🔍 Key Findings

• Both lateral and ventral approaches reliably permitted CCA isolation and ligation at the level of the MRLN, with or without concurrent lymphadenectomy; bilateral temporary ligation was successful in all 12 cadavers.
• The CCA was consistently dorsomedial to the MRLN, while the MRLN was medial to the caudodorsal mandibular salivary gland (MSG), providing reproducible landmarks for surgical orientation.
• Concurrent lymphadenectomy can be incorporated into the same surgical approach, permitting removal of the mandibular and medial retropharyngeal lymph nodes while gaining access to the CCA.
• Brachycephalic dogs had a significantly deeper CCA from the lateral approach than the ventral approach (44.8 ± 12.8 vs 29.3 ± 8.3 mm; p = .02), which may influence approach selection.
• No gross vascular trauma occurred after temporary CCA ligation, although careful dissection was required to avoid the adjacent vagosympathetic trunk.
• One inadvertent mandibular salivary gland capsular disruption occurred during a lateral approach without lymphadenectomy; Figure 2 demonstrates this complication and the close relationship of the MRLN, CCA, and vagosympathetic trunk.
• CCA ligation was performed at the cranial two-thirds of the MRLN, caudal to the internal carotid branching, placing the operative site near the carotid sinus and raising potential concerns for bradycardia and hypotension in live patients.
• Clinical efficacy remains unproven because this was a CT/cadaveric study; the authors specifically recommend in vivo evaluation of hemorrhage control, hemodynamic effects, and procedural complications.

🔍 Key Findings Summary

• Finite element analysis compared intact radii vs. locking plates placed 1 mm or 3 mm above the bone
• LP placement significantly reduced tensile (maximum principal) stress on cranial cortex, potentially causing implant-induced osteoporosis
• Shell element findings:
  • Max principal stress significantly lower in both LP groups vs. intact (p < 0.05)
• Solid element findings:
  • Equivalent stress higher and max principal stress lower in LP groups
• Implication: Tension reduction may impair bone remodeling; implant design and placement height affect stress environment

🔍 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.

🔍 Key Findings

• Needle arthroscopy (NA) had 95% sensitivity and 100% specificity for diagnosing medial meniscal tears in dogs with CCLR.
• NA missed 1 medial and 1 lateral meniscal tear, both nondisplaced and stable.
• Visibility of all meniscal horns was significantly lower with NA compared to standard arthroscopy (SA) (P < .005 for all horns).
• Probing the caudal horn of the lateral meniscus was significantly more difficult with NA (P = .0017), though medial horn probing was similar.
• Mean NA procedure time was 8 ± 3 minutes, significantly shorter than SA (15 ± 9 min, P = .0041).
• No increase in lameness observed after NA, indicating minimal procedural morbidity.
• NA was performed under sedation in most dogs, though 10/26 required additional chemical restraint or short anesthesia.
• NA was most accurate for displaced vertical longitudinal tears, with all 14 correctly identified; one stable tear and a lateral tear were missed.

🔍 Key Findings

• CBLO reduced tibial plateau angle (TPA) from a mean of 28.1° to 9.7°, aligning with its goal of flattening the tibial slope.
• CBLO eliminated cranial tibial translation (CTT) following CCL transection and meniscal release at all angles except 140° without hamstring load.
• Hamstring loading (20% quadriceps load) significantly reduced or delayed the onset of CTT, improving stifle stability.
• Medial meniscus was confirmed as a secondary stabilizer; its release (MMR) caused more CTT than CCLx alone.
• PTA (patellar tendon angle) increased with joint extension; CBLO shifted the PTA curve lower and parallel to intact values, suggesting effective flexion of the joint.
• Combined CBLO and hamstring loading resulted in the most stable joints, especially from 50° to 135° joint angles.
• Residual CTT occurred in CBLO-only limbs at higher extension angles (e.g., 140°), but hamstring load mitigated this.
• Stifle stability post-CBLO is multifactorial, depending on joint angle, meniscal integrity, and hamstring activation.

