🔍 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

🔍 Key Findings

• Portal venotomy enabled successful en bloc resection of a pancreatic insulinoma and associated thrombus in the portal vein, a novel approach in veterinary literature.
• Temporary portal vein occlusion (15 min) was well tolerated, causing only transient small intestinal congestion without lasting hemodynamic compromise.
• No intraoperative hemorrhage occurred following vascular isolation and venotomy repair with 5–0 polypropylene in a simple continuous pattern.
• Postoperative complications were minimal, with only moderate pancreatitis managed medically and no portal hypertension observed on follow-up imaging.
• Histopathology confirmed insulinoma, with no initial metastasis; CT at 6 months revealed hepatic and peritoneal metastases but no local recurrence at the venotomy site.
• Portal vein luminal stenosis occurred post-repair but was clinically insignificant.
• Advanced CT imaging and 3D printed modeling significantly enhanced surgical planning and anatomical assessment.
• Surgical excision achieved good short-term outcomes, and the dog was alive and euglycemic one year later despite metastatic disease.

🔍 Key Findings

• Modified closed anal sacculectomy resulted in a local recurrence rate of only 2.2%, substantially lower than prior reports (18–50%).
• Postoperative complications occurred in 31.9% of dogs; most (93%) were minor, with dehiscence being the most common.
• Mean survival time in deceased dogs was 521 days; median was 388 days.
• Surgical technique included complete en bloc excision of the sac and duct with sphincter reconstruction, aiming to reduce seeding risk.
• Only one major complication resulted in euthanasia due to infection and dehiscence.
• Histologic margins were complete in 44.7% of dogs; lymphatic invasion was present in 31.9%, and vascular in 8.5%.
• Adjunctive chemotherapy was administered in 34% of dogs (mostly carboplatin); not standardized due to retrospective design.
• Routine rectal exam was key to diagnosis in 57.4% of dogs with no clinical signs, underscoring the importance of screening.

🔍 Key Findings

Incidence of BFX lateral bolt stem breakage: 2.95% (13 dogs, 14 stems)

Implant factors:

• 13/14 were BFX lateral bolt stems (sizes #5–7)
• +9 necks used in 5/11 of 17 mm heads
• 10/14 stems undersized based on radiographs
• 10/13 dogs exceeded weight limits for implanted stem size

Malalignment:

• 10/14 had varus alignment (median 3.9°)
• 8/14 had insufficient proximodistal seating

Breakage site: Proximolateral shoulder in all cases

Revision outcomes:

• 11 revised (7 CFX, 3 larger BFX, 1 collared)
• 9/10 revised dogs regained full function
• Complications: 1 rebreakage, 1 periprosthetic fracture, 1 fixation failure

Histopathology:

• Electron microscopy showed fatigue striations and incomplete bead fusion

Conclusion: Avoid small BFX lateral bolt stems if undersized or if long necks required; use weight guidelines to prevent fatigue failure.

🔍 Key Findings

• This anatomical study mapped fascial planes of the canine hindlimb and pelvis to aid superficial tumor resection.
• Type I fascia (discrete sheets) was suitable for deep margins in fascia lata, lateral crus, and gluteal regions.
• Areas with poor or absent fascia included the ischiorectal fossa, femoral triangle, stifle extensor mechanism, and pes.
• Type IV fascia associated with periosteum (e.g., patella, tibial tuberosity) required partial ostectomy for inclusion in surgical margins.
• Nerves at risk during deep dissection included obturator, superficial peroneal, and tibial nerves, particularly in regions with weak fascia.
• In males, bulbospongiosus muscle could act as a fascial plane but dissection was challenging and potentially hemorrhagic.
• In females, constrictor vulvae/vestibulae muscles were tightly associated with mucosa, limiting clean resection options.
• Distal hindlimb resections often lacked a usable fascial plane, suggesting that amputation or adjuvant therapy may be more appropriate.

