Simini Surgery Review: Small Animal Edition

In this Simini Small Animal Surgery Podcast episode, we wrap up our soft tissue coverage from the February 2026 issue of Veterinary Surgery with two studies that refine decision-making at the intersection of diagnostics and technique.From predicting laparoscopic success in GI foreign bodies to rethinking stapling technology in open thoracic surgery, these papers emphasize how better planning—and better tools—can improve outcomes in high-stakes procedures.In this episode:✅ Toth et al. — A prospective study evaluating abdominal ultrasound for surgical planning in canine GI foreign bodies. Ultrasound correctly identified foreign body type and morphology in 96.8% of cases, but consistently underestimated size. Importantly, location—not size—determined surgical success, with a 0% success rate for laparoscopic-assisted removal when objects were lodged at the caudal duodenal flexure. Linear foreign bodies were safely managed laparoscopically only if they did not extend past this anatomic bottleneck. ✅ Weaver et al. — A retrospective study of 46 open lung lobectomies using the EndoGIA stapler, traditionally reserved for minimally invasive procedures. The device achieved zero major intraoperative complications, with over 82% of cases complication-free intraoperatively. While postoperative complications occurred (~10.8%), these were linked to underlying disease severity, not device failure. The EndoGIA’s articulating design and triple-staple row deployment improved maneuverability, hemostasis, and air leak prevention in confined thoracic spaces. Together, these studies highlight a key surgical principle: the best outcomes come from matching the right approach—and the right tools—to the underlying anatomy and pathology.🎓 Journal Articles DiscussedToth et al. — Diagnostic accuracy of ultrasonographic evaluation prior to laparoscopic-assisted gastrointestinal foreign body removal in 30 dogsWeaver et al. — Use of the Endo GIA™ stapler for lung lobectomy in dogs and cats undergoing open thoracic procedures (intercostal, transdiaphragmatic thoracotomy or median sternotomy): A retrospective study of 46 lung lobectomies📚 From the February 2026 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

In this Simini Small Animal Surgery Podcast episode, we wrap up our soft tissue coverage from the February 2026 issue of Veterinary Surgery with two studies that expand your surgical toolbox using practical, adaptable techniques.From cost-effective lung lobectomy closure methods to biologically driven wound reconstruction, these papers challenge reliance on expensive tools and highlight the power of mechanics and tissue biology working together.In this episode, we talk about:✅ Cronin et al. — A large clinical series evaluating hilar circumferential ligature techniques for lung lobectomy in dogs and cats. The study reported a low intraoperative hemorrhage rate of 4.3%, with no difference between pre-tied loops and hand-tied knots. However, sliding knots showed a dramatically higher hemorrhage rate (28.6%), reinforcing that knot selection—not just technique—directly impacts safety in thoracic surgery. ✅ Makar et al. — A retrospective case series describing free autologous omental grafts for large distal limb wounds in dogs. Despite initial graft discoloration and heavy discharge, all wounds healed successfully, shrinking to ~19% of original size by 30 days and achieving full epithelialization in an average of 59 days, with no major complications or long-term lameness. The omentum’s angiogenic and immunologic properties allowed it to revascularize and control infection even in contaminated wounds. Together, these studies reinforce a key principle: effective surgery doesn’t always require more technology; sometimes, it requires a better understanding of mechanics and biology.🎓 Journal Articles DiscussedCronin et al. — Perioperative outcomes of 65 dogs and 15 cats undergoing lung lobectomies with a hilar circumferential ligature.Makar et al. — Autologous, free omentum grafts for large, open, distal limb wounds in dogs: Technique and outcome in 10 dogs.📚 From the February 2026 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

In this Simini Small Animal Surgery Podcast episode, we continue our soft tissue coverage from the February 2026 issue of Veterinary Surgery with two studies that highlight how outcomes depend not just on technique, but on tissue biology and surgeon-tool interaction.From large-scale reconstructive flap surgery in cats to laparoscopic instrument design, these papers reveal how both biology and ergonomics can shape surgical success.In this episode, we talk about:✅ Cinti et al. — A retrospective study evaluating the lateral caudal axial pattern flap for reconstruction of large caudodorsal defects in cats. Despite a 50% complication rate, all complications were minor (seroma, edema, partial dehiscence), and 0% required revision surgery. Surgeons were able to safely use flaps averaging 61.3% of tail length, demonstrating that feline tail vasculature provides robust and reliable perfusion even under high tension, making this a viable option for massive defects. ✅ Cormillot et al. — A prospective, randomized crossover study of 120 surgeons evaluating laparoscopic instrument handle size. The study found that hand size strongly predicts optimal handle preference, with surgeons wearing glove sizes ≤6.5 significantly preferring smaller handles, while larger-handed surgeons preferred standard sizes. Poor ergonomic fit led to two-handed instrument use, increased wrist strain, and reduced efficiency, highlighting a major but often overlooked contributor to surgeon fatigue and long-term injury risk. Together, these studies emphasize a critical concept: successful surgery depends on both the biology of the patient and the biomechanics of the surgeon.🎓 Journal Articles DiscussedCinti et al. — Outcome and complications of lateral caudal axial pattern flap in 14 cats.Cormillot et al. — Surgeon hand size influences laparoscopic finger loop handle preference.📚 From the February 2026 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

In this Simini Small Animal Surgery Podcast episode, we kick off our soft tissue coverage from the February 2026 issue of Veterinary Surgery with two studies that highlight how small technical decisions can have major physiologic consequences.From cutaneous perfusion in feline closures to time-saving strategies in GDV surgery, these papers challenge everyday assumptions and offer practical ways to improve outcomes in both routine and emergency procedures.In this episode:✅ Bayrakdarian et al. — A controlled, within-animal study evaluating continuous intradermal suture patterns in feline skin using laser Doppler imaging. The traditional horizontal mattress pattern decreased perfusion by 24.1%, while a modified pattern with perpendicular bite orientation increased perfusion by over 115% compared to baseline. The findings suggest that suture orientation—not just tension—plays a critical role in preserving microvascular blood flow in cats. ✅ Chik et al. — A retrospective study of 121 dogs undergoing GDV surgery, comparing barbed suture gastropexy (BSG) to standard incisional gastropexy (SIG). The barbed technique reduced surgical time by ~10 minutes (53.3 vs. 62.6 minutes) without increasing complications, mortality, or recurrence rates. However, 23% of dogs in both groups experienced chronic postoperative GI signs, highlighting that gastropexy prevents rotation—not underlying gastrointestinal disease. Together, these studies reinforce a key concept: how we close—and how efficiently we operate—directly impacts both immediate and long-term patient outcomes.🎓 Journal Articles DiscussedBayrakdarian et al. — Comparison of the effect on blood flow of two intradermal suture patterns in feline skin: A within-animal randomized controlled trialChik et al. — Comparison of short-term outcomes and recurrence rates in dogs undergoing open right-sided barbed suture gastropexy and standard incisional gastropexy for treatment of gastric dilatation-volvulus📚 From the February 2026 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

