🔍 Key Findings

• Cricoarytenoid lateralization (CAL) resulted in a significantly greater increase in rima glottidis area at both immediate (205%) and 15-day (199%) time points compared to thyroarytenoid lateralization (TAL) (152% and 127%, respectively).
• TAL group showed a significant reduction in rima glottidis area between immediate and 15-day postoperative measurements (P < .05), while CAL group had no significant reduction over time.
• No dogs in either group showed postoperative complications, including aspiration pneumonia, at the 15-day follow-up.
• All dogs showed improved clinical signs, including decreased stridor and increased exercise tolerance by day 15.
• CAL produced more stable postoperative glottic area, potentially due to preserved anatomical tension, whereas TAL might experience tension loss due to thyroid cartilage repositioning.
• Both procedures were technically effective and performed under the same protocol by a single board-certified surgeon.
• Endoscopic image analysis was used to quantify rima glottidis area, demonstrating a reliable objective method for surgical outcome assessment.
• Clinical outcome did not differ between groups, despite CAL showing a larger rima glottidis area.

🔍 Key Findings Summary

• Design: Prospective, randomized, double-blinded controlled trial
• Population: 32 brachycephalic dogs undergoing cut-and-sew sharp staphylectomy
• Groups: Adrenaline + lidocaine (Group A) vs. Lidocaine only (Group NA)
• Main Findings:
  • Total hemorrhage significantly lower in Group A (median 1.82 g) vs Group NA (7.95 g); p = .013
  • Normalized hemorrhage significantly lower in Group A; p = .021
  • Surgeon-assigned hemorrhage scores significantly lower in Group A; p = .029
  • No adverse effects (tachycardia, hypertension, arrhythmia, etc.) noted from adrenaline use
  • Breed effect: English Bulldogs bled more overall even after normalization
• Clinical Implication: Adrenaline in nerve blocks reduces hemorrhage without added risk

🔍 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

🔍 Key Findings

• Single-port laparoscopic-assisted cryptorchidectomy (SP-LAC) was feasible in 13/14 dogs with abdominal cryptorchidism.
• Median surgical time was 17 min for unilateral and 27 min for bilateral cryptorchidectomy.
• All testes were successfully exteriorized through a 15-mm mini-celiotomy in most dogs; only 2 needed slight enlargement.
• One major complication occurred (testicular artery hemorrhage, requiring conversion to open surgery).
• Two minor complications involved trocar-related issues (splenic capsule laceration, capnoretroperitoneum).
• No incisional complications were reported postoperatively; some dogs had mild dermatitis at the clipped site.
• The technique requires only one surgeon and no advanced tools beyond a single-port endoscope.
• Low-pressure capnoperitoneum (6 mmHg) was adequate for visualization in most cases.

🔍 Key Findings

• No significant difference in infection-inflammation rates between single-layer Kraton drapes and traditional double-layer draping at both 21 days and 6 months postop.
• Infection-inflammation occurred in 4.56% (36/789) of cases; equally distributed across draping techniques.
• Tibial tuberosity advancement (TTA) was the most common procedure (61%).
• Kraton drape features an elastic fenestration that seals without adhesives or towel clamps, offering ecological and workflow advantages.
• Mean anesthesia duration was similar between groups (~73.8 min), suggesting draping method did not impact overall surgical time.
• Culture confirmation of infection was low (14 dogs), showing reliance on clinical criteria for diagnosis.
• Potential benefits of single-layer draping include reduced waste, no need for towel clamps, and ease of use without increased risk.
• Limitations included subjective follow-up (nearly 30% indirect via phone/images) and antimicrobial usage in all cases.