🔍 Key Findings

• Mandibular and sublingual glands were the most commonly involved salivary glands in feline sialoceles.
• Left-sided lesions were more prevalent (71%) among affected cats.
• Ranulae were present in over half (57%) of cases, highlighting the importance of thorough oral exams.
• Surgical approaches included lateral, ventral, intraoral, or combinations thereof, with no recurrences reported.
• Marsupialization alone (without gland removal) resolved clinical signs in 4/21 cats, with no short-term recurrence noted.
• Complications occurred in 5/21 cats (24%), including incisional swelling and one case of feline oral pain syndrome.
• One cat experienced iatrogenic injury from misidentification of the mandibular lymph node as the gland.
• Median follow-up time beyond 30 days was 822 days (range: 90–1205), with no long-term recurrences or contralateral lesions observed.

🔍 Key Findings

• m-TTT yielded a low overall major complication rate (4.3%) and minor complication rate of 15%, consistent with or better than previous techniques.
• Patellar reluxation occurred in only 4.3% of stifles, with high-grade reluxation seen in just 0.6% of cases—lower than the 12.4–21% range reported for other techniques.
• Implant migration rate was 3.7%, lower than previously reported for smooth pin fixation (7.7–24.6%).
• Use of a tension band with single Steinmann and Kirschner wire reduced stress risers and fixation failure, supporting better stability.
• Tibial tuberosity fracture occurred in only 1.3% of cases, lower than the 1–6% seen in other reports.
• All long-term major complications (1.3%) were related to pin migration, but were easily resolved.
• Radiographic follow-up confirmed complete bone healing in all examined cases, even up to 9 years postoperatively.
• Owner satisfaction was 100%, and 95% rated quality of life as good to excellent based on CBPI surveys.

🔍 Key Findings

• Microvascular density at the site of foreign body obstruction was significantly lower in obstructed dogs compared to healthy controls.
• PBR (perfused boundary region) was paradoxically lower in obstructed dogs, indicating that PBR may not reliably correlate with tissue viability in this context.
• No significant difference in microvascular perfusion between subjectively viable vs nonviable intestines, suggesting subjective assessment is unreliable.
• No difference in perfusion parameters between handsewn and stapled enterectomies, indicating both techniques preserve vascular health equally.
• Stapled enterectomy using green TA staples is safe and did not impair intestinal perfusion at the anastomosis site.
• SDF videomicroscopy is feasible intraoperatively and can differentiate healthy from diseased intestine in dogs.
• Surgeons' subjective evaluations led to potentially unnecessary enterectomies, as microvascular parameters did not differ.
• No cases of dehiscence or mortality, suggesting both surgical approaches are effective when applied properly.

🔍 Key Findings

• 48% of the intra-articular biceps tendon was visible at a standing angle; this increased to 63% in flexion (p = 0.0003).
• 58% of the medial glenohumeral ligament's cranial border was within view.
• 20% of the subscapularis tendon was visualized via the standard lateral arthroscopic approach.
• Visibility was assessed using tattoo ink markers and confirmed via dissection in cadavers.
• Limitations of standard lateral portals may lead to underdiagnosis of deeper or distal pathology in these structures.

🔍 Key Findings

• Postoperative Protein C (PC) activity increased in 78.7% of dogs, and was significantly higher in dogs with excellent clinical outcomes.
• Complete acute shunt occlusion resulted in higher postoperative PC activity (96.3%) and better ultimate clinical outcomes than incomplete occlusion.
• Preoperative PC was not predictive of clinical status, but postoperative PC was associated with improved outcomes.
• Standard biochemical markers (HCT, MCV, ALB, BUN) also improved postoperatively, especially in dogs with excellent clinical outcomes.
• Dogs requiring a second procedure had significantly lower postoperative PC (43.5%) than those not requiring further intervention (78.5%).
• Repeat procedures improved PC and BUN values, with PC increasing significantly after second intervention (to 69.8%).
• PC normalization (within reference interval) occurred in 87.5% of dogs with excellent clinical status, compared to only 12.5% in those with poor status.
• Clinical outcome classification (excellent/fair/poor) correlated with biochemical normalization and lack of need for diet/medications.