Veterinary Surgery Journal Impact Factor & Information

Publisher: American College of Veterinary Surgeons; European College of Veterinary Surgeons, Wiley

Journal description

Veterinary Surgery is a bimonthly journal focusing on continuing education within the broad field of veterinary surgery. Coverage includes surgical techniques, management of the surgical patient, diagnostic aids, infections, advances in metabolism, veterinary research and the history of the specialty.

Current impact factor: 1.04

Impact Factor Rankings

2015 Impact Factor Available summer 2016
2014 Impact Factor 1.041
2013 Impact Factor 0.989
2012 Impact Factor 1.242
2011 Impact Factor 1.265
2010 Impact Factor 1.437
2009 Impact Factor 1.572
2008 Impact Factor 1.664
2007 Impact Factor 1.432
2006 Impact Factor 1.121
2005 Impact Factor 1.211
2004 Impact Factor 0.993
2003 Impact Factor 1.196
2002 Impact Factor 1.045
2001 Impact Factor 0.779
2000 Impact Factor 0.957
1999 Impact Factor 1.273
1998 Impact Factor 1.09
1997 Impact Factor 1.149
1996 Impact Factor 1.241
1995 Impact Factor 0.697
1994 Impact Factor 0.54
1993 Impact Factor 0.496
1992 Impact Factor 0.522

Impact factor over time

Impact factor

Additional details

5-year impact 1.53
Cited half-life 8.70
Immediacy index 0.21
Eigenfactor 0.00
Article influence 0.41
Website Veterinary Surgery website
Other titles Veterinary surgery (Online), Veterinary surgery, VS
ISSN 1532-950X
OCLC 45552058
Material type Document, Periodical, Internet resource
Document type Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details


  • Pre-print
    • Author can archive a pre-print version
  • Post-print
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  • Restrictions
    • 12 months embargo
  • Conditions
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    • On author's personal website, institutional repositories, arXiv, AgEcon, PhilPapers, PubMed Central, RePEc or Social Science Research Network
    • Author's pre-print may not be updated with Publisher's Version/PDF
    • Author's pre-print must acknowledge acceptance for publication
    • Non-Commercial
    • Publisher's version/PDF cannot be used
    • Publisher source must be acknowledged with citation
    • Must link to publisher version with set statement (see policy)
    • If OnlineOpen is available, BBSRC, EPSRC, MRC, NERC and STFC authors, may self-archive after 12 months
    • If OnlineOpen is available, AHRC and ESRC authors, may self-archive after 24 months
    • Publisher last contacted on 07/08/2014
    • This policy is an exception to the default policies of 'Wiley'
  • Classification

