Dr. Justin Ganjei

Dr. Justin Ganjei Board-certified veterinary surgeon in VA/MD/DC specializing in minimally invasive surgery & IR

08/02/2025

Another day, another patient spared of having to go through invasive, emergency surgery for an obstructive or ruptured gallbladder mucocele. This one was caught early and removed laparoscopically which is my preference always. Patient did great, discharged 12 hours post-op and now cured. I don’t know what’s more satisfying, the surgery or cutting into this juicy GB post op:)

08/01/2025

What’s your diagnosis??

Laparoscopic-assisted small intestinal foreign body removal. This puppy had a clear small intestinal obstruction on radi...
07/12/2025

Laparoscopic-assisted small intestinal foreign body removal. This puppy had a clear small intestinal obstruction on radiographs and his owner was really hoping for a less invasive surgery to remove the object. Procedure was performed successfully and dog had an excellent and rapid recovery.

Skin graft to remove a soft tissue sarcoma of the distal limb instead of amputation, which the dog was originally sent f...
06/29/2025

Skin graft to remove a soft tissue sarcoma of the distal limb instead of amputation, which the dog was originally sent for. No need to amputate these legs majority of the time for these tumors!

Second laparoscopic ameroid placement for an extrahepatic shunt in a 5kg dog!  Just need a few more for a case series!  ...
06/28/2025

Second laparoscopic ameroid placement for an extrahepatic shunt in a 5kg dog! Just need a few more for a case series!

05/30/2025

Nothing like a little late night pyometra to end the week. Spay your pets people.

05/10/2025

Another day, another lap chole. This dog, like many, was asymptomatic and this was an incidental finding. Making the decision to take these out before they become a problem can be a challenging one to make. But this video should make it very clear why it’s important. This gallbladder was completely abnormal and filled with inspissated bile. This would have obstructed or ruptured in no time and then the mortality rates with surgery jump up dramatically (2% —> 30%). Plus, it’s much easier on them when I take them out laparoscopically:)

Intraoperative views of a beautifully highlighted thoracic duct using indocyanin green and near infrared imaging to trea...
05/03/2025

Intraoperative views of a beautifully highlighted thoracic duct using indocyanin green and near infrared imaging to treat chylothorax. I also added preoperative and postoperative CT lymphangiograms to show the thoracic duct pre- and post-ligation as this really showed the effect of a complete ligation. Gotta love technology.

What a fun experience today being live on   with  and  and  for a segment on shockwave therapy and the Assisi Loop for o...
04/11/2025

What a fun experience today being live on with and and for a segment on shockwave therapy and the Assisi Loop for our veterinary patients! Big shout out to Luna who rocked it today and was star of the show!

Minimally invasive repair of a sacroiliac luxation in a cat using a screw placed in lag fashion. Been loving these titan...
03/31/2025

Minimally invasive repair of a sacroiliac luxation in a cat using a screw placed in lag fashion. Been loving these titanium, partially threaded, cannulated screws! This cat was up and walking around very shortly after surgery. Should heal nicely and quickly!

It’s 5pm, you just finished you day on time, and the 4x repeat offender for a gastrointestinal foreign body walks in for...
03/14/2025

It’s 5pm, you just finished you day on time, and the 4x repeat offender for a gastrointestinal foreign body walks in for number 5. You open up and get ready to run the bowel and the intestines look like this…🤦‍♂️

Always a good day with MIS involved. Laparoscopic medial iliac lymph node removal using sentinel lymph node mapping with...
01/31/2025

Always a good day with MIS involved. Laparoscopic medial iliac lymph node removal using sentinel lymph node mapping with ICG. This was for a dog with a digital melanoma, a huge metastatic and ruptured popliteal lymph node. CT showed only mild enlargement of the medial iliac but given the other lymphadenopathy present I felt prudent to remove it. Much easier decision to make when going laparoscopically and avoiding a large abdominal incision. This node lit up quite nicely and so I’m very happy we removed it!

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Vienna, VA

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