PEAK Veterinary Surgical Solutions is proud to be Arizona's premier option for advanced mobile veterinary surgery. We offer a full service of orthopedic/soft tissue surgeries, including the TPLO, to veterinarians in the greater Phoenix metro area.
Why refer your clients to a large specialty center that they'll have to wait weeks just to get a consult? With PVSS, after you have made the diagnosis (torn CCL/ACL) you can schedule the actual surgery (TPLO) earlier than it would take just to get a consult at a large specialty center.
Why send you clients on a long journey to a Surgeon you have only spoken to over the phone? Dr. Savicky will commute to your hospital and meet directly with you and your client (if requested).
Why refer a TPLO or other surgical cases out when you can keep that revenue internal AND save your client thousands of dollars? With PVSS your client will save significantly on many surgical procedures due to the elimination of expensive building, staffing, and overhead costs. Your hospital will also benefit by charging fees for operating room usage as well as anesthetic preparation and monitoring.
DIAGNOSIS: The primary care veterinarian will make the diagnosis & have a detailed discussion with the client about the surgery including complications and postoperative care. Dr. Savicky is available for advice or questions about challenging cases.
We understand you're busy and that you don't always have time to explain all the details of every surgery. That's why in the "Client Education" tab we have provided some helpful links that provide detailed information for your clients to review. This includes an entire section for the TPLO surgery.
ESTIMATE: Contact PVSS to request a surgical estimate (email/phone/text). Your hospital will then present the owner the estimate with your additional hospital fees.
SCHEDULING: After estimate approval, email PVSS 3 available surgery dates along with a FULLY completed "Surgery Referral" form.
Once PVSS has received the FULLY completed "Surgery Referral" form, they will email confirmation of the surgery date & time.
PVSS operates on a first-come, first-serve basis, so your selected date/time is NOT SECURED until a FULLY completed "Surgery Referral" form is received.
Step 2: Patient Preparation
DIAGNOSTICS: A detailed "Preoperative Protocol" document will be provided to your hospital by PVSS.
In order to avoid rescheduling, the preoperative diagnostics in this document are REQUIRED to be completed and emailed to PVSS no later than 3 days prior to the scheduled surgery date.
Your hospital will be responsible for all aspects of anesthesia, however, PVSS does recommend blood work for all cases within 2-4 weeks of surgery. Three view thoracic radiographs are also recommended for any patient over 5 years of age or with any respiratory or neoplastic disease.
TPLO RADIOGRAPHS: PVSS will provide your hospital with a detailed "TPLO Protocol" document which will describe how to take appropriate TPLO planning radiographs. This will include written instructions along with examples of acceptable radiographs.
A calibration ball will also be provided to your hospital by PVSS and MUST be included in ALL ORTHOPEDIC radiographs.
Step 3: Day of Surgery
PVSS will provide you hospital with a detailed "Day of Surgery Protocol" document. This will review a detailed timeline for your DVMs and technicians to follow to ensure an efficient day.
PATIENT DROP-OFF: The patient should be dropped off fasted and at your clinic early enough to allow your team to complete all "Day of Surgery Protocol" tasks PRIOR to PVSS arrival. These tasks include, but are not limited to IV catheter placement, pre-medications administered, and if applicable, patient shaved.
HOSPITAL'S SUPERVISING DVM RESPONSIBILITIES: Perform a preoperative exam to confirm that the patient is ready and safe for surgery. Create an anesthetic plan as well as confirm correct drugs have been pulled up. Supervise patient pre-medication and induction.
Please have the supervising DVM FULLY complete the top section of the "Owner Consent" form. This will ensure that the proper surgery and limb (left/right, forelimb/hindlimb) is noted. The owner can then check the boxes and sign the form. Failure to email a FULLY completed "Owner Consent" form to PVSS by the morning of surgery may result in rescheduling.
INDUCTION & SURGERY: Dr. Savicky will call when he is on his way to ensure pre-medication can take place. Once Dr. Savicky arrives, he will perform a brief patient exam and then clear your technicians to induce the patient with the guidance of the supervising DVM.
Dr. Savicky will discuss the case and plan with the supervising DVM(requested to be present the day of surgery), to make sure everyone is on the same page.
The well trained staff at your hospital will provide and monitor anesthesia with the input of Dr. Savicky as needed.
Dr. Savicky will provide surgical supplies and perform the appropriate procedure. After the surgery is completed, Dr. Savicky will call your client directly to review how surgery went. A detailed surgical report along with a customized discharge will be provided for your records the day of surgery.
Step 4: Follow-Up
A detailed and customized surgical discharge with medications, incision care, diet, activity restrictions, physical therapy, and recheck times will be provided for your client.
Suture removal and recheck radiographs (if needed) will be performed by the primary care hospital. Dr. Savicky will be happy to evaluate radiographs and answer any questions as needed.