🔍 Key Findings

• The survey included 111 practicing surgeons and 28 residents from ACVS, ECVS, and ANZCVS. 98.2% had performed soft tissue minimally invasive surgery (MIS).
• In the past year, surgeons reported a median caseload of 90% basic laparoscopy, 0% advanced laparoscopy, and 10% thoracoscopy; for residents: 100% basic laparoscopy, 0% advanced, 0% thoracoscopy.
• Laparoscopic ovariectomy and OHE were the most commonly performed MIS procedures, with most respondents proficient in basic laparoscopy, but few performing advanced laparoscopy or thoracoscopy.
• Top barriers to MIS adoption were: lack of consistent caseload, lack of training, difficult learning curve, equipment limitations, and cost.
• 76.6% of surgeons and 92.9% of residents received MIS training during residency. Those trained had completed residency median 6 years ago, compared to 22 years ago for those without MIS training (p < .001). Perceived adequate training correlated with higher proficiency.
• MIS was recognized as having a steep learning curve, but patient benefits (mean score 4.0/5) were the top motivation — less pain, faster recovery, improved visualization.
• The authors conclude basic laparoscopy is widely adopted, but advanced and thoracoscopic MIS remain underutilized. Training and access are key to future growth.
• Expanded training and improved access to equipment are necessary to promote broader integration of MIS into veterinary soft-tissue surgery.

🔍 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.

🔍 Key Findings

• Liver masses were most common in the left division (58%), followed by central (27%) and right (15%).
• Right divisional masses were significantly associated with intraoperative complications (33% vs 5.6% left, p = .0037), particularly hemorrhage and injury to major vessels.
• Mortality rate was 6.5% overall, with no significant association with liver lobe location.
• Postoperative complications occurred in 28.7% of cases, but were not significantly associated with mass location.
• Thoracic incision extension (sternotomy or diaphragmotomy) increased odds of postoperative complications by 9.1x (p < .001).
• Use of TA stapler significantly reduced both intraoperative (OR 19x lower) and postoperative complications (OR 4.4x lower) vs other methods.
• Specialist surgeons and heavier dogs had significantly fewer postoperative complications.
• Right lobectomies often required thoracic extension, indirectly linking them to increased postoperative morbidity.

🔍 Key Findings Summary

• Prevalence of contralateral CCLR in dogs ≥8 years and ≥15kg was 19.1%, notably lower than previous studies (33–50%).
• Median time to contralateral CCLR was 12.9 months.
• Older age reduced risk — 2% decrease per month of age (p=0.003).
• Golden Retrievers and Labradors had significantly lower risk (p=0.028 and p=0.007, respectively).
• No effect found from TPA, meniscal injury, or comorbidities (e.g., hip dysplasia, hypothyroidism).

🔍 Key Findings Summary

• ILP and MIP: No significant differences in leak pressure between HSA, FEESA, and SS techniques (p > .05).
• Construct Time:
  • FEESA (no oversew) fastest: 79 ± 30 s
  • HSA-SI slowest: 397 ± 70 s (p < .001)
• Tissue Thickness:
  • Jejunum thickest: 2.28 ± 0.30 mm
  • Stomach thinnest: 1.66 ± 0.28 mm
• Staple Malformation: Noted in 2 FEESA-O constructs, vertical staple line.
• Leak Locations:
  • HSA: All leaked from suture bites
  • FEESA: Leaks from vertical and horizontal staple lines
  • SS: Mostly from staple holes

🔍 Key Findings

• 63 dogs ≥15 kg with single EHPSS were reviewed.
• Most common breeds: Golden Retriever (28.6%), mixed breed (20.6%).
• Most common shunt types: splenocaval (25.4%) and portocaval (25.4%).
• 45 dogs received surgical attenuation; 18 were medically managed.
• 6.7% (3/45) of surgically treated dogs died due to shunt-related complications; 22.2% (4/18) of medically managed dogs died.
• Hypoplastic portal vein was noted in 52.9% of dogs where portal anatomy was described.
• 37.5% of surviving attenuated dogs were weaned off all medical management.
• Attenuated dogs had higher 1-, 2-, and 5-year survival rates (89%, 77%, 77%) than nonattenuated dogs (82%, 49%, 24%).

🔍 Key Findings

• Precontoured plates based on 3D-printed femurs produced accurate femoral alignment (median deviations <3 mm or <3° in all planes).
• Both fracture reduction system (FRS) and intramedullary pin (IMP) methods achieved near-anatomic alignment in cadaveric femoral fractures.
• FRS required fewer fluoroscopic images (median 7 vs. 26, P = .001), but longer surgical time (median 43 vs. 29 min, P = .011).
• Sagittal plane alignment: FRS led to mild increased recurvatum (median 2.9°), but still within near-anatomic limits (<5°).
• Axial alignment: Both groups achieved near-anatomic torsion (<10°), though one IMP case had acceptable (not near-anatomic) alignment.
• Custom drill guides and FRS improved fluoroscopy efficiency but were cumbersome and time-consuming to use. Authors do not recommend current prototype for clinical use.
• Clinical significance: 3D printed models allow accurate precontouring, reducing intra-op plate adjustment; custom guides may reduce radiation exposure for the surgical team.

🔍 Key Findings

140 laparoscopic surgeons surveyed; 37% reported at least one musculoskeletal disorder.
Women had significantly higher odds of reporting WRMD (OR = 2.59, p = .011).
Smaller glove size significantly associated with WRMD (p = .001), shoulder tendonitis (p = .01), and neck strain (p = .001).
Most common injuries: Neck strain (35%), shoulder tendonitis (31%).
WRMD was associated with greater difficulty using:

• Rotating cup biopsy forceps (p < .001)
• Vessel sealing device and endo stapler (especially in those with shoulder injuries)

No significant association with surgeon age, dominant hand, height, weight, or case volume.

🔍 Key Findings

• 42% of dogs (33/78) treated with Arthrex 3.5 mm STS during TPLO developed radiographic TCTF
• TCTFs occurred exclusively distal to the osteotomy
• 14% of screws (36/250) distal to the osteotomy were associated with TCTFs
• 6% of dogs with TCTFs developed major complications (e.g., complete tibial fracture requiring surgical revision)
• Angulation of cortical STS screws, especially in the distal plate holes, was a key contributor to complications
• Locking screws were also involved, but cortical screws angled improperly were overrepresented in serious outcomes
• Revision recommendations included preemptive fixation for large TCTFs or angulated screw placements
• Use of non-self-tapping screws (NSTS) previously showed a <1% TCTF rate, supporting higher risk with STS