and Radiographs at 8-12 weeks.£6,500
(Stand-alone procedure) Consultation + Radiographs + Surgery and drugs + Hospitalisation as needed. Discharge with NSAIDs for up to 2 weeks.£2,250Surgical hip reduction
Consultation + Radiographs + Surgery, implants and drugs + Hospitalisation as needed + Discharge with NSAIDs for up to 2 weeks + GA and Radiographs at 4-6 weeks.£3,500
(Surgical reduction and stabilization) Consultation + Radiographs + Surgery, implants and drugs + Hospitalisation as needed + Discharge with NSAIDs for up to 2 weeks + GA and Radiographs at 4-6 weeks.£4,500Patellar Luxation
(Tibial Tuberosity Transposition + Ridgestop/Trochleoplasty) Consultation + Radiographs + Surgery, implants and drugs + Hospitalisation as needed + Discharge with NSAIDs for up to 2 weeks + GA and Radiographs at 4-6 weeks.£3,000
(Osteotomy/ostectomy and Plate or Ex Fix, fee after Lameness 2) Surgery, 3D printed guides, implants and drugs + Radiographs + Hospitalisation as needed + Discharge with NSAIDs for up to 2 weeks + GA and Radiographs at 4-6 weeks.£4,000Add-ons if not included in package above£250-£1,000Pancarpal arthrodesis
Consultation + Radiographs/CT + Surgery, implants and drugs + Dressings + Hospitalisation as needed + Discharge with NSAIDs for up to 2 weeks + GA and Radiographs at 6 weeks.£4,500
Consultation + Radiographs/CT + Surgery, implants and drugs + Dressings + Hospitalisation as needed + Discharge with NSAIDs for up to 2 weeks + GA and Radiographs at 6 weeks.£3,750Partial tarsal arthrodesis
Consultation + Radiographs/CT + Surgery, implants and drugs + Dressings + Hospitalisation as needed + Discharge with NSAIDs for up to 2 weeks + GA and Radiographs at 6 weeks.£3,750
Consultation + Radiographs/CT + Surgery, implants and drugs + Dressings + Hospitalisation as needed + Discharge with NSAIDs for up to 2 weeks + GA and Radiographs at 6 weeks.£4,500Shoulder/Stifle arthrodesis
Consultation + Radiographs + Surgery, implants and drugs + Dressings + Hospitalisation as needed + Discharge with NSAIDs for up to 2 weeks + GA and Radiographs at 6 weeks.£4,750Spinal
Consultation + Neurological Assessment + CT (including contrast, as many sites as are indicated) + CSF tap. Discharge with up to 2 weeks medication£1,750Thoraco-lumbar hemilaminectomy
Consultation + Neurological Assessment + Radiographs + CT-myelography + Surgery and drugs + Up to 3 nights hospitalisation + Discharge with up to weeks analgesia + Follow up examination at 4 weeks if required.£4,500
Consultation + Neurological Assessment + Radiographs + CT-myelography + Surgery and drugs + Up to 3 nights hospitalisation + Discharge with up to weeks analgesia + Follow up examination at 4 weeks if required.£4,500Dorsal laminectomy (after neurological investigation)
Surgery and drugs + Up to 3 nights hospitalisation + Discharge with up to weeks analgesia + Follow up examination at 4 weeks if required.£3,000Spinal stabilisation / Distraction-Fusion (after neurological investigation)
Surgery and drugs + Up to 3 nights hospitalisation + Discharge with up to weeks analgesia + Follow up examination at 4 weeks if required.£3,500Foraminotomy Unilateral (after neurological investigation)
Surgery and drugs + Up to 3 nights hospitalisation + Discharge with up to weeks analgesia + Follow up examination at 4 weeks if required.£3,500Foraminotomy Bilateral (after neurological investigation)
Surgery and drugs + Up to 3 nights hospitalisation + Discharge with up to weeks analgesia + Follow up examination at 4 weeks if required.£5,000Soft Tissue
Consultation + Bloods + Fluids + Radiographs as needed + ultrasound as needed + Surgery (inc gastropexy) and drugs + Hospitalisation as needed£4,000Septic Peritonitis
Consultation + Bloods + Fluids + Radiographs as needed + ultrasound as needed + Surgery and drugs + Hospitalisation as needed£5,000
Consultation + Bloods + Fluids + Radiographs as needed + ultrasound as needed + Surgery and drugs + Hospitalisation as needed£1,750Caesarean
Consultation + Bloods + Fluids + Radiographs as needed + ultrasound as needed + Surgery and drugs + Hospitalisation as needed£1,750
Consultation + Bloods + Fluids + Radiographs as needed + ultrasound as needed + Surgery and drugs + Hospitalisation as needed£3,750Cholecystectomy
Consultation + Bloods + Fluids + Radiographs as needed + ultrasound as needed + Surgery and drugs + Hospitalisation as needed£3,500
Consultation + Bloods + Fluids + Radiographs as needed + ultrasound as needed + Surgery and drugs + Hospitalisation as needed£3,250Cystotomy
Consultation + Bloods + Fluids + Radiographs as needed + ultrasound as needed + Surgery and drugs + Hospitalisation as needed£3,000
Consultation + Bloods + Fluids + Radiographs as needed + ultrasound as needed + Surgery and drugs + Hospitalisation as needed£3,250Extra-hepatic Portosystemic Shunt
Consultation + all bloods + ultrasound as needed + CT as needed + Surgery (including implants/devices) and drugs + Hospitalisation as needed£4,500
Consultation + Bloods + Fluids + Radiographs + Attempted catheterisation and relieve + Surgery (perineal, scrotal +/- laparotomy as needed) and drugs + Hospitalisation as needed.£4,000Partial Mandibulectomy/maxillectomy
(Smaller, rostral lesions discounted 33.3%) Consultation + Bloods + Fluids + CT as needed + Surgery and drugs + Histopathology + Hospitalisation as needed£4,000
Consultation + Bloods + Radiographs as needed + CT as needed + Fluids + Surgery and drugs + Hospitalisation as needed.£3,250TECA – Bilateral
Consultation + Bloods + Radiographs as needed + CT as needed + Fluids + Surgery and drugs + Hospitalisation as needed.£5,500
Consultation + Bloods + Fluids + CT + Surgery and drugs + Hospitalisation as needed£2,750Laryngeal Tie-back
Consultation + Bloods + Fluids + CT + Surgery and drugs + Hospitalisation as needed£3,500
Consultation + Fluids + Radiographs as needed + Surgery and drugs + Hospitalisation as needed£2,000Surface Tumour Removal and Reconstruction 1
(Standard wound closure) Consultation + Bloods + Fluids + Surgery and drugs + Histopathology + Hospitalisation as needed.
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(Wide excision +/- local flap for wound closure) Consultation + Bloods + Met Search (CT) + Fluids + Surgery and drugs + Histopathology + Hospitalisation as needed.£3,000Surface/Subcutaneous Tumour Removal and Reconstruction 3
(Axial pattern wound closure) Consultation + Bloods + Met Search (Radiographs/CT) + Fluids + Surgery and drugs + Histopathology + Hospitalisation as needed.£4,500
Consultation + Bloods + CT + Chest drainage (including drains and other consumables) + drugs + hospitalisation as required£2,000Thoracotomy/Lung Lobectomy
Consultation + Bloods + CT + Surgery and drugs + Chest drainage (including drains and other consumables) + Histopathology + Hospitalisation as needed£4,000
(Herniorrhaphy and castration. Colopexy £1500 add on if needed) Consultation + Bloods + Fluids + Radiographs as needed + Surgery and d
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