In this Simini Small Animal Surgery Podcast episode, we continue our orthopedic coverage from the February 2026 issue of Veterinary Surgery with two studies that challenge how we define stability and success in orthopedic surgery.One paper introduces a simple radiographic marker that may outperform traditional measurements after TPLO. The other tackles a high-stakes clinical dilemma: primary tendon repair versus arthrodesis in Achilles mechanism injuries.In this episode:✅ Picavet et al. — A retrospective study of 163 dogs evaluating cranial tibial subluxation (CTS) and popliteal sesamoid position before and after TPLO. While only 14.4% of dogs showed preoperative sesamoid displacement, every case returned to normal position postoperatively, making it a reliable and immediate indicator of restored mechanical stability. Importantly, osteotomy position (ideal vs. distal up to 5 mm) did not significantly affect postoperative stability, reinforcing that functional neutralization of cranial thrust—not perfect geometry—is the true goal. ✅ Wylie et al. — A multi-center retrospective study of Achilles mechanism injuries comparing primary tendon repair with immobilization versus pantarsal arthrodesis. While overall complication rates appeared similar, catastrophic complications occurred in 26.1% of tendon repairs and 0% of arthrodesis cases. Failures were driven not by the tendon repair itself, but by immobilization-related complications such as pin tract infections and cast sores, fundamentally shifting how surgeons should approach treatment planning. Together, these studies highlight a central surgical principle: true success is measured not just by technique, but by how well we manage the forces—and risks—acting on the repair after we leave the OR.🎓 Journal Articles DiscussedPicavet et al. — Radiographic assessment of popliteal sesamoid position and cranial tibial subluxation in canine stifle joints undergoing TPLO: A retrospective study of 163 dogs Wylie et al. — Complications and outcomes following surgical management of common calcaneal tendon pathology in 80 dogs📚 From the February 2026 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

In this Simini Small Animal Surgery Podcast episode, we kick off our orthopedic coverage from the February 2026 issue of Veterinary Surgery with two studies focused on refining both complex surgical decision-making and everyday orthopedic techniques. From limb-sparing surgery in osteosarcoma to safe approaches for stifle arthrocentesis, these papers highlight how both high-level strategy and small technical choices can significantly impact patient outcomes. In this episode: ✅ Altwal et al. — A comprehensive review of canine limb-sparing techniques for appendicular osteosarcoma, including cortical allografts and 3D-printed prostheses. While these techniques aim to preserve limb function, infection remains the dominant complication, with rates as high as 70% in distal radius cases. Interestingly, dogs that developed infections showed longer median survival (480 days vs. 228 days), likely due to immune activation, though infection remains a major cause of implant failure and secondary amputation. ✅ McLean et al. — An ex vivo study evaluating four landmark-based techniques for stifle arthrocentesis. While all techniques achieved 100% joint access, safety varied significantly. The commonly used lateral intercondylar notch approach showed 0% cartilage injury, whereas the infrapatellar approach caused iatrogenic cartilage damage in 75% of cases, often affecting weight-bearing surfaces. Together, these studies reinforce a key principle in orthopedic surgery: success depends on both mastering complex procedures and refining the small technical details we perform every day.  🎓 Journal Articles Discussed Altwal et al. — Surgical limb-sparing in veterinary medicine: A review of existing techniques in dogsMcLean et al. — Accuracy and safety of stifle arthrocentesis and injection based on two established and two new landmarks: Ex vivo study in dogs📚 From the February 2026 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 

In this Simini Small Animal Surgery Podcast episode, we continue our soft tissue coverage from the January 2026 issue of Veterinary Surgery with two studies examining how surgical technique and airway anatomy influence outcomes in brachycephalic and upper airway disease.From advanced tracheal collapse repair to reassessing common palate surgery assumptions, these papers highlight how surgical decisions can shape long-term respiratory function in dogs.In this episode:✅ Suematsu et al. — Evaluated long-term outcomes in dogs with severe tracheal collapse treated using continuous extraluminal tracheal prostheses (CETP), including cases with W-shaped tracheal collapse, a less commonly discussed but more severe configuration. Dogs with this morphology were over 12 times more likely to require preoperative oxygen, yet the study reported a 90.9% survival rate at 36 months following surgery, demonstrating that carefully performed extraluminal prosthetic stabilization can provide durable outcomes even in severe cases. ✅ Timmermans et al. — A prospective study comparing folded flap palatoplasty (FFP) with standard staphylectomy (STS) in brachycephalic dogs using CT measurements three months after surgery. While both techniques improved clinical signs and exercise tolerance, CT analysis revealed that FFP did not consistently reduce soft palate thickness, with some dogs actually showing increased tissue thickness postoperatively. In contrast, traditional staphylectomy resulted in measurable thinning of the soft palate, challenging assumptions about the anatomic advantages of FFP. Small Animals Vet Surge 2026 Ja…Together, these studies reinforce an important theme: successful airway surgery requires understanding how anatomy, tissue healing, and surgical technique interact over time.🎓 Journal Articles DiscussedSuematsu et al. — Long-term outcomes of dogs with W-shaped or traditional tracheal collapse treated with a continuous extraluminal tracheal prosthesis: A retrospective studyTimmermans et al. — Evaluation of soft palate thickness in brachycephalic dogs 3 months after folded flap palatoplasty versus standard staphylectomy📚 From the January 2026 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

In this Simini Small Animal Surgery Podcast episode, we wrap up our soft tissue coverage from the January 2026 issue of Veterinary Surgery with two papers that focus on perioperative decision-making and surgical safety.One study reviews modern strategies for managing septic peritonitis, emphasizing stabilization, infection control, and postoperative care that directly influence survival. The other examines the rare but serious complication of retained surgical sponges, highlighting how simple system failures in routine procedures can lead to major postoperative complications.In this episode:✅ O’Marra et al. — A comprehensive review of septic peritonitis management in small animals, outlining the importance of aggressive stabilization, rapid surgical source control, and intensive postoperative monitoring. The paper highlights key perioperative strategies including balanced crystalloid resuscitation, avoidance of hydroxyethyl starch due to potential renal injury risk, and early enteral nutrition within 24–48 hours to support intestinal barrier function and reduce systemic complications. ✅ Seger et al. — A multi-institutional retrospective study evaluating 21 cases of gossypiboma (retained surgical sponges) in dogs and cats. Over half of the cases originated from routine ovariohysterectomy procedures, with patients typically presenting about two weeks later with nonspecific signs such as fever, lethargy, and abdominal pain. Despite the severity of the complication, 19 of 21 animals survived to discharge following surgical removal, underscoring both the seriousness and treatability of the condition. The key takeaway: good outcomes depend on both excellent surgical management and reliable operating room systems that prevent avoidable complications.🎓 Journal Articles DiscussedO’Marra et al. — Perioperative management of septic peritonitis in small animals: A reviewSeger et al. — Presentation, diagnosis, and management of gossypibomas in veterinary specialty hospitals: A multi-institutional study of 21 cases📚 From the January 2026 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

In this Simini Small Animal Surgery Podcast episode, we continue our soft tissue coverage from the January 2026 issue of Veterinary Surgery with two studies focused on improving objective surgical assessment and risk prediction.One paper examines the long-term physiologic outcomes of brachycephalic airway surgery, using objective respiratory testing rather than owner perception. The second analyzes predictors of complications in canine hepatic mass resections, highlighting how preoperative imaging and systemic health influence surgical risk.In this episode:✅ Johnson et al. — Evaluated long-term outcomes after brachycephalic obstructive airway syndrome (BOAS) surgery in 32 dogs using objective respiratory testing, including respiratory functional grading and whole-body plethysmography. The study showed a dramatic drop in the BOAS index from 71.6% pre-surgery to 46.7% post-surgery, with durable improvement maintained at 49.1% after a median follow-up of 4.5 years. More than 80% of dogs maintained improved respiratory function, demonstrating the long-term durability of multi-level airway correction. ✅ Konno et al. — A retrospective study of 96 dogs undergoing hepatic mass resection, identifying predictors of severe complications within two weeks of surgery. The overall severe complication rate was 17.7% with a mortality rate of 6.3%. Importantly, surgical risk was not associated with the hepatic lobe involved, but rather with the distance between the mass and the caudal vena cava on CT imaging, underlying systemic disease, and intraoperative hypotension. Together, these studies highlight how objective measurement—whether of airway function or surgical anatomy—can dramatically improve clinical decision-making and surgical planning.🎓 Journal Articles DiscussedJohnson et al. — Comparison of short- and long-term objective respiratory outcomes after surgery for brachycephalic obstructive airway syndromeKonno et al. — Risk factors for complications associated with canine hepatic mass resection: A study of 96 cases📚 From the January 2026 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

