🔍 Key Findings

• 55 cases (49 dogs, 6 cats) with nonarticular tibial fractures were treated using linear ESF with a minimally invasive approach
• All fractures achieved radiographic union; no unacceptable outcomes were reported
• 40% complication rate, mostly minor (82%), primarily pin-tract morbidity; major complications (7%) included osteomyelitis and refracture
• Open fractures had significantly more major complications than closed ones (P = .019)
• Use of intraoperative imaging (72% cases) reduced surgery time but did not improve alignment (P > .05)
• Median surgery time: 74 min with imaging vs. 100 min without (P = .046)
• TPA was lower than normal in both dogs and cats, but did not correlate with poor outcomes
• 62% had full clinical recovery, and 38% had acceptable outcomes at fixator removal

🔍 Key Findings

• Fewer R1 margins (tumor on ink) were achieved in mast cell tumors (MCTs) when using 6–10 mm lateral margins versus 0–5 mm (7% vs. 55%; _P_ = .049).
• For soft tissue sarcomas (STSs), no benefit was seen in margin completeness between 0–5 mm vs. 6–10 mm lateral margins (41% vs. 43% R1).
• Overall R1 rates were 26% for MCTs and 42% for STSs following PNE.
• R scheme (“tumor on ink” = R1) had better interobserver agreement (83%) compared to ≤1 mm margin criteria (68% agreement).
• Complication rate was moderate (26%), but no surgeries required revision.
• Local recurrence/metastasis occurred in 14% of dogs, with 60% of those having R1 margins.
• Adjunctive therapy was considered clinically indicated in 46% of 0–5 mm margin cases vs. 24% of 6–10 mm cases.
• Histologic grade and tumor size were not predictive of margin completeness.

🔍 Key Findings

From Allaith et al., 2023 – Outcomes from a multiuser canine hip replacement registry

• 2375 total hip replacements were analyzed across 1852 dogs, making this the largest multiuser canine THR dataset to date.
• Most common indications for THR were hip dysplasia (51%) and osteoarthritis (34%).
• Implants used included Kyon (46%), BioMedtrix CFX (22%), Hybrid (11%), BFX (9%), and Helica (4.5%).
• Veterinary-reported complication rate was 8.5%, while owner-reported was 23%, with moderate agreement (k=0.44).
• Most common complications: Luxation, femoral fracture, and aseptic loosening.
• BioMedtrix BFX and Helica implants had a higher risk of complications when used after femoral head and neck excision (P = .031).
• Postoperative LOAD scores significantly improved vs preoperative (21 → 11; P < .0001), supporting improved mobility.
• Owner satisfaction was high, with 88% rating outcome as very good or good.

🔍 Key Findings

• Simulated quadriceps and gastrocnemius forces increased proportionally with axial load in all three femoral fixation models.
• Model 2 (rigid fixation) resulted in subphysiologic quadriceps forces and abnormally high gastrocnemius forces, reducing model fidelity.
• Models 1 and 3 (with hip mobility) produced more physiologic quadriceps and force ratios, especially under 30–40% bodyweight loads.
• Force ratios were significantly lower in rigid fixation (Model 2) compared to hip-mobile models (p = .007), suggesting model design affects simulated muscle coordination.
• Joint angles (stifle and hock) remained within acceptable limits, though slight flexion occurred with increasing load.
• Relative foot position differed by ~3.9 mm between models 2 and 3, with model 2 showing a more caudal position.
• Model 3 preserved benefits of hip mobility while allowing radiographic documentation, making it a preferred setup for future studies.
• The study suggests that models used in feline stifle stabilization research may underestimate physiologic forces, especially with rigid fixation designs.

🔍 Key Findings

• Portal pressure increased proportionally with insufflation pressure: 38% at 6 mmHg, 95% at 10 mmHg, and 175% at 14 mmHg.
• Exponential model: average increase of 7.45% per mmHg of insufflation pressure (CI: 4.7–10.2%).
• No systemic hemodynamic adverse effects were observed; MAP remained >60 mmHg throughout.
• Portal hypertension threshold (15 mmHg) predicted at ~6.4 mmHg insufflation pressure.
• No statistical impact from patient weight, pressure-to-weight ratio, or order of insufflation rounds.
• Measurement technique was feasible and safe, with only minor challenges (e.g., catheter kinking).
• The study supports use of the lowest insufflation pressure needed for visualization to avoid portal hypertension.
• Baseline portal pressures returned after desufflation, supporting comparison pre- and post-attenuation.

