🔍 Key Findings

• Skin staple anastomosis (SSA) had comparable leak pressures to hand-sewn anastomosis (HSA) but required half the time to complete.
• Skin staple enterotomy (SSE) had significantly lower leak pressures than hand-sewn enterotomy (HSE) and failed in 12/20 constructs during pressure testing.
• HSE constructs took 8× longer to complete than SSE, but had much higher intraluminal pressure tolerance.
• All SSE constructs leaked from the center, with 35% leaking immediately and 60% showing catastrophic failure.
• SSA leakage occurred at the center in 40% of constructs, likely due to a learning curve in early samples.
• All constructs had higher pressures than normal physiologic intestinal pressure (4.0 mmHg ±2.0), except some SSEs with immediate leaks.
• Authors recommend SSA as a viable alternative with appropriate training but do not recommend SSE using the tested technique in live cats.
• Staple size and placement technique are key factors; smaller or more precisely placed staples may reduce leak risk.

🔍 Key Findings

• 78% of cats that developed postattenuation neurologic signs (PANS) after congenital portosystemic shunt (cPSS) surgery survived to 30 days.
• Postattenuation seizures (PAS) were associated with significantly decreased 30-day survival (50% vs. 78%; OR: 0.015, p = .005).
• Treatment of PANS with propofol was a negative prognostic factor (OR: 0.112, p = .0008).
• Generalized PAS accounted for most seizure cases and were more frequently fatal than focal or unknown-type seizures.
• Pretreatment with levetiracetam (LEV1 protocol) showed a trend toward improved survival (100% vs. 60.6% in untreated cats), though not statistically significant (p = .06).
• Shunt morphology, method of attenuation, and study period (early vs. late) were not significantly associated with 30-day survival.
• Electrolyte, glucose, and ammonia abnormalities were not strongly linked to survival outcomes in this study.
• Majority of PAS-related deaths were due to uncontrolled generalized seizures or euthanasia because of severity.

🔍 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

• No significant difference in non-infected incisional dehiscence rates among groups using PDS vs. Monocryl for subcutaneous and skin closure.
• Overall dehiscence rate: 9.48% (22/232 dogs).
• Postoperative antibiotic use and signs of inflammation were significantly associated with dehiscence (p = .023 and p < .001, respectively).
• Dogs not receiving postoperative antibiotics had a higher dehiscence rate (14.74%) than those that did (5.84%).
• Most dehiscence cases were superficial (85.7%), and the average length of dehiscence was 1.71 cm.
• No statistically significant impact of weight, BCS, incision length, procedure type, surgeon experience, closure direction, or barrier use on dehiscence rate.

🔍 Key Findings

• LVSG was feasible in 9/10 feline cadavers and both live cats, with no intra- or postoperative complications in live cases.
• Two cadavers developed suspected stenosis due to staple lines too close to the lesser curvature; avoided with orogastric tube placement in later cases.
• No evidence of gastric leakage in any cadavers (8/10 tested) or live patients after methylene blue leak tests.
• Mean surgical time was ~110 min cadavers / 115 min live, and 27.6% of stomach mass was resected.
• Both live cats recovered uneventfully, lost 21–24% body weight over 3 months, and had no GI complications at 6-month follow-up.
• Orogastric tube and tension on the greater curvature were critical to avoid staple line misplacement or stenosis.
• No oversew of the staple line was needed, and unreinforced staples showed no leakage in live patients.
• Future studies needed to assess metabolic outcomes and ideal staple sizing and closure techniques.

🔍 Key Findings

• Peripheral nerve block (PNB) was preferred by 79% of anesthesiologists; lumbosacral epidural (LE) by 21%; PI <1%.
• Time since board-certification significantly influenced preference: PNB favored by newer diplomates, LE favored by more senior ones (p < .001).
• Employment sector mattered: PNB was preferred more in private practice, LE more in academia (p = .003).
• PNB perceived as more effective, with 78% reporting 81–100% effectiveness; compared to 55% for LE.
• PNB associated with fewer adverse effects (75%) than LE (4%) and PI (21%).
• PNB required less rescue analgesia intraoperatively (57%) and postoperatively (54%) than LE or PI.
• LE preferred for bilateral TPLOs and in smaller dogs; PNB for larger dogs, due to motor function preservation.
• Dexmedetomidine was the most common additive to PNB; bupivacaine-only was most used for PNB.