In this Simini Small Animal Surgery Podcast episode, we begin our soft tissue coverage from the January 2026 issue of Veterinary Surgery with two studies that tackle some of the most challenging abdominal conditions surgeons face.From septic peritonitis management to right divisional hepatic lobectomy, these papers highlight the balance between aggressive surgical intervention and careful perioperative management in critically ill patients.In this episode:✅ Campbell et al. — A comprehensive review of septic peritonitis in small animals, focusing on early recognition, rapid source control, abdominal lavage, drainage strategies, and perioperative care. The review highlights emerging concerns about the biologic effects of large-volume saline lavage, including tissue irritation, altered electrolyte environments, and potential impairment of mesothelial cell function during prolonged exposure. ✅ Foster et al. — A multi-institutional retrospective study evaluating 70 dogs undergoing right divisional hepatic lobectomy, one of the most technically demanding liver procedures in veterinary surgery. While intraoperative complications occurred in 54.3% of cases, primarily due to hemorrhage, the perioperative mortality rate was only 2.9%, reflecting improved patient selection and perioperative management. The study also found no difference in complication rates between surgical techniques, including staplers, vessel sealing devices, and traditional ligation. Together, these papers reinforce a central theme in soft tissue surgery: success often depends as much on perioperative strategy and patient selection as it does on surgical technique itself.🎓 Journal Articles DiscussedCampbell et al. — Diagnosis and surgical management of septic peritonitis in small animals: A reviewFoster et al. — Outcomes and prognostic variables associated with right divisional hepatic lobectomies in 70 dogs📚 From the January 2026 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

In this Simini Small Animal Surgery Podcast episode, we continue our orthopedic coverage from the January 2026 issue of Veterinary Surgery with two studies that approach surgical improvement from very different angles: precision tools and evidence-based treatment decisions.One paper introduces a novel table-mounted reduction and drill guide system designed to improve the accuracy of minimally invasive sacroiliac fixation. The other examines the quality of evidence behind surgical treatments for severe canine elbow osteoarthritis, raising important questions about complication risk and decision-making.In this episode:✅ Lopez-Barroso et al. — Evaluated a table-bound reduction and drill guide system for minimally invasive sacroiliac stabilization in cats. The reusable 3D-printed guide, stabilized by articulated arms attached to the OR table, produced 100% safe screw placement and 94% average joint reduction, with 82% sacral width purchase, dramatically exceeding typical thresholds for secure fixation. The setup also allows the surgical team to step away from fluoroscopy, reducing radiation exposure. ✅ Yu et al. — Conducted a systematic review of surgical options for severe canine elbow osteoarthritis, including sliding humeral osteotomy (SHO), proximal abducting ulnar osteotomy (PAUL), and canine unicompartmental elbow replacement (CUE). Despite more than 1,200 initial records, only 15 studies met inclusion criteria, and none provided high-level evidence. The CUE procedure showed reported success rates of 91–98%, but the number needed to harm was just 7.6, meaning roughly 1 in 8 dogs experienced a major complication requiring revision, arthrodesis, amputation, or euthanasia. Together, these papers highlight two paths toward better orthopedic care: improving surgical precision through technology and strengthening clinical decision-making through better evidence.🎓 Journal Articles DiscussedLopez-Barroso et al. — Accuracy of a table-bound reduction and drill guide system for minimally invasive sacroiliac screw placement in catsYu et al. — Systematic review of surgical treatment for severe elbow osteoarthritis in dogs 📚 From the January 2026 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

In this Simini Small Animal Surgery Podcast episode, we launch our orthopedic coverage from the January 2026 issue of Veterinary Surgery. From dynamic imaging of the LS spine to stability testing of back-to-back PLCs and the biomechanical root of HIF, this episode arms you with new insights on spine and elbow decision-making.We cover:✅ Baldo Clemot et al. — A dynamic MRI study of the canine lumbosacral spine. Flexion alone resolved central canal and foraminal occlusion in all cases—suggesting that in dogs treated with distraction-stabilization, dorsal laminectomy may offer no additional decompression unless needed for IVD spacers✅ Becker et al. — A biomechanical analysis of consecutive partial lateral corpectomies (PLCs). Performing two adjacent PLCs (e.g., L2–L3 and L3–L4) increased flexion and lateral bending, but not to failure thresholds. Importantly, rotational stability was preserved, and only extreme torque testing revealed reduced safety margins—validating the feasibility of dual PLCs when surgically indicated✅ Frapwell et al. — A CT morphometric study comparing dogs with and without humeral intracondylar fissures (HIF). The “wedge effect” was confirmed: steeper condylar angles create a narrowing that the anconeal process wedges into during loading, leading to intercondylar shearing and eventual screw fatigue failure. The data strongly support HIF as a stress-induced fatigue fracture, not just a developmental void🎓 Journal Articles Discussed:Baldo Clemot et al. — Dynamic magnetic resonance imaging of the lumbosacral spine in neutral and flexed position for presurgical assessment of clinically affected dogs with degenerative lumbosacral stenosisBecker et al. — Influence of two consecutive partial lateral corpectomies on passive motion of the canine lumbar spineFrapwell et al. — Analysis of humeral condylar morphology in dogs with and without humeral intracondylar fissure 📚 From the January 2026 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

In this Simini Small Animal Surgery Podcast episode, we wrap up the orthopedic coverage from the March 2025 issue of VCOT with two studies that dig deep into fracture recurrence risk and the limits of plate length compromises. These insights are must-knows for surgeons weighing implant removal decisions or choosing between shorter vs. longer constructs in MIPO.We cover:✅ Muroi et al. — A retrospective study of 181 radial-ulnar repairs in toy breed dogs, analyzing outcomes of plate retention vs. removal. The refracture rate quadrupled from 3.5% (retained) to 12.5% (removed), with every fracture occurring at the original site, confirming implant-induced osteoporosis (IIO). Use of pixel value ratio (PVR) and screw-to-bone diameter ratio (SBDR) > 0.4 were strong predictors of failure and highlight the importance of radiographic density—not just fracture line healing—when planning implant removal✅ Trefny et al. — A biomechanical study testing plate length vs. construct stiffness using 3.5 mm LCPs across 6-, 8-, 10-, and 12-hole variants in a tibial gap model. The results? Only the 12-hole plate reached a meaningful increase in construct stiffness and reduced strain on bone and implant. Shorter constructs (even 10-hole) failed to reduce fatigue risk, emphasizing that an 80% plate-to-bone ratio is the biomechanical threshold surgeons should aim for🎓 Journal Articles Discussed:Muroi et al. — A Retrospective Study of Risk Factors Associated with Refracture after Repair of Radial–Ulnar Fractures in Small-Breed DogsTrefny et al. — Effect of Plate Length on Construct Stiffness and Strain in a Synthetic Short-Fragment Fracture Gap Model Stabilized with a 3.5-mm Locking Compression Plate🎁 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

In this Simini Small Animal Surgery Podcast episode, we wrap up orthopedic highlights from the March 2025 issue of VCOT, focusing on implant design, joint coverage, and surgical habits that don’t always hold up under pressure. From hips to plates, this episode delivers biomechanical insights you can apply immediately in the OR.We cover:✅ Huels et al. — A clinical follow-up of 30 canine total hip arthroplasties using a second-generation selective laser melted screw cup (SCSL). The implant showed a cup complication rate of just 3.3%, and no late aseptic loosening at a 17.5-month median follow-up. Most failures occurred on the femoral side, indicating the new porous trabecular cup design may finally solve long-term cup fixation✅ Lomas et al. — A CT-based study showing that double pelvic osteotomy (DPO) improved mean dorsal lateral subluxation (DLS) scores from 36.1% to 71.4%—effectively shifting dysplastic hips from high-risk to low-risk OA territory. The biggest correction came with 30° plates, reinforcing the value of pre-op CT templating to optimize surgical planning✅ Lu et al. — A mechanical study testing whether leaving bending tees in empty SOP nodes improves strength. While medial-lateral bending stiffness increased by a statistically significant 2.08 N/mm, the authors concluded the clinical benefit was negligible. Leaving tees in is a habit, not a proven technique, and doesn’t meaningfully increase construct stiffness🎓 Journal Articles Discussed:Huels et al. —Complications and Long-Term Outcome in 30 Canine Total Hip Arthroplasties Using a Second-Generation Selective Laser Melted Screw CupLomas et al. — The Impact of Double Pelvic Osteotomy on Dorsolateral Subluxation in 24 DogsLu et al. — Comparison of Bending Stiffness between String of Pearls Plate-Bone Substitute Constructs with and without Bending Tees in a Fracture Gap Model🎁 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

