Search Results (118)

Cranial cruciate ligament (CrCL) rupture is a common orthopedic disorder in dogs, leading to stifle joint instability and progressive osteoarthritis. This study aimed to develop and biomechanically evaluate a novel intra-articular reconstruction system designed to mimic the natural ligament and restore joint stability following CrCL excision. The system consisted of a 3D-printed thermoplastic polyurethane (TPU) graft, cerclage wire, and H-button fixation. Fourteen pelvic limbs from mature mixed-breed cadaveric dogs were used. The inclination angle, dimensions, volume, tensile strength, and elongation of the native CrCL were measured. Seven CrCL-deficient stifles were reconstructed using the proposed system and tested biomechanically. The native CrCL showed a significantly higher tensile strength than the TPU graft; however, the TPU demonstrated a greater flexibility. The reconstruction system successfully stabilized the joint and provided repeatable fixation. Significant correlations were found between CrCL volume and both age and body weight. These findings support the mechanical suitability of the proposed system for ex vivo stifle stabilization and highlight the potential of 3D-printed TPU in ligament reconstruction. Further in vivo studies are recommended to assess long-term performance, including implant integration, tissue remodeling, and clinical outcomes. Full article

Castration remains a common surgical procedure in equids, yet postoperative complications such as hemorrhage, infection, and eventration persist, influencing surgical outcomes. This retrospective study introduced a novel modified semi-closed castration technique aimed at minimizing these complications. Eighty-five sexually intact mature male equids (including horses, ponies, and donkeys) underwent the described inguinal castration procedure under general anesthesia. The technique involved a carefully managed opening and subsequent secure closure of the parietal vaginal tunic, enabling direct inspection of tunic contents while reducing risks associated with fully open or closed approaches. The median surgery duration was 60 min (range, 45–95), with no intraoperative complications. Postoperatively, only two equids (2.35%) exhibited scrotal swelling, which was resolved rapidly with NSAIDs. No cases of hemorrhage, pyrexia, or infection occurred. Follow-up, conducted via owner interviews after a minimum of three months, confirmed complete recovery and primary intention healing in all patients, who returned to normal activity within two days post-surgery. Compared to previously documented complication rates ranging from 2% to 48%, the present approach demonstrates superior results. Additionally, this study proposes refining existing castration technique classifications, focusing explicitly on the vaginal tunic’s status post-procedure (open, semi-closed, closed) for clarity and consistency. This novel semi-closed inguinal technique effectively integrates inspection advantages with closed technique safety, offering significantly reduced complication rates and enhanced postoperative recovery profiles in equids undergoing castration. Full article

Mammary tumors are the most common neoplasms in female dogs, with mastectomy being the primary treatment. The impact of mastectomy type on survival remains unclear. This study evaluated the effect of different surgical techniques on the survival of female dogs with mammary carcinomas. A total of 307 dogs with 734 mammary tumors were analyzed. Ages ranged from 1 to 17 years, with mixed breeds comprising 48.9%. Most tumors (92.9%) were malignant, predominantly carcinoma in a mixed tumor (30.2%). Unilateral mastectomy was the most common technique (65.8%). Lumpectomy showed the shortest mean survival (179 days) and was associated with a 4.9-fold increased risk of death (p = 0.009). There was no significant association between surgical technique and overall survival or recurrence of mammary carcinoma (p = 0.2). This study relied on owner-reported data for survival and tumor recurrence. Lumpectomy appears to be associated with shorter survival times in female dogs with mammary carcinoma. Therefore, it may be advisable to reconsider this technique as a primary treatment option. Full article

Dual-energy computed tomography (DECT) is a promising advancement for detecting bone edema-like lesions (BME). However, its application in horses remains limited. The aim of this study was to evaluate DECT virtual-non-calcium (VNCa) imaging in the equine foot and establish which confounding factors could influence its applicability in clinical practice. The DECT VNCa map of 14 standing and 5 cadaveric (recumbent) cases with foot-related lameness was scored in consensus by two readers in comparison to MRI. Overall, 17/19 cases demonstrated BME on MRI, whereas 2 did not. Agreement between DECT VNCa and MRI was found in 15/19 feet (78.9%). Disagreement in 4/19 cases with BME was due to sclerosis (1/19), mild BME extent on MRI (2/19), or scan artifacts (1/19). The extent of BME was significantly underestimated using DECT VNCa compared to MRI (p = 0.016). No significant correlation was found between sclerosis score and the BME extent underestimation on DECT (p = 0.056). Between standing and post-mortem cases, there was no significant difference in the agreement between DECT and MRI (p = 0.53) or DECT VNCa image quality (p = 0.22). In conclusion, DECT VNCa effectively identified moderate and severe BME, and its use was feasible in standing positioning. In case of sclerosis, a case-by-case assessment is recommended. Full article

