🔍 Key Findings Summary

• Design: Prospective, randomized, double-blinded controlled trial
• Population: 32 brachycephalic dogs undergoing cut-and-sew sharp staphylectomy
• Groups: Adrenaline + lidocaine (Group A) vs. Lidocaine only (Group NA)
• Main Findings:
  • Total hemorrhage significantly lower in Group A (median 1.82 g) vs Group NA (7.95 g); p = .013
  • Normalized hemorrhage significantly lower in Group A; p = .021
  • Surgeon-assigned hemorrhage scores significantly lower in Group A; p = .029
  • No adverse effects (tachycardia, hypertension, arrhythmia, etc.) noted from adrenaline use
  • Breed effect: English Bulldogs bled more overall even after normalization
• Clinical Implication: Adrenaline in nerve blocks reduces hemorrhage without added risk

🔍 Key Findings

• Algorithm 3 had the highest overall accuracy (95.5%) in diagnosing SSIs from client questionnaires.
• Active surveillance identified 19.4% more SSIs compared to passive surveillance alone.
• SSI rate was 8.22% across 754 surgeries; 33.9% of SSIs required revision surgery.
• Client-based responses were 37.9% more frequent than those from referring veterinarians.
• Deep/implant SSIs could be missed if not associated with visible wound healing problems.
• Two late SSIs (after 90 days) occurred, both linked to implant surgeries.
• Algorithm 1 was the most sensitive (87.1%) but less specific; useful for screening.
• Algorithm 2 had the highest specificity (97.9%); useful as a “rule-in” diagnostic method.

🔍 Key Findings Summary

• 62 fractures in 61 dogs (44 lateral condylar, 18 intracondylar); mostly Spaniels
• LEAP plate used in all cases; minimal intraoperative contouring needed (1 French Bulldog)
• Overall complication rate: ~33%, mostly minor; 1 amputation due to catastrophic infection
• Radiographic healing:
  • Lateral epicondylar part healed in 100%
  • Condylar part healed in ~61.5% LCF and ~57.1% ICF
• Functional outcomes:
  • 87% returned to full limb use
  • Median LOAD score: 2 for LCF, 6.5 for ICF
• Design adjustments made post-study to strengthen weak zones around 3rd–4th screw holes

🔍 Key Findings

The study included 162 deep-pain-negative dogs undergoing decompressive surgery (hemilaminectomy) for acute thoracolumbar intervertebral disc extrusion (IVDE).

Ambulatory recovery occurred in 53.1% of dogs (86/162).

The best performing machine-learning model was XGBoost, with an AUC of 0.9502 and accuracy of 89.1%, outperforming Ridge, AdaBoost, and Naive Bayes models.

Preoperative-only XGBoost models were less accurate, with AUC dropping to 0.8271 and accuracy to 71.9%.

Top predictive features (by SHAP analysis) included:

1. T2-weighted to L2 spinal cord signal ratio (lower values predicted better outcome)
2. Use of fenestration (presence associated with better recovery)
3. Hospitalization duration
4. Imaging modality used
5. Duration of nonambulatory status

Machine learning provided better insight into prognostic factors than traditional statistical methods.

🔍 Key Findings

• All dogs (11/11) showed improved radiohumeral articulation postoperatively, confirmed arthroscopically.
• Median shortening: radioulnar (3.2 mm), humeroradial (1.8 mm), humeroulnar (1.2 mm).
• Median lameness score improved from 2/4 to 1/4 by final follow-up.
• Bone healing achieved in a median of 8 weeks (range: 4–14 weeks).
• No major complications; minor issues included 1 screw loosening and 1 superficial infection.
• Subjective function was graded full in 4 dogs, acceptable in 7.
• Arthroscopy enabled accurate dynamic joint assessment, preferred over static radiographs.
• Use of both orthopedic wire and plating provided secure fixation and improved outcomes.

🔍 Key Findings

• 83% of dogs survived to discharge after adrenalectomy for pheochromocytoma.
• Median survival time post-discharge was 1169 days (3.2 years).
• Preoperative alpha-blocker therapy (e.g., phenoxybenzamine) was not associated with improved survival.
• Dogs receiving alpha-blockers had higher intraoperative systolic BP, with median values 170 mmHg vs. 142 mmHg in non-treated dogs (P = .01).
• Intraoperative arrhythmias occurred in 30% of cases, with no difference between dogs receiving alpha-blockers and those not.
• Histologic vascular invasion occurred in ~70% of tumors.
• Tumor recurrence was suspected in 3 dogs, and metastasis in 8 dogs, though not histologically confirmed in most cases.
• Postoperative complications included refractory hypotension, acute kidney injury, and hypertension persisting >48 hours in 10 dogs.

🔍 Key Findings

Internal fixation (IF) group (n=59):

• Complication rate: 20.3%
• Major complications: 15.3%
• Longer time to discharge if complications occurred (median: 12.5 weeks)

External skeletal fixation (ESF) group (n=36):

• Complication rate: 55.6% (p < .001 vs IF)
• Major complications: 52.8%
• Most common issue: pin tract morbidity

Multivariable analysis:

• Use of IF significantly reduced odds of complications (OR 0.23, p = .004)
• Use of post-op antibiotics associated with increased odds of complications (OR 3.53, p = .028)

Fixation choice influenced by age:

• Older puppies more likely to receive IF (OR 1.25 per week increase in age, p < .001)

Breed & fracture distribution:

• Common breeds: Labrador, Border Collie, Whippet
• Common fracture sites: middle and proximal third of tibia

🔍 Key Findings

• No statistically significant difference in overall SSI rates: 9.2% (chlorhexidine) vs. 7.38% (iodophor) (p = .25).
• Significant drape lift occurred in 13.2% of cases; those with lift had 2.72× increased risk of SSI (p = .026).
• Increased body weight was a statistically significant risk factor for SSI (p = .008): each 1 kg increased SSI risk by 3%.
• Use of glutaraldehyde was associated with a 2.38× increased risk of SSI (p = .055, approaching significance).
• No difference in SSI rates based on surgeon training level or surgical classification (clean, clean-contaminated, contaminated).

🔍 Key Findings

• Owner-reported regurgitation improved after CMS, especially post-eating and during activity (P = .012 and P = .002)
• No significant improvement in VFSS measures of SHH or GER postoperatively (P > .05 for all comparisons)
• Laryngeal ventriculectomy and soft palate resection were performed in all dogs, alaplasty in 14/16
• Aspiration pneumonia occurred in 1 dog immediately post-op and resolved with treatment
• Post-op esophagoscopy results varied, with persistent esophagitis in some cases
• Clinical response was variable, with ~25–30% of dogs being “non-responders” based on owner scoring
• 13/16 dogs showed partial or full clinical improvement, despite no change in objective SHH/GER indicators
• Final follow-up at median 36.5 months showed some dogs still on medical therapy; one underwent further surgery

🔍 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.