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In Williams 2024 et al., on adrenaline use in maxillary nerve blocks, which breed showed significantly higher **normalized hemorrhage** despite adrenaline use?
🔍 Key Findings
- The addition of adrenaline (0.00198%) to bilateral maxillary nerve blocks significantly reduced intraoperative hemorrhage in dogs undergoing sharp staphylectomy (median reduction: 77.1%).
- Normalized hemorrhage (g/kg) and total hemorrhage (g) were significantly lower in the adrenaline group (p = .021 and p = .013, respectively).
- Surgeon-assessed hemorrhage scores were also significantly lower in the adrenaline group (median 2 vs. 3; p = .029), indicating improved surgical visibility.
- No adverse effects (e.g. tachycardia, arrhythmia, or hypertension) were observed with adrenaline administration.
- A standardized intraoral approach to the maxillary nerve block was used with 0.5 mL per side regardless of dog size.
- Breed effect observed: English Bulldogs had higher normalized hemorrhage, possibly due to anatomical variation or underdosing relative to size.
- Adrenaline may also prolong local anesthetic action and reduce blood aspiration risks, though this was not directly measured.
- The study supports the routine inclusion of adrenaline in maxillary nerve blocks for staphylectomy in BOAS patients to improve surgical field and reduce bleeding.
Veterinary Surgery
8
2024
Evaluation of the addition of adrenaline in a bilateral maxillary nerve block to reduce hemorrhage in dogs undergoing sharp staphylectomy for brachycephalic obstructive airway syndrome. A prospective, randomized study
2024-8-VS-williams-5
In Morgera 2022 et al., on stifle surgery draping methods, which draping technique was found to significantly reduce infection-inflammation?
🔍 Key Findings
- No significant difference in infection-inflammation rates between single-layer Kraton drapes and traditional double-layer draping at both 21 days and 6 months postop.
- Infection-inflammation occurred in 4.56% (36/789) of cases; equally distributed across draping techniques.
- Tibial tuberosity advancement (TTA) was the most common procedure (61%).
- Kraton drape features an elastic fenestration that seals without adhesives or towel clamps, offering ecological and workflow advantages.
- Mean anesthesia duration was similar between groups (~73.8 min), suggesting draping method did not impact overall surgical time.
- Culture confirmation of infection was low (14 dogs), showing reliance on clinical criteria for diagnosis.
- Potential benefits of single-layer draping include reduced waste, no need for towel clamps, and ease of use without increased risk.
- Limitations included subjective follow-up (nearly 30% indirect via phone/images) and antimicrobial usage in all cases.
Veterinary Surgery
3
2022
Surgical site infection‐inflammation in dogs draped with a single‐layer Kraton elastic seal extremity drape for stifle surgery
2022-3-VS-morgera-2
In Viitanen 2023 et al., on zygomatic sialoadenectomy, which dog conformation was associated with higher difficulty in complete gland removal using IOA?
🔍 Key Findings
- Intraoral approach (IOA) reduced surgical time compared to lateral orbitotomy (median: 42.0 vs 65.7 minutes, p = .005)
- Ease of closure (Stage III) was better with IOA (p < .001), though gland removal (Stage II) was easier with LOA (p = .039)
- Complete gland removal was achieved in 8/10 IOA vs 10/10 LOA cases in cadaveric study
- All 3 clinical cases had uneventful recoveries post-IOA, including one carcinoma, with no intra- or short-term postoperative complications
- LOA had superior surgical exposure, but was more invasive and time-consuming
- IOA posed greater difficulty in complete gland removal in brachycephalic dogs, with remnant tissue noted in 2/10 cadavers
- IOA avoids osteotomy, reducing potential complications like delayed union and postoperative pain
- Cosmetic outcomes and healing were better with IOA, and no E-collar was required postoperatively
Veterinary Surgery
2
2023
Intraoral approach for zygomatic sialoadenectomy in dogs: An anatomical study and three clinical cases
2023-2-VS-viitanen-4
In Saitoh 2025 et al., on CTS stabilization, what method was commonly used in addition to CTS?
