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In Jeon 2025 et al., on distal femoral shortening, which **advantage of DFSO over subtrochanteric osteotomy** is highlighted in dogs?
🔍 Key Findings
- Distal femoral shortening osteotomy (DFSO) enabled prosthesis reduction in all 4 dogs with irreducible luxoid hips undergoing total hip replacement.
- Median femoral shortening ratio was 13.8% (range: 10.7–15.3%) based on intraoperative tension needed for prosthesis reduction.
- Bone union was achieved in all cases post-DFSO, indicating good healing potential.
- Two major complications occurred: one prosthetic luxation and one aseptic stem loosening requiring explantation.
- One intraoperative fracture of the greater trochanter occurred during trial reduction before DFSO.
- DFSO did not result in neurovascular injury, even in cases with significant femoral head displacement (>4 cm).
- Radiographic planning with FHD index and intraoperative assessment were crucial for determining DFSO necessity.
- DFSO avoids complications linked to subtrochanteric osteotomy by preserving proximal femoral anatomy and allowing secure distal fixation.
Veterinary Surgery
6
2025
Distal femoral shortening osteotomy for managing irreducible hips during total hip replacement in four dogs with severe luxoid hips
2025-6-VS-jeon-5
In Geier 2022 et al., on smoke evacuation in TPLO, which limitation of the smoke-evacuation pencil was reported by surgeons?
🔍 Key Findings
- Use of smoke evacuators reduced ultrafine particle concentrations by 56.4% during approach to the proximal tibia for TPLO in dogs.
- Mean intraoperative particle concentrations were significantly higher in surgeries without smoke evacuation (1352 ppc vs. 763 ppc, P < .0001).
- Maximum particle concentrations were six times higher without smoke evacuation (62,450 ppc vs. 10,100 ppc, P < .0001).
- Particle counts increased above baseline regardless of evacuator use, confirming electrosurgery contributes substantially to airborne particles.
- Surgeons noted reduced odor and health concerns when using the smoke evacuator, despite initial visibility limitations due to pencil attachment.
- Standard surgical masks do not protect against ultrafine particles, underscoring the importance of smoke mitigation systems.
- The smoke-evacuation unit did not eliminate all ultrafine particles, suggesting optimization (e.g., higher power setting) may be beneficial.
- This is the first clinical veterinary study to measure surgical smoke reduction using evacuators during TPLO.
Veterinary Surgery
5
2022
The effect of a smoke‐evacuation unit on ultrafine particle concentrations in the operating room during approach to the proximal tibia for tibial plateau-leveling osteotomy surgery in dogs
2022-5-VS-geier-4
In Aldrich 2023 et al., on liposomal bupivacaine in TPLO, which metric showed no significant difference between treatment and placebo groups?
🔍 Key Findings
- Liposomal bupivacaine (LB) infiltration did not reduce the need for rescue analgesia compared with placebo in dogs undergoing TPLO.
- CMPS-SF pain scores were not significantly different between LB and placebo groups at any postoperative time point.
- % body weight distribution (%BWdist) to the operated limb did not differ significantly between treatment groups across all time points.
- No correlation was found between CMPS-SF scores and %BWdist, suggesting these metrics assess different aspects of postoperative pain.
- Postoperative carprofen administration was standardized, and LB did not provide additional detectable analgesic benefit.
- Three-layer infiltration technique (joint capsule, fascia, subcutis) was used consistently across all cases.
- Adverse events were minor and comparable between LB and placebo groups.
- Post hoc analysis suggested a much larger sample size (58–436 dogs) would be needed to detect significant differences in %BWdist.
Veterinary Surgery
5
2023
Blinded, randomized, placebo-controlled study of the efficacy of bupivacaine liposomal suspension using static bodyweight distribution and subjective pain scoring in dogs after tibial plateau leveling osteotomy surgery
2023-5-VS-aldrich-1
In Bergen 2024 et al., on biliary stent use, what was the median duration of bile duct patency in dogs with long-term follow-up?
🔍 Key Findings Summary
- Subjects: 11 animals (8 dogs, 3 cats)
- Technique: Uncovered balloon-expandable metallic biliary stents (BEMBS)
- Indications: Cholelithiasis, strictures, neoplasia, cholangiohepatitis, etc.
- Success: Patency achieved in all animals surviving to discharge
- Complications:
- Short-term mortality: 2/11 (1 euthanized for SIRS, 1 unknown)
- Long-term issues: cholangiohepatitis, choledocholithiasis, stent occlusion (in cats only)
- Long-term patency:
- Dogs: median 650.5 days
- Cats: median 446 days
- Stent removal possible even after >600 days in some cats
- Clinical outcome: Viable alternative to plastic stents or cholecystoenterostomy
Veterinary Surgery
2
2024
Clinical use of uncovered balloon‐expandable metallic biliary stents for treatment of extrahepatic biliary tract obstructions in cats and dogs: 11 cases (2012–2022)
2024-2-VS-bergen-3
In Janas 2024 et al., on ARC outcomes in cats, what best describes the relationship between seizures and postoperative bloodwork?
