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Endoscopy & Laparoscopy

Dr Lin is the first veterinarian in Singapore (since 2012) to introduce a comprehensive suite of minimally-invasive procedures into veterinary practice. His video case studies can be found here.

What is Endoscopy?

Endoscopy (minimally invasive surgery) is a technique for performing medical procedures through natural openings in the body or through one or more tiny holes. 

An endoscope inserted in the body magnifies internal structures on a TV monitor for thorough examination. Surgical instruments may be used through the same opening or through an additional small incision.

Advantages of Laparoscopy/Endoscopy:

  • Thanks to a clear, bright, magnified image your veterinarian can work with greater accuracy and precision.
  • Unlike regular spays, the ovarian ligament can be carefully cut and cauterized rather than torn. Blood vessels are cauterised with precision, resulting in much less post-op bleeding.
  • Surgeries are less painful since the incisions are typically smaller than conventional surgeries (3-5mm).
  • Complications such as wound dehiscence and infections are minimized since incisions are only keyhole sized.
  • Small incisions lead to faster recoveries, with many pets resuming normal activity in a matter of days.
  • Greater satisfaction at your pets level of comfort and speed of recovery.

Dr. Eugene Lin
Medical Director

Dr Lin offers the following minimally-invasive laparoscopic procedures for pets:

  • Sterilizations via ovariectomy, cryptorchidectomy (abdominal testicles)
  • Abdominal surgeries and biopsies
  • Laparoscopy-assisted procedures (eg gastropexy, kidney and bladder stone removal)
  • Urinary tract visualization and biopsy (vaginocystoscopy)
  • Gastrointestinal tract visualization, biopsy and foreign body removal. (esophagoscopy, gastroscopy, dudenoscopy and colonoscopy)
  • Upper respiratory tract visualization, biopsy and mass/foreign body removal (rhinoscopy and tracheoscopy)
  • Ear canal visualization, biopsy, mass/foreign body removal and deep ear cleaning (otoscopy)

 

Click Here for our Laparoscopy Brochure

Click Here to read more about laparoscopic surgery

Applications of Endoscopy

Arthroscopy is endoscopy of the joint. It is used in cases of chronic lameness, joint pain, joint instability, swelling and abnormal radiographic findings.

Bronchoscopy is endoscopy of the airways and lungs, to identify structural abnormalities, collect samples of abnormal airway secretions, identify and remove foreign bodies and biopsy lesions or masses.

Cystoscopy is endoscopy of the urinary bladder, used in patients presenting with chronic infections, trauma, stones and abnormal radiographs.

Gastrointestinal Endoscopy is the endoscopic exploration of the stomach and intestines. A partial list of indications includes chronic regurgitation, salivation, nausea, vomiting, blood in the stool, anorexia, diarrhoea, weight loss, fecal mucus and straining to defecate. It is most commonly used for obtaining biopsies and the removal of foreign bodies.

Gastropexy is a preventative surgery that can be performed laparoscopically on at-risk dogs to prevent the twisting of the stomach, which is fatal if not treated quickly. The stomach is sutured to the abdominal wall in order to prevent the stomach from twisting. Endoscopy eliminates the need to perform open surgery which requires an incision of 6″ to 12″. Gastropexy is often doneat the time of laparoscopic spay.

Laparoscopy is endoscopy of the abdominal cavity, used as a diagnostic tool for taking biopsies of the liver, kidney and pancreas. More complex laparoscopic surgeries being performed include adrenalectomy, gastropexy, hernia repair and spays.

Laparoscopic Spay is a technique for neutering female cats and dogs. Performed through one to three small incisions in the abdomen rather than a large incision. It offers a less painful, safer and faster healing alternative to traditional spays.

Otoscopy is endoscopy of the external and middle ear. It is one of the most common applications of endoscopy in veterinary medicine. Otoscopy allows for safe and thorough ear cleaning under constant visualization, removal of foreign objects, polyp removal and diagnostic sampling.

Rhinoscopy is endoscopy of the nasal cavity, commonly indicated in dogs and cats with chronic nasal discharge, nasal obstruction, chronic sneezing, nasal bleeding, facial distortion, nasal pain, acute severe sneezing, reverse sneezing and abnormal radiographs.

Vaginoscopy is the endoscopic examination of the vagina. Indications for vaginoscopy include vaginal discharge, bleeding or masses, trauma, incontinence, foreign body removal and straining to urinate. Reproductive indications include transcervical artificial insemination, difficulty in labour and monitoring of the estrous cycle.

Referral Services for Endoscopy

Dear Fellow Veterinarians,

We would like to make available to you for referral a comprehensive suite of minimally invasive
surgery (MIS) and flexible-endoscopic procedures in our state-of-the-art clinic
at Binjai Park.

The benefits of MIS and flexible-endoscopy for your patients include:
• Smaller or no incision     • Quicker recovery time
• Markedly reduced pain   • Less scarring
• Lower risk of infection    • Reduced blood loss

All referring veterinarians will be provided with a comprehensive report and DVD video (upon
request) of the procedure.

LAPAROSCOPIC PROCEDURES (3mm or 5mm rigid telescope and instruments)

1. Ovariectomy
2. Ovariohysterectomy
3. Ovarian remnant syndrome correction
4. Cholecystectomy – mucocoele, gall stone, cholecystitis
5. Adrenalectomy
6. Splenectomy
7. Abdominal biopsy – liver, kidney, spleen, pancreas, adrenal gland, peritoneum,
lymph node, ovary, tumour
8. Cystopexy
9. Colopexy
10. Exploratory laparoscopy
11. Cryptorchidectomy

LAPAROSCOPY-ASSISTED PROCEDURES

1. Gastropexy – prevention/treatment of GDV
2. Cystotomy – urolith removal and tumour laser ablation
3. Gastrotomy – foreign body, tumour resection
4. Enterotomy – foreign body, tumour resection
5. Full-thickness biopsy – stomach, intestine, bladder

VIDEO-ASSISTED THORACOSCOPIC SURGERY (VATS)

1. Exploratory thoracoscopy
2. Pericardectomy
3. Lung lobectomy – tumour, torsion
4. Biopsy – lung, lymph node, pleural membrane, pericardium, mass
5. Thoracic duct ligation – chylothorax correction
6. Persistent right aortic arch correction
7. Patent ductus arteriosus correction

MUTIPLE-RIGID ENDOSCOPIC PROCEDURES

1. Vestibulovaginocystoscopy – biopsy, tumour laser ablation, ectopic ureter
identification and laser correction, laser lithotripsy
2. Rhinoscopy – foreign body, biopsy, flushing
3. Nephroscopy – nephrolith removal
4. Ureteroscopy – ureterolith removal, stent placement
5. Otoscopy – biopsy, foreign body removal, flushing, polyp removal, myringotomy

FLEXIBLE-ENDOSCOPIC PROCEDURES

1. Bronchoscopy – foreign body, broncho-alveolar lavage. biopsy
2. Esophagoscopy – biopsy, foreign body
3. Gastroscopy – biopsy, foreign body
4. Duodenoscopy – biopsy
5. Urethrocystoscopy (male dog) – urethrolith/urolith removal, biopsy, tumour laser
ablation, laser lithotripsy
6. Tracheal stenting – dynamic airway disease

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