Advanced Diagnostics and Surgery


VRC’s team of veterinary specialists have performed thousands of procedures and offer a multitude of advanced procedures to enhance or save the life of your pet.

    • Overview

      VRC’s team of veterinary specialists have performed thousands of procedures and offer a multitude of advanced procedures to enhance or save the life of your pet. We offer the latest technology for diagnostic imaging as well dedicated specialty suites. We collaborate closely with your family veterinarian to provide a timely and accurate diagnosis as well as recommendations for the best treatment options for your pet.

      To view a list of Frequently Asked Questions regarding surgery at VRC, click HERE.

    • Location

      340 Lancaster Avenue, Malvern, PA
      View Map
    • Arthroscopic Surgery

      OVERVIEW
      VRC takes pride in offering concerned pet owners the most up-to-date technologies available for the assessment and treatment of your dog or cat. When it comes to arthroscopic (joint-related) surgeries, our 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.

      SPECIALTIES

      Arthroscopic surgery allows VRC’s veterinarians to see a bigger and more detailed picture of what’s going on inside your pet’s joint. Sometimes, joint problems are too small to be seen without an enlarged image to review. 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

      Please contact us for more details, and to find out how we can help your pet. CONTACT US

    • Location

      340 Lancaster Avenue, Malvern, PA
      View Map
    • Cardiology

      VRC’s cardiology service provides diagnostic, therapeutic and pre-anesthetic consultations for pets with suspected or documented congenital or acquired heart disease. These heart problems may be primary (stand alone) or secondary (occur from other systemic, internal medical problems). Primary heart disease may also contribute to the signs and symptoms of other internal medical problems.

      We provide diagnosis and confirmation of your referring veterinarian’s diagnosis of congestive heart failure, arrhythmias, pulmonary hypertension, systemic hypertension, cardiopulmonary disease, and cardiac disease due to other systemic disease. Diagnoses are made using a combination of physical examination, echocardiography and Doppler ultrasound, thoracic radiography, electrocardiography, and blood pressure evaluation. As needed, we will provide medications, radiology, abdominal or thoracic ultrasound, and internal referrals to other services within VRC including internal medicine, emergency, oncology and surgery.

      To view a list of Frequently Asked Questions regarding Cardiology at VRC, click here. 

    • Location

      340 Lancaster Avenue, Malvern, PA
      View Map

      Our Team

    • Dentistry and Oral Surgery

      VRC.5.15_0866Veterinary dentistry requires specialized diagnostics and additional training beyond the veterinary medicine degree.

      At VRC, our full range of dental and oral surgery services and conditions treated include:

       

      Oral malodor or inflammation: Severe gingivitis or inflamed oral tissue can be indicative of serious systemic disease and should never be dismissed simply as bad breath

      Neoplasia: Surgical treatment of oral tumors

      Fractured teeth: Teeth with exposed pulp must be treated or extracted, or they will become infected and abscess. Teeth can be salvaged with vital pulp capping or root canal therapy

      Orthodontics: Evaluation and correction of common malocclusions (misaligned bites)

      Jaw fracture repairs: Unlike orthodontic repairs, jaw repairs also require teeth alignment to maintain functionality

      Oral defects: Congenital or traumatic defects requiring oral surgery

      Periodontics: Treatment of periodontal tissue, which supports the teeth. Procedures include tooth scaling and polishing, root planing, mucogingival surgery, and guided tissue and bone regeneration

      Restorations: Caries repair, metal crowns, bonding and bridges

      To view a list of Frequently Asked Questions regarding Oral and Dental Surgery at VRC, click HERE.

    • Location

      340 Lancaster Avenue, Malvern, PA
      View Map

      Our Team

      • Stanley (“Lee”) W. Blazejewski, III, VMD, DAVDC

        Read Bio
    • Diagnostic Imaging and Radiology

      VRC’s diagnostic imaging department serves patients by supporting all of our clinical specialties. We offer a range of imaging modalities to fit a variety of needs, including:

      Digital X-ray (Radiography) — used for diagnosing disease in the chest, abdomen and musculoskeletal system. We also perform contrast studies of the gastrointestinal and urinary tract to diagnose obstructions. X-rays are typically the first imaging studies ordered to help diagnose problems.

