🔍 Key Findings

• 63 dogs ≥15 kg with single EHPSS were reviewed.
• Most common breeds: Golden Retriever (28.6%), mixed breed (20.6%).
• Most common shunt types: splenocaval (25.4%) and portocaval (25.4%).
• 45 dogs received surgical attenuation; 18 were medically managed.
• 6.7% (3/45) of surgically treated dogs died due to shunt-related complications; 22.2% (4/18) of medically managed dogs died.
• Hypoplastic portal vein was noted in 52.9% of dogs where portal anatomy was described.
• 37.5% of surviving attenuated dogs were weaned off all medical management.
• Attenuated dogs had higher 1-, 2-, and 5-year survival rates (89%, 77%, 77%) than nonattenuated dogs (82%, 49%, 24%).

🔍 Key Findings

• Laparoscopic pancreatic mass resection (LPMR) was successfully performed in all 12 dogs, with no conversion to open laparotomy required.
• Median operative time was 69 minutes (range 35–100 min); 11/12 dogs were discharged within 48 hours, and one was discharged after 7 days.
• No major intraoperative complications occurred; minor complications included mild bleeding (2/12) and cannula malfunction (1/12).
• All dogs survived the procedure and were discharged.
• Histopathology confirmed neoplasia in all dogs: 9 insulinomas and 3 pancreatic carcinomas; all tumors were completely excised with clear margins.
• No recurrences were reported; 3 dogs died of unrelated causes, and 9 were still alive at the time of reporting.
• No postoperative hypoglycemia was observed; 1 dog had transient hyperglycemia, and minor complications included vomiting, idiopathic seizures, and pancreatitis, all of which resolved.
• Authors concluded that LPMR is a safe, effective, and minimally invasive alternative to open surgery for selected distal pancreatic masses in dogs.

🔍 Key Findings

• Flushing the common bile duct (CBD) during cholecystectomy did not result in improved hepatobiliary markers compared to no flushing.
• Cholecystectomy alone significantly reduced ALP, ALT, GGT, bilirubin, and cholesterol 3 days postoperatively (p < .05 for all).
• Survival to discharge was 90.3%, with no survival difference between flushed and non-flushed groups.
• Postoperative pancreatitis occurred in 12.9% of dogs, evenly distributed between groups, suggesting flushing did not increase risk.
• Most common complication was regurgitation (29%), not significantly different between groups.
• Free abdominal fluid had low sensitivity (29%) but moderate specificity (73%) for gallbladder rupture.
• No difference in duration of hospitalization or postoperative complications between groups.
• Gallbladder rupture rate was 12.9%, lower than previously reported in literature.

🔍 Key Findings

• FGPP (fluoroscopic-guided percutaneous pinning) resulted in successful healing in 10/13 fractures, with good limb function.
• Complications occurred in 5 of 11 cases, including intra-articular implants, malunion, implant failure/nonunion, and implant migration.
• Cases with delayed surgery (>15 days) or radiographic remodeling were more likely to experience major complications.
• Most fractures (10/13) were classified as Salter-Harris type I with mild displacement.
• Median surgical time was 60 minutes, and no conversions to open surgery were needed.
• Postoperative femoral neck resorption was minimal, suggesting possible benefits of the minimally invasive approach for preserving vascular supply.
• One intra-articular pin led to progressive joint disease and required femoral head ostectomy.
• FGPP appears best suited for acute, minimally displaced fractures in young dogs (<8 months) with planned elective explant to avoid growth disturbance.

🔍 Key Findings

Case 1: Chest wall lift improved oxygenation (PaO₂ increased from 179.4 to 306.3 mmHg) and enabled thoracoscopic-assisted lobectomy in a cat with pleural effusion and pulmonary carcinoma.
Case 2: Chest wall lift using a Steinmann pin allowed 3-port thoracoscopic lobectomy for a bronchial foreign body; no complications observed.
Both cats: Lift increased working space and eliminated need for thoracotomy; no device-related complications.
Pretied ligating loops (PLL) were effective for hilar vessel ligation—preferred over staplers or self-locking ligatures in feline thorax.
Conclusion: Thoracic lift is a novel, minimally invasive method enhancing thoracoscopic procedures in small patients, particularly cats.

