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In Miller 2024 et al., how did rates of revision surgery compare between FFP and staphylectomy?
🔍 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-4
In Duffy 2022 et al., on crotch suture techniques, why are two simple interrupted sutures (TCS) or SCCS considered superior to a single suture (SICS)?
🔍 Key Findings
- Augmenting FEESA with two simple interrupted crotch sutures (TCS) or simple continuous crotch suture (SCCS) significantly increased initial leakage pressure (ILP) compared to no suture or a single suture (NCS, SICS).
- SCCS had the highest ILP (47.6 mm Hg), followed by TCS (37.8 mm Hg), SICS (33.0 mm Hg), and NCS (27.1 mm Hg).
- All crotch suture types increased maximal leakage pressure (MLP) compared to no crotch suture.
- Leakage from the crotch occurred most commonly in NCS (67%) and SICS (50%), but only 8% with TCS and 0% with SCCS.
- SCCS was the only technique where leakage never occurred at the crotch site.
- SCCS had the highest MLP (100.6 mm Hg), supporting its use in clinical settings with high-risk patients.
- Intraluminal pressures during leakage in NCS constructs were sometimes below normal physiologic pressures, emphasizing risk of leakage without crotch suture.
- The transverse staple line never leaked in any group, indicating the crotch is the primary weak point.
Veterinary Surgery
4
2022
Influence of crotch suture augmentation on leakage pressure and leakage location during functional end-to-end stapled anastomoses in dogs
2022-4-VS-duffy-5
In Galliano 2022 et al., on vascular access ports, which factor did **not** correlate with the development of complications?
🔍 Key Findings
- SVAPs placed in axillary (aSVAP) or femoral/external iliac veins (fSVAP) during limb amputation remained functional in 92.3% and 100% of cases, respectively.
- Complication rates were lower in aSVAP (23.1%) and fSVAP (0%) compared to jSVAP (47.4%), although not statistically significant (P = .12).
- No catastrophic complications occurred with aSVAP or fSVAP; 2 deaths occurred with jSVAP due to port-related issues.
- Infection-related port removal was needed in 1 aSVAP (7.7%) and 2 jSVAPs (10.5%) — no removals were required in fSVAPs.
- Tip placement of the catheter (e.g., right atrium vs. vena cava) did not correlate with complications (P = .66).
- Shorter surgical time likely with aSVAP/fSVAP as they use the same surgical field as the limb amputation.
- Survival time median was similar across groups (jSVAP: 177 days, aSVAP: 125 days, fSVAP: 122 days).
- SVAP implantation during limb amputation offers a practical and safe alternative to separate jugular placement.
Veterinary Surgery
7
2022
Subcutaneous vascular access port implantation in the axillary or femoral/external iliac vein at the time of full limb amputation in dogs
2022-7-VS-galliano-4
In Williams 2024 et al., on adrenaline use in maxillary nerve blocks, which breed showed significantly higher **normalized hemorrhage** despite adrenaline use?
🔍 Key Findings
- The addition of adrenaline (0.00198%) to bilateral maxillary nerve blocks significantly reduced intraoperative hemorrhage in dogs undergoing sharp staphylectomy (median reduction: 77.1%).
- Normalized hemorrhage (g/kg) and total hemorrhage (g) were significantly lower in the adrenaline group (p = .021 and p = .013, respectively).
- Surgeon-assessed hemorrhage scores were also significantly lower in the adrenaline group (median 2 vs. 3; p = .029), indicating improved surgical visibility.
- No adverse effects (e.g. tachycardia, arrhythmia, or hypertension) were observed with adrenaline administration.
- A standardized intraoral approach to the maxillary nerve block was used with 0.5 mL per side regardless of dog size.
- Breed effect observed: English Bulldogs had higher normalized hemorrhage, possibly due to anatomical variation or underdosing relative to size.
