🔍 Key Findings

• Cholelithiasis was the most common indication for cholecystectomy in cats.
• Perioperative complications were frequent, with intraoperative hypotension in all recorded cases and postoperative anemia in 14 cats.
• Perioperative mortality was 21.7%, lower than historical rates for feline biliary surgery.
• 78.3% of cats survived to discharge, and 83.3% of those lived >6 months; 44.4% survived >3 years.
• Vomiting was the most common short- and long-term complication, though most cats were medically managed.
• Concurrent EHBDO was not a contraindication provided CBD patency was restored.
• Positive bacterial cultures were found in 15 cats, with E. coli and Enterococcus faecalis most common.
• Owner-reported outcomes were excellent in all cats that survived long-term.

🔍 Key Findings

• Survival rates did not differ between immediate (90 min) and delayed (≥5 h) surgical stabilization groups at discharge or 1-month post-op (approx. 80% survival in both).
• Hyperlactatemia at 24 hours post-fluid therapy was significantly associated with in-hospital and 1-month mortality (P = .01 and P = .02).
• Persistent tachycardia during hospitalization was linked to increased 1-month mortality (P = .015).
• Partial gastrectomy was required in ~6–10% of cases, with high associated mortality.
• Preoperative stabilization protocols (trocarization, nasogastric tube) allowed safe surgical delays up to 13.7 hours without impacting survival.
• Degree of gastric torsion differed between groups; more 0° torsions in delayed cases, potentially due to decompression-induced derotation.
• No difference in post-op complications such as arrhythmias, hypotension, or AKI between groups.
• More intra-anesthetic deaths occurred in immediate surgery group, highlighting importance of adequate pre-op stabilization.

🔍 Key Findings

• 12.5% overall incidence of SSI after limb amputation, and 10.9% for clean procedures.
• Bipolar vessel sealing device use for muscle transection significantly increased SSI risk (OR 2.5; P = .023).
• Monopolar electrosurgery and sharp transection were not associated with increased SSI risk.
• Non-clean wound classification increased SSI odds (OR 8.2; P = .003).
• Amputation for infection (OR 5.7) or trauma (OR 4.5) significantly increased SSI risk compared to neoplasia.
• Preoperative infections at distant sites did not significantly increase SSI risk.
• Neither surgery/anesthesia duration, hypothermia, hypotension, nor skin closure method significantly affected SSI risk.
• Study supports avoiding bipolar sealing devices for muscle transection in limb amputations to reduce SSI risk.

🔍 Key Findings Summary

• Subjects: 11 animals (8 dogs, 3 cats)
• Technique: Uncovered balloon-expandable metallic biliary stents (BEMBS)
• Indications: Cholelithiasis, strictures, neoplasia, cholangiohepatitis, etc.
• Success: Patency achieved in all animals surviving to discharge
• Complications:
  • Short-term mortality: 2/11 (1 euthanized for SIRS, 1 unknown)
  • Long-term issues: cholangiohepatitis, choledocholithiasis, stent occlusion (in cats only)
• Long-term patency:
  • Dogs: median 650.5 days
  • Cats: median 446 days
• Stent removal possible even after >600 days in some cats
• Clinical outcome: Viable alternative to plastic stents or cholecystoenterostomy

🔍 Key Findings

• 65% of stifles with patella luxation and intact CCLs had increased radiographic soft tissue opacity
• Weight and radiographic OA were significantly associated with increased opacity (p = .0029 and p = .0143)
• Each 1 kg increase in weight increased the odds of opacity by 10%
• Grade of patella luxation, age, and muscle atrophy were not significantly associated with increased opacity
• 19% of dogs with long-term follow-up developed a CCL rupture post-patella surgery, 50% of those had opacity at initial presentation
• Radiographic opacity alone should not be interpreted as CCL disease in dogs with patella luxation
• Radiographic findings likely represent effusion or synovial hyperplasia, not CCL pathology
• Arthrotomy was used to confirm CCL integrity at surgery, but arthroscopy could provide better sensitivity

🔍 Key Findings

Study Design: Case series of 8 dogs with confirmed or suspected PJI after total hip replacement (THR)
Dogs were categorized into:

• Curative intent (CI) group (n=5): short-duration infections, implant retention attempted
• Non-curative intent (NCI) group (n=3): chronic infections, implants scheduled for removal or revision

