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In Devriendt 2022 et al., on EHPSS blood testing, which statement about postoperative SBA values is most accurate?
🔍 Key Findings
- Fasting ammonia (FA) was the most specific test (100%) for confirming EHPSS closure postoperatively.
- Serum hyaluronic acid (SHA) and MEGX at 15 minutes post-lidocaine were the most sensitive tests (96.9% and 96.2%, respectively).
- SHA combined with MEGX T15, or with FA or postprandial serum bile acids (SBA), provided 100% sensitivity with good specificity (72.4–82.8%).
- SHA levels remained elevated in all dogs with persistent shunting, even when other tests were normal.
- Paired SBA had moderate sensitivity (90%) and variable specificity (89%).
- The L/MEGX test at 30 min was less useful than at 15 min for assessing closure.
- Traditional SBA testing showed reduced utility postoperatively; normal values did not rule out persistent shunting.
- Blood tests improved when combined, but imaging remains essential to definitively confirm EHPSS closure.
Veterinary Surgery
7
2022
Evaluation of different blood tests in dogs with extrahepatic portosystemic shunts to assess shunt closure after surgical treatment
2022-7-VS-devriendt-4
In González Montaño 2023 et al., on traumatic pulmonary pseudocysts (TPP), which finding prompted surgical intervention in 3 dogs with TPP?
🔍 Key Findings
- Traumatic pulmonary pseudocysts (TPP) were diagnosed in 11 patients (9 dogs, 2 cats) using CT after blunt trauma.
- TPPs were identified on radiographs in 64% of cases that were CT-confirmed, highlighting the superior sensitivity of CT.
- Most cases (7/10) were managed conservatively, with complete recovery and no TPP-related mortality.
- Thoracic surgery (lung lobectomy) was performed in 3 dogs, due to persistent pneumothorax or large TPP with perceived risk of complications.
- All pneumothorax cases were managed with thoracostomy tubes, and chest drains were used in 73% of cases.
- Pneumothorax was present in 100% of patients, often bilateral, and pulmonary contusions were reported in 73%.
- One cat was euthanized due to unrelated maxillofacial trauma; no deaths were attributed to TPP itself.
- Long-term follow-up (median 768 days) revealed only 1 case with possible TPP-related pneumonia; others had no complications.
Veterinary Surgery
4
2023
Traumatic pulmonary pseudocysts in nine dogs and two cats
2023-4-VS-gonzalezmontano-4
In Kang 2023 et al., on 3DEP accuracy, what was a key advantage of the 3DEP design for fluid and debris management during surgery?
2023-8-VS-kang-5
In Muroi 2025 et al., on refracture risk, what was the overall refracture rate in the study population of small-breed dogs?
🔍 Key Findings
- Refracture occurred in 5.5% of limbs, with higher incidence in the plate removal group (12.5%) vs. non-removal (3.5%).
- In the non-plate removal group, refractures occurred at the most distal screw site, linked to greater screw position change during growth (OR 1.79, p=0.04).
- Screw-to-bone diameter ratio (SBDR) >0.4 was a significant risk factor for refracture in the plate retention group.
- In the plate removal group, refractures occurred at the original fracture site, associated with lower pixel value ratio (bone mineral density) and reduced radial thickness.
- Implant-induced osteoporosis (IIO) beneath the plate likely contributed to refracture risk after plate removal.
- Younger age at fracture (<6 months) was associated with higher refracture risk due to ongoing radial growth and shifting screw position.
- No significant association was found between refracture and plate type (locking vs conventional), fixation method, or ulnar union.
- Recommendations include careful SBDR sizing, motion restriction, and cautious plate removal decisions in growing dogs.
Veterinary and Comparative Orthopaedics and Traumatology
2
2025
A Retrospective Study of Risk Factors Associated with Refracture after Repair of Radial–Ulnar Fractures in Small-Breed Dogs
2025-2-VCOT-muroi-5
In Fracka 2024 et al., on perioperative risk factors, what factor was present only in dogs with complications but excluded from the final model due to statistical instability?
🔍 Key Findings
- Staphylectomy was linked to higher risk of complicated recovery than folded flap palatoplasty (OR = 59.29, p = .0002).
- Laryngeal collapse > Grade 2 was strongly associated with poor recovery (OR = 97.13, p < .0001).
- Longer general anesthesia duration increased the risk of complications (OR = 1.01 per min, p = .0051).
- Increasing age significantly raised the odds of perioperative complication (OR = 1.04 per month, p = .0113).
- History of aspiration pneumonia was only found in dogs with complications, though not in final model due to instability.
- Complicated recovery included >12 h O₂ therapy, tracheostomy, or death.
- FFP may reduce pharyngeal-laryngeal edema, possibly improving immediate outcomes.
- Bulldogs comprised 80% of population, with French Bulldogs most common (63%).
Veterinary Surgery
4
2024
Risk factors for complicated perioperative recovery in dogs undergoing staphylectomy or folded flap palatoplasty: Seventy-six cases (2018–2022)
2024-4-VS-fracka-5
In Marti 2024 et al., on surgical outcomes in feline sialoceles, what complication occurred due to surgical misidentification?