- Adrenaline may also prolong local anesthetic action and reduce blood aspiration risks, though this was not directly measured.
- The study supports the routine inclusion of adrenaline in maxillary nerve blocks for staphylectomy in BOAS patients to improve surgical field and reduce bleeding.
Veterinary Surgery
8
2024
Evaluation of the addition of adrenaline in a bilateral maxillary nerve block to reduce hemorrhage in dogs undergoing sharp staphylectomy for brachycephalic obstructive airway syndrome. A prospective, randomized study
2024-8-VS-williams-5
In Downey 2023 et al., on thoracoscopic lobectomy, what was the rate of survival to discharge?
🔍 Key Findings
- Thoracoscopic (TL) or thoracoscopic-assisted (TAL) lobectomy was successfully performed in 12 dogs with non-neoplastic pulmonary consolidation (PC).
- 44% (4/9) of TL cases were converted to open thoracotomy due to adhesions or poor visualization—higher than rates for neoplastic lobectomies.
- OLV was successful in 7/9 TL dogs; unsuccessful attempts were managed with intermittent ventilation, mostly in brachycephalic breeds.
- Median hospital stay was 3 days; 91.7% (11/12) survived to discharge, and 100% of survivors showed no recurrence at median 24-month follow-up.
- Complications were mostly minor: pneumothorax (2), minor hemorrhage (3), dehiscence (1), and 1 fatality due to BOAS complications.
- Histopathology showed infectious pneumonia in 10 dogs, and in 4 cases, foreign body migration was suspected as the underlying cause.
- Median surgical time for TL was 90 minutes; conversion correlated with longer symptom duration (median 90 vs. 7 days).
- Postoperative recovery was excellent in all surviving dogs, with one case of persistent cough attributed to concurrent heart disease.
Veterinary Surgery
7
2023
Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs
2023-7-VS-downey-3
In Hernon 2023 et al., on flushing the CBD, which of the following was the most common postoperative complication in dogs undergoing cholecystectomy?
🔍 Key Findings
- Flushing the common bile duct (CBD) during cholecystectomy did not result in improved hepatobiliary markers compared to no flushing.
- Cholecystectomy alone significantly reduced ALP, ALT, GGT, bilirubin, and cholesterol 3 days postoperatively (p < .05 for all).
- Survival to discharge was 90.3%, with no survival difference between flushed and non-flushed groups.
- Postoperative pancreatitis occurred in 12.9% of dogs, evenly distributed between groups, suggesting flushing did not increase risk.
- Most common complication was regurgitation (29%), not significantly different between groups.
- Free abdominal fluid had low sensitivity (29%) but moderate specificity (73%) for gallbladder rupture.
- No difference in duration of hospitalization or postoperative complications between groups.
- Gallbladder rupture rate was 12.9%, lower than previously reported in literature.
Veterinary Surgery
5
2023
The effect of flushing of the common bile duct on hepatobiliary markers and short‐term outcomes in dogs undergoing cholecystectomy for the management of gall bladder mucocele: A randomized controlled prospective study
2023-5-VS-hernon-3
In Hawker 2025 et al., on locking head inserts, what was the impact of LHI on plate strain in a fracture-gap model?
🔍 Key Findings
- Adding Locking Head Inserts (LHI) to a 3.5-mm LCP had no effect on plate strain, stiffness, or deformation in an open fracture gap model.
- Peak strain consistently occurred at the Combi-hole over the fracture gap, with values up to ~1837 µε.
- No significant difference in strain was found across configurations with 0, 3, or 9 LHI (p = 0.847).
- Construct stiffness and compressive displacement also remained unchanged regardless of LHI count (p = 0.311 and 0.069 respectively).
- Study contradicted the hypothesis that LHI would reduce strain and increase stiffness under biologic loading.
- Combi-hole design may limit the efficacy of LHI, as LHI only fill the locking portion, not the compression side where strain peaks.