In this Simini Small Animal Surgery Podcast episode, we bring you two impactful studies from the January 2025 issue of VCOT, spanning both orthopedic decision-making and emergency soft tissue triage. One study helps you decide how many screws are really worth it in a femoral neck fracture. The other gives you a scoring system that could redefine how we manage high-rise syndrome in cats.We cover:✅ Calderon et al. — A biomechanical cadaver study comparing two vs. three titanium cannulated screw constructs for basal femoral neck fractures in dogs. Three screws delivered a 51.7% strength increase, significantly improving fixation yield (586 N vs. 303 N), while stiffness stayed relatively unchanged. But added strength came with increased technical demand and higher cortical perforation risk—especially in dogs with narrow femoral necks✅ Ínal et al. — A retrospective study of 373 cats with high-rise syndrome (HRS) evaluating survival predictors. Fall height, surface type, and visible injuries were not predictive. Only the Animal Trauma Triage Score (ATTS) strongly predicted mortality. Cats with an ATTS ≥7 had a 61.9% mortality rate, and most deaths were due to thoracic or vertebral injury, not fractures. This shifts focus to early ATTS scoring and aggressive spine/chest imaging regardless of the fall story🎓 Journal Articles Discussed:Calderon et al. — In Vitro Biomechanical Study of Femoral Neck Fracture Fixation with Two or Three Cannulated Screws in Dogs Ínal et al. — Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats 📚 From the January 2025 issue of VCOT🎁 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

In this Simini Small Animal Surgery Podcast episode, we break down two orthopedic studies from the January 2025 issue of VCOT that spotlight the power of precision—whether you’re planning feline MPL surgery or evaluating TPLO healing in boxers.We cover:✅ Santos et al. — A CT-based morphometric study comparing 18 limbs with medial patellar luxation (MPL) in cats versus normal controls. Surprisingly, only minor differences in trochlear depth (<1 mm) and tibial torsion angle (<5°) were found, with no significant tibial tuberosity displacement. The study strongly suggests major osteotomies are rarely indicated in feline MPL, and supports a surgical approach focused on soft tissue realignment over bone cutting✅ Huerta et al. — A prospective analysis comparing boxers vs. Labradors at 8 weeks post-TPLO. Boxers had significantly lower radiographic healing scores, likely due to underlying synovitis and increased joint inflammation. Importantly, a 1 mm osteotomy gap was also linked to delayed healing in both breeds, reinforcing the need for meticulous craniocaudal compression during fixation🎓 Journal Articles Discussed:Santos et al. — Computed Tomographic Measurement Method for Morphoanatomical Comparison of Femur, Tibia, and Patella in Cats with and without Medial Patellar LuxationHuerta et al. — Evaluation of Osteotomy Healing in Boxer Dogs Undergoing Tibial Plateau Levelling Osteotomy Using Two Radiographic Scoring Systems 📚 From the January 2025 issue of VCOT🎁 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

In this Simini Small Animal Surgery Podcast episode, we highlight two impactful orthopedic studies from the January 2025 issue of VCOT. Whether you're choosing a locking plate system or navigating traumatic patellar luxation (PL), this episode brings you practical, evidence-based insights for your next case.We cover:✅ Lai et al. — A biomechanical comparison of three 3.5 mm locking compression plate (LCP) systems under cyclic torsion. While initial stiffness across systems was similar, fatigue life varied dramatically, with DPS screws outperforming KB and Vey by up to 50%. Failure occurred via screw breakage, not plate deformation—reframing implant selection around screw endurance, not just plate stiffness✅ Boullenger et al. — A retrospective review of 16 traumatic patellar luxation cases in dogs and cats—strictly excluding developmental deformities. All were treated with soft tissue repair alone, and 10 of 13 dogs achieved full return to function at a 71-month mean follow-up. Use of a fabellotibial suture (FPS) was critical, especially in large-breed dogs. Surgical pearls include anchoring the FPS to the femoral condyle for better isometry and reduced failure🎓 Journal Articles Discussed:Lai et al. — Biomechanical Comparison of Three Locking Compression Plate Constructs from Three Manufacturers under Cyclic Torsional Loading in a Fracture Gap ModelBoullenger et al. —  Clinical Presentation, Surgical Treatment, and Outcome of Traumatic Patellar Luxation in 11 Dogs and 5 Cats A Single-Centre Retrospective Study between 2011 and 2022  📚 From the January 2025 issue of VCOT🎁 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

In this Simini Small Animal Surgery Podcast episode, we spotlight two minimally invasive surgical techniques from the November 2025 issue of Veterinary Surgery. Whether you're decompressing spinal cords or resecting thoracic tumors, these papers prove that less invasive doesn't mean less effective—if you plan and execute with precision.We cover:✅ Wolfe et al. — A randomized cadaver study evaluating an integrated endoscopic approach for thoracolumbar lateral corpectomy (TLLC) in dogs. Using a hybrid technique combining mini hemilaminectomy and lateral corpectomy, surgeons achieved median decompression depths of 74% of the vertebral canal. No rib head resection, zero traumatic rhizotomy, and improved access with angled patient positioning make this a serious alternative to open techniques✅ Renier et al. — A multi-institutional retrospective on thoracoscopic resection of cranial mediastinal masses in 17 cats. All survived surgery with a median hospitalization of 2 days, but 35% required conversion, mostly due to tumors over 5 cm or strong adhesions. The study recommends a VATS-assisted fallback strategy using a mini incision for digital retraction—letting you stay minimally invasive while handling surgical surprises🎓 Journal Articles Discussed:Wolf et al. — Integrated endoscopic thoracolumbarmini-hemilaminectomy and lateral corpectomyin cadaver dogsRenier et al. — Thoracoscopic resection of cranial mediastinal masses:Retrospective study in 17 cats 📚 From the November 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

In this Simini Small Animal Surgery Podcast episode, we wrap up November's orthopedic coverage with two studies focused on tibial alignment, implant planning, and real-world healing rates. These papers bring clarity to the impact of implant geometry and construct length on outcomes in fracture fixation.We cover:✅ Ramsey et al. — A retrospective comparison of straight vs. bent interlocking nails (ILNs) for tibial fracture repair in dogs. The results are striking: bent nails restored near-anatomic alignment (TPA deviation ~1°) while straight ILNs caused an average of 5° of excess caudal slope. The takeaway? Pre-contouring isn’t just aesthetic—it significantly reduces malalignment without increasing complication ratesSmall Animal Vet Surge 2025 Nov….✅ Rehnblom et al. — A retrospective multicenter case series on 75 canine and feline fractures repaired with the Ortholine hybrid locking plate. The system achieved a 93.4% union rate with a 1.1% implant failure rate, despite wide variation in plate span. The study suggests that in radial and ulnar fractures, shorter spans (~40–50%) are acceptable with good reduction—reducing morbidity without compromising stabilitySmall Animal Vet Surge 2025 Nov….🎓 Journal Articles Discussed:Ramsey et al. — Comparison of tibial alignment following bent or straightinterlocking nail fixation for dogs withdiaphyseal tibial fracturesRehnblom et al. — Open reduction and internal fixation of 75 small animalfractures treated with the OrthoLineTM fracture system 📚 From the November 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

