Royal Vista Veterinary Specialists

Internal Medicine is a specialty branch of veterinary medicine involving the treatment and management of more complex conditions affecting pets’ internal organs that often coincide with chronic illnesses. Conditions that cannot be effectively managed by your family veterinarian alone will often receive a consult or be referred to an internal medicine specialist to receive a second opinion or to pursue more advanced care options.

Surgery covers a vast sub-sect of veterinary medicine, from routine spay and neuter to complex orthopedic and soft tissue procedures. Within our Thrive Pet Healthcare network, you can access surgical services on both the primary care and specialty level so whatever your pet’s surgical needs, our trusted veterinarians and surgical specialists are here for you. 

Radiology encompasses a diverse range of diagnostic imaging including X-ray, Ultrasound, and MRI. We utilize the most up-to-date, cutting-edge technology operated by specially trained veterinary professionals.

Our Veterinary Radiologists have additional education, training, and experience in the field, enabling them to work seamlessly with primary, specialty, and emergency care clinicians to provide advanced image interpretation on acute and complex medical cases.

Computed Tomography (CT) scans use many X-rays at different angles to create 3D cross-sectional images of the body in very high resolution. This advanced radiographic equipment is an excellent diagnostic tool, allowing both soft tissues and bones to be evaluated in just one image.

CT scans are very effective in detecting tumors and identifying diseases in a pet’s thorax, nasal cavity, and abdomen. Since the pet must be completely still throughout the scan, anesthesia is typically required.

Upon our arrival at your veterinarian’s hospital, we are intimately involved with your veterinarian and your pet’s healthcare team in the perioperative patient preparation and oversight. It is important that you know that you and your pet’s best interests are foremost in our mind and we would like to share the dedication and commitment we have. A review of this section will help you to understand the overall team commitment we have for the best interests of your pet.

Some clients have asked if we are only an orthopedic surgery practice. Although the types of surgeries we perform are not inclusive in the list, it provides an overview of the versatility of services our surgeons offer from many years of surgical experience. In the private practice setting, most board-certified surgeons are well trained to perform a variety of surgeries. Approximately 65% of the volume of surgeries FRMSS is referred are orthopedic related (bones and joints) with the balance of referrals consisting of various soft tissue (abdomen, thorax, head and neck, urogenital), oncologic, plastic and reconstructive, arthroscopic and laparoscopic, and neurologic surgeries.

ABDOMINAL SURGERY
Liver, Pancreas, Gall Bladder, Stomach, Gastric Dilatation-Volvulus, Small and Large Intestine, Spleen

ENDOCRINE
Adrenal, Pancreas, Thyroid/Parathyroid

HEAD & NECK
Ear, Larynx, Salivary Glands, Thyroid, and Parathyroid Tumors, Oral Cavity, Esophagus, Trachea, Airways of the Nose and Upper Airway, Skull, Mandible, Maxilla

HERNIAS
Perineal, Diaphragm, Abdominal Wall

LAPAROSCOPY & ARTHROSCOPY
Gastropexy and Ovariectomy

NEUROLOGIC
Intervertebral Disc Disease, Wobblers, Lumbosacral Disease (Cauda Equina)

ONCOLOGY (CANCER)
Biopsy and Surgical Oncology

ORTHOPEDIC SURGERY
Fracture Repair, Joint Surgery of all Joints, Ligament and Tendon Repair, Angular Limb Deformities, Splint and Bandage Applications

PERINEUM
Anal Sac Removal, Anal and Rectal Tumors, Perineal Hernias

PLASTIC & RECONSTRUCTIVE SURGERY
Skin Flaps, Skin Grafts, Cosmetic Reconstruction of Severe Wounds and Defects on the Patient

RESPIRATORY
Larynx (Laryngeal Paralysis), Brachiocephalic Syndrome, Trachea, Lungs

THORAX
Lung, Pericardium, Chylothorax, Pyothorax, Thoracic Wall Resection, Cancers within the Thorax

UROGENITAL SURGERY
Kidneys, Ureters, Urinary Bladder, Urethra, Uterus, Vagina, Vulva, Penis, Prostrate, Prepuce

Medical oncology teams within our Thrive Pet Healthcare community work closely with referring and primary care veterinarians to provide advanced cancer treatment for pets. Your pet’s oncology team can perform a thorough evaluation, utilizing state-of-the-art diagnostics to gain a deep understanding of the disease behavior. From there, a personalized treatment plan will be determined to treat or manage your pet’s cancer. 

Our community’s outstanding orthopedic veterinarians and surgeons use breakthrough research within the field to implement advanced therapies, such as CrCL surgeries like TPLO surgery, fracture repair, and innovative devices. These are all designed to help improve or conserve your pet’s mobility following traumatic accident, illness, or age-related condition.  

Pet owners commonly refer to CrCL surgery as an ACL surgery, however CrCL surgery is the medically accurate term. ACL surgery is the human equivalent treatment.

A common form of cruciate or knee surgery is TPLO surgery. Your pet’s orthopedic veterinarian will be able to help decide which type of CrCL surgery is ideal for your pet. It's important to note that these surgeries are commonly referred to by pet owners as ACL surgery, however CrCL surgery is the medically accurate term. ACL surgery is the human equivalent treatment.

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TPLO surgery changes the angle between the thigh bone and the shin bone. The goal is to lessen how much the tibia shifts forward during a stride and it is achieved through an incision, rotation of the tibia, and then insertion of a bone plate. TPLO surgery helps create a stifle (knee) that is stable without the torn cruciate ligament. The medial meniscus is also evaluated at the time of surgery and if torn removed. At times, a releasing incision of the meniscus is done to help prevent a future tear.

Thrive Pet Healthcare is a nationwide network of veterinary hospitals, with some locations offering veterinary neurology for dogs and cats. Read more.