🔍 Key Findings

• TEA significantly increased the rima glottis area (RGA) from a mean of 0.52 cm³ to 0.78 cm³ (p < .0001)
• Mean RGA increased by 157%, equivalent to an 84% estimated decrease in airway resistance
• LEGS (laryngeal epiglottic-glottic seal) remained intact in all cadavers post-procedure, indicating maintained airway protection
• TEA was technically feasible in all 15 cadaveric dogs using a custom endoscopic gag port (EGP)
• TEA avoids cervical dissection, potentially reducing surgical trauma and risks compared to UAL (unilateral arytenoid lateralization)
• Compared to UAL, TEA showed slightly less RGA increase, but greater LEGS preservation, potentially reducing aspiration risk
• No cartilage was included in sutures; arytenopexy involved soft tissue fixation to pharyngeal wall across the piriform recess
• Cadaver model limitations include inability to assess functional outcomes like swallowing and respiratory motion impact

🔍 Key Findings

• Locking plates (except ALPS-5) withstood significantly more cycles before failure than nonlocking DCP constructs.
• ALPS-6.5, LCP, and FIXIN plates endured higher loads and resisted displacement better than DCP and ALPS-5.
• ALPS-5 plates showed lower bending stiffness than all other constructs (P < .05).
• DCP constructs failed due to screw loosening, seen in all specimens.
• Locking constructs failed by bone slicing, affecting 100% of specimens.
• Catastrophic implant failure (fracture or plastic deformation) occurred only in ALPS-5 group.
• Plate size and screw-plate interface both influence resistance to cyclic loading in feline ilial fracture repair.
• Locking plates are preferable for reducing screw pullout, but plate strength (e.g., cross-section) must match loading forces.

🔍 Key Findings

• WMg (water manometer with gauge) was the most accurate and precise pressure measurement device.
• APT (arterial pressure transducer) was less accurate than WMg but still precise; it differed significantly from the gold standard (WMr).
• CCT (Compass CT) was the least accurate and precise and differed significantly from the set pressure.
• Mean differences from set pressure were smallest for WMg (−0.020 cm H2O), moderate for APT (−0.390 cm H2O), and largest for CCT (−1.267 cm H2O).
• All devices showed excellent interobserver (ICC = 1.000) and intraobserver agreement (ICC range 0.985–0.998).
• Even though the CCT performed least well, all devices had mean errors ≤1.3 cm H2O, indicating potential clinical utility.
• WMg or WMr should be preferred in surgical settings due to superior accuracy and precision.
• Measurement precision is more critical than accuracy during PSS surgery, as a 1 mm Hg (~1.3 cm H2O) increase in portal pressure raises odds of poor outcomes by 9%.

🔍 Key Findings

• 3D-printed cannulas (3DPCs) reduced mean surgical time significantly in cadaveric procedures (125.6 vs 95.2 min, p = 0.03).
• Cannula pullout events decreased from a mean of 10 to 2.2 per procedure when using only 3DPCs (p = 0.03).
• Instrument collisions were significantly fewer with 3DPCs (6.8 vs 2.6 collisions, p = 0.03).
• Live patients experienced no postoperative complications, including no incision site infections or discomfort.
• Initial versions of 3DPCs had minor issues, including valve leakage and looser trocar fit, requiring surgical workarounds.
• Customization of cannula shaft length (3 cm vs standard 5–8.3 cm) improved working space and reduced instrument interference.
• Production cost was under $5 per cannula, suggesting 3DPCs may be a cost-effective and reusable alternative for small patients.
• Study supports broader use of 3DPCs in laparoscopic procedures requiring long-jawed instruments or intricate tissue handling.

🔍 Key Findings

• Postoperative complications occurred in 20% of stifles, including 7.5% minor, 10.3% surgical, and 3.4% medical complications.
• The PROSPECT machine-learning model achieved high predictive accuracy: 92.3% for surgical complications, 91.9% for minor, and 94.3% for medical.
• Top predictive features included surgical technique, implant type, patient age, and surgeon identity.
• Surgeon-specific variables influenced predictions, indicating operator experience and technique matter.
• Engineered interaction features (e.g., breed × implant) were more predictive than raw clinical data alone.
• Rottweiler, intact male status, and higher bodyweight were associated with increased complication risk; Labradors had decreased risk.
• Model calibration was strong, especially for high and low probability predictions; midrange predictions were less reliable.
• The model supports individualized, probabilistic risk assessment, which could inform client counseling and tailored postoperative care.

PROSPECT = Predicting Risk Of Surgical compli­cations aftEr CCWO and TPLO