In this Simini Small Animal Surgery Podcast episode, we kick off November’s orthopedic coverage with two studies that refine surgical access and fracture fixation in feline and canine patients. One clarifies your best exposure strategy for feline radial fractures, and the other brings big-data clarity to interlocking nail performance in long bone trauma.We cover:✅ Bower et al. — An ex vivo cadaveric study comparing cranial medial vs. cranial lateral surgical approaches to the feline radius. The result? No statistically significant difference in surface exposure—with cranial lateral actually offering slightly more viewable area (4.13 cm² vs. 3.84 cm²). This confirms that the easier, safer, and nerve-sparing lateral approach is just as effective and far more efficient for positioning, especially when performing dual bone fixation (DBF)✅ Perry et al. — A retrospective review of over 240 canine fractures stabilized with the ILOC interlocking nail. Complication rates, implant performance, and time to union were analyzed across a diverse orthopedic caseload. The study supports ILOC as a safe, versatile fixation option with excellent union rates and low implant-related complication frequency🎓 Journal Articles Discussed:Bauer et al. — Comparison of exposure of the feline radial diaphysisby the craniomedial and craniolateral surgical approachesfor repair of antebrachial fracturesPeral et al. — Outcomes of 243 dogs with traumatic fractures treatedwith the I-Lok interlocking nail 📚 From the November 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

In this Simini Small Animal Surgery Podcast episode, we highlight two studies from the October 2025 issue of Veterinary Surgery—each focused on refining thoracic soft tissue closure techniques, particularly in space-limited or high-risk scenarios.We cover:✅ Ritson et al. — An ex vivo feline study comparing bronchial stump closure methods in hilar lung lobectomy using linear staplers, pre-tied ligature loops (PLLs), and double shank titanium clips (DS clips). All three performed equivalently—even under 40 cm H₂O airway pressure, but the DS clips and PLLs offered major advantages in working space, maneuverability, and minimally invasive access, especially in cats under 4 kg.✅ You et al. — An ex vivo canine study evaluating a knotless barbed suture system for total lung lobectomy versus traditional sutures and staplers. At normal and supraphysiologic pressures, the barbed suture was equally secure, and 3.4 minutes faster on average than hand suturing. For small patients, tight spaces, or VATS, this may offer both mechanical and procedural benefits.🎓 Journal Articles Discussed:Ritson et al. — Ex vivo comparative evaluation of feline hilar lung lobectomy using linear stapler, pretied ligature loop, and double-shank titanium clipsYou et al. — Evaluation of a knotless barbed suture for canine total lung lobectomy: An ex vivo study 📚 From the October 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

In this Simini Small Animal Surgery Podcast episode, we explore two critical soft tissue studies from the October 2025 issue of Veterinary Surgery—each one helping you weigh surgical risk versus reward in deep anatomical spaces or delicate cardiac procedures.We cover:✅ Ciammaichella et al. — A multicenter retrospective study of over 130 lymphadenectomies across axillary, medial retropharyngeal, and iliosacral sites. The data showed overall complication rates were moderate (23%), but the iliosacral site carried a 41% risk—nearly double that of other locations. High-grade complications included wound dehiscence and infections requiring revision surgery, emphasizing the need for owner counseling, refined closure strategy, and potentially minimally invasive alternatives.✅ Kurogochi et al. — A prospective randomized trial comparing modified Del Nido (MDN) cardioplegia with conventional St. Thomas solution in dogs undergoing mitral valve repair. Troponin levels (myocardial injury) were equivalent, but electrical recovery was six times faster in the MDN group (60 vs. 362 seconds). The trade-off? MDN required almost double the fluid volume, necessitating vigilant postop management to avoid overhydration.🎓 Journal Articles Discussed:Ciammaichella et al. — Complications of medial retropharyngeal, axillary, and ilio-sacral lymphadenectomy in 127 dogs with malignant tumorsKurogochi et al. — Saline-based modified del Nido cardioplegia versus multidose St. Thomas cardioplegia in canine mitral valve repair: A randomized controlled trial 📚 From the October 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

In this Simini Small Animal Surgery Podcast episode, we wrap up the October 2025 orthopedic series with two high-impact studies—each focused on improving TPLO outcomes through better intraoperative imaging and implant technique. Whether you're chasing cut precision or trying to tame rotational instability, these papers offer real-world guidance with strong clinical implications.We cover:✅ Wang et al. — A prospective study of fluoroscopy-guided TPLO blade placement in 25 dogs. Using intraop C-arm to guide and verify blade trajectory, the team achieved a median post-op TPA of 3°, with all outcomes falling between 0–4.5°, a dramatic improvement over conventional variability (up to 13°). They also revealed that relying on D2-based pre-op planning can systematically underestimate osteotomy radius, reinforcing the role of real-time feedback during surgery.✅ Wylie et al. — A retrospective study on internal brace augmentation in 46 stifles post-TPLO. Despite only 63% of femoral implants being accurately placed (especially poor with FASTak anchors), over 90% of dogs showed pivot shift resolution by 6 weeks. Interestingly, final rotational stability wasn’t linked to implant position—suggesting that early bracing may simply provide time for extra-articular fibrosis to stabilize the joint naturally.🎓 Journal Articles Discussed:Wang et al. — Accuracy of fluoroscopy-guided osteotomy placement inTPLO: Postoperative tibial plateau angle and preoperativeplanning evaluationWylie et al. — Evaluation of femoral isometric placement accuracy ofinternal brace implants and its impact on stiflestability in the management of pivot shiftphenomenon following TPLO 📚 From the October 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

In this Simini Small Animal Surgery Podcast episode, we continue our October 2025 orthopedic coverage by examining two forward-thinking studies on cranial cruciate ligament disease (CCLD) surgery. One leverages machine learning to predict postoperative risk, and the other offers precise geometric modeling for TPLO alternatives.We cover:✅ Low et al. — Development of the PROSPECT machine learning model, trained on 670 stifle cases to predict surgical and medical complications after TPLO and CCWO. The model achieved 92.3% accuracy for surgical complications and revealed that complex interactions—like surgeon + technique—were more predictive than any single risk factor. This opens the door for individualized risk scoring and targeted intraoperative interventions, including enhanced infection control strategies.✅ Petchell et al. — A finite element modeling study evaluating a CORA-based CCWO technique (CCWO-CORA). Unlike older methods, this approach consistently delivered a post-op tibial plateau angle (TPA) of exactly 5.0°—regardless of breed or starting slope. By controlling the mechanical axis advancement (MAA) and wedge angle, the technique offers zero angular variability and preserved tibial length, with customizable MAA options to facilitate plating in steep-sloped breeds.🎓 Journal Articles Discussed:Low et al. — Machine-learning prediction of postoperative complicationsafter high tibial osteotomy for canine cranialcruciate ligament diseasePetchell et al. — An in silico comparison of a novel CORA-based cranialclosing wedge ostectomy methodology with threeother techniques 📚 From the October 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

In this Simini Small Animal Surgery Podcast episode, we explore two orthopedic articles from the October 2025 issue of Veterinary Surgery. Both pieces offer practical insights into diagnostic clarity and intraoperative precision for common stifle procedures—helping you plan better and cut cleaner.We cover:✅ Hoenecke et al. — A retrospective analysis of 57 stifles in dogs undergoing surgery for patellar luxation with intact CCLs. The study found 65% of stifles had increased soft tissue opacity on radiographs despite no CCL rupture, with links to body weight and OA, but not ligament failure. It challenges a core assumption in stifle interpretation.✅ Jeong et al. — An ex vivo comparison of a 3D-printed contoured saw guide versus a conventional jig for TPLO. The saw guide cut angles 1.2° off perpendicular vs. 4.3° for jigs and reduced cortical scraping nearly eightfold—but didn’t improve final TPA, alignment, or surgical time. The real win? Increased control and reduced intraoperative risk.🎓 Journal Articles Discussed:Hoenecke et al. — Increased radiographic stifle soft tissue opacity in dogswith patella luxationJeong et al. — Evaluation of a contoured saw guide for tibial plateauleveling osteotomy in dogs 📚 From the October 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

