Veterinary Referral Center (VRC)

Surgery
Types of Surgery We Perform
Orthopedic Surgery: VRC, established in 1972, was one of the first specialized veterinary hospitals in the country to offer advanced orthopedic surgery for pets. Our team has performed thousands of procedures and offers a multitude of cutting-edge surgeries to correct congenital conditions and repair injuries, including knee replacements, ACL repairs, bone and tendon avulsion repair, angular limb realignment, shoulder surgery, elbow surgery, and complicated fracture repair. As a complement to our orthopedic services, we offer comprehensive rehabilitation to help your pet return to optimal health.
Minimally Invasive Surgery: Whenever possible, our veterinary surgeons employ minimally invasive surgical techniques involving the use of tiny, pencil-size cameras and instruments that are inserted through very small incisions (less than a half-inch). Minimally invasive surgery (MIS), also known as laparoscopy, thoracoscopy, arthroscopy, or “keyhole” surgery, is an advanced approach that reduces post-surgery recovery time, scarring, pain, and overall risk. Our surgeons have extensive training in MIS and a dedicated operating room that utilizes cutting-edge surgical equipment. Procedures can often be done on an outpatient basis or involve just an overnight stay.
Arthroscopic Surgery: When it comes to arthroscopic (joint-related) surgeries, our veterinary surgeons believe in using minimally invasive tools and techniques such as tiny scope cameras that can be inserted via incisions of less than a quarter-inch to look inside of your pet’s joint. The images taken by these cameras can then be magnified in order to diagnose a problem quickly and accurately. These small incisions reduce your pet’s recovery time post-surgery, while also causing the least amount of scarring, pain, and overall risk to your pet’s health. Arthroscopic procedures are usually outpatient surgeries, or involve a simple overnight stay, so that your dog or cat can be back at home as quickly as possible to recover where they’re most comfortable. Our minimally invasive arthroscopic surgical procedures can be applied to a variety of concerns, such as:
Elbow dysplasia
Fragmented medial coronoid disease
Diagnosis of torn cranial cruciate ligaments
Ligament and tendon injuries
Removal of osteochondral fragments
Treatment of osteochondritis dissecans (OCD) in shoulders, elbows, and knees
Soft Tissue Surgery: Utilizing state-of-the-art equipment and the most effective surgical techniques, the surgeons at VRC perform a wide variety of soft tissue surgeries, including abdominal procedures (gastrointestinal, spleen, liver, gallbladder, pancreas, kidneys, adrenal glands, and urogenital procedures), upper airway surgery, skin and reconstructive procedures, surgical oncology, head and neck surgery, and hernia repair, among others. Our veterinary surgical department represents the founding pillar of VRC. Our doctors, anesthesia nurses, and nursing staff take great care to minimize pain and achieve the best surgical outcomes. We encourage families to visit as often as you like, and we are available to update you on your pet’s status 24 hours a day.
Laparoscopic Surgery: Whenever we can, VRC’s surgeons choose minimally invasive procedures, such as laparoscopy, to get to the bottom of what’s ailing your dog or cat. Laparoscopy is an increasingly common diagnostic procedure where your veterinarian will make a small incision in order to inspect the abdominal cavity of your animal using a tiny fiber optic camera. Those pictures can be transmitted to a screen and magnified in order to see what’s really wrong. Sometimes a laparoscopic procedure may even be used to complete a surgery. The minimally invasive nature of the technique reduces the amount of trauma to your pet’s surrounding tissues and organs. It also means we can often perform this procedure on an outpatient basis or with a simple overnight stay for observation. It also reduces the amount of pain, recovery time, and risk of infection your pet will experience, as well as limiting their scarring and increasing their mobility. Faster healing and reduced pain and recovery time also mean we can prescribe your dog or cat fewer pain medications. Our surgeons utilize state-of-the-art equipment to investigate and treat abdominal diseases in your pet such as:
Bladder surgeries
Cholecystectomy
Gastropexy
Intestinal biopsies
Liver biopsies
Spaying female animals
and more…
Thoracoscopic Surgery: When it is necessary to inspect or operate upon something in your pet’s chest cavity, we use an advanced and minimally invasive surgical technique known as thoracoscopy. Using a small fiber optic camera or scope, our surgeons can inspect internal organs and tissues and even perform specific procedures with only a small incision in your pet’s skin. This not only reduces pain and trauma for your pet but also allows for faster post-operative recovery time and decreases the likelihood of infection or other risk factors. Your pet will be more comfortable with fewer pain medications, and thoracoscopic procedures can often be done on an outpatient basis or with just an overnight stay. The use of state-of-the-art thoracoscopic techniques allows us to perform a variety of minimally invasive investigative and surgical procedures in the chest cavity including:
Diagnose Inflammation, Infection, Fibrosis, and Cancer
Remove Lung Tumors
Obtain Biopsies
Pericardiectomy
Inspect the Lungs, Pleura, Or Mediastinum
Thoracic Exploratories
And More…

Synovetin OA As a Treatment Option
This injection has been proven effective in the treatment of dogs with elbow OA. Synovetin OA® works by treating the disease at the source by targeting and deactivating the inflammation-producing cells for up to 12 months. Studies show a 92% success rate in dogs with mild and moderate elbow osteoarthritis. No significant side effects or safety issues have been reported.
