🔍 Key Findings Summary

• Study of 24 stifles in 22 dogs with concurrent CCLR and grade III–IV MPL treated via TPLO-TTT
• Major complications: 4/24 (3 surgical site infections, 1 MPL reluxation); minor complications: 5/24
• Long-term follow-up (median 27 months): 21/22 dogs sound, 23/24 stifles resolved
• Patellar ligament thickening observed post-op in 4 cases, resolved with rehab
• The only case of MPL reluxation involved untreated tibial torsion, suggesting case selection is critical

🔍 Key Findings

• Barbed sutures showed comparable leakage pressure to traditional sutures and stapling devices (p = .36).
• No bronchial leaks occurred at physiological pressure (<20 cmH₂O) in any group.
• Leakage at supraphysiologic pressure (20–80 cmH₂O) occurred in 90% of stapler, 80% of traditional, and 60% of barbed suture closures.
• Barbed sutures reduced ligation time significantly compared to traditional sutures (10.7 vs. 14.1 minutes, p < .01).
• Staplers remained fastest, with mean ligation time of 2.4 minutes.
• No knot failure or suture breakage was observed in barbed or traditional suture groups.
• Leakage in barbed sutures occurred mostly at the loop effector zone, but remained within acceptable limits.
• Barbed sutures may offer an effective alternative when staplers are unavailable, impractical, or cost-prohibitive.

🔍 Key Findings

• Open face version was significantly greater than truncated face version by 14°–22° (p <.001).
• Open face version increased linearly with inclination and pelvic extension, while truncated face version remained largely stable.
• Truncated face version is an unreliable surrogate for open face version.
• Accurate interpretation of cup version should include both truncated face version and inclination.
• Canine 3D pelvic model and CT-based simulation used for all measurements.

🔍 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)

🔍 Key Findings

• Chlorhexidine-based asepsis protocols were comparable to povidone-iodine for reducing surgical site infection (SSI) rates in veterinary surgery.
• No significant difference in skin bacterial colonization was observed between the two antiseptics, at both immediate and delayed timepoints.
• Chlorhexidine-alcohol protocols showed a non-significant trend toward improved bacterial reduction in some studies, though inconsistent across all studies.
• Use of neutralizing agents was inconsistent, which may have led to overestimation of antiseptic efficacy in several studies.
• Formulations and concentrations varied widely (e.g., chlorhexidine 0.5–4%, povidone-iodine 0.7–1%), contributing to heterogeneity and limiting definitive conclusions.
• Only a minority of studies reported using CDC criteria for SSI diagnosis, affecting the reliability of infection outcomes.
• Risk of bias was high or unclear in multiple domains across all included studies, limiting overall confidence in conclusions.
• Meta-analysis confirmed no statistically significant superiority of either protocol for SSI prevention or skin bacterial reduction.

🔍 Key Findings

• Modified prepubic urethrostomy (mPPU) was effective for managing proximal urethral obstructions in male cats.
• All 8 cats regained voluntary urination within 24 hours postoperatively.
• Early urinary incontinence and peristomal dermatitis occurred in all cats but were self-limiting.
• Two cats (25%) required surgical revision due to stomal obstruction from weight gain and abdominal fat.
• No intraoperative complications were reported in any of the 8 cats.
• Follow-up (13–84 months) showed sustained urinary continence and owner satisfaction in all cases.
• The rectus abdominis muscle tunnel likely increased outflow resistance, minimizing persistent incontinence.
• Recurrent hematuria and dysuria occurred in 3 cats but were managed conservatively.

🔍 Key Findings

• 67.9% of respondents reported using SSCs, with most indicating frequent use (64% used in every surgery).
• 78.7% agreed SSCs reduce complications, and 89.6% believed SSCs improve communication.
• Respondents not using SSCs were more likely to view them as a waste of time (p < .001).
• Forgetfulness (39.6%) and time constraints (36.5%) were leading reasons for checklist noncompletion.
• Only 23.3% had SSC training during surgical residency, with newer diplomates more likely to have had exposure (p < .001).
• Key strategies to improve uptake included: staff feedback modifications (67.9%), formal designation of initiator (48.6%), and training (52.2%).
• Surgeons and OR staff were most commonly identified as noncompliant team members.
• SSC use was more frequent in small animal practices, and mandating SSCs by management was favored but not always effective alone.

🔍 Key Findings

• Mediastinoscopy was technically feasible in large-breed canine cadavers using a SILS port and standard laparoscopic instruments.
• The left tracheobronchial lymph node (LTBLN) was successfully retrieved in all cadavers (7/7), while cranial mediastinal lymph nodes were retrieved in only 1/7.
• Postprocedural pleural gas was observed in 4/7 cadavers, likely due to CO₂ insufflation.
• Instrument limitations with a human-designed mediastinoscope led to preference for laparoscopic instruments and SILS port for improved access and visualization.
• Complication rates were low, with only two minor (Grade 1) adverse events (pleural tear and LN rupture).
• Obesity and mediastinal fat were cited as potential challenges to visualization and node retrieval.
• NASA-TLX workload scores were lowest for tracheobronchial nodes, indicating these were the easiest to access.
• The authors concluded this approach may facilitate minimally invasive biopsy or resection of cranial mediastinal masses in live dogs, but clinical trials are needed to validate safety and efficacy.

🔍 Key Findings

Study population: 21 dogs with portocaval extrahepatic portosystemic shunts (EHPSS)
Surgical approach: 67% (14/21) underwent ameroid constrictor placement
Perioperative complications: 4 dogs (19%), including seizures (n = 2), vomiting, and abdominal effusion
Perioperative mortality: 1 dog (5%)
Postoperative clinical outcome:

• Good to excellent outcome: 81% (17/21)
• Median follow-up: 6 months (range 3–43)

Persistence of shunting (CT or US): 56% (9/16 evaluated)
Dogs with persistent shunting: 67% still had good to excellent clinical outcome
Congenital portocaval shunts may have more favorable outcomes than previously reported

🔍 Key Findings

• Fascial planes in dogs were consistently classifiable into four surgical types:
• Type I (discrete sheets), Type II (tightly adhered to thin muscle), Type III (tightly adhered to thick muscle), and Type IV (periosteum-associated).
• Two junction types were identified: Type A (easily elevated) and Type B (higher risk of disruption).
• Disruption-prone areas include the scapular spine (type IV fascia) and lateral thorax near the 13th rib, where rib resection may be needed to preserve margins.
• The latissimus dorsi transition zones and fascial areas near the thoracic inlet and scapulohumeral joint were prone to fascial thinning or disruption.
• Partial muscle resections or periosteal elevations may be required in areas with fragile fascia to maintain oncologic margins.
• Dorsal spinous processes (T6–L6) showed type IV fascia; however, osteotomy may be needed in some dogs for clear margins.
• Blended fascial transitions (e.g., rectus abdominis: type II cranially, type I caudally) necessitate intraoperative judgment on resection depth.
• Cutaneous trunci may suffice as a deep margin for small, low-grade tumors in well-muscled dogs, but not reliably for high-grade or larger masses.