🔍 Key Findings
Study population: 12 dogs with medial or lateral tarsocrural joint instability (TCI), including 5 working farm dogs.
Procedure: Temporary immobilization using a calcaneotibial screw (CTS) combined with external coaptation (EC).
Stabilization techniques:
- 3 dogs = primary ligamentous repair
- 8 dogs = synthetic ligament reconstruction
- 2 dogs = malleolar fracture repair
Follow-up: Median 31 months (range 4–66); 10 owners completed outcome survey.
Outcomes:
- All 10 dogs had improved or resolved lameness.
- All 5 farm dogs returned to work (most at full or substantial capacity).
- Complication rate: 4 distinct events in 3 dogs (1 major = CTS breakage; 3 minor = bandage-related soft tissue injuries).
Conclusion: CTS + EC provided effective immobilization with low complication rate, and functional outcomes were favorable even in active dogs.
Veterinary Surgery
1
2025
Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs
2025-1-VS-saitoh-3
In Marti 2024 et al., on surgical outcomes in feline sialoceles, which salivary glands were most frequently involved?
🔍 Key Findings
- Mandibular and sublingual glands were the most commonly involved salivary glands in feline sialoceles.
- Left-sided lesions were more prevalent (71%) among affected cats.
- Ranulae were present in over half (57%) of cases, highlighting the importance of thorough oral exams.
- Surgical approaches included lateral, ventral, intraoral, or combinations thereof, with no recurrences reported.
- Marsupialization alone (without gland removal) resolved clinical signs in 4/21 cats, with no short-term recurrence noted.
- Complications occurred in 5/21 cats (24%), including incisional swelling and one case of feline oral pain syndrome.
- One cat experienced iatrogenic injury from misidentification of the mandibular lymph node as the gland.
- Median follow-up time beyond 30 days was 822 days (range: 90–1205), with no long-term recurrences or contralateral lesions observed.
Veterinary Surgery
7
2024
Outcomes of surgically treated sialoceles in 21 cats: A multi‐institutional retrospective study (2010–2021)
2024-7-VS-marti-1
In Buote 2023 et al., on laparoscopic sleeve gastrectomy in cats, what was the mean percentage of stomach weight resected in the cadaveric LVSG procedures?
🔍 Key Findings
- LVSG was feasible in 9/10 feline cadavers and both live cats, with no intra- or postoperative complications in live cases.
- Two cadavers developed suspected stenosis due to staple lines too close to the lesser curvature; avoided with orogastric tube placement in later cases.
- No evidence of gastric leakage in any cadavers (8/10 tested) or live patients after methylene blue leak tests.
- Mean surgical time was ~110 min cadavers / 115 min live, and 27.6% of stomach mass was resected.
- Both live cats recovered uneventfully, lost 21–24% body weight over 3 months, and had no GI complications at 6-month follow-up.
- Orogastric tube and tension on the greater curvature were critical to avoid staple line misplacement or stenosis.
- No oversew of the staple line was needed, and unreinforced staples showed no leakage in live patients.
- Future studies needed to assess metabolic outcomes and ideal staple sizing and closure techniques.
Veterinary Surgery
6
2023
Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats
2023-6-VS-buote2-3
In Clarke 2022 et al., on nasopharyngeal collapse severity, what explanation was proposed for lack of improvement in some dogs after surgery?
🔍 Key Findings
- Nasopharyngeal collapse was significantly more severe in brachycephalic dogs (median 65%) than in nonbrachycephalic controls (median 10%) (p = .0001).
- Postoperative fluoroscopy showed no significant improvement in nasopharyngeal collapse (p = .0505), despite reported clinical improvement.
- 70% of brachycephalic dogs had ≥50% collapse; 26% had 100% collapse preoperatively.
- All owners of surgical cases reported clinical improvement, including reduced respiratory noise and improved exercise tolerance.
- Surgical techniques used included combinations of alaplasty, staphylectomy, sacculectomy, and tonsillectomy.
- Improvement in nasopharyngeal dimensions was variable, with some dogs improving ≥45%, some worsening, and one dog showing a 100% increase post-op.