Benefits include:
Improving a dog’s active lifestyle
Providing long-lasting pain relief
May help keep OA from getting worse
Synovetin OA® treatments are administered by our board-certified surgeons, Kelsey Cappelle, VMD, DACVS, and Jason Coggeshall, DVM, DACVS-SA.
Additional information can by using the buttons below
Synovetin OA® is a unique way to treat arthritis in dogs. It’s not a daily NSAID pill or chew, and it’s not joint surgery. Synovetin OA is just one simple, safe, fast, non-surgical injection that gives your dog up to ONE full year of relief. Because Synovetin OA is dosed directly into the elbow joint, right where it hurts, it targets the source of the inflammation and pain that cause your dog to limp. And Synovetin OA is not absorbed into your dog’s body like traditional dog arthritis treatments, so you can be confident that it’s a safe and effective choice.
How Can I Tell If My Dog Is Suffering From Osteoarthritis Pain?
Many dogs suffering from OA pain are not treated, as owners often attribute decreases in activity or playfulness to old age. Although pets may sleep more and become less active with age, any change in activity level should raise a red flag and warrants a veterinary evaluation. Unfortunately, OA-related activity changes often occur gradually, and owners may not notice that their pet no longer plays and runs as they once did. Signs that may indicate your dog is experiencing OA pain include:
Lethargy
Difficulty rising
Exercising only in short spurts
Hesitation or refusal to jump onto furniture or go up and down stairs
Grumpiness
Limping or lameness
Surgery FAQs
Why do I fast my pet if surgery is not scheduled for the same day?
We ask that you fast your pet in the event that additional diagnostics need to take place. When your pet has eaten, it can sometimes change the results of a test so to get the most accurate information possible, fasting may be necessary even if your pet is not having surgery that day.
Will my pet experience discomfort before, during, or after their surgical procedure?
The level of discomfort your pet may experience all depends on the type of procedure that is taking place. For minor procedures, there may be little to no pain involved. For more advanced procedures, there may be some discomfort. However, we are very proactive about using medications to relieve pain and discomfort for your pet. When necessary, we provide medication before, during, and after the procedure that will allow your pet to feel comfortable and safe.
Is anesthesia safe for my pet?
Anesthesia is considered extremely safe in the veterinary field. Our trained doctors and nurses monitor your pet throughout the entire procedure to ensure his/her comfort and safety. We are experienced in providing anesthesia to all pets including higher-risk patients with sensitivities such as old age and weakness; heart, kidney, and liver disease; as well as other critical and/or unstable conditions. Anesthesia is such a valuable tool in veterinary medicine and you can rest easy knowing that your pet is in highly experienced hands at VRC.
How will my pet react to anesthesia and pain medication?
Every pet reacts differently to anesthesia and pain medication. Constipation is normal for 3-5 days after your pet’s surgery as long as there is no obvious straining. Decreased appetite and lethargy is also normal as long as they are eating small amounts. If you have a question regarding your pet’s behavior after a surgery, please give us a call at (610) 647-2950.
What kinds of physical restrictions will be placed on my pet after surgery?
Physical restrictions placed on your pet after a procedure will depend on the type of operation that took place. Often, we recommend that your pet refrain from running, jumping, or any excessive activity until the first recheck. You can accommodate your pet by arranging his/her living space to include everything (s)he might need at a close distance. This will reduce his/her need to exert too much energy or movement, which helps result in a speedy recovery. You will receive more specific home care instructions upon your pet’s discharge from VRC.
Why is exercise restriction so important?
For the first two weeks, exercise restriction is essential for incision, muscle, and tissue healing. It prevents the incision from opening and causing complications. To maximize the success of your pet’s surgery, following discharge instructions regarding follow-up care is very important. This way, your pet can get back to their normal selves in no time! If you have any questions about your discharge instructions, please feel free to give us a call.
What care is involved with my pet’s surgical site?
Specific instructions with how to care for your pet’s surgical site will be included with your discharge paperwork before you leave the hospital. Every pet is different, which is why we provide care instructions that are catered specifically to your pet’s individualized needs. If you have any questions regarding the follow-up instructions you were given, please give us a call.
I live far away. Do I have to come back to VRC for rechecks?
We do suggest that you return for a recheck so that we can assess the healing process. However, we understand that not everyone lives close to our facility, so you can speak to your VRC surgeon about having your primary veterinarian perform the recheck exam. We always keep your primary veterinarian involved with the status of your pet throughout his/her time spent at VRC, which allows for a seamless transition from specialty to primary veterinary care.