Femoral head and neck excision (FHNE) remains a common orthopedic surgical procedure in many countries. However, data on postoperative outcomes regarding changes in hindlimb function are limited. This study aimed to evaluate hindlimb function after FHNE in dogs of different weights. Twenty-seven dogs that underwent FHNE were block-randomly assigned to two groups based on weight (≤20 kg and >20 kg). Hindlimb function was evaluated using force plate gait analysis to measure peak vertical force (PVF), alongside other orthopedic evaluations and a composite orthopedic assessment score at 1, 2, 3, 4, 5, 6, 9, and 12 months after surgery. Kaplan–Meier survival analysis and the log-rank test were used for statistical comparisons. The findings demonstrated no significant difference in PVF between the operated and non-operated limbs in either weight groups (≤20 kg and >20 kg) at four and three months postoperatively (median functional recovery time) (p = 0.33), nor were there significant differences in lameness scores at trot between weight groups five and three months after FHNE (p = 0.64). These results indicate that FHNE provides satisfactory functional outcomes and can be considered a suitable orthopedic intervention for medium- to large-breed dogs. Full article

Abdominal surgery is widely described for several diseases in cattle. While in adults surgical procedures are generally performed in standing or in sternal recumbency, lateral or dorsal recumbency is preferred in calves. General anaesthesia is associated with several side effects, and epidural anaesthesia (EA) is a valid alternative anaesthetic protocol for several surgical approaches. Previous studies have already been published about abdominal surgery in calves for several diseases, but they are not focused on short-term outcomes. Therefore, there is a need to report a case series for calves that have undergone exploratory laparotomy under EA. General anaesthesia is limited in cattle due to its association with several complications, such as ruminal stasis, regurgitation and tympany, and alternative protocols need to be used. The aim of this study is to describe the surgical features and short-term outcomes of elective and emergency laparotomies in calves under EA. In more complex or longer-lasting surgery, with a median duration of 80 min, intravenous administration of xylazine was necessary. Short-term survival (defined as survival until discharge from the hospital) rate was 90.1%. The EA was sufficient to ensure adequate analgesia in most surgeries. This type of anaesthesia is easy to administer, with limited side effects. The results of this study support surgeons in decision-making in the event of pathologies requiring abdominal surgery. Full article

This study aimed to assess the efficacy of a veterinary enhanced recovery after surgery (Vet-ERAS) protocol in dogs undergoing emergency laparotomy (EL). The protocol, adapted from human medicine, encompassed a multidisciplinary approach and interventions such as early goal-directed fluid resuscitation, antibiotic prophylaxis, anti-emetic therapy, multimodal analgesia, and early enteral nutrition. A prospective observational study compared outcomes between dogs managed with the Vet-ERAS protocol (n = 59) and historical controls (n = 82). Implementation of the Vet-ERAS protocol resulted in a significant reduction in perioperative complication rates (p = 0.003) and 15-day mortality (5% vs. 20.7%). Intraoperative complications, including tachycardia and hypothermia, were significantly lower in the Vet-ERAS group. Compliance with the protocol improved over time (p = 0.01). These findings suggest that integrating the Vet-ERAS protocol into perioperative management can improve outcomes in dogs undergoing EL. Full article

The portosystemic shunt is characterized by the presence of an anomalous vessel, whether congenital or acquired, that connects the portal circulation to the systemic circulation. Surgical treatment is indicated in congenital cases and involves the progressive occlusion of the anomalous vessel. The objective of this study is to report the use of an innovative and fully laparoscopic technique for the attenuation of a gastrophrenic shunt. The procedure was performed on a two-year-old female German Spitz dog with a history of frequent vomiting and diarrhea. The diagnosis was established through computed tomography. For the procedure, three portals were placed in the left lateral region, employing an ameroid constrictor. This device featured a specific perforation for the passage of a pre-mounted suture, which was subsequently occluded intracorporeally, facilitating the closure of the ring defect. The absence of flow in the anomalous vessel was confirmed five weeks after the procedure. It is concluded that the reported implantation technique represents a new modality for the treatment of this type of shunt using a minimally invasive approach. Full article

