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Pet Affordable Dentistry and Surgery (PADS)

This is a program initially designed and begun in late 2014  to provide needed surgical or dental care for pets who may otherwise be unable to receive it due to financial reasons.  We wanted  to use our helping hands to allow people to take care of their furry friends.  We were so gratified with the results of the program and the many pets and their owners that we have helped, that we have decided to completely devote our practice to this.

The goal of this program is to provide high-quality, yet affordable surgical and dental care for your pet.  We utilize an Accuvet CO2 laser to perform our surgical procedures.  The laser provides greater precision and less pain, bleeding, and swelling than a scalpel.  Please see below a list of common surgical and dental procedures that we perform.  For the sake of simplicity, all costs are included in the fee which covers necessary sedatives, anesthetics, anesthetic monitoring costs, surgical supplies, laser use, antibiotics, and take-home pain medications. The fee also includes a consultation and patient examination.  Patients are treated on an outpatient basis, being admitted early in the morning, and most often sent home with you after anesthetic recovery in the afternoon.  Patients are encouraged to have pre-anesthetic laboratory testing done by your veterinarian.  This is especially recommended for patients over seven years of age.  If a patient has been referred to us and has recent blood work results, please bring them with you.  There will be no other additional fees.  Full payment for the procedure is required at time of admission.  We accept cash, check, Visa, MasterCard, Discover, American Express, and CareCredit.  Since surgical and dental procedures take considerable time, it is imperative that we be notified as soon as possible if you will be unable to make an appointment, so that other patients may be scheduled. **** Missed appointments will not be re-scheduled if such notice is not given.****

Since these fees are considerably less than what is generally charged in veterinary hospitals, we will not provide any other routine, preventative health care or non-surgical/dental procedures such as vaccinations, or elective surgeries such as neuters, spays (unless another procedure is done), etc.  If another veterinarian has referred you to us, you will be sent back to them for any needed follow-up care, unless any immediate, post-operative complications arise.  In this unlikely event, we will treat the same at no additional charge.  Our goal is not to "steal" clients from other veterinary practices, but to provide care to patients that would otherwise receive no care or be euthanized due to financial reasons.  Again, routine, elective procedures such as spays, neuters, and declaws will not be provided under this program.  If a procedure is done to treat neoplasia (cancer) or if neoplasia is suspected, a biopsy will be submitted to the laboratory to confirm the diagnosis and to evaluate completeness of excision. This will be an additional cost of $135.

***Laser Therapy***

Many patients will benefit greatly from being treated with our Class IV,  K-Laser therapy unit after surgery.  It helps to reduce pain, swelling, and speeds healing and recovery.  Treatments only take a few minutes and are done every 2-3 days after surgery for about 1- 2 weeks.  If you are interested in this, please inquire.  There will be an additional charge of $75 for this service.

***Limited Surgical Emergency Service***

 If you have surgical emergency after hours, please send an email through our contact portal which we regularly check. We can provide limited emergency surgical services contingent on our ability to have staff available to assist. There will be fee of $200 in addition to the surgical fee.  If we do not reply within 30 minutes to an hour, we are either unavailable or unable to get a proper surgical staff for assistance.   In this case we recommend you visit an emergency veterinary facility.  If you have questions or would like to know if we offer additional services, please call us at 757-595-9720.

Procedures/Fees

ABSCESS TREATMENT (lance, debride and flush;  place drains if needed) $275

AMPUTATION OF LEG CANINE   $750 less than 30 lbs.,  $975 over 30 lbs.

AMPUTATION OF LEG FELINE    $625

AMPUTATION OF TAIL               $300

AMPUTATION OF DIGIT (TOE)    $295

ANAL SACCULECTOMY (REMOVAL)  $525

AURAL (EAR FLAP) HEMATOMA $270

BLOAT (GASTRIC DILATATION/VOLVULUS)  decompress stomach, de-rotate, and perform gastropexy  $975

CAESAREAN SECTION  $600 without spay, $650 with spay

CHELIOPLASTY (lip fold surgery) $375

CHERRY EYE (PROLAPSED THIRD EYELID GLAND REPLACEMENT)  $375 (one eye), $525 (both eyes) We do not remove the tear gland, but replace it by using our laser to create a "pouch".  This preserves tear production to prevent KCS or "dry eye".

