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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
In Adams 2022 et al., on C-section survival rates, which factor was most strongly associated with improved neonatal survival?
🔍 Key Findings
- Neonatal survival to discharge was 93.1% overall, with no significant difference between brachycephalic (94.8%) and nonbrachycephalic (91.8%) breeds.
- Elective C-section significantly improved neonatal survival (99.2%) compared to emergency C-section (87.1%) (p < .001).
- Larger C-section litter size was positively associated with survival (p = .004; OR 1.57), whereas total litter size had no effect.
- Maternal heart rate and stage of labor were associated with neonatal mortality in univariable analysis, but not multivariable.
- Brachycephalism alone was not a risk factor for neonatal mortality (p = .221) in multivariable analysis.
- Emergency C-section was the strongest predictor of neonatal mortality (OR 4.75), regardless of breed.
- Multidisciplinary team approach likely contributed to high survival rates, emphasizing importance of coordinated care.
- Historical factors such as primiparity and maternal age were not associated with mortality in this cohort.
Veterinary Surgery
7
2022
Risk factors for neonatal mortality prior to hospital discharge in brachycephalic and nonbrachycephalic dogs undergoing cesarean section
2022-7-VS-adams-2
In Longo 2025 et al., on MITA, what was the mean time to radiographic union?
🔍 Key Findings
- 15 dogs underwent minimally invasive tarsal arthrodesis (MITA); 10 partial, 5 pantarsal.
- Mean time to radiographic union: 1.8 ± 0.5 months.
- Mean time to clinical union: 3.7 ± 0.8 months.
- Complete osseous union: 46%; the rest achieved ≥50% with functional weightbearing.
- Complication rate: 26% major (mostly implant-related); no catastrophic complications or plantar necrosis.
- Functional outcomes: 6 full, 8 acceptable, 1 unacceptable (not due to MITA).
- MITA may lower soft tissue complications vs open approaches and enable faster healing.
Veterinary Surgery
1
2025
Minimally invasive tarsal arthrodesis in 15 dogs
2025-1-VS-longo-1
In Antonakakis 2022 et al., on telovelar tumor resection, what advantage did the telovelar approach have over the transvermian approach?
🔍 Key Findings
- Telovelar approach enabled complete resection of a fourth ventricle choroid plexus tumor in a dog without postoperative complications.
- Postoperative MRI confirmed gross total tumor removal, and the dog remained neurologically normal 28 months post-surgery.
- The tela choroidea was used as a surgical landmark and incised to allow atraumatic access to the tumor.
- Cerebellum was spared using this technique, minimizing risk of cerebellar injury (e.g., cerebellar mutism).
- No hemorrhagic complications were noted during surgery due to dissection through avascular planes.
- Histopathology favored choroid plexus carcinoma based on mitotic index (9/10 HPFs), though definitive diagnosis remained pending.
- The case highlights the utility of telovelar over transvermian approach, given its minimally traumatic nature and improved exposure.
- Survival beyond 2 years without adjunctive therapy suggests surgical excision alone may be curative in select cases.
Veterinary Surgery
8
2022
Use of a telovelar approach for complete resection of a choroid plexus tumor in a dog
2022-8-VS-antonakakis-3
In Antonakakis 2022 et al., on telovelar tumor resection, what postoperative imaging finding confirmed complete resection of the tumor?
🔍 Key Findings
- Telovelar approach enabled complete resection of a fourth ventricle choroid plexus tumor in a dog without postoperative complications.
- Postoperative MRI confirmed gross total tumor removal, and the dog remained neurologically normal 28 months post-surgery.
- The tela choroidea was used as a surgical landmark and incised to allow atraumatic access to the tumor.
- Cerebellum was spared using this technique, minimizing risk of cerebellar injury (e.g., cerebellar mutism).
- No hemorrhagic complications were noted during surgery due to dissection through avascular planes.
- Histopathology favored choroid plexus carcinoma based on mitotic index (9/10 HPFs), though definitive diagnosis remained pending.
- The case highlights the utility of telovelar over transvermian approach, given its minimally traumatic nature and improved exposure.
- Survival beyond 2 years without adjunctive therapy suggests surgical excision alone may be curative in select cases.
Veterinary Surgery
8
2022
Use of a telovelar approach for complete resection of a choroid plexus tumor in a dog
2022-8-VS-antonakakis-2
In Power 2022 et al., on liposomal bupivacaine use, which group had a significantly higher rate of incisional complications?
🔍 Key Findings
- Overall complication rate was 19.7% (43/218), with most being mild (CSS 1).
- Soft tissue procedures had higher complication rates (26%) than orthopedic procedures (11.6%) (P < 0.01).
- No difference in complication rates between clean, clean-contaminated, and contaminated wounds (P = 0.55).
- No difference in complication rates between labeled use (CCL surgery) and off-label orthopedic procedures (P = 0.21).