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Objective: To identify risk factors for dehiscence in stapled functional end-to-end anastomoses (SFEEA) in dogs. Study design: Retrospective case series. Animals: Dogs (n = 53) requiring an enterectomy. Methods: Medical records from a single institution for all dogs undergoing an enterectomy (2001-2012) were reviewed. Surgeries were included when gastrointestinal (GIA) and thoracoabdominal (TA) stapling equipment was used to create a functional end-to-end anastomosis between segments of small intestine or small and large intestine in dogs. Information regarding preoperative, surgical, and postoperative factors was recorded. Results: Anastomotic dehiscence was noted in 6 of 53 cases (11%), with a mortality rate of 83%. The only preoperative factor significantly associated with dehiscence was the presence of inflammatory bowel disease (IBD). Surgical factors significantly associated with dehiscence included the presence, duration, and number of intraoperative hypotensive periods, and location of anastomosis, with greater odds of dehiscence in anastomoses involving the large intestine. Conclusion: IBD, location of anastomosis, and intraoperative hypotension are risk factors for intestinal anastomotic dehiscence after SFEEA in dogs. Previously suggested risk factors (low serum albumin concentration, preoperative septic peritonitis, and intestinal foreign body) were not confirmed in this study.
    Veterinary Surgery 11/2015; DOI:10.1111/vsu.12413
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    ABSTRACT: Objective: To compare the peak vertical force (PVF) and vertical impulse (VI) in dogs with naturally occurring cranial cruciate ligament (CCL) disease with or without concurrent meniscal injury. Study design: Prospective case series. Study population: Client-owned dogs with naturally occurring CCL disease. Methods: Dogs with hind limb lameness because of CCL disease that required surgery underwent force plate gait analysis. Force plate analysis was performed at a walking gait (speed 1-1.3 m/s; acceleration ±0.5 m/s(2) ) and data were analyzed using commercial proprietary software. Meniscal injury was diagnosed either by mini-arthrotomy or arthroscopy. The primary outcome was PVF and the secondary outcome was VI. Comparisons were made between dogs with or without meniscal injury, and dogs with partial or complete CCL rupture. Results: Forty dogs were included. Meniscal injury was present in 18/40 dogs (45%). PVF (P = .003) and VI (P = .01) were significantly lower in dogs with meniscal injury than in dogs without meniscal injury. Conclusion: Dogs with CCL disease and medial meniscal injury had significantly reduced PVF and VI.
    Veterinary Surgery 11/2015; DOI:10.1111/vsu.12419
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    ABSTRACT: Objective: To describe the surgical management by pancarpal arthrodesis for highly comminuted articular fractures of the distal antebrachium in 8 dogs. Study design: Retrospective clinical case series. Animals: Eight dogs. Methods: Medical records (2001-2014) of dogs with antebrachial fractures were reviewed and dogs with highly comminuted distal antebrachial fractures were identified. The nature of the injury, surgical management by pancarpal arthrodesis, outcome, and complications were recorded. Results: Nine fractures occurred in 8 dogs. Seven dogs were ex-racing greyhounds (8 fractures) and of these, 6/7 dogs had fractures of the right thoracic limb. Compared with the hospital population of dogs with antebrachial fractures, greyhounds were over-represented for the antebrachial injury (odds ratio 117, 95% confidence interval 13-1022). Five dogs sustained injury during exertional exercise or with relatively minor trauma. Submitted bone samples (n = 4) showed no evidence of underlying neoplasia. Mean followup was 15.5 months with 11 complications recorded in 7/8 dogs, including 1 catastrophic, 5 major, and 5 minor complications. Pancarpal arthrodesis allowed a full functional outcome in 3 dogs and an acceptable outcome in 3. Conclusion: Comminuted articular fractures of the distal radius and ulna are complex injuries and have a similar presentation to pathologic fractures. Surgical management by pancarpal arthrodesis is associated with a high risk of complication and a guarded prognosis for a full functional outcome.
    Veterinary Surgery 10/2015; DOI:10.1111/vsu.12417
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    ABSTRACT: Objective: To evaluate pharyngeal and laryngeal function using esophagography, topical pharyngeal/laryngeal sensitivity testing, and electromyography (EMG) in normal and dogs with idiopathic laryngeal paralysis (ILP) before and after unilateral arytenoid lateralization. Study: Prospective controlled cohort study. Animals: Dogs with laryngeal paralysis (ILP; n = 8) and age/breed-matched (AB, n = 8) and young breed-matched dogs (B, n = 8) were recruited. Methods: Evaluation consisted of esophagography, topical pharyngeal/laryngeal sensitivity testing, and electrodiagnostic testing. Esophagography was performed with liquid and canned phases. Pharyngeal and laryngeal sensitivity was tested by applying a cotton-tipped applicator to the mucosa of pharynx/larynx at anesthetic induction. In all dogs, electrophysiological testing