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In Miller 2024 et al., which postoperative complication occurred at a similar frequency between groups?
🔍 Key Findings Summary
- Sample: 124 dogs (64 S, 60 FFP); French Bulldogs most common (54/124)
- Pre-op clinical signs: Exercise intolerance (34/124), stertor (22), regurgitation (7), vomiting (12)
- Operative time (no concurrent procedure): Longer in FFP (75 vs 51 min, p = .02)
- Anesthetic time: Longer in FFP (111 vs 80 min, p = .02)
- Anesthetic complications: Similar rates (FFP 50, S 49; p = .30)
- Post-op regurgitation: 27/124 (S: 17, FFP: 10; p = .18)
- Post-op aspiration pneumonia: Rare (S: 4, FFP: 5)
- Major complications: Rare (5/124); 2 dogs euthanized post-op (1 per group)
- Revision surgery: Needed in 7/124 (3 S, 4 FFP)
Veterinary Surgery
1
2024
Complications and outcome following staphylectomy and folded flap palatoplasty in dogs with brachycephalic obstructive airway syndrome
2024-1-VS-miller-3
In Miller 2024 et al., on surgical comparison of staphylectomy vs. FFP, what was the most common postoperative complication overall?
🔍 Key Findings
- FFP resulted in longer median surgery (75 min) and anesthesia (111 min) durations than S (51 min and 80 min, respectively).
- No significant difference in anesthetic complications, regurgitation, aspiration pneumonia, or hospitalization time between S and FFP.
- Major complications were rare (4%) and equally distributed between procedures; included tracheostomy and euthanasia due to severe airway disease.
- Postoperative oxygen use was common (52% of dogs) but not significantly different between procedures.
- FFP dogs more often had laryngeal collapse (especially Grade 1: 68% vs. 32% in S dogs).
- Most dogs (85%) had concurrent nares surgery, with caudal wedge resection more frequent in FFP dogs.
- Few dogs needed revision soft palate surgery (7/124 total); similar between groups.
- Postoperative clinical signs improved across both procedures; regurgitation was the most persistent sign post-op.
Veterinary Surgery
8
2024
Complications and outcome following staphylectomy and folded flap palatoplasty in dogs with brachycephalic obstructive airway syndrome
2024-8-VS-miller-2
In Kuvaldina 2023 et al., on endoscopic axillary lymphadenectomy, what structure must be carefully preserved during dissection?
🔍 Key Findings
- Endoscopic excisional biopsy of axillary lymph nodes was successfully performed in cadavers and clinical dogs with minimal complications.
- The technique used a SILS port and CO₂ insufflation through a small incision between the latissimus dorsi and superficial pectorals.
- In 4 cadavers (6 limbs), mean time to remove axillary nodes was 33 minutes, and single nodes were found in 5/6 limbs.
- In 3 clinical dogs, the procedure was successful in 2 cases; 1 required conversion to open surgery due to difficulty manipulating the node.
- Accessory axillary nodes were successfully excised when present, located adherent to deep latissimus dorsi.
- No cases developed lymphedema, pneumothorax, or major complications postoperatively.
- Subjective benefits included better visualization, reduced dissection, and less postoperative morbidity than open techniques.
- Study suggests MIS lymphadenectomy may improve staging accuracy and reduce complications, though larger studies are needed.
Veterinary Surgery
6
2023
Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs
2023-6-vs-kuvaldina-3
In Loh 2024 et al., on treatment outcomes for CvHL in dogs, which surgical technique had an 88.2% success rate?
🔍 Key Findings
- Low-trauma events caused 82.9% of CvHL cases; Poodles and poodle-crosses represented 49.4% of cases.
- Success rate of hobbles (61.8%) was significantly higher than closed reduction alone (10.3%) or Ehmer sling (18.5%).
- Multivariate analysis found hobbles 7.62x more likely to succeed vs. closed reduction (p = .001).
- Specialist surgeons had higher success with nonsurgical management (OR: 2.68; p = .047).
- Older age associated with better outcomes (OR: 1.15 per year; p < .0005).
- Ehmer sling is not recommended due to high failure and complication rates (60.6%).
- Toggle rod stabilization had a high surgical success rate (88.2%) with low complication.
- No link was found between CvHL and hip dysplasia or OA in most cases (only 2/108 showed OA).
Veterinary Surgery
4
2024
Caudoventral hip luxation in 160 dogs (2003–2023): A multicenter retrospective case series
2024-4-VS-loh-5
In Nash 2024 et al., on esophageal pH monitoring, what was the defined upper reference limit for distal GER events per hour in healthy nonbrachycephalic dogs?
🔍 Key Findings
- Esophageal pH-monitoring was well tolerated in all 35 nonbrachycephalic dogs, with no major adverse events reported.
- Distal GER occurred in 80% of dogs, but events were typically brief and non-productive; proximal GER occurred in only 39%.
- Upper reference limits for GER were 2.4 events/hour (distal) and 0.4 events/hour (proximal).
- Cumulative acid exposure was minimal: upper limits were 2.3% (distal) and 0% (proximal).
- Comparison with brachycephalic dogs shows significantly higher GER frequency and duration, validating the diagnostic utility of pH monitoring.
- Transnasal probe placement under light anesthesia was safe and less morbid compared to percutaneous or conscious techniques.
- No expelled or productive regurgitation occurred, despite some GER events, indicating efficient esophageal clearance in healthy dogs.
- Diet and fasting duration may affect GER, but these were not controlled variables in this study.
Veterinary Surgery
8
2024
Esophageal pH‐monitoring in nonbrachycephalic dogs: A reference
2024-8-VS-nash-1
In Perry 2025 et al., on I-Loc fracture fixation, which complication rate was observed?