CHOLECYSTECTOMY  (removal of gall bladder for chronic infection; not for biliary obstruction)  $850

​*****CRANIAL CRUCIATE LIGAMENT SURGERY-SEE BOTTOM OF PAGE*****

CRANIAL CRUCIATE LIGAMENT STABILIZATION USING LATERAL SUTURE TECHNIQUE  $975--- using the LigaFiba suture material.  LigaFiba is a new, extremely strong surgical suture material.  It is composed entirely of Ultra High Molecular Weight Polyethylene (UHMWPE).  Weight for weight, it is 15 times stronger than steel and 2.5 times stronger than nylon.

This suture is much stronger, more durable, and more resistant to abrasion than the nylon suture or nylon leader-line  "fishing line suture" used in the past.  It is suitable for dogs of all weights.

CRANIAL CRUCIATE SURGERY USING THE ORTHOZIP TECHNIQUE $1200--- similar to the above technique, but uses two titanium anchor posts and the Orthozip fiber loop also made of (UHMWPE), to stabilize the knee.  Also suitable for heavier dogs. Here is a link for more information:    http://everost.com/products-orthozip.html

      *We do not perform the TPLO or TTA procedures for treating cruciate ligament rupture.

CYSTOTOMY (OPENING THE URINARY BLADDER TO REMOVE STONES OR GROWTHS)  $675 cats and female dogs, $725 male dogs.   (If an urethrostomy is also needed $825 total)       (Includes follow-up x-Ray)--- (Stone analysis to determine type recommended-- $145 additional)

DENTAL SCALING AND POLISHING  $200 routine.  $255  if simple extractions are needed, $400 if difficult extractions needed.

ELONGATED SOFT PALATE RESECTION $285

ENUCLEATION (eye removal)   $350 (cats and dogs less than 30 lbs.).  $425 (dogs over 30 lbs.).

ENTROPION/ECTROPION REPAIR (per eyelid) $200

ESOPHAGEAL FEEDING TUBE PLACEMENT $140

EXPLORATORY LAPAROTOMY  (dependent on condition $400-$900)

FEMORAL HEAD AND NECK EXCISION (FHO) $825

GASTROINTESTINAL FOREIGN BODY REMOVAL (simple) $875--- If intestinal resection/anastomosis or multiple incisions into stomach and/or intestines are necessary, $975

SKIN GROWTH REMOVAL - LARGE  (3 or more inches) $575-$700--- depending on complexity​*

SKIN GROWTH REMOVAL - MEDIUM (1-3 inches) $345​*

SKIN GROWTH REMOVAL - SMALL (less than 1 inch) $145​*

*THESE SKIN GROWTH REMOVAL FEES ARE ESTIMATIONS, AND MAY CHANGE DEPENDING ON LOCATION, INVASIVENESS OF GROWTH AND DIFFICULTY INVOLVED IN EXCISION.  AN EXAMINATION WILL BE NEEDED TO PROVIDE A DEFINITE FEE AMOUNT.

HERNIA REPAIR -  DIAPHRAGMATIC $975;  INGUINAL $485;  UMBILICAL $275;  PERINEAL $750 IF ON ONE SIDE, $875 IF ON BOTH SIDES

INTUSSUSCEPTION $600 (simple) --- If intestinal resection/anastomosis is needed, $975

MASTECTOMY - SIMPLE/LUMPECTOMY $425; RADICAL $750

MEDIAL PATELLAR LUXATION  STABILIZATION $950-$1100--- Depending on what procedures are required---  (Grades 1-3) ---There are usually multiple anatomic abnormalities that cause this complex condition.  There are several different procedures that are necessary to correct these.  We are able to do most of these.  However, some dogs, especially larger breeds, have an inward curvature of the end of the femur (thigh bone) which must be corrected by cutting the bone (a corrective osteotomy), re-positioned, and stabilized with a bone plate.  We do not have the equipment to do this.  For this reason, radiographs are required to assess each case to determine if we can do surgery.