included EMG, direct evoked muscle potentials, motor nerve conduction velocities, and F wave testing. These were performed in the thoracic/pelvic limbs, extrinsic laryngeal muscles, epaxial, and masticatory muscles. Results: Topical pharyngeal and laryngeal sensitivity testing was decreased in LP dogs compared with age-matched healthy control dogs. Esophagram showed dysmotility in the cranial and caudal esophagus. Gastroesophageal reflux was significantly higher in ILP dogs compared with the other 2 groups (P < .03). In all affected dogs, EMG abnormalities were limited to the interosseous muscles of both pelvic and thoracic limbs bilaterally. Conclusion: Dogs with ILP not only have recurrent laryngeal nerve (RLN) and pararecurrent laryngeal nerve (pRLN) dysfunction, but may also have concurrent cranial laryngeal nerve dysfunction.
    Veterinary Surgery 10/2015; DOI:10.1111/vsu.12410
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    ABSTRACT: Objective: To compare the in vitro elution characteristics of clindamycin and enrofloxacin from calcium sulfate hemihydrate beads containing a single antibiotic, both antibiotics, and each antibiotic incubated in the same eluent well. Study design: Experimental in vitro study. Methods: Calcium sulfate hemihydrate beads were formed by mixing with clindamycin and/or enrofloxacin to create 4 study groups: (1) 160 mg clindamycin/10 beads; (2) 160 mg enrofloxacin/10 beads; (3) 160 mg clindamycin + 160 mg enrofloxacin/10 beads; and (4) 160 mg clindamycin/5 beads and 160 mg enrofloxacin/5 beads. Chains of beads were formed in triplicate and placed in 5 mL phosphate buffered saline (PBS; pH 7.4 and room temperature) with constant agitation. Antibiotic-conditioned PBS was sampled at 14 time points from 1 hour to 30 days. Clindamycin and enrofloxacin concentrations in PBS were determined using high-performance liquid chromatography. Results: Eluent concentrations from clindamycin-impregnated beads failed to remain sufficiently above minimum inhibitory concentration (MIC) for common infecting bacteria over the study period. Enrofloxacin eluent concentrations remained sufficiently above MIC for common wound pathogens of dogs and cats and demonstrated an atypical biphasic release pattern. No significant differences in elution occurred as a result of copolymerization of the antibiotics into a single bead or from individual beads co-eluting in the same eluent well. Conclusion: Clindamycin-impregnated beads cannot be recommended for treatment of infection at the studied doses; however, use of enrofloxacin-impregnated beads may be justified when susceptible bacteria are cultured.
    Veterinary Surgery 10/2015; DOI:10.1111/vsu.12415
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    ABSTRACT: Objective: To describe the versatility of the axial pattern flap based on the cutaneous perforating branch of the angularis oris artery for reconstruction of large facial defects in dogs, including complications and clinical outcomes. Study design: Retrospective clinical case series. Animals: Client-owned dogs (n = 8). Methods: Facial flaps (n = 9) based at the commissure of the lip with a caudodorsal orientation were utilized, with established anatomical borders. Flaps were elevated deep to the panniculus carnosus in a caudal to rostral direction, preserving the angularis oris artery, its cutaneous perforator, and surrounding cutaneous vasculature. Flaps were rotated dorsally or ventrally to cover the defect. Primary closure of the donor site was by direct apposition in all cases. Results: Angularis oris axial pattern flaps were most commonly used to close large defects of the nasomaxillary area rostral to the eyes (6 dogs), followed by orbital (2) and intermandibular (1) defects. Defects occurred because of tumor resection (6 dogs), trauma (2), and a chronic, non-healing wounding (1). All flaps healed with acceptable functional and cosmetic outcomes without major complications. Followup ranged from 10 days to 16 months. Minor postoperative complications included flap edema (8 dogs), partial incisional dehiscence (3), distal tip necrosis (2), and oroantral fistula recurrence (1). Conclusion: Angularis oris axial pattern flaps provided hirsute, full-thickness skin coverage of a variety of large facial defects with minor complications, and should be considered when restructuring large defects of the rostral face or chin.
    Veterinary Surgery 10/2015; DOI:10.1111/vsu.12408
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    ABSTRACT: Objective To compare early postoperative analgesia in dogs undergoing unilateral tibial plateau leveling osteotomy (TPLO) that received bupivacaine via preoperative femoral nerve block (FNB), combination femoral-sciatic nerve block (F+SNB), or lumbosacral epidural (EPI).Study DesignRandomized, blinded, prospective clinical trial.AnimalsForty-five client-owned dogs undergoing unilateral TPLO.Methods Dogs undergoing unilateral TPLO were enrolled and randomly allocated to 1 of 3 treatments: FNB, F+SNB, or EPI. Assessments were completed by an observer blinded to treatment at 0, 1, 2, 4, 6, and 8 hours after extubation using the Glasgow Composite Pain Score-Short Form (GCPS-SF). Dogs with a total score ≥6 or ≥3 in any category were given a rescue analgesic. Outcome measures analyzed for differences