This retrospective study aims to investigate whether dogs with a contusive and dogs with a compressive intervertebral disc disease share comparable outcomes and prognoses when presenting with the same neurological grade. A total of 50 dogs with IVDE (compression group) and 45 dogs with ANNPE (contusion group) were included in this study. The protocol involved a thorough review of the medical records and CT/MRI images of the included dogs. Data encompassing signalment, initial clinical signs, post-diagnosis treatment and short-term outcomes (less than 8 months) were collected from the patient records. Information on long-term outcomes (more than 8 months) was obtained through interviews with the owners. Dogs in the compression group displayed clinical signs at a statistically significant younger age and were more likely to experience deteriorating neurological deficits compared to the contusion group. Conversely, dogs with contusions had a significantly higher incidence of external trauma history and vocalization at the onset of clinical signs. In both groups, the most affected spinal cord segment was T3-L3. The overall recovery rate to regain independent ambulation was 71% in the contusion group vs. 80% in the compression group. While some of the examined parameters revealed differences, most did not significantly differ between the groups. Full article

Equine anesthesia is related to high morbidity and mortality rates and recent studies suggested that the period of recovery remains the phase associated with the greatest risk of mortality in horses. Intraoperative hypotension, hypoxemia, and hypercapnia are recognized as potential determinants of recovery quality. This study, conducted at the Equine University Hospital of Liege, aimed to explore how these factors influence recovery outcomes and compare complications between non-emergency and emergency procedures. We analyzed data from 1057 horses, with a mean weight of 498 kg (ranging from 150 to 850 kg) and a mean age of 10.7 (ranging from 0.5 to 37 years), undergoing standardized general anesthesia for non-emergency and emergency procedures to assess which factors influence recovery quality. Recoveries were graded as ‘good’ or ‘bad’ and age, sex, breed, American Society of Anesthesiologists (ASA) physical status classification, weight, anesthesia duration, presence of hypotension, hypoxemia, and hypercapnia were compared with a logistic regression analysis. Our findings highlight the multifactorial nature of anesthetic recovery in horses, with breed, age, anesthesia and recovery duration, and emergency status emerging as significant influencing factors. Additionally, monitoring and managing hypoxemia and hypotension remain critical due to their recognized impact on recovery quality. However, despite their clinical relevance, the specific effects of these variables on anesthetic recovery in horses remain insufficiently studied, emphasizing the need for further research to refine perioperative management strategies and improve outcomes. Full article

(1) Background: Postoperative antibiotic prophylaxis in dogs undergoing tibial plateau leveling osteotomy (TPLO) is controversial. We evaluated the effect of perioperative antibiotic administration on the incidence of surgical site infection (SSI) and bone healing in dogs that underwent TPLO procedures and compared this protocol with cases that received prolonged postoperative antibiotic treatment. (2) Methods: Two different antibiotic treatment protocols were used. In group A, cefazolin (22 mg/kg IV) was administered preoperatively 30–60 min before skin incision and repeated every 90–120 min intraoperatively. Antimicrobial prophylaxis was extended in the postoperative period with oral cefazolin (22 mg/kg BID) for 10 days after surgery. In group B, dogs only received perioperative treatment, at the same dose used in group A. Dogs were considered to have SSI in cases of incisional drainage, wound dehiscence, positive bacterial culture, or evidence of radiographic signs of infection. (3) Results: In group A, SSI was observed in 3/61 TPLOs (4.9%). In group B, SSI was present in 3/51 TPLOs (5.9%). There was no difference between the two groups. (4) Conclusions: Our results indicate that perioperative antibiotic prophylaxis in TPLO procedures is sufficient to maintain overall low rates of SSI. The incidence of SSI was similarly low compared to the rate observed in dogs that also received postoperative antibiotic treatment. Full article

