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In Hertel 2025 et al., on portal venotomy for insulinoma, which postoperative complication was observed and medically managed?
🔍 Key Findings
- Portal venotomy enabled successful en bloc resection of a pancreatic insulinoma and associated thrombus in the portal vein, a novel approach in veterinary literature.
- Temporary portal vein occlusion (15 min) was well tolerated, causing only transient small intestinal congestion without lasting hemodynamic compromise.
- No intraoperative hemorrhage occurred following vascular isolation and venotomy repair with 5–0 polypropylene in a simple continuous pattern.
- Postoperative complications were minimal, with only moderate pancreatitis managed medically and no portal hypertension observed on follow-up imaging.
- Histopathology confirmed insulinoma, with no initial metastasis; CT at 6 months revealed hepatic and peritoneal metastases but no local recurrence at the venotomy site.
- Portal vein luminal stenosis occurred post-repair but was clinically insignificant.
- Advanced CT imaging and 3D printed modeling significantly enhanced surgical planning and anatomical assessment.
- Surgical excision achieved good short-term outcomes, and the dog was alive and euglycemic one year later despite metastatic disease.
Veterinary Surgery
5
2025
Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog
2025-5-VS-hertel-3
In De Moya 2023 et al., on femoral pinning outcomes, what factor was most commonly associated with good healing outcomes?
🔍 Key Findings
- FGPP (fluoroscopic-guided percutaneous pinning) resulted in successful healing in 10/13 fractures, with good limb function.
- Complications occurred in 5 of 11 cases, including intra-articular implants, malunion, implant failure/nonunion, and implant migration.
- Cases with delayed surgery (>15 days) or radiographic remodeling were more likely to experience major complications.
- Most fractures (10/13) were classified as Salter-Harris type I with mild displacement.
- Median surgical time was 60 minutes, and no conversions to open surgery were needed.
- Postoperative femoral neck resorption was minimal, suggesting possible benefits of the minimally invasive approach for preserving vascular supply.
- One intra-articular pin led to progressive joint disease and required femoral head ostectomy.
- FGPP appears best suited for acute, minimally displaced fractures in young dogs (<8 months) with planned elective explant to avoid growth disturbance.
Veterinary Surgery
6
2023
Closed reduction and fluoroscopic‐guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs
2023-6-vs-demoya-1-931d5
In Rocheleau 2024 et al., on arthroscopic meniscal suturing, what was the overall complication rate?
🔍 Key Findings
- Arthroscopic meniscal suturing was performed in 43 client-owned dogs, involving 44 meniscal repairs (one dog was bilateral). All injuries involved the caudal horn of the medial meniscus and were associated with cranial cruciate ligament (CrCL) disease.
- All dogs underwent simultaneous TPLO, with some also receiving an internal brace (IB). Most repairs used simple vertical mattress sutures.
- The overall complication rate was 34.1% (15/44). Most complications were attributed to the TPLO/TPLO+IB and did not compromise the meniscal repair outcome.
- No median time to “acceptable” or “full” function was reported, but most dogs showed improvement in lameness and LOAD scores (p < .001), indicating good to excellent outcomes.
- Meniscal repair success rate was 88% (38/44), with TPLO + IB outperforming TPLO-only (93.3% vs 71.4%). Follow-up was performed at 8 weeks (40 dogs) and 6 months (16 dogs).
- Six failures occurred, all managed with arthroscopic meniscectomy, leading to normal activity in those dogs. Two IB-associated failures led to CrCL instability.
- The authors concluded the technique was safe, practical, and effective, with a reasonable complication rate.
- The findings support arthroscopic suturing as a feasible alternative to meniscectomy or meniscal release, offering long-term benefits for preserving the meniscus.
Veterinary Surgery
5
2024
Short‐term outcomes of 43 dogs treated with arthroscopic suturing for meniscal tears
2024-5-VS-rocheleau-2
In Boullenger 2025 et al., on traumatic patellar luxation, what was the total proportion of cases experiencing severe complications?
🔍 Key Findings
- Patients: 16 (11 dogs, 5 cats); 6.1% of canine and 23.8% of feline PL cases were traumatic.
- Most common luxation direction: Medial (81.3%).
- Surgery: All had capsular imbrication; 75% had fabello-patellar suture (FPS).
- Short-term results (13/16 cases):
- 77% had no lameness by 2 months.
- 85% had no PL recurrence.
- 3 severe complications: capsulorrhaphy tear, FPS fabellar tear, septic arthritis.
- Long-term results (13/16 cases):
- 85% lameness-free.
- 77% full function; 23% acceptable.
- 0 reluxations reported by owners.
Veterinary and Comparative Orthopedics and Traumatology
1
2025
Clinical Presentation, Surgical Treatment, and Outcome of Traumatic Patellar Luxation in 11 Dogs and 5 Cats: A Single-Centre Retrospective Study between 2011 and 2022
2025-1-VC-boullenger-4
In Danielski 2022 et al., on PAUL complications, what was the most commonly observed major complication?
🔍 Key Findings
- Major complications occurred in 25.6% of limbs treated with PAUL, including non-union, implant failure, and infection requiring revision surgery.
- Increased body weight was significantly associated with a higher risk of complications (7% increased risk per additional kg; p = .04).
- Post-operative radiographic assessment was unreliable in predicting complications; inter-observer agreement was poor (kappa ≤ 0.12).
- Expert evaluation of implant or reduction errors had low predictive value (k < 0.2) for postoperative complications.
- Common major complications included non-union (6 limbs), screw breakage, and surgical site infections.
- Implant removal was required in 11.5% of limbs, mostly due to non-union or infection.
- Being a Labrador appeared protective on univariate analysis, but not on multivariate analysis after adjusting for weight.