🔍 Key Findings

• Cystoscopic-guided laser ablation (CLA) was associated with significantly fewer minor complications (13%) than neoureterostomy (100%) (P < .01)
• CLA resulted in significantly fewer recurrences of incontinence compared to neoureterostomy (0/7 vs 5/12; P < .05)
• 80% of dogs achieved continence within 1 month postoperatively, with a median continence score of 10
• Long-term continence was achieved in 88% of dogs, with or without adjunctive treatment, over a median of 66 months
• Major complications occurred in only 8% of dogs, and all were successfully managed with surgical revision
• Persistent ureteral remnants were seen only in neoureterostomy dogs, potentially contributing to incontinence recurrence
• All dogs with incontinence recurrence responded to medical treatment, while only 1/5 with persistent incontinence after surgery did
• CLA is recommended over open surgery for iEU correction, due to lower complication and recurrence rates

🔍 Key Findings

Source: Bush et al., 2023, Veterinary Surgery

• Median survival time (MST) after surgery was 1886 days, which is significantly longer than previously reported.
• Lymph node metastasis at surgery was a negative prognostic factor, reducing MST to 248 days (vs. 2340 days without nodal involvement).
• Local recurrence occurred in 42% of dogs, with a median disease-free interval (DFI) of 191 days.
• Metastatic disease occurred in 32% of dogs, most commonly to the lungs, with a median DFI of 299 days.
• Histologic features (e.g., margin status, capsular, lymphatic, or vascular invasion) were not significantly correlated with recurrence or metastasis.
• Facial nerve injury occurred in 9.7% perioperatively, especially after parotidectomy; intraoperative facial nerve transection led to long-term deficits.
• Adjuvant therapies (chemotherapy, radiation, NSAIDs) did not significantly affect survival time.
• Incisional biopsy was only 38% concordant with final excisional histology, suggesting limited reliability for definitive diagnosis.

🔍 Key Findings

• Peripheral nerve block (PNB) was preferred by 79% of anesthesiologists; lumbosacral epidural (LE) by 21%; PI <1%.
• Time since board-certification significantly influenced preference: PNB favored by newer diplomates, LE favored by more senior ones (p < .001).
• Employment sector mattered: PNB was preferred more in private practice, LE more in academia (p = .003).
• PNB perceived as more effective, with 78% reporting 81–100% effectiveness; compared to 55% for LE.
• PNB associated with fewer adverse effects (75%) than LE (4%) and PI (21%).
• PNB required less rescue analgesia intraoperatively (57%) and postoperatively (54%) than LE or PI.
• LE preferred for bilateral TPLOs and in smaller dogs; PNB for larger dogs, due to motor function preservation.
• Dexmedetomidine was the most common additive to PNB; bupivacaine-only was most used for PNB.

🔍 Key Findings

• No significant difference in peak load, failure load, stiffness, or 3 mm gap formation among bone tunnel types.
• Transverse tunnel (TT) constructs had 25% higher yield load than modified tunnels (MT) (P = .027).
• Most common failure mode was suture pull-through (67%), with no significant difference between groups.
• Gap formation ≥3 mm occurred in ~90% of constructs; no significant difference in force needed for gap among groups.
• All bone tunnel techniques (TT, VT, MT) are viable options for CCT reattachment in dogs.
• The 3-loop pulley (3LP) pattern provided strong, uniform repair, with higher loads to failure than previously reported.
• TT constructs showed more tendon distortion at the repair interface during loading.
• Inclusion of accessory tendon may have improved repair strength compared to prior studies using GT alone.