In this Simini Small Animal Surgery Podcast episode, we explore two studies from the August 2025 issue of Veterinary Surgery that push forward lymph node access in small animal oncologic surgery.We cover:✅ Monti et al. — A pilot study demonstrating the feasibility of laparoscopic iliosacral lymphadenectomy using near-infrared fluorescence (NIRF) and indocyanine green (ICG) in dogs. With a median dissection time of 12 minutes and zero post-op complications, this technique offers a safer, faster alternative to traditional open approaches—even for nodes as small as 5–6 mm.✅ Schneider et al. — A standardized open surgical technique using anatomical landmarks for axillary lymph node (ALN) removal. In 44 tumor-bearing dogs, the team achieved 100% node identification with a median dissection time of 16.6 minutes—without using dye or imaging guidance. Even "normal-sized" nodes revealed metastasis in 22% of cases.Together, these papers make a strong case for moving beyond imaging alone—and toward proactive, standardized node removal as part of everyday surgical oncology.🎓 Journal Articles Discussed:Monti et al. — Near-infrared fluorescence-guided minimally invasive surgery for iliosacral lymph node removal in 18 dogs (2023–2025)Schneider et al. — Axillary lymph node removal for staging cancer; description of a lateral approach and application in 44 tumor-bearing dogs 📚 From the August 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

In this Simini Small Animal Surgery Podcast episode, we highlight two impactful studies from the August 2025 issue of Veterinary Surgery. Together, they offer clearer, faster decision-making for managing complex airways and complicated wounds.We cover:✅ Chan et al. — A retrospective study of 180 dogs with advanced BOAS treated with modified multilevel airway surgery. The addition of QNA-ectomy—a procedure that preserves the corniculate process—resulted in a nearly 30% improvement in BOAS scores, with no statistically significant increase in major complications. But watch out: a BCS under 4 was linked to a 33% major complication rate, making nutritional and systemic stabilization essential.✅ McCagherty et al. — A prospective study of a handheld wound imaging device (WID) that uses violet light fluorescence to detect clinically relevant bacterial loads in real time. While it didn't improve culture swab yield, it correctly identified infection in 100% of cases, aiding both empirical treatment decisions and targeted debridement.🎓 Journal Articles Discussed:Chan et al. — Complication rate and outcomes of laryngealcuneiformectomy in dogs with advanced laryngeal collapseMcCagherty et al. — Diagnostic value of a point of care bacterial fluorescenceimaging device for detecting wound infections indogs and cats 📚 From the August 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

In this Simini Small Animal Surgery Podcast episode, we highlight three studies from the August 2025 issue of Veterinary Surgery, each tackling challenges in total hip arthroplasty (THA) across species and surgical phases—from candidacy in tiny dogs to implant selection in cats, to fracture prevention in everyone else.We cover:✅ Kimura et al. — A study of dogs under 4 kg undergoing mini cementless THA using the Zurich system. With a 100% implant survival rate and rapid return to function, the study supports THR over FHNE—even in the tiniest patients, as long as careful planning and imaging guide the approach.✅ Lomas et al. — A case series of 17 hybrid total hip replacements in cats using a cemented femoral stem and cementless acetabular cup. Zero complications, excellent owner-reported outcomes, and a promising revision strategy make this technique a viable option for feline coxofemoral disease.✅ Pfund et al. — A retrospective analysis of 224 dogs identifying the Cortical Thickness Index (CTI) as a strong predictor of perioperative femoral fractures during THR. Lower CTI values were significantly associated with increased fracture risk, making CTI a reliable, reproducible pre-op screening tool.🎓 Journal Articles Discussed:Kimura et al. — Long-term outcomes of 10 dogs weighing less than 4 kg after Zurich mini-cementless total hip arthroplastyLomas et al. — Medium-term outcomes of hybrid total hip arthroplasty in cats: Cemented femoral stem and cementless acetabular cup in 17 hips (2020–2023)Pfund et al. — Femoral cortical thickness index in a population of dogs undergoing total hip replacement 📚 From the August 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

In this Simini Small Animal Surgery Podcast episode, we explore three orthopedic and neurosurgical studies from the August 2025 issue of Veterinary Surgery. The common thread? Designing smarter, more intentional surgeries—with better data and better outcomes.We cover:✅ Berthomé et al. — A multi-institutional retrospective study in small dogs showing 0% recurrence of cervical IVDD after ventral slot when prophylactic fenestration was added. Despite 40 extra minutes of surgery, complication rates remained unchanged.✅ Danielski et al. — In 93 limbs, combining intramedullary pinning with rhBMP-2 during proximal ulnar osteotomy reduced major complications to 5.3% and eliminated non-unions—even in high-risk chondrodystrophic breeds.✅ Farrugia et al. — A cadaveric study demonstrating that more proximal osteotomy sites in BODPUO produce significantly greater angular changes (up to 18°), without increasing complication risk. Location matters—and now you’ve got numbers to plan with.🎓 Journal Articles Discussed:Berthomé et al. — Recurrence of cervical intervertebral disc extrusion in 55 dogs after surgical decompression with or without prophylactic fenestrationDanielski et al. — Impact of intramedullary pinning and recombinant human bone morphogenetic protein-2 on postoperative complications after proximal ulnar osteotomy in dogsFarrugia et al. — Bi-oblique dynamic promial ulna osteotomy: Effect of location on change in angle of the proximal ulna segment 📚 From the August 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

In this Simini Small Animal Surgery Podcast episode, we explore three cutting-edge studies from the July 2025 issue of Veterinary Surgery—each one helping refine high-risk soft tissue interventions through better diagnostics, emerging techniques, and practical survival insights.We cover:✅ Miyagi et al. — An ex vivo pilot study demonstrating the feasibility of endoscopic-assisted laser sphincterotomy (EARC) for the intramural bile duct in dogs. They achieved 100% procedural success in 18 cadavers and identified a reliable visual cue to guide incision—offering a safer, minimally invasive future for biliary access.✅ Otero Balda et al. — A multicenter retrospective study of 59 cats with post-attenuation neurologic signs (PANS) following CPSS surgery. While 78% survived to 30 days, generalized seizures dropped survival to 50%. Propofol use flagged more severe cases but wasn’t directly causal.✅ Poggi et al. — A 22-cat case series of laparoscopic cholecystectomy—the first published feline series of its kind. The results? 100% completion, 4.5% mortality, and shorter hospital stays versus open surgery—if you choose cases carefully and watch for post-op EHBDO.Three studies. One message: risk doesn’t rule out innovation—if you plan carefully.🎓 Journal Articles Discussed:Miyagi et al. — Endoscopic-assisted laser sphincterotomy of the intramuralcommon bile duct: A cadaveric pilot studyOtero Balda et al. — Prognostic factors for short-term survival of cats thatexperienced postattenuation neurologic signs after surgicalattenuation of single congenital portosystemic shuntsPoggi et al. — Laparoscopic cholecystectomy in 22 cats (2018–2024) 📚 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

