🔍 Key Findings

• PCCLm resulted in significantly fewer postoperative lower urinary tract signs compared to OC (13.0% vs 60.9%, p <.001).
• Incomplete urolith removal was not significantly different between PCCLm and OC (11.4% vs 20%, p = .112).
• PCCLm had significantly shorter anesthesia times than OC when no concurrent procedures were performed (97.5 vs 120 min, p < .001).
• Surgical site infection/inflammation (SSII) rates were low and not significantly different between groups (4.5% PCCLm vs 1.8% OC).
• Dogs undergoing PCCLm were more frequently discharged same-day (84.7% vs 0% in OC), reflecting faster recovery.
• PCCLm had higher intraoperative complication rates (22.1% vs 3.4%), mostly due to incision extension or conversions.
• Time to additional surgery for urolith recurrence was longer in PCCLm dogs (24 vs 11.5 months, p = .004).
• Calcium oxalate uroliths were more prevalent in PCCLm cases, while OC had more struvite or mixed types.

🔍 Key Findings

• All four techniques achieved TPA <14°, meeting the threshold for acceptable surgical correction in eTPA cases.
• Group A (CBLO + CCWO) and Group D (PTNWO) showed highest accuracy in achieving target TPA values.
• Group B (TPLO + CCWO) resulted in significant tibial shortening compared to other techniques.
• Group A caused the greatest cranial mechanical axis shift, while Group B caused the least.
• Group C (mCCWO) resulted in consistent under-correction of TPA, despite aiming for 0°.
• Modified or neutral wedge osteotomies (Groups C and D) had minimal effect on tibial length, making them suitable when preservation is important.
• All techniques involved mechanical axis shifts, highlighting the importance of preoperative planning to minimize morphologic disruption.
• Supplemental fixation was standard for all procedures to reduce risks such as tibial tuberosity fracture and plateau leveling loss.

🔍 Key Findings

Source: Bush et al., 2023, Veterinary Surgery

• Median survival time (MST) after surgery was 1886 days, which is significantly longer than previously reported.
• Lymph node metastasis at surgery was a negative prognostic factor, reducing MST to 248 days (vs. 2340 days without nodal involvement).
• Local recurrence occurred in 42% of dogs, with a median disease-free interval (DFI) of 191 days.
• Metastatic disease occurred in 32% of dogs, most commonly to the lungs, with a median DFI of 299 days.
• Histologic features (e.g., margin status, capsular, lymphatic, or vascular invasion) were not significantly correlated with recurrence or metastasis.
• Facial nerve injury occurred in 9.7% perioperatively, especially after parotidectomy; intraoperative facial nerve transection led to long-term deficits.
• Adjuvant therapies (chemotherapy, radiation, NSAIDs) did not significantly affect survival time.
• Incisional biopsy was only 38% concordant with final excisional histology, suggesting limited reliability for definitive diagnosis.

🔍 Key Findings

• TEA significantly increased the rima glottis area (RGA) from a mean of 0.52 cm³ to 0.78 cm³ (p < .0001)
• Mean RGA increased by 157%, equivalent to an 84% estimated decrease in airway resistance
• LEGS (laryngeal epiglottic-glottic seal) remained intact in all cadavers post-procedure, indicating maintained airway protection
• TEA was technically feasible in all 15 cadaveric dogs using a custom endoscopic gag port (EGP)
• TEA avoids cervical dissection, potentially reducing surgical trauma and risks compared to UAL (unilateral arytenoid lateralization)
• Compared to UAL, TEA showed slightly less RGA increase, but greater LEGS preservation, potentially reducing aspiration risk
• No cartilage was included in sutures; arytenopexy involved soft tissue fixation to pharyngeal wall across the piriform recess
• Cadaver model limitations include inability to assess functional outcomes like swallowing and respiratory motion impact

🔍 Key Findings

• Surgeons with smaller glove sizes experienced more difficulty using laparoscopic instruments, especially endoscopic staplers, cup biopsy forceps, and vessel sealing devices.
• Endoscopic stapler was rated the most difficult instrument, with a median difficulty score of 4/10 and 25% usage difficulty.
• Female surgeons reported significantly more difficulty with several instruments due to smaller glove size.
• Reusable instruments were preferred over disposable ones for all tasks.
• Pistol grips were preferred for grasping/retracting and fine dissection, while axial grips were preferred for suturing/knot tying.
• Articulating handles were consistently associated with increased reported difficulty, especially with scissors and cup biopsy forceps.
• Left-handed surgeons had more difficulty operating endoscopic staplers, suggesting limited design inclusivity.
• Surgeons in academic settings reported more difficulty with laparoscopic maneuvers than those in private practice.

🔍 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:

• Design: Ex vivo study with 24 paired limbs from normal beagle dogs.
• Osteotomy types (3 groups):
  1. 30° uniplanar frontal wedge
  2. Oblique (30° frontal, 15° sagittal)
  3. Single oblique (30° frontal, 15° sagittal, 30° external rotation)
• Comparison: 3D PSG vs Freehand (FH)
• Main Outcomes:
  • PSG accuracy: Mean angular deviation = 2.8° vs 6.4° in FH (p < .001).
  • 84% of PSG osteotomies were within 5° of target vs 50% of FH.
• Significant improvements with PSG in:
  • Group 1 (uniplanar frontal) proximal and distal frontal planes (p < .001, .006)
  • Group 3 (SOO) frontal and sagittal planes (p = .002, .043)
• Time: PSG faster in complex SOO group (84s vs 162s, p < .001); no difference in others.
• No difference in osteotomy location (mm) between methods.
• Clinical relevance: PSG more consistent and accurate, especially for complex cuts.

🔍 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

• 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.

🔍 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.