🔍 Key Findings:
- Study design: Retrospective, 20 cats with congenital EHPSS treated with ameroid ring constrictor (ARC).
- Perioperative complication rate: 25% (5/20), including seizures, blindness, ascites, and one death.
- Short-term outcomes (18 cats):
- Excellent: 14
- Good: 2
- Poor: 2
- Long-term outcomes (18 cats):
- Excellent: 15
- Good: 1
- Poor: 2
- Persistent seizures: Noted in some cats despite normal bile acids and CBC/chemistry.
- Preoperative blindness resolved in most cats.
- Mean follow-up duration: Median 8 years.
Veterinary Surgery
2
2024
Clinical outcomes for 20 cats with congenital extrahepatic portosystemic shunts treated with ameroid constrictor ring attenuation (2002–2020)
2024-2-VS-janas-5
In Lotsikas 2025 et al., on stifle distraction portal, what was the mean time required to place the thrust lever using the proximal lateral portal?
🔍 Key Findings
Study type: Cadaveric stifle arthroscopy in large breed dogs (n=12 joints from 6 dogs)
Goal: Describe and assess the proximal lateral portal for insertion of a Ventura stifle thrust lever (VSTL)
Main results:
- No damage to the long digital extensor tendon (LDE) with this portal
- VSTL could be placed without removing the arthroscope
- Portal creation time ~37 seconds (faster than previously reported)
Cartilage impact:
- Superficial iatrogenic articular cartilage injury (IACI) present in all specimens
- No difference in IACI between 5- and 10-minute lever durations
- Zone 4 (lateral femoral condyle) had significantly more damage than zones 1–3 (p < .05)
Conclusion: Portal was safe, repeatable, minimally invasive, and did not increase cartilage damage with up to 10-minute lever use
Veterinary Surgery
3
2025
Proximal lateral insertion portal of an intra-articular arthroscopic stifle lever: A cadaveric study
2025-3-VS-lotsikas-3
In Fracka 2024 et al., on perioperative risk factors, which clinical feature had the strongest association with poor recovery outcomes?
🔍 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-2
In Kuvaldina 2023 et al., on endoscopic axillary lymphadenectomy, what was a key benefit of the minimally invasive approach compared to open surgery?
🔍 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-1
In Araos 2024 et al., on helmet CPAP in brachycephalic postoperative dogs, which finding was true regarding SpO₂ following helmet CPAP use?
🔍 Key Findings
- CPAP at 5 cmH₂O via helmet significantly improved PaO₂/FiO₂ ratio in the early postoperative period of brachycephalic dogs, supporting enhanced pulmonary oxygen exchange (p = .04).
- CPAP had no significant effect on SpO₂ (p = .9), PaCO₂ (p = .18), or rectal temperature (p = .5).
- Helmet tolerance decreased over time, with 13 dogs withdrawn for intolerance (9 CPAP, 4 control) and 6 dogs withdrawn for airway compromise (5 control, 1 CPAP).
- CPAP group maintained PaO₂/FiO₂ ratios near or above 400 mmHg, while control dogs showed consistently lower values.
- Authors suggest PaO₂/FiO₂ is a more reliable oxygenation measure than SpO₂ for evaluating postoperative lung function.
- The study found no cases of hyperthermia; temperatures normalized over time in both groups.
- Arterial catheterization failed in several dogs, limiting blood gas analysis to a subset of the population.
- Authors recommend further studies focused on BOAS patients and exploring longer-duration CPAP use to assess impact on critical outcomes like tracheostomy rates or hospitalization.
Veterinary Surgery
5
2024
Effect of continuous positive airway pressure helmet on respiratory function following laparoscopic surgery in healthy dogs
2024-5-VS-araos-3
In Downey 2023 et al., on lung lobectomy for pulmonary consolidation, what was the median long-term follow-up duration for dogs that survived lobectomy?
🔍 Key Findings
- Thoracoscopic (TL) and thoracoscopic-assisted (TAL) lobectomy were performed in 12 dogs with non-neoplastic pulmonary consolidation.
- 44% (4/9) of TL cases required conversion, most often due to pleural adhesions or poor visualization — a higher rate than for neoplastic lobectomies.
- Surgical mortality was 8.3% (1/12 dogs), with death attributed to unaddressed BOAS, not surgical complications.
- All 11 surviving dogs had no recurrence of clinical signs at a median 24-month follow-up.
- Perioperative complications occurred in 58% (7/12): pneumothorax (2), hemorrhage (3), wound dehiscence (1), progressive pneumonia (1).
- One-lung ventilation (OLV) was successful in 78% of TL dogs but may be harder to achieve in brachycephalic breeds.
- Most dogs had infectious pneumonia (10/12), with bacterial causes identified in 8; fungal and viral etiologies were less common.
- Hospitalization was short, with median stays of 3–4 days depending on approach and conversion status.
Veterinary Surgery
6
2023
Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs
2023-6-VS-downey-4
Quiz Results
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Key Findings