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

In this Simini Small Animal Surgery Podcast episode, we explore three research-driven updates from the July 2025 issue of Veterinary Surgery. These studies challenge assumptions and refine surgical technique across both orthopedic modeling and minimally invasive soft tissue surgery.We cover:✅ Mazdarani et al. — A feline limb press model study revealing how rigid femoral fixation misrepresents real muscle forces. Flexion-friendly models better replicate in vivo biomechanics—potentially reshaping how we interpret feline stifle repair research.✅ Chik et al. — A prospective study showing that brief pre-insufflation stretching improves working space during canine laparoscopy—enabling lower pressures and potentially safer MIS procedures with no compromise on space.✅ Ferreira et al. — A randomized trial of heated CO₂ insufflation in dogs. The result? Significant temperature protection, delayed hypothermia onset, and a smoother recovery—especially important for longer or complex laparoscopic procedures.Three studies. One message: smarter technique starts with smarter assumptions.🎓 Journal Articles Discussed:Mazdarani et al. — Proximal femoral fixation method and axial load affect simulated muscle forces in an ex vivo feline limb pressChik et al. — Prestretching increases working space at the same insufflation pressure in dogs undergoing laparoscopic proceduresFerreira et al. — Effect of heated pneumoperitoneum on body temperature in dogs undergoing laparoscopic ovariectomy—A randomized controlled trial 📚 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

In this Simini Small Animal Surgery Podcast episode, we close out the May 2025 soft tissue series with two studies that refine your surgical mindset—from lymph node staging to complex liver resections.We cover:✅ Mattioli et al. — A large retrospective review of 201 peripheral lymphadenectomies in dogs. The findings? Overall complication rates were low—but mandibular and retropharyngeal nodes carried higher risks, especially when surgical time exceeded 21.5 minutes.✅ Oramas et al. — A cadaver feasibility study using a novel positioning and access strategy for laparoscopic right lateral liver lobectomy. With 100% completion across all cadavers, the approach shows promise even in larger dogs.Whether you’re refining your approach to surgical oncology or reassessing what’s feasible in MIS liver work, this episode gives you data-driven clarity and practical tips.🎓 Journal Articles Discussed:Mattioli et al. — Peripheral sentinel lymphadenectomy in 163 dogs:Postoperative surgical complications and comparisonbetween intraoperative dissection techniquesOramas et al. — Evaluation of sternal recumbency for laparoscopic rightlateral liver lobectomy through a transdiaphragmatic portin a canine cadaveric population 📚 From the May 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

In this episode of the Simini Small Animal Surgery Podcast, we explore two critical and very different questions facing small animal surgeons today: How do we better predict neurologic recovery in deep pain-negative dogs? And how can we optimize pulmonary staple lines to reduce air leaks?We cover two impactful studies:✅ Low et al. — A multicenter study that trained and validated a machine learning model (XGBoost) to predict post-op ambulation in dogs with acute TL-IVDE. The model outperformed traditional markers and could change how we counsel and select cases for surgery.✅ Huerta et al. — An ex vivo investigation into staple line air leakage across various lobectomy techniques. The results? Total lobectomies were far more robust, while partial techniques—especially wedge resections—leaked at physiologic pressures.Whether you're refining surgical counseling or checking your staple lines more thoroughly, this episode brings data-driven insight to daily decision-making.🎓 Journal Articles Discussed:Low et al. — Machine-learning-based prediction of functional recovery in deep-pain-negative dogs after decompressive thoracolumbar hemilaminectomy for acute intervertebral disc extrusionHuerta et al. — Leakage pressures of partial and total lung lobectomies performed with thoracoabdominal staplers in cadaveric dogs 📚 From the May 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

In this Simini Small Animal Surgery Podcast episode, we dive into three standout studies from the May 2025 issue of Veterinary Surgery—each spotlighting how simple innovation, institutional learning, and advanced mapping can reshape soft tissue outcomes in small animal patients.We cover:✅ Aertsens et al. — A chest wall lift technique for feline thoracoscopy. See how a bent Steinmann pin and improved oxygenation helped avoid open conversion in two complex cases.✅ Brockman et al. — A 7-year journey tracking mitral valve repair outcomes in 132 dogs. From 22 to 30 survivors per quartile, this study shows the power of deliberate team-based refinement.✅ Griffin et al. — A pilot study on dual-technique sentinel lymph node mapping for canine thyroid carcinoma. Hidden metastases were found in 33% of cases—and none were visible pre-op.Three studies. One theme: practical refinement at every step of the surgical journey.🎓 Journal Articles Discussed:Aertsens et al. — Chest wall lift for thoracoscopic lung lobectomy  Technique and results in two catsBrockman et al. — Improvement in short-term outcome over time, in a single center embarking on a canine mitral valve repair program using a structured multidisciplinary approachGriffin et al. —  A combination of pre‐ and intraoperative techniques identifies sentinel lymph nodes 📚 From the May 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

In the final installment of our May 2025 orthopedic series, we bring precision into focus with two articles that spotlight both surgical technique and clinical decision-making under pressure.We cover two compelling studies:✅  Rocheleau et al. — A retrospective case series using arthroscopic treatment for infected total hip replacements. This “implant-salvage-first” strategy led to 87.5% success—especially when paired with advanced lavage and partial synovectomy.✅ McClean et al. — A cadaver study comparing two blind techniques for shoulder joint injections in dogs. Learn which approach cuts iatrogenic cartilage injury by 80%—and why your next injection might need a rethink.If you’re navigating joint taps or managing the dreaded PJI, this episode brings clarity to what works, what doesn’t, and how to reduce risk with smarter tools and strategies.🎓 Journal Articles Discussed:McClean et al. — Accuracy and safety of two landmark‐guided techniques for arthrocentesis andRocheleau et al. —  - Arthroscopic sampling  diagnosis and treatment of infected total hip replacements 📚 From the May 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

In this Simini Small Animal Surgery Podcast episode, we continue our three-part orthopedic series with Part 2 of the May 2025 issue of Veterinary Surgery. This episode zooms in on upper limb orthopedic strategies—from groundbreaking shoulder stabilization to fresh insights into humeral intracondylar fissures in Cocker Spaniels.We cover two standout studies:✅ Burton et al. — A CT-based morphometric analysis that connects subtle conformational differences in forelimb bones to humeral fissures. This work opens new doors to proactive diagnostics and even preventative surgery.✅ Schuenemann et al. — A clinical series showing the power of bioabsorbable bone anchors in canine biceps tenodesis. Dogs were back to work within weeks. Think fixation without fuss—and faster recovery without lingering lameness.Whether you’re reevaluating your shoulder repair approach or considering preventative osteotomies, this episode delivers actionable clinical strategy and biomechanics-backed takeaways.🎓 Journal Articles Discussed:Schuenemann et al. —Biceps tenodesis with a bioabsorbable bone anchor using BoneWelding technologyBurton et al. —  Antebrachial conformation in Cocker Spaniels with and without humeral intracondylar 📚 From the May 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

In this Simini Small Animal Surgery Podcast episode, we kick off a three-part series diving into the orthopedic articles from the May 2025 issue of Veterinary Surgery.This episode focuses on fixation decisions and biomechanical insights that directly impact small animal orthopedic surgery.You’ll hear takeaways from three studies:✅ Internal vs. external fixation in young dogs with tibial fractures — when each method shines and where complications differ. ✅ MIPO vs. open plating for radius/ulna fractures — what 105 cases tell us about outcomes and surgical time. ✅ Unilateral vs. orthogonal locking plates — a mechanical comparison that could reshape your implant strategy.Whether you’re choosing an approach for your next fracture case or reevaluating your fixation technique, this episode brings sharp, surgical takeaways to the forefront.🎓 Journal Articles Discussed:Chitty et al. — Internal vs. External Fixation in Immature DogsLederer et al. — MIPO vs. Open Reduction in Antebrachial FracturesWelsh et al. — Biomechanical Performance of Locking Plate Configurations📚 From the May 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

