← Articles

Adair et al: Retrospective comparison of modified percutaneous cystolithotomy (PCCLm) and traditional open cystotomy (OC) in dogs: 218 cases (2010–2019)
Veterinary Surgery 6, 2023

🔍 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 similar between PCCLm (11.4%) and OC (20.0%), not statistically significant
  • Anesthesia time was significantly shorter in PCCLm (p < .001), although surgery time was not
  • PCCLm had shorter hospitalization time than OC (median 0 vs 18 hours, p < .001)
  • PCCLm patients were more likely to be discharged the same day (84.7% vs 0%)
  • Surgical site infection/inflammation (SSII) was low in both, with no significant difference (PCCLm: 4.5%, OC: 1.8%)
  • Incision extension in PCCLm significantly increased SSII risk (OR = 18.76, p = .027)
  • More intraoperative complications occurred with PCCLm, though most were minor (22.1% vs 3.4%, p = .021)

Simini Surgery Review Podcast

How critical is this paper for crushing the Boards?

🚨 Must-know. I’d bet on seeing this.

📚 Useful background, not must-know.

💤 Skip it. Doubt it’ll ever show up.

Thanks for the feedback!
‍We'll keep fine-tuning the articles vault.
Oops — didn’t go through.
‍Mind trying that again?
← Articles

Adair et al: Retrospective comparison of modified percutaneous cystolithotomy (PCCLm) and traditional open cystotomy (OC) in dogs: 218 cases (2010–2019)
Veterinary Surgery 6, 2023

🔍 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 similar between PCCLm (11.4%) and OC (20.0%), not statistically significant
  • Anesthesia time was significantly shorter in PCCLm (p < .001), although surgery time was not
  • PCCLm had shorter hospitalization time than OC (median 0 vs 18 hours, p < .001)
  • PCCLm patients were more likely to be discharged the same day (84.7% vs 0%)
  • Surgical site infection/inflammation (SSII) was low in both, with no significant difference (PCCLm: 4.5%, OC: 1.8%)
  • Incision extension in PCCLm significantly increased SSII risk (OR = 18.76, p = .027)
  • More intraoperative complications occurred with PCCLm, though most were minor (22.1% vs 3.4%, p = .021)

Simini Surgery Review Podcast

Join Now to Access Key Summaries to more Veterinary Surgery Articles!
Log InSign Up

Multiple Choice Questions on this study

In Adair 2023 et al., on urolith removal techniques, which intraoperative factor was significantly associated with increased SSII in PCCLm dogs?

A. Bladder distension
B. Urethral flushing
C. Incision extension
D. Cystoscope use
E. Urolith count

Answer: Incision extension

Explanation: Incision extension to improve exposure in PCCLm was associated with increased risk of SSII (OR = 18.76, p = .027).
In Adair 2023 et al., on urolith removal techniques, which outcome was significantly reduced in dogs undergoing PCCLm compared to OC?

A. Postoperative infection rates
B. Incomplete urolith removal
C. Postoperative lower urinary tract signs
D. Anesthesia duration
E. Surgery time

Answer: Postoperative lower urinary tract signs

Explanation: PCCLm resulted in significantly fewer postoperative lower urinary tract signs compared to OC (13.0% vs 60.9%, p < .001).
In Adair 2023 et al., on urolith removal techniques, which statement about anesthesia and surgery times is accurate?

A. PCCLm had longer anesthesia and surgery times than OC
B. PCCLm and OC had equal anesthesia and surgery times
C. PCCLm had shorter surgery but longer anesthesia times
D. PCCLm had shorter anesthesia time but similar surgery time
E. PCCLm had longer anesthesia time but shorter surgery time

Answer: PCCLm had shorter anesthesia time but similar surgery time

Explanation: Anesthesia time was significantly shorter in PCCLm; surgery time did not differ significantly.
In Adair 2023 et al., on urolith removal techniques, what was the approximate percentage of dogs discharged the same day after PCCLm?

A. 5%
B. 30%
C. 55%
D. 85%
E. 100%

Answer: 85%

Explanation: 84.7% of PCCLm dogs were discharged same-day vs none in the OC group.
In Adair 2023 et al., on urolith removal techniques, what was the conversion rate from PCCLm to OC?

A. 0%
B. 1%
C. 4%
D. 10%
E. 15%

Answer: 4%

Explanation: 5 of 131 PCCLm cases (3.8%) were converted to OC due to urolith burden or complications.

Elevate Your Infection Control Protocol

Implement Simini Protect Lavage for superior, clinically-proven post-operative skin antisepsis and reduced infection risk.

Start Your Free Trial TodayStart Your Free Trial

Review More Key Summaries from this Veterinary Surgery Journal Issue

Scheuermann

 et al: 

Virtual surgical planning and use of a 3D‐printed, patient‐specific reduction system for minimally invasive plate osteosynthesis of diaphyseal tibial fractures in dogs: A historic case control study

Fidelis

 et al: 

Effect of suture anchor type, eyelet configuration, and loading condition on suture failure: An in vitro study

Buote

 et al: 

Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats

Scheuermann

 et al: 

Efficacy of virtual surgical planning and a three‐dimensional‐printed surgical guide for canine segmental mandibular reconstruction in a cadaver model

Davey

 et al: 

Outcomes of dogs with apocrine gland anal sac adenocarcinoma treated via modified closed anal sacculectomy (2015–2022)