- Radiographs showing suboptimal plate placement or osteotomy reduction did not reliably correlate with actual complication occurrence.
Veterinary Surgery
1
2022
Complications after proximal abducting ulnar osteotomy and prognostic factors in 66 dogs
2022-1-VS-danielski-2
In Nicetto 2024 et al., what key advantage does TRP offer over traditional trochleoplasty?
🔍 Key Findings Summary
- 48 dogs (60 stifles) underwent custom 3D-printed TRP implantation for patellar luxation
- 24 treated with TRP alone; 36 with additional procedures (e.g., DFO, TTT)
- Success rate: 59/60 corrected patellar tracking
- Functional outcome: 57/60 full function, 2 acceptable, 1 unacceptable
- Complication rate: 3 total (2 minor, 1 major recurrence)
- TRP spares cartilage unlike trochleoplasty, offering implant-based ridge augmentation
- No implant loosening or infection observed
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Trochlear Ridge Prostheses for Reshaping Femoral Trochlear Ridges in Dogs with Patellar Luxation
2024-2-VCOT-nicetto-3
In Knudsen 2024 et al., on lesion types found, which meniscal injury was most commonly identified during surgery?
🔍 Key Findings Summary
- Study Design: Prospective case series of 52 scans from 44 dogs with CCL injury.
- Main Technique: 16-slice CTA; evaluated by 3 observers with varying experience; validated against surgical mini-medial arthrotomy findings.
- Diagnostic Metrics (Reading 2):
- Sensitivity: 1.00 (Observers 1 & 2), 0.93 (Observer 3)
- Specificity: 0.78–0.91
- Positive Likelihood Ratio: Up to 10.71
- Negative Likelihood Ratio: As low as 0.08
- Accuracy: 90%+ for all in Reading 2
- Observer Effect: Significant improvement between first and second reading for less experienced observers (p < 0.05); learning curve evident.
- Meniscal lesions found:
- 9/12 in suspected late meniscal injury cases
- 19/40 in newly diagnosed CCL cases
- Most common = bucket handle tears
- Conclusion: Multidetector CTA is a clinically useful, non-invasive tool for identifying medial meniscal lesions in dogs with CCL disease.
Veterinary Surgery
1
2024
Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography
2024-1-VS-knudsen-3
In Chik 2025 et al., on abdominal wall prestretching, which anatomical direction showed the greatest increase during insufflation?
🔍 Key Findings
- Prestretching (PS) at 10 mmHg for 3 minutes significantly increased working space at 6 mmHg IAP — IWL +4.4%, IWS +6.9%.
- PS provided ≈63% of the IWL and ≈66% of the IWS gains achieved with sustained 10 mmHg IAP.
- All laparoscopic procedures were completed at 6 mmHg after PS; no conversions or pressure increases were needed.
- Working space benefits persisted throughout surgery — end-of-procedure measurements were unchanged from post-PS baseline.
- Transverse expansion (RLAT/LLAT) was greater than sagittal (CRA/CAU), consistent with adult abdominal wall compliance.
- No adverse anesthetic events occurred; mild complications (e.g., gas leakage) were easily managed.
- Large breed dogs were overrepresented, but all dogs served as their own controls, normalizing size effects.
- Prestretching is a simple, effective technique to maximize working space without increasing insufflation pressure.
Veterinary Surgery
5
2025
Prestretching increases working space at the same insufflation pressure in dogs undergoing laparoscopic procedures
2025-5-VS-chik-3
In Glenn 2024 et al., on algorithm performance, which algorithm had the highest sensitivity for identifying SSIs?
🔍 Key Findings Summary
- Population: 754 soft tissue or orthopedic procedures in dogs and cats
- SSI Rate: 62/754 (8.2%)
- Algorithms Evaluated:
- Algorithm 1: Highest sensitivity (87.1%) → best for "rule-out"
- Algorithm 2: Highest specificity (97.9%) → best for "rule-in"
- Algorithm 3: Highest overall accuracy (95.5%)
- Active vs. Passive Surveillance:
- Active surveillance detected 12 additional SSIs (19.4%) missed by passive
- Active surveillance increased detection rate by 24%
- Timing: Most SSIs occurred within 30 days; late infections (after 90 days) were rare and implant-related
- Conclusion: Client questionnaires are a valid and scalable tool for SSI detection; active surveillance improves outcomes
Veterinary Surgery
1
2024
Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system
2024-1-VS-glenn-1
In Seger 2026 et al., on gossypiboma outcomes, which factor was most often missing during the initial surgery contributing to sponge retention?
🔍 Key Findings
- Intra-abdominal gossypibomas were most common, with 20/21 cases located within the abdominal cavity.
- Most cases (11/21) resulted from ovariohysterectomy, highlighting this as a common inciting surgery.
- Time to presentation varied, with median of 13.5 days and signs like pyrexia, abdominal pain, and anorexia being common.
- Only 4/21 cases had perioperative sponge counts reported, indicating poor compliance with surgical safety protocols.
- Radiographic indicators were often absent, complicating imaging-based detection.
- Urgent reoperation was needed in nearly half (10/21) of the animals, emphasizing the acute presentation and need for rapid surgical intervention.
- Postoperative complications occurred in 4/21 animals, including sepsis, SIRS, and incontinence; 2 did not survive to discharge.
- Overall prognosis was favorable, with 19/21 animals surviving to discharge and 15 reported as doing well at 2-week follow-up.
Veterinary Surgery
1
2026
Presentation, diagnosis, and management of gossypibomas in veterinary specialty hospitals: A multi-institutional study of 21 cases
2026-1-vs-seger-5
Quiz Results
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Key Findings