- Majority of complications (63%) were mild, resolving without intervention or with topical therapy.
- Severe complications requiring revision surgery were rare (2.3%) and occurred mainly in soft-tissue surgeries.
- Most common complications included SSI (25.6%), dehiscence (16.3%), and seroma (14%).
- Liposomal bupivacaine appears safe for use in broader orthopedic procedures beyond current labeling.
Veterinary Surgery
4
2022
Incidence and severity of short‐term incisional complications after intraoperative local infiltration of liposomal bupivacaine in dogs
2022-4-VS-power-2
In Whyte 2025 et al., on cannulated screw fixation, what was the reported clinical union rate?
🔍 Key Findings
Study focus: Outcomes of cannulated screw fixation in unicondylar humeral condylar fractures (UHCF) in dogs.
Clinical union rate: 89%
Overall complication rate: 36%
- Major complication: Most common was screw breakage
Significant risk factor for screw breakage:
- Body weight >20 kg (statistically significant)
Breed distribution:
- Spaniels, especially English Springer Spaniels, were most common
No mention of plate augmentation as standard in this cohort
Veterinary Surgery
2
2025
Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs
2025-2-VS-whyte-2
In Fitzpatrick 2024 et al., on ESF for pelvic fractures in cats, what was concluded regarding neurological complications?
🔍 Key Findings
- External skeletal fixation (ESF) was successfully applied to a variety of pelvic fracture types in cats, including sacroiliac luxations and ilial body fractures.
- All fractures achieved radiographic union within 9 weeks, even in comminuted or complex configurations.
- No intraoperative or long-term complications were reported during the study period.
- Implant loosening was observed radiographically in 13% of cases, with 8% of pins found to be loose at frame removal.
- ESF enabled indirect fracture reduction using components as handles, with a limited open approach minimizing soft tissue disruption.
- No iatrogenic neurological deficits were observed, supporting safe pin placement near neurovascular structures, although some cats presented with pre-existing neurologic signs.
- No cases required revision surgery, and all cats underwent stabilization solely with ESF as per study inclusion criteria.
- Postoperative hospitalization ranged from 2 to 5 days, though no comparison to other fixation types was evaluated.
Veterinary Surgery
7
2024
External skeletal fixation for the treatment of pelvic fractures in cats
2024-7-VS-fitzpatrick-3
In Monti 2025 et al., on lymph node fluorescence imaging, which lymph node group was most frequently identified and removed using NIRF-guided laparoscopic surgery?
🔍 Key Findings
- Laparoscopic ISLN removal using NIRF-ICG was feasible in 89% of dogs (16/18), demonstrating high procedural success with minimal invasiveness.
- Median laparoscopic dissection time was only 12 minutes, suggesting efficiency of the NIRF-guided approach.
- No postoperative complications were observed, and intraoperative complications occurred in only 2 dogs (11.1%), both requiring conversion to open surgery.
- Metastatic disease was confirmed in 48% of patients (12/25 nodes), including cases where LNs appeared normal in size, highlighting the value of histologic evaluation.
- NIRF-ICG enabled precise identification of small and mildly enlarged nodes, which are often missed during traditional imaging or palpation.
- Fluorescent dye leakage following LN capsule rupture limited visibility and required surgical conversion, indicating a key limitation of the technique.
- ICG signal was occasionally absent in metastatic LNs, likely due to lymphatic rerouting or obstruction, underscoring limitations in SLN identification.
- The lateral approach allowed consistent access to ipsilateral MILN, IILN, and sacral LNs, though contralateral nodes were inaccessible with this method.
Veterinary Surgery
6
2025
Near‐infrared fluorescence‐guided minimally invasive surgery for iliosacral lymph node removal in 18 dogs (2023–2025)
2025-6-VS-monti-2
In Tani 2022 et al., on FCU tendon reconstruction, what type of fixation was used postoperatively to protect the repair?
🔍 Key Findings
- Fascia lata autograft reconstruction of the FCU tendon successfully treated carpal hyperextension in both dogs.
- Primary repair was not possible in one dog due to complete rupture; a fascia lata graft bridged the tendon gap.
- In the second case, elongated tendon was corrected and reinforced with fascia lata to prevent recurrence.
- Type I external skeletal fixation was used for 6 weeks to support tendon healing in both dogs.
- Postoperative gait and range of motion returned to normal, with no recurrence at 36-month follow-up.
- Ultrasonography aided diagnosis, revealing thinning and echogenic changes in the FCU tendon.
- Histologic findings showed mild, nonspecific muscle changes, suggesting injury rather than a systemic disease.
- No complications occurred, and fascia lata showed potential for biological integration and remodeling into tendon-like structure.
Veterinary Surgery
8
2022
Reconstruction of the flexor carpi ulnaris tendon with a fascia lata autograft in two dogs with carpal hyperextension
2022-8-VS-tani-2
Quiz Results
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