In this episode of  Fast Track Update, we review key articles from the April 2025 issue of Veterinary Surgery, with a focus on small animal soft tissue surgery. Designed for residents, clinicians, and board-prepping surgeons, this rapid-fire review helps you digest the latest research in just one commute.Topics include:Surgical site infection risk reductionGallbladder mucocele managementLaparoscopic liver biopsy outcomesEffects of analgesia on intestinal motility3D printing for airway obstruction modelingAnd more — all with commentary on clinical relevance and board applicabilityDon’t have time to read the full issue? We’ve got you covered.—🎁 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🔊 Listen On: Spotify | Apple Podcasts | Amazon MusicVetSurg April Issue 2025 - https://onlinelibrary.wiley.com/toc/1532950x/2025/54/3

In this Simini Surgery Podcast Fast Track Update episode, we tackle the complex biomechanics and frustrating biology of tendon and ligament healing.We cover:The shape and phases of the stress-strain curveWhy tendons and ligaments fail differently than boneThe three stages of healing: inflammation, proliferation, remodelingWhy healed tissue is never as strong — and how scar tissue disrupts force transferRepair strategies: Krackow vs. locking loop, suture tension, and rehab timingWhy conservative management often fails, and how to reduce re-rupture riskIf you’ve ever wondered why a repaired tendon still ruptures — or why scarred ligaments lose proprioception — this episode gives you the mechanical reasoning to back up your clinical instincts.—🎁 Want to learn more about Simini Protect Lavage or request a sample?Learn More: www.simini.comRequest a Sample:https://www.simini.com/evaluation-kitVetSurg April Issue 2025 - https://onlinelibrary.wiley.com/toc/1532950x/2025/54/3🔊 Listen On: Spotify | Apple Podcasts | Amazon Music

In this Surgical Spotlight episode of the Simini Surgery Review, we break down the biomechanics and clinical impact of the tibial plateau angle (TPA) in cranial cruciate ligament (CCL) disease.We cover key findings from a 2022 VCOT Review paper, including breed-related TPA variations, the influence of neuter status, and how imaging technique can skew your angles—and your surgical outcomes.Whether you’re planning a TPLO tomorrow or refining your pre-op protocols, this is essential listening for small animal surgeons.Key Topics Covered:– Biomechanics of cranial tibial thrust and why slope matters – What the literature says about TPA and rupture risk – CT/MRI vs. radiographs: when and why it matters – Common positioning pitfalls that affect measurements – Breed, size, and neuter status considerations – Clinical planning beyond templated angles – Why lateral slope and tibial curvature may be the next frontier📄 Link to TPLO/TPA review paper Produced by Simini, creators of Simini Protect Lavage—the non-antibiotic rinse designed to target surgical site risks that aren't addressed by saline or post-op antibiotics—namely resistant bacteria and biofilms.🧪 A simple step at the point of closure to reinforce your protocol and support antimicrobial resistance goals.🎁🎁 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

In this Simini Surgery Podcast Fast Track Update episode, we explore the most clinically relevant takeaways from the January 2025 issue of VCOT. Tailored for the busy small animal surgeon, this episode condenses the newest research into actionable insight — helping you zero in on what matters most to your practice.We cover:Long-term outcomes for soft tissue repair of traumatic patellar luxationCT-based anatomical differences in cats with medial patellar luxationHealing assessments after TPLO in Boxer dogsFixation strength in femoral neck fractures: 2 screws vs. 3Survival predictors in feline high-rise syndrome using the ATTS score🔗 Explore the full issue: VCOT January 2025🎁 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

In this episode of the Simini Surgery Review: Small Animal Edition, we walk you through the key clinical takeaways from the February 2025 issue of Veterinary Surgery.Designed to give busy surgeons a head start, this episode offers a clear, concise introduction to the month’s research — helping you prioritize the articles most relevant to your practice.We cover:Hemostatic sponge performance during liver surgeryA non-antibiotic lavage option to reinforce your closure protocolDrain placement strategies for better wound coverageReal-time confirmation of shunt occlusionAvoiding implant failure in toy breed fracture repairsThe link between ectomy timing and cruciate ligament disease risk🔗 Read the full issue here: https://onlinelibrary.wiley.com/toc/1532950x/2025/54/2🎁 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

In this episode of Scalpel & Silicon in the Simini Surgery Review Podcast, we explore how small animal surgeons can save time on documentation by using ChatGPT to draft discharge summaries—without sacrificing clinical quality.You’ll learn:What ChatGPT is and how it’s already used in clinical settings [00:00:59]A step-by-step workflow to generate clean, professional summaries  [00:02:43]How to go even faster using the Simini SOAP Assistant—a free custom GPT built for veterinary teams [00:04:17]And how to try Simini Protect Lavage risk-free in your next orthopedic closure [00:09:35]This podcast is about practical, surgical-level applications of AI—no hype, just leverage.🔗 Resources & Links:🧪 Try the Simini SOAP Assistant (free to use): https://chatgpt.com/g/g-67ff8c819b50819194272c4ee5c20d26-simini-soap-assistant-for-small-animals💬 Want to collaborate or provide feedback on the SOAP Assistant? Email Carl directly: [email protected]🎁 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

In this first Sharp Mind | Strong Hand episode, we explore a core idea from Atul Gawande’s Complications: the tension between confidence and competence in surgery.From the pressure to look like you’ve got it together in the OR to the quiet, sometimes uncomfortable process of truly building skill—this episode is a short, reflective listen for surgeons who want to grow beyond technique.🎧 Listen, reflect, and share it with a colleague who's on that same path.Produced by Simini, creators of Simini Protect Lavage—the non-antibiotic lavage designed to reinforce your closure protocol by targeting surgical site risks that aren’t addressed by saline or post-op antibiotics—namely biofilms and resistant bacteria.It’s a simple step you can add at closure to support antimicrobial resistance goals and enhance infection control.🎁 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

In this Surgical Spotlight episode of the Simini Surgery Review, we break down Dr. Mandy Wallace’s updated review on the surgical management of brachycephalic obstructive airway syndrome (BOAS).We cover emerging trends in soft palate surgery, new techniques for nares correction, updates on post-op management, and what current research says about outcomes. If you’re seeing bulldogs, Frenchies, or pugs in practice, this is information you need to hear.Key Topics Covered:– Anesthesia protocols and pre-op prep– FFP vs. traditional palate resections– Dorsal offset rhinoplasty and other nares approaches– Laryngeal and tonsillar interventions– LATE surgery considerations– Post-op monitoring and complication prevention– Outcome predictors and long-term management🔗 Explore the BOAS review paper: https://onlinelibrary.wiley.com/doi/10.1111/vsu.14131Produced by Simini, creators of Simini Protect Lavage—the non-antibiotic rinse designed to target surgical site risks that aren't addressed by saline or post-op antibiotics—namely biofilms and resistant bacteria.It’s a simple step you can add at the point of closure to reinforce your protocol and support antimicrobial resistance goals.🎁 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

In this first episode of the Simini Surgery Review: Small Animal Edition, we deliver a concise, clinically relevant breakdown of the latest research published in Veterinary Surgery—the official journal of the ACVS, ECVS, and VES.Tailored for busy small animal surgeons, this episode covers key takeaways you can apply directly in practice—minus the journal overload.We review:A 3D model assessment of BFX cup version in total hip replacement, comparing open vs. truncated face measurements. [00:01:02]A modified arthroscopic portal placement technique for managing tarsal OCD in dogs. [00:08:49]The impact of cementless total hip replacement on femoral growth in skeletally immature dogs. [00:12:03]Outcomes and complications from minimally invasive tarsal arthrodesis (MITA).  [00:16:21]Use of temporary calcaneotibial screws for post-op immobilization in cases of tarsal instability. [00:19:53]Produced by Simini, creators of Simini Protect Lavage—the non-antibiotic rinse designed to reinforce your surgical protocol by targeting surgical site risks like biofilms and resistant bacteria, supporting AMR goals without disrupting your routine.🔗 Read the full issue here: https://onlinelibrary.wiley.com/toc/1532950x/2025/54/1🎁 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