🔍 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

• Study Design: Canine cadaveric study comparing intercostal thoracotomy (ICT), median sternotomy (MS), and transdiaphragmatic with caudal median sternotomy (TDCM) for accessory lung lobectomy (ALL).
• Main Outcomes:
  • Exposure Area: TDCM (193.5 cm²) > MS (106.5 cm²) > ICT (73.5 cm²) (p = .01).
  • TDCM provided significantly greater exposure than MS (p = .02) and ICT (p = .02); MS > ICT (p = .04).
  • Surgical Time: No significant difference (p = .06).
  • Lobe Excision (% by weight/surface area): No significant difference between groups (p = .4).
  • Staple Line Leak: Leak at ≤40 cmH₂O in 2/4 ICT, 0/4 MS, 0/4 TDCM (p = .09).
• Complications:
  • 1/4 MS cases had iatrogenic damage to an adjacent lobe.
• Technical Insights:
  • TDCM approach allowed immediate visualization of all three parts of the right pulmonary ligament.
  • The TDCM approach offers improved access without requiring en bloc removal with the right caudal lobe.
• Conclusion: The TDCM approach provides improved exposure for ALL lobectomy with no increase in surgical time or complications relative to other approaches.

🔍 Key Findings Summary

• Population: 35 nonbrachycephalic dogs undergoing orthopedic procedures (TPLO)
• Study design: Prospective observational using transnasal Digitrapper dual-sensor pH probe after short TIVA
• Upper reference limits:
  • Distal GER events per hour: 2.4
  • Proximal GER events per hour: 0.4
  • Cumulative distal acid exposure: 2.3%
  • Cumulative proximal acid exposure: 0%
• Median values (normal):
  • Distal GER events per hour: 0.3
  • Proximal GER events per hour: 0
• Proximal GER observed in 12/31 dogs
• No regurgitation observed in any dog
• No major adverse events with probe use
• Clinical implication: These parameters provide a reference for assessing excessive GER in future canine surgical cases

🔍 Key Findings

• Perineal hernia repair was feasible in dorsal recumbency in all 23 dogs, allowing simultaneous perineal and abdominal procedures without repositioning.
• Internal obturator muscle transposition (IOMT) was successfully performed in 22 dogs, with tendon transection facilitating improved muscle elevation.
• Complication rate was 60.9% in-hospital and 47.8% post-discharge, mostly minor (e.g., swelling, drainage), with infection suspected in 4 dogs (17.4%).
• Recurrence rate was 19% overall, but significantly higher in dogs with prior hernia repairs (50% vs 5.9%; p = 0.053).
• Dogs without prior repairs or organ pexies had no recurrences (p = 0.035), suggesting primary repairs without preexisting interventions fare better.
• Castration and adjunctive abdominal procedures (e.g., colopexy, cystopexy) were often performed concurrently (18/23 dogs).
• Colopexy did not prevent recurrence, although it aided in surgical visualization during perineal repair.
• Dorsal positioning allowed simultaneous access to the abdomen and perineum, improving surgical efficiency without added complications.

🔍 Key Findings Summary

• 95 TPLO procedures reviewed retrospectively with follow-up radiographs
• Rock-back defined as increase in tibial plateau angle (TPA) ≥2° from immediate post-op to recheck
• 21% of stifles (20/95) experienced rock-back
• Mean ΔTPA among rock-back cases = 3.2° ± 2.6°
• No implant failures or tibial tuberosity fractures were reported in these cases
• Plate inclination and exit cut angle (ECA) were not associated with increased risk of rock-back (p = 0.4 and 0.2)
• Authors hypothesize that compression across osteotomy in vivo may mitigate torsional effects from ECA, unlike in gap-model studies
• Emphasizes that rock-back is relatively common, even with well-placed implants