      Ultrasound (Sonography) — high-frequency sound waves that produce pictures of the inside of the body, without radiation. Ultrasound images are captured in real-time, to show the structure and movement of the body’s internal organs, as well as blood flowing through vessels. Ultrasound imaging can be performed using minimal restraint or sedation, and is used to help diagnose conditions such as abdominal pain, pancreatitis, enlarged abdominal organ and kidney stones. We also use ultrasound to guide needle biopsies, in which a needle is used to extract a sample of cells from organs for laboratory testing.

      Computed Tomography (CT scan) — a type of X-ray machine that produces multiple images of the inside of the body, in thin, cross-sectional “slices” for viewing. CT scans of internal organs, bone, soft tissue and blood vessels provide much more detail than conventional X-rays, by utilizing advanced software to accentuate areas of interest in two and three dimensions.

      Magnetic Resonance Imaging (MRI) — an advanced imaging modality that uses powerful magnets to generate electromagnetic fields, which are translated into images composed of a series of “slices”. MRI scans of soft tissue are highly detailed, and unlike CT, use no radiation.

    • Location

      340 Lancaster Avenue, Malvern, PA
      View Map

      Our Team

      • Curtis G. Schelling, VMD, MS, DACVR

        Read Bio
    • Endoscopy

      VRC offers on-site endoscopy (flexible and rigid), performed in our dedicated suites by experienced specialists with the expertise to safely examine and evaluate the internal tissues of the esophagus, stomach, nose, ears, bladder, colon and lungs. While patients do require general anesthesia, endoscopy is considered a minimally invasive procedure and can often be performed on an outpatient basis.

    • Location

      340 Lancaster Avenue, Malvern, PA
      View Map

      Our Team

    • Holistic Integrative Medicine

      Holistic therapies offer a variety of natural ways to help animals heal, improving their comfort, mobility and quality of life. VRC offers these holistic therapies to enhance your pet’s innate ability to heal. Holistic therapies are complementary, which means they can be safely utilized alongside traditional medical options, in combination with other integrative therapies, or by themselves.

      Our holistic therapies include:

      Acupuncture: This ancient form of eastern medicine is an effective method of treating a variety of diseases and disorders. Using thin, sterile, stainless steel needles, acupuncture stimulates specific points on the body to balance energy flow, reduce pain and improve health. Only a licensed veterinarian can perform acupuncture on animals.

      Cold Laser: This therapy uses energy from lights to stimulate cell activity and aid in the healing process of sprains, strains and other musculoskeletal injuries. The laser activates tissue repair while promoting deep muscle relaxation and reduction of joint pain. Our lasers are FDA approved for human use.

    • Location

      340 Lancaster Avenue, Malvern, PA
      View Map

      Our Team

    • Internal Medicine

      If your pet is not responding to treatment as expected, or requires advanced diagnostic procedures such as endoscopy, bronchoscopy, colonoscopy, lung washes, bone marrow aspiration or biopsy, we can help. VRC’s internal medicine specialist works closely with referring veterinarians seeking diagnosis, second opinions and/or management of acute and chronic diseases, including those of the kidney, liver, lungs, bladder, GI tract and endocrine system. Our internist also consults with other specialists within our practice, including surgeons, oncologists and emergency care veterinarians. To read answers to our most frequently asked questions regarding internal medicine at VRC, click HERE.

    • Location

      340 Lancaster Avenue, Malvern, PA
      View Map

      Our Team

      • Justin Guinan, DVM, DACVIM (SA-IM)

        Read Bio
    • Laparoscopic Surgery

      OVERVIEW

      At VRC, we’re passionate about being able to offer your pets the latest advances in surgical techniques and the most up-to-date technology. 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, and 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.

      Laparoscopic Surgery

      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…

      Please contact us for more details, and to find out how laparoscopic surgery may benefit your pet.

