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In Hertel 2025 et al., on portal venotomy for insulinoma, what was the primary reason the authors selected portal venotomy instead of en bloc vessel resection?
🔍 Key Findings
- Portal venotomy enabled successful en bloc resection of a pancreatic insulinoma and associated thrombus in the portal vein, a novel approach in veterinary literature.
- Temporary portal vein occlusion (15 min) was well tolerated, causing only transient small intestinal congestion without lasting hemodynamic compromise.
- No intraoperative hemorrhage occurred following vascular isolation and venotomy repair with 5–0 polypropylene in a simple continuous pattern.
- Postoperative complications were minimal, with only moderate pancreatitis managed medically and no portal hypertension observed on follow-up imaging.
- Histopathology confirmed insulinoma, with no initial metastasis; CT at 6 months revealed hepatic and peritoneal metastases but no local recurrence at the venotomy site.
- Portal vein luminal stenosis occurred post-repair but was clinically insignificant.
- Advanced CT imaging and 3D printed modeling significantly enhanced surgical planning and anatomical assessment.
- Surgical excision achieved good short-term outcomes, and the dog was alive and euglycemic one year later despite metastatic disease.
Veterinary Surgery
5
2025
Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog
2025-5-VS-hertel-1
In Forzisi 2025 et al., on femoral growth post-THR, what was the effect of THR on total femoral length?
🔍 Key Findings
Population: 24 dogs (<8.5 months) undergoing unilateral cementless THR.
Growth Impact:
- Operated femurs showed ~11.5% less trochanteric growth than controls (p = .002).
- No significant difference in femoral diaphyseal + epiphyseal length (p = .712) or femur overall (p = .465).
Cortical Width:
- Increased significantly at 10 mm distal to trochanter (4.6% increase, p = .037) and at 50% femoral length (8.5% increase, p = .030).
Clinical relevance: Despite measurable changes, no clinically significant impairment to femoral length occurred.
Effect Sizes:
- Moderate negative for trochanteric growth.
- Moderate positive for proximal femoral width.
Veterinary Surgery
1
2025
Evaluation of the effects of cementless total hip replacement on femoral length in skeletally immature dogs
2025-1-VS-forzisi-2
In Burkhardt 2024 et al., on coagulation testing in liver lobectomy, what did the authors recommend regarding preoperative PT and aPTT testing?
🔍 Key Findings
- 20.6% of dogs had a preoperative prolongation in PT or aPTT, but only 5.6% had both prolonged.
- Hemangiosarcoma was the only tumor type significantly associated with both PT and aPTT prolongation (37.5% of hemangiosarcoma cases, p < .001).
- Dogs with both PT and aPTT prolongations were 6.5× more likely to have emergency surgery (p < .001) and 2.5× more likely to have hemoabdomen (p = .0022).
- 60% of dogs with both PT and aPTT prolongation required blood transfusion (p < .001).
- Only 1.9% of all dogs had both PT and aPTT prolonged by >25%, suggesting limited clinical utility of routine PT/aPTT testing.
- Platelet count <50,000/μL was rare (1.5%) and not associated with PT/aPTT changes or transfusions.
- Routine PT/aPTT testing offers low diagnostic yield in elective liver lobectomy cases.
- Authors recommend case-by-case PT/aPTT screening, especially when hemangiosarcoma or bleeding tendencies are suspected.
Veterinary Surgery
7
2024
Evaluating preoperative coagulation panels in dogs undergoing liver lobectomy for primary liver tumors: A multi-institutional retrospective study
2024-7-VS-burkhardt-4
In Bounds 2023 et al., on feline hip arthroscopy, which statement best describes feasibility of hip arthroscopy in cats with DJD?
2023-8-VS-bounds-5
In Petazzoni 2022 et al., on DPO in older dogs, what was the primary clinical outcome 8 weeks postoperatively?
🔍 Key Findings
- DPO improved joint congruity and clinical signs in dogs ≥10 months old with minimal osteoarthritis.
- Median Norberg angle increased by 21.8% 1 year postoperatively (from 87° to 106°; p < .01).
- Femoral head coverage increased significantly, with PC rising 66.7% and LHC by 162.5% at 1 year (p < .01).
- No significant change in pelvic canal width postoperatively, suggesting pelvic conformation was preserved.
- All ilial osteotomies healed with complete osseous bridging by 8 weeks; 7/11 pubic osteotomies achieved full healing.
- No intraoperative or postoperative complications were reported, including implant failure.
- Locking plates and additional ventral plating were used in select cases and may have contributed to implant stability.
- DPO may be extended to older dogs with suitable hip morphology and minimal OA, expanding traditional age criteria.
Veterinary Surgery
2
2022
Clinical outcomes of double pelvic osteotomies in eight dogs with hip dysplasia aged 10–28 months
2022-2-VS-petazzoni-5
In Horwood 2024 et al., on complications in luxoid hip dysplasia, what femoral morphological abnormality was frequently seen and may complicate stem placement?
