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In Miller 2024 et al., on intestinal obstruction and catheter technique in cats, what key factor was significantly associated with failed RRCT attempts?
🔍 Key Findings
- Cats with linear (LFBO) and discrete (DFBO) small intestinal obstructions had similar survival (98.2% vs. 97%, p = 1.0).
- Postoperative complications were not significantly different between LFBO and DFBO cases (p = .1386).
- Intestinal dehiscence was rare (only 2 cats), both in DFBOs, with no statistical difference between groups.
- Red rubber catheter technique (RRCT) successfully removed LFBOs in 83% (20/24) of attempts.
- All failed RRCTs occurred in cats with perforations or tissue nonviability.
- Cats with failed RRCTs had longer clinical signs pre-surgery (median 6.5 vs. 2.0 days).
- Surgical time was longer in LFBO cats (median 77 min vs. 58 min, p = .0018).
- Preoperative septic peritonitis was rare (4/169 cats), but occurred only in linear or mixed FBO cases.
Veterinary Surgery
7
2024
Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats
2024-7-VS-miller-2
In Mullins 2023 et al., on thoracolumbar pin placement, what was a key **limitation** of the FHP technique noted in the study?
🔍 Key Findings
- Both free-hand probing (FHP) and 3D-printed guides (3DPG) enabled accurate spinal pin placement, with 87.5% vs 96.4% of pins graded as optimal (Grade I).
- 3DPGs had fewer intraoperative deviations (0/56 pins) compared to 6/56 with the FHP technique.
- No pins using either method fully breached the medial vertebral canal (Grade IIb) — a critical safety outcome.
- Pins placed using 3DPGs required less time overall (mean 2.6 min) than FHP (mean 4.5 min).
- FHP required specific experience and has a learning curve, whereas 3DPG use requires CAD software and 3D printing access.
- FHP had more lateral canal violations (Grade IIIa: 4/56 vs 0/56 for 3DPG), suggesting slightly less precision.
- Both techniques were safe, and all deviations were recognized and corrected intraoperatively.
- 3DPGs may offer practical advantages in clinical settings lacking surgical expertise, while FHP allows immediate intervention without 3D printing delay.
Veterinary Surgery
5
2023
Accuracy of pin placement in the canine thoracolumbar spine using a free-hand probing technique versus 3D-printed patient-specific drill guides: An ex-vivo study
2023-5-VS-mullins-4
In Thompson 2024 et al., on cyanoacrylate enterotomy sealants, which group had the highest initial leak pressure (ILP)?
🔍 Key Findings
- Highest initial leak pressure (ILP) observed in the handsewn + cyanoacrylate (HS + CE) group: 83.3 ± 4.6 mmHg (p < .001 vs. others).
- Lowest ILP: cyanoacrylate-only group (CE): 18.6 ± 3.5 mmHg.
- No significant MIP difference between handsewn (HSE) and HS + CE groups (p = .19); CE had significantly lower MIP (22.7 mmHg).
- Leak location:
- HSE: 60% from suture holes
- CE: 100% from incisional line
- HS + CE: 60% from incisional line, 40% from suture holes
- Authors conclude cyanoacrylate augmentation significantly increases ILP and could reduce enterotomy leakage risk.
Veterinary Surgery
2
2024
Effects of cyanoacrylate on leakage pressures of cooled canine cadaveric jejunal enterotomies
2024-2-VS-thompson-1
In Ciammaichella 2025 et al., on lymphadenectomy complications, which lymphadenectomy site had the highest rate of postoperative complications?
🔍 Key Findings
- Ilio-sacral lymphadenectomy had the highest complication rates: intraoperative (7%) and postoperative (41%)
- Axillary lymphadenectomy showed the lowest complication rates: intraoperative (1%) and postoperative (16%)
- Enlarged or metastatic lymph nodes were significantly associated with intraoperative complications (p = .030)
- Postoperative complications were mostly minor (Grade 1) and self-limiting (seromas, edema)
- Medial retropharyngeal lymphadenectomy had intermediate complication rates: postoperative complications in 26%
- No significant predictors retained significance in multivariate analysis
- Use of methylene blue was associated with fewer complications, although not statistically significant
- Complication rates did not result in mortality, and all were manageable; MST was 374 days
Veterinary Surgery
7
2025
Complications of medial retropharyngeal, axillary, and ilio-sacral lymphadenectomy in 127 dogs with malignant tumors
2025-7-VS-ciammaichella-1
In Korchek 2025 et al., on fracture gap risk, which postoperative finding was most strongly associated with implant failure in toy breed dogs with radius/ulna fractures?
🔍 Key Findings
80 toy breed dogs with surgically repaired transverse radius/ulna fractures were analyzed.
Fracture gap in the caudal cortex was present in 46% of cases.