Success Rate: 7 of 8 dogs had infection resolution, including 4 of 5 in the CI group
Sampling sensitivity:

• Arthroscopic culture success was 80% in the CI group but only 33% in the NCI group
• All explanted implants from NCI group yielded positive cultures

Common isolates: Staphylococcus pseudointermedius (including MRSP), S. epidermidis, Stenotrophomonas maltophilia, and E. coli
Ancillary treatments included:

• Partial synovectomy, high-volume lavage (5–10 L), biofilm-depleting lavage, and/or amikacin-impregnated calcium sulfate beads

Mean follow-up: >1 year (mean 812 days); no signs of recurrence in successfully treated cases
Conclusions: Arthroscopic management of THR infections is feasible and effective in appropriately selected dogs. Success aligns with human literature when infection type is favorable (Type 1, 3, 4). Sensitivity of arthroscopic culture is higher in early/acute infections.

🔍 Key Findings

• Chlorhexidine-based asepsis protocols were comparable to povidone-iodine for reducing surgical site infection (SSI) rates in veterinary surgery.
• No significant difference in skin bacterial colonization was observed between the two antiseptics, at both immediate and delayed timepoints.
• Chlorhexidine-alcohol protocols showed a non-significant trend toward improved bacterial reduction in some studies, though inconsistent across all studies.
• Use of neutralizing agents was inconsistent, which may have led to overestimation of antiseptic efficacy in several studies.
• Formulations and concentrations varied widely (e.g., chlorhexidine 0.5–4%, povidone-iodine 0.7–1%), contributing to heterogeneity and limiting definitive conclusions.
• Only a minority of studies reported using CDC criteria for SSI diagnosis, affecting the reliability of infection outcomes.
• Risk of bias was high or unclear in multiple domains across all included studies, limiting overall confidence in conclusions.
• Meta-analysis confirmed no statistically significant superiority of either protocol for SSI prevention or skin bacterial reduction.

🔍 Key Findings

• SVAPs placed in axillary (aSVAP) or femoral/external iliac veins (fSVAP) during limb amputation remained functional in 92.3% and 100% of cases, respectively.
• Complication rates were lower in aSVAP (23.1%) and fSVAP (0%) compared to jSVAP (47.4%), although not statistically significant (P = .12).
• No catastrophic complications occurred with aSVAP or fSVAP; 2 deaths occurred with jSVAP due to port-related issues.
• Infection-related port removal was needed in 1 aSVAP (7.7%) and 2 jSVAPs (10.5%) — no removals were required in fSVAPs.
• Tip placement of the catheter (e.g., right atrium vs. vena cava) did not correlate with complications (P = .66).
• Shorter surgical time likely with aSVAP/fSVAP as they use the same surgical field as the limb amputation.
• Survival time median was similar across groups (jSVAP: 177 days, aSVAP: 125 days, fSVAP: 122 days).
• SVAP implantation during limb amputation offers a practical and safe alternative to separate jugular placement.

🔍 Key Findings

• Prophylactic fenestration (PF) significantly reduced recurrence of cervical intervertebral disc extrusion (0% vs. 37.8%, p < .001).
• Surgery time was longer with PF (median 182 vs. 110 min, p = .017), but no difference in perioperative complication rates (PF 16.7%, non-PF 18.9%; p = .838).
• 25% overall recurrence rate, but all recurrences occurred in the non-PF group.
• Medical management was effective in 92.9% of recurrence cases.
• Most PF sites targeted adjacent discs; 88.9% were at adjacent levels, which are common recurrence sites.
• Neurologic outcomes were similar between PF and non-PF dogs post-surgery and at follow-up.
• Fenestration technique (blade vs. burr) not shown to affect outcome but contributed to extended surgical time.
• No major complications or deaths linked directly to PF in initial surgeries.

🔍 Key Findings Summary

• Finite element analysis compared intact radii vs. locking plates placed 1 mm or 3 mm above the bone
• LP placement significantly reduced tensile (maximum principal) stress on cranial cortex, potentially causing implant-induced osteoporosis
• Shell element findings:
  • Max principal stress significantly lower in both LP groups vs. intact (p < 0.05)
• Solid element findings:
  • Equivalent stress higher and max principal stress lower in LP groups
• Implication: Tension reduction may impair bone remodeling; implant design and placement height affect stress environment