🔍 Key Findings

• Modified Heller myotomy with Dor fundoplication improved vomiting/regurgitation scores by 180%, QoL by 100%, and owner-perceived body weight by 63% (P < .05).
• 6 of 9 dogs with postoperative VFSS showed objective improvement in gastric filling scores; others remained stable.
• Oral sildenafil was discontinued postoperatively in all dogs, indicating surgical success comparable to medical management.
• 12 of 13 dogs survived to discharge; one dog was euthanized due to aspiration pneumonia postoperatively.
• 50% of dogs experienced gastrostomy tube complications, higher than reported in previous literature.
• Most complications were gastrostomy-tube related, with some requiring surgical correction (e.g., tube migration, leakage).
• Feeding strategies (Bailey chair, elevated bowls) and food consistency (gruel/liquid) remained essential postoperatively to control regurgitation.
• 9 of 11 owners would opt for the surgery again; those who wouldn’t cited risk or lack of efficacy.

🔍 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

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

• 67.9% of respondents reported using SSCs, with most indicating frequent use (64% used in every surgery).
• 78.7% agreed SSCs reduce complications, and 89.6% believed SSCs improve communication.
• Respondents not using SSCs were more likely to view them as a waste of time (p < .001).
• Forgetfulness (39.6%) and time constraints (36.5%) were leading reasons for checklist noncompletion.
• Only 23.3% had SSC training during surgical residency, with newer diplomates more likely to have had exposure (p < .001).
• Key strategies to improve uptake included: staff feedback modifications (67.9%), formal designation of initiator (48.6%), and training (52.2%).
• Surgeons and OR staff were most commonly identified as noncompliant team members.
• SSC use was more frequent in small animal practices, and mandating SSCs by management was favored but not always effective alone.

🔍 Key Findings

• Short-term resolution of hypercalcemia occurred in 97.8% (44/45) of dogs.
• Long-term cure rate was 93.3%, comparable to traditional bilateral neck exploration.
• Postoperative hypocalcemia was observed in only 15.6%, which is lower than traditional approaches (36–63.8%).
• Permanent hypocalcemia occurred in 4.4%, requiring lifelong calcitriol supplementation.
• Minimally invasive approach had median surgical times of 26 min (unilateral) and 45.5 min (bilateral).
• Most lesions were adenomas (54.8%), followed by hyperplasia (27.4%) and carcinomas (3.2%).
• Ultrasound identified 98.4% (61/62) of abnormal glands, supporting it as the preferred imaging modality.
• One death due to non-compliance with calcitriol, emphasizing importance of postoperative management.

🔍 Key Findings

• Proximal BODPUOs (closer to 26–28% of ulna length) resulted in greater increases in proximal ulna tilt postoperatively (up to 18°).
• Distal osteotomies (closer to 48–49%) yielded minimal change in ulna angle.
• Strong linear relationship between osteotomy location and change in angle; correlation coefficient = 0.73.
• Initial proximal ulna angle (IPUA) influences results—angles closer to 90° yielded greater changes.
• Craniocaudal osteotomy angle had minimal impact on tilt change after adjusting for location.
• Osteotomy length had no significant effect on change in angle.
• Prediction intervals showed wide individual variation in outcomes, especially with more proximal osteotomies.
• No increase in complications was associated with more proximal osteotomies, contrary to past assumptions.

🔍 Key Findings

• Needle arthroscopy (NA) had 95% sensitivity and 100% specificity for diagnosing medial meniscal tears in dogs with CCLR.
• NA missed 1 medial and 1 lateral meniscal tear, both nondisplaced and stable.
• Visibility of all meniscal horns was significantly lower with NA compared to standard arthroscopy (SA) (P < .005 for all horns).
• Probing the caudal horn of the lateral meniscus was significantly more difficult with NA (P = .0017), though medial horn probing was similar.
• Mean NA procedure time was 8 ± 3 minutes, significantly shorter than SA (15 ± 9 min, P = .0041).
• No increase in lameness observed after NA, indicating minimal procedural morbidity.
• NA was performed under sedation in most dogs, though 10/26 required additional chemical restraint or short anesthesia.
• NA was most accurate for displaced vertical longitudinal tears, with all 14 correctly identified; one stable tear and a lateral tear were missed.

🔍 Key Findings Summary

• F + P (forceps + plate compression) achieved the most uniform, high-pressure distribution across all quadrants.
• Kern forceps alone concentrated force in craniomedial quadrant, reducing caudal compression.
• Combining Kern + F improved craniolateral compression but did not restore caudal compression.
• Plate compression alone yielded caudal bias, not uniform pressure.
• Significant inter-method variation in quadrant-specific compression confirmed via ANOVA (p < 0.001 for all quadrants).

🔍 Key Findings

• Tibial plateau fractures (TPF) are rare in dogs, but can be surgically stabilized with good outcomes even in complex trauma cases.
• Lateral TPFs (Unger type 41-B1) were approached via caudolateral arthrotomy, with elevation of the lateral meniscus for visualization and use of lag screws and K-wires for fixation.
• Medial TPF (Unger type 41-B2) was addressed via medial parapatellar approach using K-wires and a figure-of-eight tension band.
• One minor complication occurred: implant yield at 2 weeks in a case with a concurrent fibular fracture, resulting in a 0.8 mm step defect.
• No major complications were recorded, and all dogs achieved clinical union with full function by 8–10 weeks.
• Long-term owner-reported outcomes (LOAD scores) were excellent (5/52), indicating minimal osteoarthritis or chronic pain.
• Concurrent fibular fractures may increase risk of implant failure and should influence implant selection (e.g., considering buttress plating).
• Arthroscopic-assisted techniques may be applicable in select cases, but open reduction was preferred due to fragment displacement or concurrent injuries.

🔍 Key Findings

• No difference in initial leak pressure (ILP) or maximum intraluminal pressure (MIP) between cooled (17–29 h) and fresh enterotomy constructs.
• Wall thickness of duodenum and jejunum did not differ between fresh and cooled samples.
• Leak locations (suture holes vs clamp sites) were similar between groups; not statistically different.
• Volume of infusion did not influence ILP or MIP outcomes.
• Mean ILP values: Control = 600 mmHg (maxed), Fresh = 200 mmHg, Cooled = 131 mmHg; CE vs FE difference was not significant.
• Intraluminal diameter was largest in the ileum, followed by jejunum and duodenum.
• Cadaveric intestine cooled ≤29h may be reliably used in ex vivo feline leak pressure studies.
• First report of gross small intestinal lengths by region in cats—useful for resection planning.