Dr. Justin Ganjei

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.

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!

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:)

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.

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!

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!

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…🤦‍♂️

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!

01/03/2025

Sorry for my lack of posting, life has been super busy this year! It probably won’t get slower, but I will try and post more!

To start off the new year, here is a beautiful picture of the biliary system of a dog having a laparoscopic cholecystectomy for a gallbladder mucocele. This dogs gallbladder was filled with sludge that formed into a mucocele that was most certainly going to be a problem in the future. To avoid a higher morbidity and mortality rate, we took this out electively, prophylactically, as it has been shown to be much safer for patients. And of course we did this laparoscopically to reduce discomfort and hasten recovery for the patient. Here we used indocyanin green to highlight the biliary system to ensure it was patent prior to removing the gallbladder. It also ensures we can safely see all the pertinent anatomy to avoid damaging these important structures. Notice how the gallbladder doesn’t light up as it is filled with sludge and nearly completely impacted! #ʟᴀᴘᴄʜᴏʟᴇ

11/09/2024