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Veterinary Orthopedic Surgery And Ultrasound

Specialty Procedures

Dr. Kotev has in-depth experience in these surgical procedures:


ACL stands for Anterior Cruciate Ligament. This is the ligament in the animal’s knee which prevents forward motion of the tibia as it relates to the femur. In recent years, injuries to this area have affected many active dogs and less often cats. The technique used for the repair is called TTA (Tibial Tuberosity Advancement). Success rate is very high, ranging up to 90% return of function. The expected recovery period is approximately 6 – 8 weeks.

Extremity Fractures: These fractures occur in many types and shapes. We are fully equipped to operate on very complex fractures with great success.

Pelvic Fractures are most often related to vehicular trauma and may be very complex. Correction is necessary in order to re-establish a normal pelvic canal and weight bearing stability.

TPO (Triple Pelvic Osteotomy) is a technique used to correct hip dysplasia in early age. The procedure changes the angle of the acetabulum in respect to the head of the femur, giving more cover to the head of the femur.


Cholecystectomy is a surgical procedure for removal of a diseased gallbladder. A healthy gallbladder collects bile from the liver and when necessary for digestion, delivers it through the common bile duct to the duodenum. In some situations, removal of this organ is necessary in order to reestablish bile flow.

Liver Lobectomy is the removal of one or two liver lobes which might be affected by an untreatable disease process such as a tumor.

Nephrectomy is removal of a kidney which may be required when it is affected by irreversible disease.

Ectopic Ureter is a congenital condition where one or both ureters drain urine into an area other than the urinary bladder, such as the urethra or vagina in female pets. Correction is necessary as ailing pets are more prone to urinary tract infections.

Prostatic Cyst or Abscess is a common condition in middle age and older male dogs. Surgical treatment is one of the most successful options. The fluid in the cyst or abscess is drained with a syringe and then the omentum is attached to the cyst/abscess for permanent drainage.

Other procedures

Total Ear Ablation is performed on dogs with chronic inflammation of the ears leading to narrowing of the ear canal and is related to severe pain and loss of hearing. The pain may cause behavioral changes such as aggression in your pet. I recommend this surgery to be performed when I am convinced that there is no way to treat the infection and the narrowing of the ear canal with more conservative methods