across treatments were the GCPS-SF at each time point, time to first rescue analgesic, and total number of rescue analgesic doses per dog.ResultsThe GCPS-SF score at extubation was significantly higher for FNB (median 3) compared to F+SNB (median 2). A significantly higher proportion of dogs receiving FNB (4/14) than F+SNB (0/17) required rescue analgesic at extubation. There was no significant difference in the proportion of dogs requiring rescue at extubation between FNB and EPI (2/14) or between F+SNB and EPI. There was no significant difference in the median time to first rescue between FNB (0 hours) and F+SNB (2 hours) or between F+SNB and EPI (1.5 hours).Conclusion In dogs undergoing unilateral TPLO, bupivacaine administered via FNB, alone or in combination with sciatic nerve block, can provide short-term postoperative analgesia not different to that with administration via lumbosacral epidural.
    Veterinary Surgery 10/2015; DOI:10.1111/vsu.12406
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    ABSTRACT: Objective To compare clotting efficiency of platelet-rich plasma (PRP) and concentrated platelet-poor plasma (cPPP) to citrated whole blood after activation by autologous thrombin, bovine thrombin, or calcium chloride (CaCl2).Study DesignExperimental study.AnimalsHealthy adult horses (n = 6).MethodsPRP and cPPP were prepared by commercial devices. Using thromboelastography, clotting variables were compared after activation of citrated autologous blood, PRP, and cPPP by autologous thrombin, bovine thrombin, or CaCl2, respectively.ResultsPRP had the greatest clot strength and quickest clot rate, whereas cPPP had the weakest clot strength, slowest clot rate, and longest clot initiation time. Bovine thrombin resulted in the shortest clot initiation time, quickest clot rate, and was similar to CaCl2 for greatest clot strength. CaCl2 also resulted in the longest clot initiation time and time to reach maximum clot strength. Autologous thrombin resulted in the lowest clot strength.Conclusion When combined with either bovine thrombin or CaCl2, PRP provided the best combinations for clinical use. Autologous thrombin was suboptimal, but could be an autologous alternative for clinical application. As prepared here, cPPP had inefficient clotting, but may be sufficient for plasma spray indications.
    Veterinary Surgery 10/2015; DOI:10.1111/vsu.12404
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    ABSTRACT: Objective To determine (1) survival to discharge of horses with radial fractures (excluding osteochondral fragmentation of the distal aspect of the radius and stress fractures); and (2) risk factors affecting survival to hospital discharge in conservative and surgically managed fractures.Study DesignCase series.AnimalsHorses (n = 54).Methods Medical records (1990–June 2012) and radiographs of horses admitted with radial fracture were reviewed. Horses with osteochondral fragmentation of the distal aspect of the radius or stress fractures were excluded. Evaluated risk factors were age, fracture configuration, surgical repair method, surgical duration, hospitalization time, implant failure rate, and surgical site infection (SSI) rate.ResultsOf 54 horses, overall survival to discharge was 50%. Thirteen (24%) were euthanatized on admission because of (1) fracture severity; (2) presence of an open fracture; or (3) financial constraints. Fourteen (26%) horses with minimally displaced incomplete fractures were conservatively managed and 12 (86%) survived to discharge. Twenty-seven (50%) horses had surgical treatment by open reduction and internal fixation (ORIF) and 15 (56%) survived to hospital discharge. Open fractures were significantly more likely to develop SSI (P = .008), which also resulted in a 17-fold increase in implant failure (P < .005). Six of 8 surgically managed horses with an open fracture did not survive to discharge. Outcome was also adversely affected by age (P < .005) and surgical duration >168 minutes (P < .027). Presence of SSI trended toward a decreased survival rate (P = .09).Conclusion Prognosis for survival to discharge with minimally displaced incomplete fractures is good. Young horses have a good prognosis survival to discharge for ORIF, whereas ORIF in adult horses has a poor prognosis and SSI strongly correlates with catastrophic implant failure.
    Veterinary Surgery 10/2015; DOI:10.1111/vsu.12412
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    ABSTRACT: Objectives To report our experience with thoracoscopic lung lobectomy in dogs with primary lung tumors and compare the long-term outcome between dogs with primary lung tumors treated with lobectomy via thoracoscopy or thoracotomy.Study DesignRetrospective case series; case–control study.AnimalsThirteen dogs with primary lung tumors treated with thoracoscopic lung lobectomy; case-matched cohort of 9 dogs with primary lung tumors treated with lobectomy via thoracotomy.Methods Medical records from dogs that underwent thoracoscopic lung lobectomy at a single institution were reviewed. Only cases with primary lung tumors were included. Surgical complications and conversion rate were reported. Cases without conversion and with clean margins on histologic examination were matched on prognostic criteria to cases with primary lung tumors treated with lobectomy