SAS - Small Animal Surgery in-house referrals

23/01/2026

This here is Leo, a 5 year old Frenchie that had to have bilateral TECA surgery (done at the same), to address a chronic severe otitis externa in both ears that has caused ongoung discomfort for years. He also had a soft palate surgery at the same time which caused sevwre respiratory distress as well. This is Leo 3 weeks post op, much happier and breathing easily which he has not been able to do for years!

25/12/2025

To all our friends and referring practices we at S.A.S. wish you all a Merry Christmas!

24/12/2025

Remember this little guy from 3 months ago that underwent corrective osteotomy for a condition known as Pes Varus? Just saw him for the last checkup, doing amazingly well and using his newly straightened leg perfectly! This is the real reward for our work!!!

19/12/2025

A case demonstrating that we at SAS consider every case in its entirety, giving attention to the case as a whole. This 7 year old Husky was presented to us by a veterinary practice for a large and fast growing skin mass on its left thorax, with the obvious request to remove it. However, after discussion with the practice, we advised more staging to be done to look for other possible masses and therefore instead of mass removal Tommy performed Xrays and an abdominal scan, during which a large mass was found on the caudsl pole of the left kidney. Tommy took ultrasound guided FNAs from the mass, and the skin mass removal was aborted for that day. Subsequently, the mass came back as a likely malignancy and Tommy remived the left kidney. The skin mass is scheduled to bw removed in 3 weeks time as well. An interesting aspect was that there was also marked polycytaemia with Ht of 76%, which was due to excessice erythropoetin production by the renal mass. So we at SAS look at the whole case, and not just the pure surgical task at hand!

21/11/2025

SAS partner surgeon Andre Costa Pereira: Today I wanted to bring you a routine case to the discussion . It’s not about just a routine case we do day in day out , it’s a patient we care about , and should have the absolute best care it deserves . At SAS we don’t aim to do things in a rush , we aim to do things adequately ; in the best way possible , for the patient , the team and the owner , we provide targeted local pain relief via local nerve blocks to every patient , allowing a smoother recovery and better anesthetic , we make sure there is no comorbidities such as meniscal tears via a thorough joint inspection , in this case a meniscal tear present and resolved through partial meniscectomy .
And we ensure the team knows the adequate plan , owner is informed of the surgery and what needs to be done at home , including a discharge letter with clear instructions.
Now on the road to recovery
surgery by Andre Costa Pereira

21/11/2025

Your loyal partner for in-house orthopaedic and soft tissue advanced surgical procedures, always at the "cutting" edge...

19/11/2025

16/11/2025

Martin Simonovski amazing SAS surgeon and partner was presented with Misha who presented to SAS-Small Animal Surgery for assessment of bilateral carpal varus deformities and associated difficulty walking. Clinical examination revealed bilateral carpal joint instability, which was identified as the underlying cause of the varus deformities.

At SAS, we elected to treat the condition with pancarpal arthrodesis. The procedure was staged, and the left limb—being clinically more severely affected—was operated on first. Pancarpal arthrodesis is a surgical technique that achieves permanent fusion of the carpal joints. The articular cartilage is removed, and in this case, allograft harvested from the proximal humerus was applied to the joint surfaces to promote bone healing. The joints were then stabilized using an 3.5/2.7 mm pancarpal arthrodesis plate to maintain alignment and stability during the healing period.

The video filmed two hours after surgery, demonstrates an immediate improvement in Misha’s gait on the operated limb.
Surgery performed by Dr Martin Simonovski
🩺 🦴 🔪 -SmallAnimalSurgery

08/10/2025

Just to remind that aside from that interestimg Achilles Tendon case yesterday, I did the daily routine TPLO barely worth mentioning...:)

08/10/2025

S.A.S. at the cutting edge (literally)...! The repair of the Achilles Tendon tear - Krakow loop technique, covered and augmented by a fascia lata graft. Temporary fixation for 6 weeks with a medially placed pan-tarsal arthrodesis hybrid locking plate (N2), without leveling the medial malleolus and witbout entering and eliminating the joint surface cartilage of course. This solution has been shown to reduce major complications as opposed to external fixators and calcaneo-tibial screws, and is much less hassle post operatively as well. Hiwever it is a challenge to bend the sturdy plate to accomodate the malleolus, which is not needed in a regular arthrodesis. The downside is that another surgery is required to remove the plate, but In my opinion its definitely worth it.

08/10/2025

This is a good demo of a full Achilles Tendon tear on this 17Kg dog that presented fully plantigrade caused by a grass cutter a week ago so still fresh. Notice that there is no curling of the digits during full flexion of the tarsus ("crab claw"), meaning that the superficial digital flexor is not functioning. The torn ends are clearly palpable. So....surgery was done yesterday...S.A.S. to the rescue!

22/09/2025

Remeber the Pes Varus case from 3 days ago? Here he ia already walking confidently on his 3D operated left hind! Thanks Little Hoppers Vets in Staplehurst for the care!!!