🔍 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 Summary

• Population: 754 soft tissue or orthopedic procedures in dogs and cats
• SSI Rate: 62/754 (8.2%)
• Algorithms Evaluated:
  • Algorithm 1: Highest sensitivity (87.1%) → best for "rule-out"
  • Algorithm 2: Highest specificity (97.9%) → best for "rule-in"
  • Algorithm 3: Highest overall accuracy (95.5%)
• Active vs. Passive Surveillance:
  • Active surveillance detected 12 additional SSIs (19.4%) missed by passive
  • Active surveillance increased detection rate by 24%
• Timing: Most SSIs occurred within 30 days; late infections (after 90 days) were rare and implant-related
• Conclusion: Client questionnaires are a valid and scalable tool for SSI detection; active surveillance improves outcomes

🔍 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

• Overall survival to discharge: 107 of 132 dogs (81%)
• Quartile improvement: Survival increased steadily from 67% in Q1 to 91% in Q4
  • Q1: 22/33 survived
  • Q2: 27/33
  • Q3: 28/33
  • Q4: 30/33
• Statistical significance: Higher operative rank significantly associated with improved survival (p < .05)
• Median cross clamp time (XCT): 73 min (range 40–165), but increased again in Q4
• Fatalities (n=25) were often due to:
  • Failure to wean from CPB
  • Intracranial vascular events (stroke)
  • Intrathoracic hemorrhage
• Breed representation: CKCS (23.5%), Chihuahua (22%), Crossbreeds (21%)
• Stages of MMVD: Stage C (67%), Stage D (27%), Stage B2 (6%)
• Emphasis on deliberate multidisciplinary teamwork for outcome improvement
• Highlights importance of technical and non-technical team skills, procedural standardization, and consistent personnel

🔍 Key Findings

40 dogs underwent splenectomy using 16 bipolar vessel sealing devices (VSDs)
Devices were reused up to 4 times after handwashing and ethylene oxide (EtO) sterilization
Biologic debris was found in 100% of devices, specifically under the transection blade, even after a single use

• Mostly scant (14/16) or mild (2/16) debris

No devices or debris yielded positive aerobic culture after EtO sterilization
EtO sterilization proved microbiologically effective despite visible residue
Perioperative failure rate: 1 device (malfunctioned during first activation)

🔍 Key Findings

• 3D-printed patient-specific guides (PSGs) improved tibial cut alignment in the frontal plane compared to generic guides (mean error 1.03° vs 2.41°, p = .036).
• All tibial cuts using PSGs were within 3° of target alignment, while 2/8 of the generic group were outliers.
• PSGs significantly improved sagittal alignment of both distal (p = .018) and cranial (p = .043) femoral cuts.
• No significant difference was found in varus-valgus femoral alignment or closing angle between PSG and generic guide groups.
• Tibial sagittal slope alignment was not significantly different between groups.
• PSGs provided better intraoperative usability, including improved visibility, no loosening, and ease of use.
• Femoral sizing and component fit were equivalent between PSGs and generic guides, ensuring proper prosthesis alignment.
• PSGs may offer training advantages for novice surgeons, especially in anatomically complex or deformed joints.

🔍 Key Findings

• Liver lobectomy was the most common treatment (27/36 dogs), with multiple lobes removed in ~1/3 of cases.
• Septic peritonitis was present in 21/23 sampled dogs, making it a frequent complication.
• Perioperative complications occurred in 21/36 dogs, including aspiration pneumonia, pancreatitis, and acute kidney injury.
• Intraoperative hypotension was common (32/36), often requiring vasopressors or colloids.
• Mortality prior to discharge was 21% (8/38), with deaths related to sepsis, aspiration pneumonia, and multi-organ dysfunction.
• Median survival time was 638 days in dogs surviving to discharge.
• No recurrence of hepatic abscessation was observed in the surviving population.
• E. coli and Clostridium spp. were the most commonly cultured organisms, often as single-agent infections.

🔍 Key Findings

140 laparoscopic surgeons surveyed; 37% reported at least one musculoskeletal disorder.
Women had significantly higher odds of reporting WRMD (OR = 2.59, p = .011).
Smaller glove size significantly associated with WRMD (p = .001), shoulder tendonitis (p = .01), and neck strain (p = .001).
Most common injuries: Neck strain (35%), shoulder tendonitis (31%).
WRMD was associated with greater difficulty using:

• Rotating cup biopsy forceps (p < .001)
• Vessel sealing device and endo stapler (especially in those with shoulder injuries)

No significant association with surgeon age, dominant hand, height, weight, or case volume.

🔍 Key Findings

• 20.6% of dogs had a preoperative prolongation in PT or aPTT, but only 5.6% had both prolonged.
• Hemangiosarcoma was the only tumor type significantly associated with both PT and aPTT prolongation (37.5% of hemangiosarcoma cases, p < .001).
• Dogs with both PT and aPTT prolongations were 6.5× more likely to have emergency surgery (p < .001) and 2.5× more likely to have hemoabdomen (p = .0022).
• 60% of dogs with both PT and aPTT prolongation required blood transfusion (p < .001).
• Only 1.9% of all dogs had both PT and aPTT prolonged by >25%, suggesting limited clinical utility of routine PT/aPTT testing.
• Platelet count <50,000/μL was rare (1.5%) and not associated with PT/aPTT changes or transfusions.
• Routine PT/aPTT testing offers low diagnostic yield in elective liver lobectomy cases.
• Authors recommend case-by-case PT/aPTT screening, especially when hemangiosarcoma or bleeding tendencies are suspected.