Dick White Referrals

Soft Tissue Surgery

Staff Members

Jackie Demetriou

Head of Soft Tissue Surgery

Georga T. Karbe

Consultant, Soft Tissue Surgery

Darren Barnes

Consultant, Small Animal Surgery

Rachel Hattersley

Consultant in Small Animal Surgery

Daniela Murgia

Consultant, Soft Tissue Surgery

Rob Quinn

Consultant, Small Animal Surgery


The Soft Tissue Surgery Service is led by Jackie Demetriou supported by Georga Karbe, Darren Barnes, Rachel Hattersley, Daniela Murgia and Rob Quinn (Consultant Surgeons), Rob Quinn, Francisco do Ó Ramos da Silveira, Caitlin Tzournos, David Haine, Joy Fenner and Pablo Perez Lopez (Residents).

We routinely undertake surgery to treat congenital and acquired conditions, including oncological cases. Surgical procedures performed regularly include:

Brachycephalic Obstructive Airway Syndrome
Our surgical management includes laser-assisted turbinectomy and folded palatoplasty with careful medical therapy for gastro-oesophageal ulcer disease.

Laryngeal Paralysis
Our team has a wealth of experience in managing laryngeal paralysis and a dorsal crico-arytenoid rotation procedure is our currently preferred technique.

Surgical Oncology
We provide unrivalled expertise in the management of tumours and reconstructive surgery. This includes mast cell tumours; soft tissue sarcomas; oral tumours; thoracic tumours including pulmonary and chest wall; and tumours of the liver, spleen, kidney, urinary tract or intestine.

Urinary Incontinence
Approximately 80% of mature female dogs with urinary incontinence are diagnosed with urethral sphincter mechanism incompetence (USMI). Our success rates following combined urethropexy/colposuspension are so encouraging that we now recommend this approach routinely.

Wound Management and Reconstruction
We have a huge amount of of experience in the application of wound management techniques ranging from vacuum-assisted wound closure to 
more conventional reconstructive techniques such as free skin grafts, local advancement flaps and direct distant flaps.

Portosystemic Shunts (PSS)
In the majority of PSS cases, surgery can restore normal blood flow to the liver with a normal life expectancy and restored quality of life. Closure of the vessel is achieved by placement of a cellophane band for the extra-hepatic shunts and by interventional radiological coil placement for more complex intra-hepatic shunts.

Minimally Invasive Surgery
We offer a comprehensive range of rigid endoscopic procedures from ovariectomy and biopsies to pericardiectomy and thoracic duct ligation. We also offer laparoscopic and thoracoscopic-assisted techniques (eg gastropexy, pulmonectomy, intestinal biopsy, portovenography, urolith removal).

Our veterinary staff are pleased to offer advice to colleagues in primary care practice.

Specialist Referral Services

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