🔍 Key Findings

• 40 dogs with congenital EHPSS were surgically treated using intraoperative transsplenic injection of agitated saline (TIAS) to assess full temporary occlusion.
• TIAS was successful in 38/40 dogs; the remaining 2 had additional shunting vessels not originally seen and required further identification/ligation.
• No intraoperative or postoperative complications occurred.
• TIAS allowed real-time confirmation of attenuation success using ultrasound-visible microbubbles.
• Median postoperative bile acids were 5 μmol/L (preprandial) and 25 μmol/L (postprandial).
• Long-term outcomes: 29/39 dogs had excellent, 10/39 had good outcomes; 3 dogs died unrelated to EHPSS.
• Technique is presented as a safe, quick, low-cost, accessible intraoperative assessment alternative to IOMP or SP.

🔍 Key Findings

• 15 dogs underwent minimally invasive tarsal arthrodesis (MITA); 10 partial, 5 pantarsal.
• Mean time to radiographic union: 1.8 ± 0.5 months.
• Mean time to clinical union: 3.7 ± 0.8 months.
• Complete osseous union: 46%; the rest achieved ≥50% with functional weightbearing.
• Complication rate: 26% major (mostly implant-related); no catastrophic complications or plantar necrosis.
• Functional outcomes: 6 full, 8 acceptable, 1 unacceptable (not due to MITA).
• MITA may lower soft tissue complications vs open approaches and enable faster healing.

🔍 Key Findings

• WMg (water manometer with gauge) was the most accurate and precise pressure measurement device.
• APT (arterial pressure transducer) was less accurate than WMg but still precise; it differed significantly from the gold standard (WMr).
• CCT (Compass CT) was the least accurate and precise and differed significantly from the set pressure.
• Mean differences from set pressure were smallest for WMg (−0.020 cm H2O), moderate for APT (−0.390 cm H2O), and largest for CCT (−1.267 cm H2O).
• All devices showed excellent interobserver (ICC = 1.000) and intraobserver agreement (ICC range 0.985–0.998).
• Even though the CCT performed least well, all devices had mean errors ≤1.3 cm H2O, indicating potential clinical utility.
• WMg or WMr should be preferred in surgical settings due to superior accuracy and precision.
• Measurement precision is more critical than accuracy during PSS surgery, as a 1 mm Hg (~1.3 cm H2O) increase in portal pressure raises odds of poor outcomes by 9%.

🔍 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

Increased risk with gonadectomy:

• Pooled OR for CrCLD:
  • Females: 2.29 (95% CI: 1.77–2.95)
  • Males: 2.12 (95% CI: 1.67–2.69)

Early gonadectomy (≤1 year) further increased risk:

• OR vs >1 year:
  • Females: 3.39
  • Males: 3.13

Late gonadectomy (>1 year) had no significant difference vs intact dogs.

Breed-specific findings:

• Female Labradors: No increased CrCLD risk from gonadectomy (OR = 1.19; 95% CI: 0.54–2.64)
• Male Labradors: Increased risk persisted (OR = 2.13; 95% CI: 1.53–2.98)

Study type: Systematic review + meta-analysis of 24 observational studies (n = 1.85 million dogs)

🔍 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.

🔍 Key Findings

• 3D-printed patient-specific guides (PSGs) significantly improved accuracy of drill hole entry (p < 0.001) and exit (p = 0.044) compared to commercial aiming devices (AD).
• Zero joint penetrations occurred with PSGs, whereas 3 of 7 AD-guided screws were predicted to penetrate the joint (p = 0.19).
• Variance in exit point and drill angle was significantly lower in PSG group, suggesting more consistent results.
• One PSG case failed due to improper guide seating, but this was corrected with improved soft tissue clearance.
• PSGs enabled safer trajectories despite use by novice surgeons, emphasizing their value in less experienced hands.
• Drill holes placed with ADs deviated more cranially and distally, increasing the risk of articular violation.
• Use of PSGs allowed for tighter clustering of drill trajectories, especially in the cranial–caudal axis.
• Subjective feedback favored PSGs for ease of use and ergonomic design, despite requiring slightly larger incisions.

🔍 Key Findings

• TPLO mRUST scoring showed improved inter-rater reliability (ICC = 0.56) compared to subjective evaluation (Kappa = 0.33).
• Intra-rater reliability was similar for both methods (TPLO mRUST: 0.73, subjective: 0.72).
• TPLO mRUST scores ≥10/12 strongly correlated with radiographic union, as subjectively assessed (99% agreement).
• No significant difference in healing between first and second TPLO sides (P = .09), countering assumptions about load-bearing impact.
• Higher initial lameness scores and younger age were associated with higher TPLO mRUST scores, suggesting more robust healing in those groups.
• Postoperative complications were linked to lower TPLO mRUST scores, indicating impaired healing.
• Medial cortex was excluded from scoring due to plate obstruction, validating use of only 3 cortices for scoring.
• The TPLO mRUST system may standardize healing assessment, reducing subjective bias across specialties.

🔍 Key Findings

• FFP resulted in longer median surgery (75 min) and anesthesia (111 min) durations than S (51 min and 80 min, respectively).
• No significant difference in anesthetic complications, regurgitation, aspiration pneumonia, or hospitalization time between S and FFP.
• Major complications were rare (4%) and equally distributed between procedures; included tracheostomy and euthanasia due to severe airway disease.
• Postoperative oxygen use was common (52% of dogs) but not significantly different between procedures.
• FFP dogs more often had laryngeal collapse (especially Grade 1: 68% vs. 32% in S dogs).
• Most dogs (85%) had concurrent nares surgery, with caudal wedge resection more frequent in FFP dogs.
• Few dogs needed revision soft palate surgery (7/124 total); similar between groups.
• Postoperative clinical signs improved across both procedures; regurgitation was the most persistent sign post-op.

🔍 Key Findings

• Telovelar approach enabled complete resection of a fourth ventricle choroid plexus tumor in a dog without postoperative complications.
• Postoperative MRI confirmed gross total tumor removal, and the dog remained neurologically normal 28 months post-surgery.
• The tela choroidea was used as a surgical landmark and incised to allow atraumatic access to the tumor.
• Cerebellum was spared using this technique, minimizing risk of cerebellar injury (e.g., cerebellar mutism).
• No hemorrhagic complications were noted during surgery due to dissection through avascular planes.
• Histopathology favored choroid plexus carcinoma based on mitotic index (9/10 HPFs), though definitive diagnosis remained pending.
• The case highlights the utility of telovelar over transvermian approach, given its minimally traumatic nature and improved exposure.
• Survival beyond 2 years without adjunctive therapy suggests surgical excision alone may be curative in select cases.