Implant failure rate:
- 27% in cases with fracture gap
- 2% in cases without fracture gap
Fracture gap significantly associated with implant failure:
- OR = 23.0, 95% CI: 2.7–197.9, p = 0.004
Absence of external coaptation also associated with increased implant failure risk:
- OR = 10.1, 95% CI: 1.1–89.6, p = 0.04
Prolonged external coaptation (>1 week) linked to non-implant complications (skin wounds, osteopenia, osteomyelitis):
- OR = 5.4, p = 0.04
Plate thickness, type, open screw holes, and working length were not statistically significant predictors of implant failure after multivariable analysis.
Veterinary Surgery
2
2025
Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs—A multicenter retrospective cohort study
2025-2-VS-korchek-1
In Ferreira 2025 et al., on heated pneumoperitoneum in dogs, what best describes the clinical outcome of all patients in the study?
🔍 Key Findings
- Heated CO₂ insufflation reduced perioperative hypothermia during laparoscopic ovariectomy compared to nonheated CO₂.
- Final body temperature was significantly higher in the heated group (36.03°C) than in the nonheated group (34.93°C).
- Temperature reduction correlated with surgical duration only in the nonheated group (p < .05).
- Heated CO₂ delayed temperature drop, occurring after 20 minutes vs. 5 minutes in nonheated cases.
- No significant differences between groups in anesthetic, surgical, or insufflation times.
- All dogs recovered uneventfully and were discharged the same day.
- Heated CO₂ may offer greater benefit in longer procedures or in small-sized dogs prone to hypothermia.
- No adverse effects were attributed to heated gas use in this clinical trial.
Veterinary Surgery
5
2025
Effect of heated pneumoperitoneum on body temperature in dogs undergoing laparoscopic ovariectomy—A randomized controlled trial
2025-5-VS-ferreira-5
In Gant 2025 et al., on skin prep and SSI, which two combinations were compared for their impact on SSI?
🔍 Key Findings
- No statistically significant difference in overall SSI rates: 9.2% (chlorhexidine) vs. 7.38% (iodophor) (p = .25).
- Significant drape lift occurred in 13.2% of cases; those with lift had 2.72× increased risk of SSI (p = .026).
- Increased body weight was a statistically significant risk factor for SSI (p = .008): each 1 kg increased SSI risk by 3%.
- Use of glutaraldehyde was associated with a 2.38× increased risk of SSI (p = .055, approaching significance).
- No difference in SSI rates based on surgeon training level or surgical classification (clean, clean-contaminated, contaminated).
Veterinary Surgery
3
2025
Influence of skin preparation on surgical site infection and lift of adhesive surgical drapes
2025-3-VS-gant-2
In Thomsen 2024 et al., on CT accuracy for liver tumors, what level of inter-rater agreement (kappa) was reported for liver division localization?
🔍 Key Findings
- CT localization of liver masses was more accurate by division (88%) than by lobe (74.3%)
- Inter-radiologist agreement was excellent for division (kappa up to 0.885) and only moderate–good for lobe
- Quadrate and right lateral lobes had significantly lower localization accuracy compared to left lateral or medial lobes
- CT localization of the left division was most accurate (90.1%) compared to central (77.1%) and right (88.3%)
- Portal and hepatic venous phases were equally helpful for localization (each ~30–38% usefulness)
- No significant associations found between histopathologic diagnosis and localization accuracy
- Lobe-level CT localization should be interpreted with caution, especially for the quadrate and right lateral lobes
- Radiologist experience likely influenced accuracy, with the most experienced radiologist performing best
Veterinary Surgery
7
2024
Computed tomography scan accuracy for the prediction of lobe and division of liver tumors by four board-certified radiologists
2024-7-VS-thomsen-4
In Monnet 2023 et al., on barbed vs conventional suture in vesicourethral anastomosis (VUA), which of the following best describes the leakage sites observed?
🔍 Key Findings
- Leakage pressure was not significantly different between unidirectional barbed suture (UBS) and conventional (C) suture groups (p = .236).
- UBS group had a 28% lower median leakage pressure than the C group (8.6 mmHg vs. 11.7 mmHg), suggesting higher biological risk of leakage.
- UBS significantly reduced suturing time (median 12.7 vs. 17.3 minutes; p < .0002).
- Fewer suture bites were needed in the UBS group (median 14 vs. 19; p = .012).
- No suture breakage or urethral narrowing occurred in either group.
- Leakage site distribution (ventral vs lateral) was similar between groups; no dorsal leaks noted.
- Leakage occurred as low as 5 mmHg in UBS group, indicating potential for postoperative extravasation.
- UBS may aid intracorporeal suturing in minimally invasive prostatectomy, but catheterization remains necessary postoperatively.
Veterinary Surgery
5
2023
Influence of conventional versus unidirectional barbed suture on leakage pressures in canine vesicourethral anastomosis: An ex-vivo study
2023-5-VS-monnet-3
In Glenn 2024 et al., on overall diagnostic performance, which algorithm had the highest accuracy?
🔍 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
Veterinary Surgery
1
2024
Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system
2024-1-VS-glenn-4
Quiz Results
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Key Findings