(1) Background: The Hanwoo cattle industry, valued for its premium beef, faces economic challenges due to fluctuating market prices, rising production costs, and profitability disparities based on calf sex, with male calves fetching higher prices and creating income imbalances for breeding farms. (2) Methods: This study assessed the economic impact of ultrasonographic fetal sex determination, a technology enabling fetal sex identification between 55 and 100 days of gestation, using 107 pregnant Hanwoo cows, of which 104 were successfully assessed with a 96.1% accuracy rate across all gestational stages. (3) Results: Economic analysis revealed that farms employing this technology achieved higher profitability by adjusting prices based on calf sex, with male calves significantly enhancing asset value; however, the technology’s financial benefits were influenced by market dynamics, implementation costs, and sex ratios. (4) Conclusions: These findings underscore the potential of ultrasonographic fetal sex determination to improve Hanwoo farm profitability and sustainability, provided its adoption is accompanied by careful consideration of costs and market conditions. Full article

Autografts, allografts, and synthetic bone substitutes are essential in reconstructive orthopedic surgery. Although autografts and allografts provide excellent skeletal integration, their use is limited by host morbidity and graft acquisition challenges. Synthetic materials like β-tricalcium phosphate (β-TCP) offer promising osseoconductive properties as a potential substitute. This study evaluated the osseointegration of β-TCP ceramic cylinder implants in bone defects in rabbits. Eighteen New Zealand rabbits underwent radial diaphysis ostectomy to create a critical segmental defect and were divided into three groups: Group A received β-TCP blocks, Group B received allogenous cortical bone grafts, and Group C underwent ostectomy without defect filling. Postoperative assessments included clinical evaluations, radiographs, micro-computed tomography, and histology at various time points to assess osseointegration and implant resorption. At the 120th postoperative day, Group B showed successful bone integration without infection. In contrast, Group A showed no osseointegration or resorption of the β-TCP implants, and Group C exhibited bone non-union. While β-TCP demonstrated biocompatibility, it lacked osseoconductivity, likely due to low porosity. β-TCP implants did not promote bone consolidation, suggesting that further research on porosity and shape is needed to improve their suitability for veterinary orthopedic reconstructive surgery. Full article

Reports on patients with a gastrophrenic shunt treated with cellophane banding without attenuation are scarce. This case series evaluated the outcomes of cellophane banding without intraoperative attenuation in patients with a congenital left gastrophrenic shunt. Seven client-owned dogs and five client-owned cats with congenital left gastrophrenic shunt were included. Data collected from the medical records included signalment, history, physical examination, clinicopathologic testing, diagnostic imaging (pre and postoperative), perioperative complications, hepatic histopathological evaluation, and clinical outcomes. The application of a cellophane band without intraoperative attenuation of congenital left gastrophrenic shunts resulted in complete closure in 10/11 patients at a median follow-up of 60 days (range: 33–174) based on ultrasound. The mean shunt diameter was 6.1 mm (range: 4.2–8). One dog had partial closure of the shunt at 3 months but was lost to follow-up. One dog died perioperatively from seizures. One cat experienced post-attenuation neurologic signs that completely resolved. Cellophane banding without intraoperative attenuation appeared to be a safe and potentially effective approach for managing gastrophrenic shunts. The percentage of shunt closure observed in this cases series is higher than that historically reported for other shunt localizations. Shunt localization may influence closure. Residual shunting may not be associated with shunt diameter. Further studies with larger sample sizes and standardized follow-ups are needed to confirm its efficacy. Full article

Intratesticular block is an effective local anesthetic technique for castration; however, its use may be limited in cases of testicular masses or infections. Instillation is a simple technique used in several procedures, though studies investigating its application in feline castration remain scarce. Therefore, this study aimed to compare the perioperative analgesic efficacy of lidocaine intratesticular block and spermatic cord instillation in feline castration. Forty-five male cats were randomly divided into three groups: the intratesticular block group (IT), the spermatic cord instillation group (S), and the control group (C). All cats were anesthetized using the same protocol and both techniques were performed based on group assignments. Lidocaine (2 mg/kg) was administrated according to the designated route, while 0.9% normal saline was used for the alternative route and in the C group. Intraoperative parameters were recorded, showing that noninvasive blood pressure in the IT and S groups was significantly lower than in the C group. Although both lidocaine intratesticular block and spermatic cord instillation effectively reduce surgical noxious stimulation, intratesticular block is recommended as it provides more stable intraoperative vital signs and less postoperative pain. Therefore, spermatic cord instillation can be considered as an optional technique for managing pain in feline castration. Full article