🔍 Key Findings
- Mandibular and sublingual glands were the most commonly involved salivary glands in feline sialoceles.
- Left-sided lesions were more prevalent (71%) among affected cats.
- Ranulae were present in over half (57%) of cases, highlighting the importance of thorough oral exams.
- Surgical approaches included lateral, ventral, intraoral, or combinations thereof, with no recurrences reported.
- Marsupialization alone (without gland removal) resolved clinical signs in 4/21 cats, with no short-term recurrence noted.
- Complications occurred in 5/21 cats (24%), including incisional swelling and one case of feline oral pain syndrome.
- One cat experienced iatrogenic injury from misidentification of the mandibular lymph node as the gland.
- Median follow-up time beyond 30 days was 822 days (range: 90–1205), with no long-term recurrences or contralateral lesions observed.
Veterinary Surgery
7
2024
Outcomes of surgically treated sialoceles in 21 cats: A multi‐institutional retrospective study (2010–2021)
2024-7-VS-marti-3
In Almeida 2025 et al., on TPLO and partial CCL rupture, what effect did CCL remnant transection have on postoperative patellar ligament thickness?
🔍 Key Findings
- Transecting the CCL remnant during TPLO did not reduce patellar ligament thickening (PLT) at any measured point (proximal, mid, distal).
- Transection also failed to reduce postoperative patellar ligament shortening (PLL) at 6 weeks.
- Both groups (transected vs non-transected) showed significant thickening and shortening, with greatest PLT increase at the midpoint.
- Increased PLT was positively correlated with tibial plateau rotation (p = 0.02) and postoperative TPA (p = 0.04).
- No correlation between TT-O (tibial tuberosity width index) and PLT, suggesting narrow osteotomies did not influence PLT in this population.
- Partial CCL rupture was not significantly protective; dogs with partial tears still developed ligament thickening.
- Post-TPLO mid-patellar ligament thickening may relate to Gelpi retractor placement and osteotomy mechanics rather than CCL status.
- Authors do not recommend CCL transection during TPLO to prevent desmitis, citing possible increased instability and degeneration.
Veterinary and Comparative Orthopaedics and Traumatology
4
2025
Effect of Cranial Cruciate Ligament Transection during TPLO on Patellar Desmitis in Dogs with Partial Cranial Cruciate Ligament Rupture
2025-4-VCOT-almeida-1
In Tani 2022 et al., on FCU tendon reconstruction, what was the long-term outcome for both dogs?
🔍 Key Findings
- Fascia lata autograft reconstruction of the FCU tendon successfully treated carpal hyperextension in both dogs.
- Primary repair was not possible in one dog due to complete rupture; a fascia lata graft bridged the tendon gap.
- In the second case, elongated tendon was corrected and reinforced with fascia lata to prevent recurrence.
- Type I external skeletal fixation was used for 6 weeks to support tendon healing in both dogs.
- Postoperative gait and range of motion returned to normal, with no recurrence at 36-month follow-up.
- Ultrasonography aided diagnosis, revealing thinning and echogenic changes in the FCU tendon.
- Histologic findings showed mild, nonspecific muscle changes, suggesting injury rather than a systemic disease.
- No complications occurred, and fascia lata showed potential for biological integration and remodeling into tendon-like structure.
Veterinary Surgery
8
2022
Reconstruction of the flexor carpi ulnaris tendon with a fascia lata autograft in two dogs with carpal hyperextension
2022-8-VS-tani-4
In Papacella-Beugger 2024 et al., what was the median deviation of screw entry points?
🔍 Key Findings Summary
- Cadaveric study using 3 miniature breed dogs (6 hemipelves) to assess spinal neuronavigation accuracy for lumbar plate fixation
- 20 screws placed using CBCT-based navigation with real-time tracking
- 85% (17/20) of screws were safely and accurately placed
- Median deviation of screw entry points from plan: 1.8 mm
- All 3 misplaced screws occurred in a single cadaver, attributed to inexperienced drill handling
- Custom 3D-printed lightweight tracking array was necessary due to small spinous processes in miniature dogs
- No iatrogenic canal perforations or vertebral damage in any specimen
- Concludes neuronavigation offers precise, safe placement of spinal implants in small dogs, with minimal anatomic disruption
Veterinary and Comparative Orthopedics and Traumatology
6
2024
Spinal Neuronavigation for Lumbar Plate Fixation in Miniature Breed Dogs
2024-6-VCOT-papacella-beugger-2
In Filho 2024 et al., what was the primary cause of limb amputation in the study population?
🔍 Key Findings Summary
- 39 dogs (mostly post-trauma) with either forelimb or hindlimb amputations (high vs low)
- No significant difference in %BW distribution between high vs low forelimb amputations
- In hindlimb amputees:
- High amputations → more overload on contralateral hindlimb (p = 0.01)
- Low amputations → more even load split, slight preference for contralateral hindlimb and ipsilateral forelimb
- Values derived from pressure-sensitive walkway confirmed with statistical significance
- Useful implications for prosthesis selection and rehabilitation planning
Veterinary and Comparative Orthopedics and Traumatology
4
2024
Gait Analysis of Amputee Dogs Using a Pressure-Sensitive Walkway
2024-4-VCOT-filho-5
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