🔍 Key Findings

• Pre-ABHR hand preparation lowered CFUs at 120 minutes post-gloving compared to ABHR alone (P = .001)
• pH-neutral soap followed by ABHR outperformed ABHR alone despite being nonmedicated (P = .001)
• CHX and BAC prewashes showed better immediate CFU reduction post-preparation than pHN (P = .012)
• No significant difference in total log10 CFU reduction across all four groups over the full surgical period (P = .362)
• Glove perforation in the thumb was a significant contamination factor (P = .036)
• All dogs recovered without surgical site infections, though SSI incidence was not a primary outcome
• Neutralizer validation lacking, so CHX results interpreted cautiously
• Study supports a 1-minute hand wash with pH-neutral soap prior to ABHR as effective and safe

🔍 Key Findings Summary

• Population: 35 nonbrachycephalic dogs undergoing orthopedic procedures (TPLO)
• Study design: Prospective observational using transnasal Digitrapper dual-sensor pH probe after short TIVA
• Upper reference limits:
  • Distal GER events per hour: 2.4
  • Proximal GER events per hour: 0.4
  • Cumulative distal acid exposure: 2.3%
  • Cumulative proximal acid exposure: 0%
• Median values (normal):
  • Distal GER events per hour: 0.3
  • Proximal GER events per hour: 0
• Proximal GER observed in 12/31 dogs
• No regurgitation observed in any dog
• No major adverse events with probe use
• Clinical implication: These parameters provide a reference for assessing excessive GER in future canine surgical cases

🔍 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

🔍 Key Findings

• Spacer pin fixation showed no difference in failure force or stiffness compared to tension band wire (TBW) or 2-pin techniques.
• All constructs failed under loads >1000 N, exceeding estimated peak quadriceps force in dogs during walking (~240 N).
• Patellar ligament failure was the most common mode of failure across all groups (5–8 samples per group).
• Distal tibial crest fractures were seen only in 2-pin and spacer pin groups, not in TBW group, suggesting TBW may protect against crest failure.
• No failures occurred at pin tracts, possibly due to pin placement within patellar ligament footprint.
• Spacer pin technique avoids placing pins through the tuberosity, potentially reducing risks of soft tissue complications like tendinopathy or irritation.
• Use of partial osteotomy with robust distal crest may substitute for TBW without compromising initial mechanical strength.
• Further in vivo or cyclic loading studies are required, as this cadaveric study tested only acute tensile failure.

🔍 Key Findings

Population: 2,178 canine CTs reviewed retrospectively.
Prevalence: Incidental PBBs found in 1.37% (30/2178).
Outcome: None of the dogs with incidental PBBs developed clinical spontaneous pneumothorax (SP) over a median follow-up of 1255 days.
Significant Associations:

• Age: Dogs with PBBs were significantly older (median 10.5 yrs vs. 8.2 yrs, p = .001).
• CT indication: PBBs more likely during neoplastic staging (p = .006).

PBB Characteristics:

• Total = 60 PBBs (median 1/dog; range 1–7).
• Location: 35% in left caudal, 31.6% right caudal, only 13.3% in right cranial lobe.
• Size-based: 25 bullae (>10 mm), 35 blebs (≤10 mm).

Conclusion: Prophylactic resection of incidental PBBs not justified given no observed SP risk in this population.

🔍 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.

🔍 Key Findings

• AMA-based CCWO realigned the anatomical and mechanical axes in 82% of dogs >50 kg, with postoperative AMA angle of 0° in most cases.
• Surgical site infection (SSI) rate was only 0.5%, markedly lower than TPLO-reported rates in similar populations (up to 37.5%).
• All osteotomies achieved Grade 4 healing by 8 weeks, with no implant failures.
• AMA-based planning based on preoperative AMA and TPA allowed for better correction of proximal tibial angulation compared to TPLO in large dogs.
• Use of a double locking plate (DLP) fixation and Robert Jones bandage (RJB) contributed to improved mechanical stability and infection prevention.
• Dogs with AMA angle >3.4° (hyper-CCAPT) were 38% of the cohort, supporting AMA as a critical metric in planning.
• Postoperative alignment of the AA and MA was more consistently achieved when preoperative AMA was >2.4°, confirming suitability of AMA-based CCWO for severe angulation.
• Most infections in TPLOs occur within 15 days, but RJB plus antibiotics in this study appeared protective, suggesting benefit for early-phase SSI prevention.

🔍 Key Findings

• Superior and inferior labial arteries in cats perfuse robust angiosomes, which support musculomucosal axial pattern flaps.
• Cadaver angiography confirmed vascular anatomy, with consistent patterns between sides and among specimens.
• The vascular supply is located primarily in the musculomucosal layer, not the skin, critical for flap viability.
• Flap harvest requires inclusion of the orbicularis oris (± buccinator) muscle to ensure vascular integrity and flap survival.
• Two clinical cases demonstrated successful use of superior and inferior labial musculomucosal flaps for palatal reconstruction with complete flap survival and resolution of clinical signs.
• Intraoperative transillumination aided vessel localization, facilitating surgical planning and flap design.
• No cases of distal flap necrosis or dehiscence occurred, although mild donor site morbidity (lip retraction, mucosal denuding) was noted.
• These flaps offer a valuable option when local tissues are compromised, especially after failed previous repairs or radiation therapy.

🔍 Key Findings

50 dogs underwent bilateral anal sacculectomy using a modified closed technique.
Intraoperative anal sac perforation occurred in 5 dogs (10%), with no postoperative complications in those dogs.
Postoperative complications (43 dogs with follow-up):

• Grade 1 (e.g., scooting, inappropriate defecation): 14/43 (32%)
• Grade 2 (medical treatment needed): 2/43 (5%)
• Grade 3B (revision surgery): 2/43 (5%)

93% of grade 1 and 100% of grade 2–3B complications resolved by two weeks postop.
Technique highlights: direct duct tracking, no anal sac packing, minimal dissection.