Veterinary Surgery July 2025 – Soft Tissue Part 2: GI Bypass, TLAD Shunts & Portal Thrombectomy

In this episode of the Simini Small Animal Surgery Podcast, we unpack three high-stakes studies from the July 2025 issue of Veterinary Surgery—each challenging conventional boundaries in gastrointestinal, neurologic, and oncologic soft tissue surgery.We cover:✅ Fink et al. — A retrospective series exploring Roux-en-Y reconstruction in small animals with biliary or upper GI obstruction. While morbidity was high, no cases developed reflux syndromes—making this a promising alternative to traditional techniques in select patients.✅ Gomes et al. — A study evaluating subdural shunt placement for dogs with thoracolumbar arachnoid diverticula (TLAD). Compared to traditional surgery alone, the shunt group saw over twice the rate of long-term neurologic improvement and lower recurrence—especially in pugs.✅ Hertel et al. — A landmark case report of a successful portal vein thrombectomy for pancreatic carcinoma in a dog. Using a 3D-printed model and detailed pre-op imaging, the team performed a portal phlebotomy with complete thrombus removal and no recurrence at one year.Three studies. One message: bold surgery, backed by careful planning, can redefine what’s possible.🎓 Journal Articles Discussed:Fink et al. — Roux-en-Y procedure to reconstruct the upper gastrointestinal tract in six dogs and five cats: A descriptive case seriesGomes et al. — Post-surgical outcome and recurrence rates in thoracolumbar arachnoid diverticula undergoing durotomy alone or alongside a modified technique of subdural shunt-placement in dogsHertel et al. — Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog 📚 From the July 2025 issue of Veterinary Surgery🎁 Want to learn more about Simini Protect Lavage or request a sample?Learn More: www.simini.comRequest a Sample:https://www.simini.com/evaluation-kit