- Implant fatigue risk remains highest over unfilled screw holes, especially over fracture sites—confirming previous failure patterns.
- Surgeons should consider alternative methods to reduce strain when facing high implant load scenarios.
Veterinary and Comparative Orthopaedics and Traumatology
4
2025
The Effect of Locking Head Inserts on the Biomechanical Properties of a 3.5-mm Broad Locking Compression Plate When Used in an Open Fracture-Gap Model
2025-4-VCOT-hawker-1
In Lomas 2025 et al., on DPO and dorsolateral subluxation, which of the following factors had **no significant impact** on change in DLS score after DPO?
🔍 Key Findings
- DPO significantly improved femoral head coverage, increasing mean DLS from 36.1% to 71.4% postoperatively (p < 0.001).
- No significant change in DLS between immediate postoperative and follow-up scans, suggesting stable surgical outcomes over time.
- Greater plate angle (30°) yielded larger DLS improvement (mean increase: 39.8%) compared to 25° and 20° plates.
- Only 3 hips had post-op DLS scores <55%, indicating most patients had lower risk of osteoarthritis progression.
- No correlation found between DLS improvement and age, body weight, or side of surgery, suggesting broad applicability.
- CT was used for DLS measurement in simulated weight-bearing, improving precision over radiographic methods.
- Major limitations included small sample size, multiple surgeons, and variable sedation vs anesthesia during imaging.
- DPO confirmed as effective for reducing dorsolateral subluxation, improving coxofemoral joint congruency in dysplastic dogs.
Veterinary and Comparative Orthopaedics and Traumatology
2
2025
The Impact of Double Pelvic Osteotomy on Dorsolateral Subluxation in 24 Dogs
2025-2-VCOT-lomas-5
In Danielski 2022 et al., on humero-anconeal incongruity, what was the location of the novel cartilage lesion consistently observed in elbows with HIF?
🔍 Key Findings
- A novel caudo-medial arthroscopic portal allowed visualization of previously undescribed cartilage lesions on the caudal medial humeral condyle.
- A consistent focal cartilage lesion (HA lesion) was observed in 100% of elbows with HIF (21/21), but in none of the 31 elbows without HIF.
- Lesions varied from indentations to full-thickness cartilage loss, typically elliptical and located just medial to the humeral condyle isthmus.
- A clunk-like sensation and dynamic engagement of the anconeal process into the lesion were observed in 16/21 elbows with HIF during elbow manipulation.
- In 5/21 elbows, engagement of the anconeal process led to observable widening of the HIF line, suggesting dynamic instability.
- Findings support a novel concept of humero-anconeal incongruity as a contributor to the pathogenesis of HIF.
- Spaniel breed was not a confounder—the lesion was only present in elbows with HIF, regardless of breed.
- The study suggests potential for using arthroscopy as a screening tool for early detection of humero-anconeal incongruity and HIF risk.
Veterinary Surgery
1
2022
Humero-anconeal elbow incongruity in spaniel breed dogs with humeral intracondylar fissure: Arthroscopic findings
2022-1-VS-danielski2-1
In Alvarez 2024 et al., which method combination led to increased craniolateral compression without enhancing caudal pressure?
🔍 Key Findings Summary
- F + P (forceps + plate compression) achieved the most uniform, high-pressure distribution across all quadrants.
- Kern forceps alone concentrated force in craniomedial quadrant, reducing caudal compression.
- Combining Kern + F improved craniolateral compression but did not restore caudal compression.
- Plate compression alone yielded caudal bias, not uniform pressure.
- Significant inter-method variation in quadrant-specific compression confirmed via ANOVA (p < 0.001 for all quadrants).
Veterinary and Comparative Orthopedics and Traumatology
2
2024
In Vitro Assessment of Compression Patterns Using Different Methods to Achieve Interfragmentary Compression during Tibial Plateau Levelling Osteotomy
2024-2-VCOT-alvarez-3
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