NASAL SKIN FOLD EXCISION $525

NEPHRECTOMY (kidney removal) $875

NEUTER (cryptorchid)  $245 INGUINAL  $435 ABDOMINAL---Regular neuter if in conjunction with another procedure:  $50 feline   $80 canine

PYOMETRA (infected uterus)  OVARIOHYSTERECTOMY  $500 (FELINE/CANINE LESS THAN 30 LBS.)  $750 (CANINE OVER 30 LBS.)

RECTAL PROLAPSE REPAIR $435 for colopexy;  $600 if prolapse amputation is also required

SPAY (ovariohysterectomy)--- only if in conjunction with another procedure:  $100 feline, $200 canine

SPLENECTOMY $825

STENOTIC NARES RESECTION using laser $280

URETHROSTOMY TO TREAT URINARY OBSTRUCTION (CANINE)---Cystotomy included if needed  $825

VULVAR  SKIN FOLD RESECTION (removal of excess skin around vulva to prevent recurrent urinary tract infections) $525

WOUND/LACERATION REPAIR (varies depending on size, location, and duration) $130 for small, fresh wound to $800 for complex, large, or infected wounds.

*****Cranial Cruciate Ligament Surgery*****

Surgical procedures performed to treat cruciate ligament injuries are generally one of the following:

1.      Osteotomy techniques such as the TPLO or TTA procedures where a portion of the tibia bone is cut and repositioned with bone plates  in order to stabilize the knee joint.  These procedures are very effective, but are more invasive, require more equipment, and are considerably more expensive.  Complications can be potentially severe since bone is cut and repositioned with plates and screws that may fail, or the bone not heal.  We do not perform these procedures.

2.      Extracapsular (outside of the joint) repair techniques where either strong nylon sutures, fiber tape, Ligafiba suture, or the Orthozip fiber are implanted to replace the function of the torn cruciate ligament and stabilize the knee while the injured joint heals.  Complications are mainly implant infection or breakage in approximately 5% of cases.  These are the procedures we do.

3.      Intracapsular (inside the joint) repairs using various graft techniques; not done as often today as in the past.

Many studies show about an 85-90% success rate, regardless of procedure performed.  As a general rule, very large dogs or very active dogs will probably do better with an osteotomy procedure.  Also, dogs with chronic injuries often have significant degenerative and arthritic changes in the knee that will reduce the likelihood of an optimal recovery, regardless of which procedure is done.  It is important with any cruciate surgery to remove the remnants of the damaged ligament and to inspect the menisci  (wedges of cartilage between the femur and tibia that act as shock absorbers)  in the joint for damage and to remove any damaged portions as they cannot heal and cause pain.

Not every dog is a candidate for the extracapsular techniques.  We use several factors to judge if our techniques are suitable for a given patient.  Three of these are body weight, amount of arthritis or degenerative joint disease present, and your dog’s particular anatomy.  Some dogs have a very pronounced downward sloping of the back top of the tibia or shin bone, which causes the force of weight-bearing, especially in a large dog, to cause greater mechanical force being directed forwards, something called "tibial thrust",  instead of down toward the ground, which places much greater force on the implanted materials during walking and running, and this increases the potential for the implants to break or fail.  It is important for us to be able to evaluate the degree of degenerative changes and the shape of the tibia.   All we need is a good-quality lateral radiograph of the leg.  If your veterinarian has taken radiographs, please have them sent to us via email or bring them with you. If there are advanced degenerative changes present, or a pronounced sloping of the top of the tibia (an abnormally large tibia plateau angle-TPA) exists, especially in a large dog, it may be advisable not to proceed with surgery, as these patients will likely do better with an osteotomy technique.  With all this being said, we realize that our PADS program may be the only option for some pets that are in constant pain.  We have done hundreds of cruciate ligament surgeries and generally have very good results.  We will evaluate each patient and make our best recommendations.

For conditions not listed, please call the office to inquire.

Exclusive Offer

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THIS ---->https://newportnewsvetcom.vetmatrixbase.com/pads.html

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Testimonial

Dr. Savell has always gone above and beyond for the care of our family's pets for several years.

John Doe
Newport News, VA

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