    • Location

      340 Lancaster Avenue, Malvern, PA
      View Map
    • Orthopedic Surgery

      VRC.5.15_1027VRC, established in 1972, was one of the first specialized veterinary hospitals in the country to offer advanced orthopedic surgery. Our team has performed thousands of procedures and offers a multitude of cutting-edge surgeries to correct congenital conditions and repair injuries, including total hip and 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.

      To view a list of Frequently Asked Questions regarding surgery at VRC, click HERE.

    • Location

      340 Lancaster Avenue, Malvern, PA
      View Map

      Our Team

    • Medical Neurology

      Our board-certified neurologist is available to diagnose and treat a variety of nervous system-related diseases and injuries in dogs and cats, including seizure disorders, non-infectious inflammatory nervous system diseases, brain cancers, movement disorders, and neuromuscular diseases, among others.

      When your pet is evaluated by a neurologist at VRC, a series of non-invasive, painless initial tests will be performed to determine which part of the nervous system is affected and to what degree. Once this is established, recommendations for a more precise diagnostic and treatment plan can be determined and discussed with you. Advanced imaging of the nervous system, particularly with Magnetic Resonance Imaging (MRI) is often required for accurate diagnosis in patients with a neurologic dysfunction, as well as other specialized tests like spinal fluid analysis and muscle or nerve biopsies, most of which can be performed on-site. We always work closely with you and your family veterinarian to determine a treatment plan that’s right for your pet’s unique needs. We also offer physical rehabilitation options, which are often extremely beneficial as a standalone therapy or in conjunction with surgical or medicinal intervention in medical neurology cases.

    • Location

      340 Lancaster Avenue, Malvern, PA
      View Map

      Our Team

      • Christine Senneca, DVM, DACVIM (Neurology)

        Read Bio
    • Minimally Invasive Surgery

      Whenever possible, our 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.

    • Location

      340 Lancaster Avenue, Malvern, PA
      View Map
    • Neurosurgery

      Our neurosurgeons are experienced in surgically managing diseases and injuries of the nervous system, including acute spinal cord injury, spinal fractures and luxations, congenital defects, and brain tumors. With conditions that affect the spinal cord, immediate intervention is often essential for faster pain relief and shorter recovery times. A surgeon at VRC is available 24/7 to perform advanced imaging of the spinal column for diagnosis and emergency surgery if needed.  Intervertebral disc rupture, one of the more common neurologic conditions seen in pets (especially dogs), is an example of one that may require emergency surgery to decompress the spinal cord, and we are always available to provide this service should the need arise. Once your pet has recovered from neurosurgery, our on-site physical rehabilitation services can help restore mobility and health.

      Other neurosurgical procedures that we offer include:

      Atlantoaxial stabilization: Atlantoaxial instability is typically diagnosed in very young toy and small breed dogs and is most often caused by a congenital malformation.

      Brain tumor biopsy and removal: We can remove most or all of a brain tumor or cancerous tissue to help improve longevity and quality of life in some patients with brain cancer.

      Muscle and nerve biopsy: We can perform and evaluate tissue samples to aid in the diagnosis of various neuromuscular diseases.

      Spinal fracture stabilization: After a traumatic spinal injury, we can help restore and preserve mobility through surgical intervention and proper rehabilitative aftercare.

    • Location

      340 Lancaster Avenue, Malvern, PA
      View Map

      Our Team

    • 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, gall bladder, pancreas, kidneys, adrenal glands, urogenital procedures), upper airway surgery, tracheal prosthesis, skin and reconstructive procedures, surgical oncology, head and neck surgery and hernia repair, among others.

      Our 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.

      To view a list of Frequently Asked Questions regarding surgery at VRC, click HERE.

    • Location

      340 Lancaster Avenue, Malvern, PA
      View Map

      Our Team

    • THORACOSCOPIC SURGERY

      OVERVIEW

      Here at VRC, our mission is to always provide the best, latest, and least invasive procedures to take care of your pet, no matter what may be ailing them. 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.

      SPECIALTIES

      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…

      Please contact us for more details, and to find out how thoracoscopic surgery may benefit your pet. CONTACT US

    • Location

      340 Lancaster Avenue, Malvern, PA
      View Map