🔍 Key Findings

• CBLO was effective for stifle stabilization in skeletally immature dogs with CrCL injuries, avoiding disruption of proximal tibial growth plates.
• Radiographic union of the osteotomy occurred in a mean of 6 weeks (range: 4–8 weeks), indicating rapid bone healing.
• Full limb function was restored in all cases by long-term follow-up (mean 23 months), including dogs with initial complications.
• Two dogs developed 19° valgus deformities due to screw interference with the proximal tibial physis; both were corrected surgically with return to function.
• One dog developed 10° recurvatum due to over-rotation of the tibial plateau, but retained full function without revision.
• CCS (countersink compression screw) caused early apophyseal closure in older dogs but had no adverse clinical effects.
• In contrast, K-wire or plate-only fixation preserved open apophysis, suggesting implant choice may influence growth.
• No meniscal injuries were observed, and all CrCL injuries were managed arthroscopically — 6 complete, 6 partial, 4 avulsions.

🔍 Key Findings

• Use of smoke evacuators reduced ultrafine particle concentrations by 56.4% during approach to the proximal tibia for TPLO in dogs.
• Mean intraoperative particle concentrations were significantly higher in surgeries without smoke evacuation (1352 ppc vs. 763 ppc, P < .0001).
• Maximum particle concentrations were six times higher without smoke evacuation (62,450 ppc vs. 10,100 ppc, P < .0001).
• Particle counts increased above baseline regardless of evacuator use, confirming electrosurgery contributes substantially to airborne particles.
• Surgeons noted reduced odor and health concerns when using the smoke evacuator, despite initial visibility limitations due to pencil attachment.
• Standard surgical masks do not protect against ultrafine particles, underscoring the importance of smoke mitigation systems.
• The smoke-evacuation unit did not eliminate all ultrafine particles, suggesting optimization (e.g., higher power setting) may be beneficial.
• This is the first clinical veterinary study to measure surgical smoke reduction using evacuators during TPLO.

🔍 Key Findings

• LAER was effective (partial or complete) in 35/40 cases, regardless of FB location or type.
• Intestinal wall damage significantly increased the likelihood of conversion to enterotomy (p = .043).
• LAER led to significantly shorter hospitalization (median 48 h vs 72 h; p = .006).
• Patients in the LAER group required less postoperative analgesia (median 36 h vs 48 h; p < .001).
• Faster return to spontaneous feeding was seen in LAER group (median 24 h vs 36 h; p = .012).
• No significant difference in complication rate or postoperative ileus between LAER and enterotomy groups.
• Sharp, linear, or multiple FBs did not significantly affect LAER effectiveness.
• Conversion to surgery was required in 5/40 LAER attempts, mostly due to immovable FBs or intestinal damage.

🔍 Key Findings

• CBLO reduced tibial plateau angle (TPA) from a mean of 28.1° to 9.7°, aligning with its goal of flattening the tibial slope.
• CBLO eliminated cranial tibial translation (CTT) following CCL transection and meniscal release at all angles except 140° without hamstring load.
• Hamstring loading (20% quadriceps load) significantly reduced or delayed the onset of CTT, improving stifle stability.
• Medial meniscus was confirmed as a secondary stabilizer; its release (MMR) caused more CTT than CCLx alone.
• PTA (patellar tendon angle) increased with joint extension; CBLO shifted the PTA curve lower and parallel to intact values, suggesting effective flexion of the joint.
• Combined CBLO and hamstring loading resulted in the most stable joints, especially from 50° to 135° joint angles.
• Residual CTT occurred in CBLO-only limbs at higher extension angles (e.g., 140°), but hamstring load mitigated this.
• Stifle stability post-CBLO is multifactorial, depending on joint angle, meniscal integrity, and hamstring activation.

🔍 Key Findings

Mortality rate: 36% (12/33)
Cholecystectomy performed: 94% of dogs (31/33)
New significant prognostic factors for survival:

• Hyperbilirubinemia (p = .049) — threshold = 60.5 μmol/L
• Use of vasopressors (p = .002)
• Renal dysfunction postoperatively (p = .008)
• Number of postoperative complications (p = .005)

Multivariate model: Total bilirubin and number of complications best predicted survival
Septic vs nonseptic effusion: No significant difference in survival
Diagnostic imaging: Ultrasound sensitivity for extrahepatic biliary rupture = 38%
Most cultured pathogen: E. coli (80% of septic cases)