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In Cinti 2026 et al., on feline caudal axial flaps, which postoperative complications were most commonly reported?
🔍 Key Findings
- The lateral caudal axial pattern flap was successfully used to reconstruct caudodorsal trunk defects in cats, most commonly following tumor excision (85.7%).
- Mean flap length was 61.3% of tail length, aligning with canine recommendations of ~60–78% to reduce distal necrosis risk.
- Postoperative complications occurred in 50% of cats, although many experienced more than one minor complication.
- Most common complications were partial flap dehiscence, seroma, and edema (each 14.2%).
- Uncomplicated healing occurred in 57.1% of cats, while the remaining 42.8% had only minor complications not requiring surgical revision.
- No cats required revision surgery for complications, indicating acceptable clinical outcomes despite the moderate complication rate.
- Seromas resolved spontaneously despite the routine use of active drains, suggesting they may be a relatively common but minor complication.
- Local tumor control was achieved in 83.3% of cats undergoing tumor excision, with a median follow-up of 135 days.
Veterinary Surgery
2
2026
Outcome and complications of lateral caudal axial pattern flap in 14 cats
2026-2-vs-cinti-3
In Hanlon 2022 et al., on short screw sacroiliac fixation, what intraoperative consideration may reduce foraminal trauma?
🔍 Key Findings
- Two short screws (SLS or SPS) provided >2× peak load, yield load, and stiffness vs a single long screw (LLS) for SI joint stabilization.
- No mechanical advantage was seen between the two short screw types (lag vs positional).
- All short screws terminated lateral to the spinal canal, avoiding spinal impingement.
- Ventral sacral foraminal impingement occurred in 3 short-screw cases (1 SPS, 2 SLS), all involving the caudal screw.
- LLS group showed more abaxial displacement at osteotomy sites, suggesting inferior stabilization for concurrent pelvic fractures.
- Short screw constructs had longer total screw length (48 mm) than LLS (40 mm), contributing to increased stiffness.
- Positioning of caudal screw in a cranial/craniodorsal trajectory may help avoid nerve foraminal injury.
- No significant difference in displacement at peak load among groups; stiffness and load capacity were the primary benefits.
Veterinary Surgery
7
2022
Mechanical evaluation of canine sacroiliac joint stabilization using two short screws
2022-7-VS-hanlon-5
In Pilot 2022 et al., on closure methods in sternotomy, what was concluded regarding closure technique choice in large dogs?
🔍 Key Findings
- Overall closure-related complication rate was 14.1%, lower than previously reported (17–78%).
- No clinically meaningful difference in complication rate between orthopedic wire (17.4%) and suture (11.5%) closure methods.
- Dog size (≥20 kg) was the only significant risk factor associated with increased closure-related complications (p = .01).
- Type of closure (wire vs. suture) did not affect risk, even in larger dogs.
- Suture closure showed a non-significant trend toward fewer complications (mean reduction 2.3%, 95% CI: –9.1% to +4.5%).
- Most complications were mild (62%), with only 10 severe cases requiring surgical revision.
- Infection rate was low (2.7%), and not significantly different between wire and suture.
- Suture closure is a valid alternative to wire, including in large dogs, based on this large, multi-institutional study.
Veterinary Surgery
6
2022
Comparison of median sternotomy closure‐related complication rates using orthopedic wire or suture in dogs: A multi-institutional observational treatment effect analysis
2022-6-VS-pilot-5
In Loh 2024 et al., on treatment outcomes for CvHL in dogs, what was the odds ratio of successful treatment with hobbles vs. closed reduction alone?
🔍 Key Findings
- Low-trauma events caused 82.9% of CvHL cases; Poodles and poodle-crosses represented 49.4% of cases.
- Success rate of hobbles (61.8%) was significantly higher than closed reduction alone (10.3%) or Ehmer sling (18.5%).
- Multivariate analysis found hobbles 7.62x more likely to succeed vs. closed reduction (p = .001).
- Specialist surgeons had higher success with nonsurgical management (OR: 2.68; p = .047).
- Older age associated with better outcomes (OR: 1.15 per year; p < .0005).
- Ehmer sling is not recommended due to high failure and complication rates (60.6%).
- Toggle rod stabilization had a high surgical success rate (88.2%) with low complication.
- No link was found between CvHL and hip dysplasia or OA in most cases (only 2/108 showed OA).
Veterinary Surgery
4
2024
Caudoventral hip luxation in 160 dogs (2003–2023): A multicenter retrospective case series
2024-4-VS-loh-2
In Peng 2025 et al., on topical amikacin gel, what was the lower limit of quantification (LLOQ) for the assay used?
🔍 Key Findings
Objective: Determine if topical 45 mg/mL amikacin in CMC gel leads to systemic absorption in dogs with wounds.
Dogs enrolled: 11 client-owned dogs, with 31 applications of the gel.
Serum findings:
- Only 5 of 153 samples were above the 2.5 µg/mL quantification limit
- All values remained <5 µg/mL, the presumed toxicity threshold
- No correlation was found between dose-related parameters (mg, mg/kg, mg/cm²) and serum amikacin levels
Peak concentrations were observed at ~2 hours post-application, declining rapidly thereafter
No nephrotoxicity observed, and most values were below detection
Conclusion: Topical amikacin gel appears safe at doses up to 24.9 mg/kg, with minimal systemic absorption
Veterinary Surgery
3
2025
Serum amikacin concentrations in dogs with naturally occurring open wounds treated with topical amikacin in carboxymethylcellulose hydrogel
2025-3-VS-peng2-3
In Jeon 2025 et al., on distal femoral shortening, which **advantage of DFSO over subtrochanteric osteotomy** is highlighted in dogs?
