🔍 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

• 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

140 laparoscopic surgeons surveyed; 37% reported at least one musculoskeletal disorder.
Women had significantly higher odds of reporting WRMD (OR = 2.59, p = .011).
Smaller glove size significantly associated with WRMD (p = .001), shoulder tendonitis (p = .01), and neck strain (p = .001).
Most common injuries: Neck strain (35%), shoulder tendonitis (31%).
WRMD was associated with greater difficulty using:

• Rotating cup biopsy forceps (p < .001)
• Vessel sealing device and endo stapler (especially in those with shoulder injuries)

No significant association with surgeon age, dominant hand, height, weight, or case volume.

🔍 Key Findings

Study size: 105 dogs (73 ORPS; 32 MIPO)

MIPO vs ORPS differences:

• Surgical time: MIPO median 130 min vs ORPS 85 min (p < .001)
• Explant rate: MIPO 25% vs ORPS 4.1% (p = .003)
• Time to clinical union: MIPO 85 days vs ORPS 57 days (p = .010)
• Frontal alignment deviation: MIPO 3.5° vs ORPS 2.0° (p = .047)
• Comminution more frequent in MIPO (41% vs 16%; p = .012)

Significant predictors for MIPO use: More proximal fracture margin (p = .004), surgeon identity (p < .001)

No significant difference: Sagittal alignment, radial length, union rate, or complication rate by surgeon

Implant preference: Fixin plates used in 84% of MIPO; locking plates more common in ORPS

🔍 Key Findings

• 73 elbows (52 dogs) underwent randomized medial or lateral transcondylar screw placement for HIF.
• Lateral-to-medial placement resulted in a significantly higher rate of complications (62.2%) vs medial-to-lateral (19.4%) (p = .001).
• Odds ratio for complications: 6.11 (95% CI: 2.13–17.52).
• Most common complications: seromas (n = 13), surgical site infections (n = 16).
• Implants with lower AMI/bodyweight were significantly associated with major complications (p = .037).
• Only 4 procedures (5%) required revision surgery (major type I complications), with no difference by screw direction.
• NNT = 2.3 for medial placement to prevent one complication.

🔍 Key Findings

• Lateral approach to ALN extirpation was successful in 100% of cases (44 dogs, 48 ALNs) with consistent anatomical landmarks (costochondral junction of rib 1 and caudal scapular edge).
• Median time for ALN removal was 16.6 minutes, highlighting a fast and efficient dissection method.
• No intraoperative complications were recorded (e.g., hemorrhage or inability to find the lymph node).
• Postoperative complications occurred in 18% of cases, including seromas (n=2), wound dehiscence (n=4), lameness (n=1), and discomfort (n=1).
• Histopathology revealed 56% of ALNs had tumor-related pathology, including overt metastases, early metastasis (HN2), or premetastatic changes (HN1).
• Normal-sized ALNs (<2 cm) still harbored metastases in 22% of cases, emphasizing the unreliability of size as a staging criterion.
• False negatives in cytology occurred in 4 cases, underlining the limitations of cytologic evaluation for staging.
• The technique was reproducible without specialized tools, suggesting wide applicability in general and referral practice.

🔍 Key Findings

PL-30 group (partial, TA30-V3 wedge):

• 100% leaked
• Median leakage pressure: 10 cm H₂O
• Most failures from periphery of staple line

PL-60 group (partial, TA60-3.5):

• 100% leaked
• Median leakage pressure: 18 cm H₂O
• Better than PL-30 (p = .006)

TL-30 group (total, TA30-V3):

• Only 1 of 11 leaked (at 22 cm H₂O)
• All others resisted pressures >50–65 cm H₂O
• Significantly higher leakage pressure than both PL groups (p < .001)

Odds ratios (leakage vs TL-30):

• PL-30: OR 437 at both 20 and 30 cm H₂O (p = .003)
• PL-60: OR 437 at 20 cm H₂O and 133 at 30 cm H₂O (p = .003)

Recommendation: Prefer TL-30 when possible. If partial needed, PL-60 superior to PL-30, but all partials leaked at physiologic pressures.

🔍 Key Findings

• Laparoscopic cholecystectomy (LC) was successfully performed in all 22 cats without conversion to open surgery.
• Complication rate was low: 3 cats had postoperative complications (1 seroma, 1 vomiting, 1 EHBDO and death).
• Median operating time was 41 minutes; median hospitalization was 3 days.
• No cases required conversion to open laparotomy, even in cats as small as 2.5 kg.
• Common devices used: Hemoclips or Hem-o-lok for cystic duct ligation; Ligasure, harmonic scalpel, or j-hook for dissection.
• Most common indications: cholelithiasis (9/22) and cholecystitis (10/22), with one biliary mucocele and one adenoma.
• Histopathology confirmed diagnosis in all cases; concurrent liver or intestinal biopsies were performed in some cats.
• Postoperative AUS and bloodwork were routine and important for detecting early signs of EHBDO.

🔍 Key Findings

• Prestretching (PS) at 10 mmHg for 3 minutes significantly increased working space at 6 mmHg IAP — IWL +4.4%, IWS +6.9%.
• PS provided ≈63% of the IWL and ≈66% of the IWS gains achieved with sustained 10 mmHg IAP.
• All laparoscopic procedures were completed at 6 mmHg after PS; no conversions or pressure increases were needed.
• Working space benefits persisted throughout surgery — end-of-procedure measurements were unchanged from post-PS baseline.
• Transverse expansion (RLAT/LLAT) was greater than sagittal (CRA/CAU), consistent with adult abdominal wall compliance.
• No adverse anesthetic events occurred; mild complications (e.g., gas leakage) were easily managed.
• Large breed dogs were overrepresented, but all dogs served as their own controls, normalizing size effects.
• Prestretching is a simple, effective technique to maximize working space without increasing insufflation pressure.

🔍 Key Findings

• Objective: Evaluate feasibility and accuracy of 3D-printed patient-specific drill guides for iliosacral screw placement in cadaver dogs.
• N = 10 canine cadavers (20 hemipelves); screw placement done using fluoroscopic-assisted patient-specific guides (PSG).
• Median cortical breach grade: 0 (IQR 0–1) for all screws.
  19/20 screws breached sacral canal wall (all ≤ grade 2), but no screws breached canal contents (grade 3).
• Median trajectory deviation: 0.88° transverse, 0.72° dorsal.
• Procedure time: Median 7.2 minutes for guide placement and drilling.
• Conclusions: PSG-assisted screw placement was safe, accurate, and fast, offering clinical potential in pelvic trauma.