- Pharyngeal collapse may not be solely anatomical; neuromuscular dysfunction (e.g., reduced pharyngeal dilator muscle function) may contribute.
- Current surgical techniques may not address functional airway abnormalities, suggesting a need for multimodal or targeted interventions.
Veterinary Surgery
6
2022
Severity of nasopharyngeal collapse before and after corrective upper airway surgery in brachycephalic dogs
2022-6-VS-clarke-5
In Schneider 2025 et al., on axillary LN extirpation, what was the reported median dissection time for ALN removal alone?
🔍 Key Findings
- Lateral approach to ALN extirpation was successful in 100% of cases (44 dogs, 48 ALNs) with consistent anatomical landmarks (costochondral junction of rib 1 and caudal scapular edge).
- Median time for ALN removal was 16.6 minutes, highlighting a fast and efficient dissection method.
- No intraoperative complications were recorded (e.g., hemorrhage or inability to find the lymph node).
- Postoperative complications occurred in 18% of cases, including seromas (n=2), wound dehiscence (n=4), lameness (n=1), and discomfort (n=1).
- Histopathology revealed 56% of ALNs had tumor-related pathology, including overt metastases, early metastasis (HN2), or premetastatic changes (HN1).
- Normal-sized ALNs (<2 cm) still harbored metastases in 22% of cases, emphasizing the unreliability of size as a staging criterion.
- False negatives in cytology occurred in 4 cases, underlining the limitations of cytologic evaluation for staging.
- The technique was reproducible without specialized tools, suggesting wide applicability in general and referral practice.
Veterinary Surgery
6
2025
Axillary lymph node removal for staging cancer; description of a lateral approach and application in 44 tumor-bearing dogs
2025-6-VS-schneider-3
In Sherman 2023 et al., on minimally invasive ESF, what was the most common minor complication?
🔍 Key Findings
- 55 cases (49 dogs, 6 cats) with nonarticular tibial fractures were treated using linear ESF with a minimally invasive approach
- All fractures achieved radiographic union; no unacceptable outcomes were reported
- 40% complication rate, mostly minor (82%), primarily pin-tract morbidity; major complications (7%) included osteomyelitis and refracture
- Open fractures had significantly more major complications than closed ones (P = .019)
- Use of intraoperative imaging (72% cases) reduced surgery time but did not improve alignment (P > .05)
- Median surgery time: 74 min with imaging vs. 100 min without (P = .046)
- TPA was lower than normal in both dogs and cats, but did not correlate with poor outcomes
- 62% had full clinical recovery, and 38% had acceptable outcomes at fixator removal
Veterinary Surgery
2
2023
Linear external skeletal fixation applied in minimally invasive fashion for stabilization of nonarticular tibial fractures in dogs and cats
2023-2-VS-sherman-4
In Nash 2024 et al., on esophageal pH monitoring, how did proximal GER characteristics in nonbrachycephalic dogs compare to those in brachycephalic dogs?
🔍 Key Findings
- Esophageal pH-monitoring was well tolerated in all 35 nonbrachycephalic dogs, with no major adverse events reported.
- Distal GER occurred in 80% of dogs, but events were typically brief and non-productive; proximal GER occurred in only 39%.
- Upper reference limits for GER were 2.4 events/hour (distal) and 0.4 events/hour (proximal).
- Cumulative acid exposure was minimal: upper limits were 2.3% (distal) and 0% (proximal).
- Comparison with brachycephalic dogs shows significantly higher GER frequency and duration, validating the diagnostic utility of pH monitoring.
- Transnasal probe placement under light anesthesia was safe and less morbid compared to percutaneous or conscious techniques.
- No expelled or productive regurgitation occurred, despite some GER events, indicating efficient esophageal clearance in healthy dogs.
- Diet and fasting duration may affect GER, but these were not controlled variables in this study.
Veterinary Surgery
8
2024
Esophageal pH‐monitoring in nonbrachycephalic dogs: A reference
2024-8-VS-nash-5
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