🔍 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.
Veterinary Surgery
4
2024
Complications and outcomes of total hip arthroplasty in dogs with luxoid hip dysplasia: 18 cases (2010–2022)
2024-4-VS-horwood-4
In Billas 2022 et al., on SSI risk after limb amputation, which muscle transection method was associated with increased infection odds?
🔍 Key Findings
- 12.5% overall incidence of SSI after limb amputation, and 10.9% for clean procedures.
- Bipolar vessel sealing device use for muscle transection significantly increased SSI risk (OR 2.5; P = .023).
- Monopolar electrosurgery and sharp transection were not associated with increased SSI risk.
- Non-clean wound classification increased SSI odds (OR 8.2; P = .003).
- Amputation for infection (OR 5.7) or trauma (OR 4.5) significantly increased SSI risk compared to neoplasia.
- Preoperative infections at distant sites did not significantly increase SSI risk.
- Neither surgery/anesthesia duration, hypothermia, hypotension, nor skin closure method significantly affected SSI risk.
- Study supports avoiding bipolar sealing devices for muscle transection in limb amputations to reduce SSI risk.
Veterinary Surgery
3
2022
Incidence of and risk factors for surgical site infection following canine limb amputation
2022-3-VS-billas-1
In Tobias 2022 et al., on perineal hernia repair positioning, which surgical advantage did dorsal recumbency provide?
🔍 Key Findings
- Perineal hernia repair was feasible in dorsal recumbency in all 23 dogs, allowing simultaneous perineal and abdominal procedures without repositioning.
- Internal obturator muscle transposition (IOMT) was successfully performed in 22 dogs, with tendon transection facilitating improved muscle elevation.
- Complication rate was 60.9% in-hospital and 47.8% post-discharge, mostly minor (e.g., swelling, drainage), with infection suspected in 4 dogs (17.4%).
- Recurrence rate was 19% overall, but significantly higher in dogs with prior hernia repairs (50% vs 5.9%; p = 0.053).
- Dogs without prior repairs or organ pexies had no recurrences (p = 0.035), suggesting primary repairs without preexisting interventions fare better.
- Castration and adjunctive abdominal procedures (e.g., colopexy, cystopexy) were often performed concurrently (18/23 dogs).
- Colopexy did not prevent recurrence, although it aided in surgical visualization during perineal repair.
- Dorsal positioning allowed simultaneous access to the abdomen and perineum, improving surgical efficiency without added complications.
Veterinary Surgery
5
2022
Perineal hernia repair in dorsal recumbency in 23 dogs: Description of technique, complications, and outcome
2022-5-VS-tobias-1
In Huels 2025 et al., on second-generation screw cup THA, what was the most common major complication encountered in this THA case series?
🔍 Key Findings
- Total complication rate was 16.7%, with 5/30 hips experiencing major complications, mostly related to the femoral component.
- Cup-associated complications were rare (3.3%), with only one case of acetabular cup luxation attributed to surgical technique rather than implant failure.
- No cases of late aseptic loosening were observed during a median follow-up of 17.5 months.
- Implant stability was attributed to the SCSL's porous, trabecular titanium surface, enhancing osseointegration.
- Three femoral stem fractures occurred in a single dog, leading to implant removal; material testing was not performed.
- Most complications were femoral in origin (6/7), not acetabular, suggesting improved performance of the SCSL.
- Explantation rate was 13% (4/30), but some removals were due to owner preference against revision.
- Subjective functional outcome was full recovery in 26/30 hips, including one with successful revision of stem subsidence.
Veterinary and Comparative Orthopaedics and Traumatology
2
2025
Complications and Long-Term Outcome in 30 Canine Total Hip Arthroplasties Using a Second-Generation Selective Laser Melted Screw Cup
2025-2-VCOT-huels-4
In Aertsens 2025 et al., on thoracic lift technique, what was a key advantage of using a pretied ligating loop (PLL) in feline lobectomy?
🔍 Key Findings
Case 1: Chest wall lift improved oxygenation (PaO₂ increased from 179.4 to 306.3 mmHg) and enabled thoracoscopic-assisted lobectomy in a cat with pleural effusion and pulmonary carcinoma.
Case 2: Chest wall lift using a Steinmann pin allowed 3-port thoracoscopic lobectomy for a bronchial foreign body; no complications observed.
Both cats: Lift increased working space and eliminated need for thoracotomy; no device-related complications.
Pretied ligating loops (PLL) were effective for hilar vessel ligation—preferred over staplers or self-locking ligatures in feline thorax.
Conclusion: Thoracic lift is a novel, minimally invasive method enhancing thoracoscopic procedures in small patients, particularly cats.
Veterinary Surgery
4
2025
Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats
2025-4-VS-aertsens-3
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