via thoracotomy. Survival was compared between thoracoscopy and thoracotomy.ResultsThirteen dogs with primary lung tumors that measured 2.2–7 cm underwent thoracoscopic lung lobectomy. Nine dogs were diagnosed with carcinoma and 4 with histiocytic sarcoma. There were 3 conversions to open thoracotomy because of poor visualization. There were no differences in short-term outcome between dogs that had their procedures completed via thoracoscopy and those that were converted to thoracotomy. Nine dogs with clean margins were matched with 9 dogs treated via thoracotomy. Mean (standard deviation) followup was 367 (327) days for dogs undergoing thoracoscopy and 603 (612) days for dogs undergoing thoracotomy. The 2-year survival rate was 44% for thoracoscopy and 56% for thoracotomy (P = .942).Conclusion Selected primary lung tumors in dogs can be safely resected with thoracoscopy and not affect long-term outcome.
    Veterinary Surgery 10/2015; DOI:10.1111/vsu.12411
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    ABSTRACT: Objective To describe (1) preoperative findings and surgical technique, (2) intraoperative difficulties, and (3) postoperative complications and long-term outcome of equine cheek tooth extraction using a minimally invasive transbuccal screw extraction (MITSE) technique.Study DesignRetrospective case series.AnimalsFifty-four equids; 50 horses, 3 ponies, and 1 mule.Methods Fifty-eight MITSE procedures were performed to extract cheek teeth in 54 equids. Peri- and intraoperative difficulties, as well as short- (<1 month) and long-term (>6 months) postoperative complications were recorded. Followup information was obtained through telephone interviews, making specific inquiries about nasal discharge, facial asymmetry, and findings consistent with surgical site infection.ResultsPreoperative findings that prompted exodontia included 50 cheek teeth with apical infections, 48 fractures, 4 neoplasia, 2 displacements, and 1 supernumerary tooth. Previous oral extraction was attempted but had failed in 55/58 (95%) animals because of cheek tooth fracture in 28, or insufficient clinical crown for extraction with forceps in 27. MITSE was successful in removing the entire targeted dental structure in 47/58 (81%) procedures. However, MITSE failed to remove the entire targeted dental structure in 11/58 (19%) procedures and was followed by repulsion in 10/11 (91%). Short-term postoperative complications included bleeding (4/58 procedures, 7%) and transient facial nerve paralysis (4/58 procedures, 7%). Owners were satisfied with the functional and cosmetic outcome for 40/41 (98%) animals with followup.ConclusionMITSE offers an alternate for cheek tooth extraction in equids, where conventional oral extraction is not possible or has failed. Overall, there was low morbidity, which compares favorably with invasive buccotomy or repulsion techniques.
    Veterinary Surgery 10/2015; DOI:10.1111/vsu.12409
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    ABSTRACT: Objective To compare the biomechanical properties of a ventral transarticular lag screw fixation technique, a new dorsal atlantoaxial instability (AAI) clamp, and a new ventral AAI hook plate under sagittal shear loading after transection of the ligaments of the atlantoaxial joint.Study DesignCadaveric biomechanical study.AnimalsCanine cadavers (n = 10).Materials and Methods The occipitoatlantoaxial region of Beagles euthanatized for reasons unrelated to the study was prepared leaving only ligamentous structures and the joint capsules between the first 2 cervical vertebrae (C1 and C2). The atlanto-occipital joints were stabilized with 2 transarticular diverging positive threaded K-wires. The occipital bone and the caudal end of C2 were embedded in polymethylmethacrylate and loaded in shear to a force of 50 Newtons. The range of motion (ROM) and neutral zone (NZ) of the atlantoaxial joint were determined after 3 loading cycles with atlantoaxial ligaments intact, after ligament transection, and after fixation with each implant. The testing order of implants was randomly assigned. The implants tested last were subjected to failure testing.ResultsAll stabilization procedures decreased the ROM and NZ of the atlantoaxial joint compared to transected ligament specimens. Only stabilization with transarticular lag screws and ventral plates produced a significant reduction of ROM compare to intact specimens.Conclusion Fixation with transarticular lag screws and a ventral hook plate was biomechanically similar and provided more rigidity compared to dorsal clamp fixation. Further load cycling to failure tests and clinical studies are required before making clinical recommendations.
    Veterinary Surgery 09/2015; DOI:10.1111/vsu.12402