🔍 Key Findings
- High union rate with low complications was achieved using the I-Loc angle-stable interlocking nail across 243 canine long-bone fractures.
- Mean time to clinical union was 8.3 weeks, faster than many historical plate-rod or non-angle-stable nail reports.
- Major complications occurred in only 5.3% and minor complications in 9.1% of cases.
- Most fractures were diaphyseal (75%) and comminuted (62%), demonstrating effectiveness in complex fracture patterns.
- Ancillary implants were uncommon (21%), mainly used in epi-/metaphyseal fractures or for anatomic reconstruction.
- Postoperative missed bolt rate was very low (0.94%), reflecting improved targeting accuracy.
- Open fractures carried a substantially higher risk of SSI and implant removal compared with closed fractures.
- Prebending of tibial nails was strongly recommended to follow natural recurvatum and avoid iatrogenic alignment errors.
Veterinary Surgery
8
2025
Outcomes of 243 dogs with traumatic fractures treated with the I-Loc interlocking nail
2025-8-vs-perry-2
In Matz 2022 et al., on stapler size comparison, which of the following factors was NOT significantly associated with ILP?
🔍 Key Findings
- No significant difference in initial leak pressure (ILP) among TA 30 V3 2.5 mm, TA 60 3.5 mm, and TA 60 4.8 mm stapler sizes (P = .78).
- All stapler types exceeded the physiological intraluminal pressure threshold (~25 mmHg), suggesting acceptable leak resistance.
- Mean ILPs: TA 30 V3 (181.5 mmHg), TA 60 3.5 mm (112 mmHg), TA 60 4.8 mm (77.2 mmHg).
- Leakage occurred at the staple line in 23 of 24 specimens; only one had ileal wall rupture.
- No correlation found between ILP and cadaver weight, cecal wall thickness, or cecal length.
- Cecal wall thickness averaged 4.9 mm, yet staple heights ranged only from 1.0–2.0 mm.
- One specimen in each TA 60 group leaked near or below physiologic pressures, suggesting rare outliers.
- Study supports clinical viability of all tested stapler sizes for canine typhlectomy, but highlights need for in vivo data on healing and complications.
Veterinary Surgery
4
2022
Ex vivo comparison of different thoracoabdominal stapler sizes for typhlectomy in canine cadavers
2022-4-VS-matz-3
In Haine 2022 et al., on outcomes in canine limb tumors, which scheme demonstrated greater interobserver agreement?
🔍 Key Findings
- Fewer R1 margins (tumor on ink) were achieved in mast cell tumors (MCTs) when using 6–10 mm lateral margins versus 0–5 mm (7% vs. 55%; _P_ = .049).
- For soft tissue sarcomas (STSs), no benefit was seen in margin completeness between 0–5 mm vs. 6–10 mm lateral margins (41% vs. 43% R1).
- Overall R1 rates were 26% for MCTs and 42% for STSs following PNE.
- R scheme (“tumor on ink” = R1) had better interobserver agreement (83%) compared to ≤1 mm margin criteria (68% agreement).
- Complication rate was moderate (26%), but no surgeries required revision.
- Local recurrence/metastasis occurred in 14% of dogs, with 60% of those having R1 margins.
- Adjunctive therapy was considered clinically indicated in 46% of 0–5 mm margin cases vs. 24% of 6–10 mm cases.
- Histologic grade and tumor size were not predictive of margin completeness.
Veterinary Surgery
7
2022
Incomplete histological margins following planned narrow excision of canine appendicular soft tissue sarcomas and mast cell tumors, using the residual tumor classification scheme
2022-7-VS-haine-1
In Jones 2024 et al., on LEAP plate use, what percentage of lateral epicondylar fractures showed radiographic evidence of healing at final follow-up?
🔍 Key Findings Summary
- 62 fractures in 61 dogs (44 lateral condylar, 18 intracondylar); mostly Spaniels
- LEAP plate used in all cases; minimal intraoperative contouring needed (1 French Bulldog)
- Overall complication rate: ~33%, mostly minor; 1 amputation due to catastrophic infection
- Radiographic healing:
- Lateral epicondylar part healed in 100%
- Condylar part healed in ~61.5% LCF and ~57.1% ICF
- Functional outcomes:
- 87% returned to full limb use
- Median LOAD score: 2 for LCF, 6.5 for ICF
- Design adjustments made post-study to strengthen weak zones around 3rd–4th screw holes
Veterinary Surgery
4
2024
Clinical Assessment of a Lateral Epicondylar Anatomical Plate for the Stabilization of Humeral Condylar Fractures in Dogs
2024-4-VS-jones-1
In Ciammaichella 2025 et al., on lymphadenectomy complications, which lymphadenectomy site had the highest rate of postoperative complications?
🔍 Key Findings
- Ilio-sacral lymphadenectomy had the highest complication rates: intraoperative (7%) and postoperative (41%)
- Axillary lymphadenectomy showed the lowest complication rates: intraoperative (1%) and postoperative (16%)
- Enlarged or metastatic lymph nodes were significantly associated with intraoperative complications (p = .030)
- Postoperative complications were mostly minor (Grade 1) and self-limiting (seromas, edema)
- Medial retropharyngeal lymphadenectomy had intermediate complication rates: postoperative complications in 26%
- No significant predictors retained significance in multivariate analysis
- Use of methylene blue was associated with fewer complications, although not statistically significant
- Complication rates did not result in mortality, and all were manageable; MST was 374 days
Veterinary Surgery
7
2025
Complications of medial retropharyngeal, axillary, and ilio-sacral lymphadenectomy in 127 dogs with malignant tumors
2025-7-VS-ciammaichella-1
Quiz Results
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Key Findings