🔍 Key Findings

• Roux-en-Y procedures were successfully completed in all 11 cases (6 dogs, 5 cats), despite case complexity and disease severity.
• Median survival post-discharge was longer in cats (365 days) vs. dogs (82 days), with better outcomes in non-neoplastic vs. neoplastic disease (192 vs. 5 days).
• Complication rate was high, with septic peritonitis, dehiscence, and cardiac arrest as leading causes of postoperative death; mortality rate = 36%.
• Dehiscence rate was 8.6% (2 of 23 anastomoses), considered lower than typical rates for GI anastomoses in high-risk patients.
• Feeding tubes (gastrostomy/jejunostomy) were used in all cases, enabling early nutritional support and stomach decompression.
• Postoperative nausea and vomiting were common but mostly self-limiting; managed with metoclopramide, cisapride, and antiemetics.
• Choledochojejunostomy was preferred when common bile duct was dilated, offering a favorable size match and potentially reducing bile leakage.
• Roux-en-Y reduced typical Billroth II complications (e.g., bile reflux, afferent loop syndrome, dumping syndrome), with none observed in discharged patients.

🔍 Key Findings

• Thoracoscopic (TL) and thoracoscopic-assisted (TAL) lobectomy were performed in 12 dogs with non-neoplastic pulmonary consolidation.
• 44% (4/9) of TL cases required conversion, most often due to pleural adhesions or poor visualization — a higher rate than for neoplastic lobectomies.
• Surgical mortality was 8.3% (1/12 dogs), with death attributed to unaddressed BOAS, not surgical complications.
• All 11 surviving dogs had no recurrence of clinical signs at a median 24-month follow-up.
• Perioperative complications occurred in 58% (7/12): pneumothorax (2), hemorrhage (3), wound dehiscence (1), progressive pneumonia (1).
• One-lung ventilation (OLV) was successful in 78% of TL dogs but may be harder to achieve in brachycephalic breeds.
• Most dogs had infectious pneumonia (10/12), with bacterial causes identified in 8; fungal and viral etiologies were less common.
• Hospitalization was short, with median stays of 3–4 days depending on approach and conversion status.

🔍 Key Findings

Design: Ex vivo cadaver study (n=8 dogs, 24 sites)
Comparison: Freehand vs. 3D-printed drill guide-assisted ventral slot (GAVS vs FHVS)
Findings:

• GAVS produced slots not significantly different from planned dimensions (p = .722–.875)
• FHVS produced significantly shorter slots than intended (p < .01)
• No difference in surgical time (p = .071)
• Shape ratio and slot divergence from midline were similar between groups (p > .4)
• Use of guide significantly reduced variability in slot position (63% → 29%), shape (65% → 24%), and divergence (54% → 50%)

Conclusion: 3D-printed guides improved accuracy and consistency of ventral slot creation by novice surgeons; supports future evaluation in live dogs and small breeds

🔍 Key Findings

• A positive meniscal flounce sign was associated with normal menisci in 95.5% of cases, demonstrating strong predictive value.
• Absence of the meniscal flounce sign was associated with meniscal tears in 92.7% of cases.
• Overall diagnostic accuracy of the flounce sign was 94.6%, with 96.6% sensitivity and 90.5% specificity.
• Most tears in flounce-negative stifles were bucket-handle tears (73.8%), while radial tears were present in some flounce-positive stifles.
• Radial tears did not consistently eliminate the flounce sign, suggesting they may not disrupt meniscal fiber tension sufficiently.
• All procedures were arthroscopically performed, with probing and visualization of the medial meniscus' caudal pole.
• Flounce sign should complement, not replace, probing—especially as some tear types (e.g., radial) may not abolish the sign.
• Limb positioning and joint distraction may affect flounce visibility, introducing minor observer variability.

🔍 Key Findings

• The survey included 111 practicing surgeons and 28 residents from ACVS, ECVS, and ANZCVS. 98.2% had performed soft tissue minimally invasive surgery (MIS).
• In the past year, surgeons reported a median caseload of 90% basic laparoscopy, 0% advanced laparoscopy, and 10% thoracoscopy; for residents: 100% basic laparoscopy, 0% advanced, 0% thoracoscopy.
• Laparoscopic ovariectomy and OHE were the most commonly performed MIS procedures, with most respondents proficient in basic laparoscopy, but few performing advanced laparoscopy or thoracoscopy.
• Top barriers to MIS adoption were: lack of consistent caseload, lack of training, difficult learning curve, equipment limitations, and cost.
• 76.6% of surgeons and 92.9% of residents received MIS training during residency. Those trained had completed residency median 6 years ago, compared to 22 years ago for those without MIS training (p < .001). Perceived adequate training correlated with higher proficiency.
• MIS was recognized as having a steep learning curve, but patient benefits (mean score 4.0/5) were the top motivation — less pain, faster recovery, improved visualization.
• The authors conclude basic laparoscopy is widely adopted, but advanced and thoracoscopic MIS remain underutilized. Training and access are key to future growth.
• Expanded training and improved access to equipment are necessary to promote broader integration of MIS into veterinary soft-tissue surgery.