🔍 Key Findings
- Distal femoral shortening osteotomy (DFSO) enabled prosthesis reduction in all 4 dogs with irreducible luxoid hips undergoing total hip replacement.
- Median femoral shortening ratio was 13.8% (range: 10.7–15.3%) based on intraoperative tension needed for prosthesis reduction.
- Bone union was achieved in all cases post-DFSO, indicating good healing potential.
- Two major complications occurred: one prosthetic luxation and one aseptic stem loosening requiring explantation.
- One intraoperative fracture of the greater trochanter occurred during trial reduction before DFSO.
- DFSO did not result in neurovascular injury, even in cases with significant femoral head displacement (>4 cm).
- Radiographic planning with FHD index and intraoperative assessment were crucial for determining DFSO necessity.
- DFSO avoids complications linked to subtrochanteric osteotomy by preserving proximal femoral anatomy and allowing secure distal fixation.
Veterinary Surgery
6
2025
Distal femoral shortening osteotomy for managing irreducible hips during total hip replacement in four dogs with severe luxoid hips
2025-6-VS-jeon-5
In Carvajal 2023 et al., on serum biomarkers post-THA, what treatment had all dogs discontinued by 6 months?
🔍 Key Findings
- C-reactive protein (CRP) and serum amyloid A (SAA) levels remained low at 3 and 6 months after uncomplicated THA in dogs.
- No significant differences were observed in CRP or SAA between preoperative, 3-month, and 6-month time points.
- Mean CRP values were 3.8 mg/L pre-op, 0.8 mg/L at 3 months, and 1.4 mg/L at 6 months.
- Mean SAA values were 13.9 mg/L pre-op, 14.1 mg/L at 3 months, and 18.4 mg/L at 6 months.
- All dogs recovered normally with no complications or persistent signs of inflammation at follow-up.
- Study establishes baseline CRP and SAA levels for dogs post-THA, useful for comparison in suspected PJI.
- These markers may help differentiate periprosthetic joint infection (PJI) if values deviate from baseline post-THA.
- NSAID therapy was discontinued by 6 months in all dogs, possibly reflecting decreased inflammation.
Veterinary Surgery
1
2023
Serum acute-phase protein concentrations following uncomplicated total hip arthroplasty in dogs
2023-1-VS-carvajal-5
In Folk 2025 et al., on vessel sealing device reuse, what was the most common level of biologic debris observed?
🔍 Key Findings
40 dogs underwent splenectomy using 16 bipolar vessel sealing devices (VSDs)
Devices were reused up to 4 times after handwashing and ethylene oxide (EtO) sterilization
Biologic debris was found in 100% of devices, specifically under the transection blade, even after a single use
- Mostly scant (14/16) or mild (2/16) debris
No devices or debris yielded positive aerobic culture after EtO sterilization
EtO sterilization proved microbiologically effective despite visible residue
Perioperative failure rate: 1 device (malfunctioned during first activation)
Veterinary Surgery
3
2025
Incidence of residual biologic debris and contamination of reused bipolar vessel sealing devices after ethylene oxide sterilization following splenectomy
2025-3-VS-folk-4
In Downey 2023 et al., on thoracoscopic lobectomy, what factor was associated with conversion to open thoracotomy?
🔍 Key Findings
- Thoracoscopic (TL) or thoracoscopic-assisted (TAL) lobectomy was successfully performed in 12 dogs with non-neoplastic pulmonary consolidation (PC).
- 44% (4/9) of TL cases were converted to open thoracotomy due to adhesions or poor visualization—higher than rates for neoplastic lobectomies.
- OLV was successful in 7/9 TL dogs; unsuccessful attempts were managed with intermittent ventilation, mostly in brachycephalic breeds.
- Median hospital stay was 3 days; 91.7% (11/12) survived to discharge, and 100% of survivors showed no recurrence at median 24-month follow-up.
- Complications were mostly minor: pneumothorax (2), minor hemorrhage (3), dehiscence (1), and 1 fatality due to BOAS complications.
- Histopathology showed infectious pneumonia in 10 dogs, and in 4 cases, foreign body migration was suspected as the underlying cause.
- Median surgical time for TL was 90 minutes; conversion correlated with longer symptom duration (median 90 vs. 7 days).
- Postoperative recovery was excellent in all surviving dogs, with one case of persistent cough attributed to concurrent heart disease.
Veterinary Surgery
7
2023
Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs
2023-7-VS-downey-2
In Husi 2023 et al., on TPLO vs TPLO-IB biomechanics, what was the intraobserver reliability for the eTPT and iTPT tests after TPLO and TPLO-IB?
🔍 Key Findings
- TPLO alone failed to neutralize rotational instability under tibial pivot compression (TPT), despite a negative TCT.
- TPLO combined with lateral augmentation (TPLO-IB) restored both craniocaudal and rotational stability to near-intact levels.
- Cranial tibial translation was 6× greater after TPLO vs intact stifles when tested with TPT (p < .001).
- No significant difference in cranial tibial translation or internal rotation between intact stifles and TPLO-IB group during TCT, eTPT, or iTPT.
- TPLO-IB did not overconstrain the stifle, avoiding excessive external rotation.
- External tibial rotation (eTPT) was more sensitive than TCT in detecting persistent instability after TPLO.
- Excellent intraobserver reliability for both eTPT and iTPT (ICC > 0.9).
- Study supports intraoperative use of TPT to identify cases needing additional rotational stabilization.
Veterinary Surgery
5
2023
Comparative kinetic and kinematic evaluation of TPLO and TPLO combined with extra-articular lateral augmentation: A biomechanical study
2023-5-VS-husi-5
Quiz Results
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