🔍 Key Findings

• Adding a single locking throw significantly increased holding security for specific knots, including the surgeon's throw (p = .0001) and square throw (p = .0002).
• For the Miller's throw (p = .166) and strangle throw (p = .808), no significant improvement was observed with a locking throw.
• After locking throw addition, all five knots leaked at similar pressures (p = .5233), and these pressures exceeded physiologic arterial pressures.
• Surgeon's throw without a locking throw had the lowest leak pressure (62.5 ± 46.2 mm Hg), below physiologic arterial values.
• The square throw without locking also leaked below physiologic pressures (148.7 ± 109.4 mm Hg), though it outperformed the surgeon's throw.
• Miller’s and strangle throws performed significantly better than square or surgeon’s throws without locking, achieving leak pressures >200 mm Hg.
• All knots used 2-0 polyglyconate monofilament (Maxon); no comparisons across suture types or sizes were performed.
• Authors concluded that correct tensioning and locking throw addition are key to safe vascular ligation. Miller’s, strangle, or slip knots are preferred for challenging surgical fields.

🔍 Key Findings

The study included 162 deep-pain-negative dogs undergoing decompressive surgery (hemilaminectomy) for acute thoracolumbar intervertebral disc extrusion (IVDE).

Ambulatory recovery occurred in 53.1% of dogs (86/162).

The best performing machine-learning model was XGBoost, with an AUC of 0.9502 and accuracy of 89.1%, outperforming Ridge, AdaBoost, and Naive Bayes models.

Preoperative-only XGBoost models were less accurate, with AUC dropping to 0.8271 and accuracy to 71.9%.

Top predictive features (by SHAP analysis) included:

1. T2-weighted to L2 spinal cord signal ratio (lower values predicted better outcome)
2. Use of fenestration (presence associated with better recovery)
3. Hospitalization duration
4. Imaging modality used
5. Duration of nonambulatory status

Machine learning provided better insight into prognostic factors than traditional statistical methods.

🔍 Key Findings Summary

• 5 juvenile dogs (mean age 7.2 months) with grade III–IV MPL were treated surgically.
• Most had femoral varus + external tibial torsion; some had shallow trochlear grooves.
• Distal femoral osteotomy was performed in 4/5 dogs; Tibial tuberosity transposition (TTT) in 3/5; Sulcoplasty in 2/5.
• Mean time to weight bearing: 9.8 ± 5.5 days; healing: 55 ± 24 days
• No reluxations, and final radiographic values for aLDFA and torsion were maintained at 1 year.
• One complication due to domestic trauma, not surgical failure.
• Early surgery appeared to preserve alignment and prevent deformity progression.

🔍 Key Findings

Design: In vitro study on cadaveric femurs (n=21) with basilar femoral neck fractures stabilized using 2 vs 3 titanium cannulated screws.

Stiffness: Control > 3-screw > 2-screw (674 > 120 > 90 N/mm).

Yield Load: 3-screw (586 N) > 2-screw (303 N); both < intact femur (2692 N).

Displacement: No difference across groups.

Complication: 3-screw technique more demanding; higher risk of cortical perforation, especially with narrow femoral necks.

Failure Mode: Dislodgement of femoral head + screw shaft bending.

Conclusion: 3 screws = stronger construct than 2 screws. Clinical implications need further study.

🔍 Key Findings

• Craniolateral approach (CLA) exposed significantly more radial surface area than craniomedial approach (CMA) (19.4 cm² vs. 13.8 cm²; p = 0.01).
• Proximal width of exposure was greater in CLA, especially at 12.5% length (P2 level, p = 0.016), aiding plate placement.
• No significant difference in exposed bone length between approaches.
• CLA avoided major neurovascular structures, making dissection cleaner and safer proximally.
• CMA consistently encountered median nerve/artery/vein, complicating proximal exposure.
• CLA allowed better access to proximal radius for locking plate application, which may benefit MIPO techniques.
• CLA also enables ulna fixation via the same incision, whereas CMA requires a separate skin incision.
• Anatomical tilt of the proximal cranial surface favored CLA, requiring less plate contouring than CMA for proper fit.