🔍 Key Findings

• Extreme brachycephalic breeds (EBBs) presented more acutely and at younger ages, most often with neurological signs compared to other breeds.
• Preoperative signs such as facial nerve paresis, vestibular syndrome, and Horner’s syndrome were significantly more common in EBBs.
• EBBs showed more severe imaging findings, including higher rates of otitis interna (46.3% vs. 8.5%) and brainstem changes (17.5% vs. 3%).
• Intraoperative complications were more frequent in EBBs (11.1% vs. 5.3%), but this difference did not reach statistical significance (p = .078).
• Perioperative complication rates did not differ significantly between EBBs and other breeds (23.5% vs. 29.3%).
• Surgical time was significantly longer in EBBs (median 115 vs. 95 minutes; p = .011).
• MRI or combined CT/MRI were more frequently used in EBBs, likely due to the higher prevalence of neurological signs.
• Despite anatomical challenges, complication rates in EBBs were comparable, supporting TECA-LBO safety in these breeds.

🔍 Key Findings

Study population: 21 dogs with portocaval extrahepatic portosystemic shunts (EHPSS)
Surgical approach: 67% (14/21) underwent ameroid constrictor placement
Perioperative complications: 4 dogs (19%), including seizures (n = 2), vomiting, and abdominal effusion
Perioperative mortality: 1 dog (5%)
Postoperative clinical outcome:

• Good to excellent outcome: 81% (17/21)
• Median follow-up: 6 months (range 3–43)

Persistence of shunting (CT or US): 56% (9/16 evaluated)
Dogs with persistent shunting: 67% still had good to excellent clinical outcome
Congenital portocaval shunts may have more favorable outcomes than previously reported

🔍 Key Findings

• Luxoid hip dysplasia (LH) was present in 8% of THA cases and significantly increased risk of major complications (p < .001).
• Intraoperative fissures/fractures were 3x more likely in LH dogs vs non-LH (39% vs 16%, p = .001).
• Dorsal luxation was more frequent in LH dogs (28% vs 4%, p = .019).
• Acetabular cup placement with ALO >35° was associated with luxation in LH dogs.
• Morphologic abnormalities (e.g., femoral valgus, lateralization/medialization of cortices) were common in LH and may complicate implantation.
• Despite higher risk, 94% of LH dogs achieved satisfactory outcomes after appropriate revisions.
• Younger age and lighter weight characterized LH dogs (mean age 14.7 months vs 40.9 months, p < .001).
• All LH dogs were treated with cementless stems; prophylactic cerclage was rarely used.

🔍 Key Findings

• Bandage-associated complications occurred in 68.4% of cats (104/152) following clean orthopaedic procedures, highlighting the high risk of postoperative coaptation complications in feline patients.
• Most complications were mild (64.4%), while 32.7% were moderate and 2.9% severe, indicating that although common, severe outcomes are relatively rare.
• Use of a splint significantly increased complication severity, with splinted cats 3.42× more likely to develop moderate or severe complications (p = 0.012).
• Complication incidence was not significantly influenced by bandage duration, limb involved, injury location, or professional role of the bandage applier.
• The most common complications were soiled/wet bandages (34.6%), skin irritation (31.7%), bandage slippage (30.8%), pressure sores (29.8%), chewing (20.2%), and toe swelling (19.2%).
• Distal pelvic limb injuries (tarsus and distal) showed the highest proportion of complications (81.5%), suggesting distal limb bandaging in cats carries greater risk.
• Bandages were most commonly applied after osteosynthesis procedures, but procedure type was not associated with complication occurrence (p = 0.720).
• Findings support cautious use of postoperative bandaging in cats, particularly splinted bandages, and emphasize vigilant monitoring and careful case selection.

🔍 Key Findings

• Surgeon hand size significantly influences preferred finger-loop handle configuration when using laparoscopic instruments.
• Smaller-handed surgeons preferred smaller loop spacing and different finger placements, suggesting standard instrument designs may not accommodate all users.
• Larger-handed surgeons favored wider finger-loop spacing, which improved comfort and maneuverability during laparoscopic manipulation.
• Instrument ergonomics varied substantially between users, demonstrating that a “one-size-fits-all” laparoscopic handle design is suboptimal.
• Hand anthropometry affected both perceived comfort and functional performance during simulated laparoscopic tasks.
• Loop positioning and finger insertion pattern influenced wrist posture and grip mechanics, potentially affecting fatigue during prolonged procedures.
• Ergonomic mismatch between surgeon hand size and handle design may contribute to surgeon discomfort and reduced efficiency during minimally invasive surgery.
• The study supports development of adjustable or size-specific laparoscopic handles to improve surgeon ergonomics and operative performance.