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    ABSTRACT: Objective To report and compare the duration of surgery, the frequency of complications, and the frequency of open conversion for elective surgeries performed with 2 laparoscopic techniques: a single incision port access system (SPAS) and a multiple port access system (MPAS) using a Veress needle.Study DesignRetrospective case series.AnimalsNinety-eight consecutive, client owned dogs.Methods Medical records of dogs undergoing an elective laparoscopic procedure were reviewed. Dogs were classified as SPAS or MPAS according to the initial surgical approach. Duration of surgery, intraoperative complications, reason for open conversion, and postoperative complications were recorded and compared.ResultsThe duration of surgery for SPAS gastropexy (P = .0039), ovariectomy (P = .0052), and gastropexy/ovariectomy combined (P = .0002) were significantly reduced compared to corresponding MPAS procedures. Nine splenic punctures occurred during MPAS. The frequency of intraoperative complications was significantly less for SPAS (0/44) than MPAS (12/54, P = .004). Elective conversion was performed because of gastric malpositioning in 1 dog and emergent conversion was required because of bleeding from the ovarian pedicle in 2 dogs (0/44 SPAS, 3/54 MPAS, P = .250). There were 14/76 dogs with followup to suture removal with postoperative complications, all incisional (7/31 SPAS, 7/45 MPAS, P = 1.0).Conclusion The use of SPAS for laparoscopy reduced surgical time and intraoperative complications in elective procedures.
    Veterinary Surgery 09/2015; 44(7). DOI:10.1111/vsu.12373
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    ABSTRACT: Objective To assess intramedullary spinal pressure (IMP) in small breed dogs with thoracolumbar disk extrusion.Study DesignProspective cohort study.AnimalsSmall breed dogs (n = 14) with thoracolumbar disk extrusion undergoing hemilaminectomy and healthy chondrodystrophic laboratory dogs (control; n = 3) without spinal disease.Methods Diagnosis was based on clinical and neurological examinations and magnetic resonance imaging (MRI) and was confirmed intraoperatively. A standardized anesthesia protocol and surgical procedure were used to minimize factors that could influence IMP. Intramedullary pressure was measured through a minidurotomy at the site of spinal cord compression using a fiber optic catheter inserted perpendicular to the longitudinal axis of the spinal cord. Measurements were taken after hemilaminectomy and again after removal of extruded disk material.ResultsAffected dogs had significantly higher IMP compared to control dogs (P = .008) and IMP decreased significantly post-decompression compared with initial values (P < .001). No correlation was found between IMP and neurologic grade, degree of spinal cord compression on MRI, or signal intensity changes on MRI.Conclusion Acute thoracolumbar disk extrusion is associated with increased IMP in small breed dogs and surgical decompression results in an immediate decrease of IMP.
    Veterinary Surgery 09/2015; DOI:10.1111/vsu.12399
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    ABSTRACT: To describe a transthecal approach to the palmar pouch of the distal interphalangeal joint (DIPJ) in horses and compare it with the conventional blind arthroscopic technique. Ex vivo study. Cadaver forelimbs (n = 26 pairs) from mature horses. One limb from each pair was randomly assigned to each arthroscopic approach (conventional or transthecal). The conventional arthroscopic approach was performed as previously described and the transthecal approach was performed through sharp dissection of the distal reflection of the digital flexor tendon sheath (DFTS). The proportion (0-100%) of the navicular bone, palmar aspect of the condyles of the 2nd phalanx, collateral sesamoidean ligaments, and palmar synovial pouches of the DIPJ visualized by each approach was estimated. Limbs were dissected and iatrogenic damage of relevant structures was assessed. Nondirectional Mann-Whitney U-test was used to compare groups. Significance was set at P < .05. The transthecal approach provided greater visualization of the navicular bone (P < .001), palmar aspect of the 2nd phalanx (P < .001), and palmar synovial pouches of the DIPJ (P < .001) than the conventional approach. There were no significant differences in iatrogenic damage between approaches. The transthecal approach provides improved visualization of the palmar aspect of the DIPJ compared to the conventional blind approach and may be useful in nonseptic conditions of the DIPJ. However, because of the creation of communication with the DFTS, use of the transthecal approach for suspected synovial sepsis of the DIPJ may be contraindicated. © Copyright 2015 by The American College of Veterinary Surgeons.
    Veterinary Surgery 09/2015; DOI:10.1111/vsu.12398
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    ABSTRACT: To review complications in dogs with the Zürich cementless total hip arthroplasty (Z-THA) with ≥2 year followup, and compare complications between juvenile and adult dogs classified by age (≤11 and >11 months) at the time of original surgery. Retrospective case series. Three hundred and twenty-one dogs with 439 total hip arthroplasties. Medical records were reviewed from January 2002 to December 2007. Signalment, body weight and body condition score, implant size and positioning, and any complications were recorded. A step-up logistic regression analysis was performed for an outcome of any complication (yes/no). Predictors included were implant size, implant position, weight and body condition score before surgery, weight and body condition score change after surgery, breed, sex, and age. Four hundred and thirty-nine Z-THA were performed in 321 dogs. Mean (standard deviation) age was 8.5 (1.5) months, range 4.5–11 and 53.3 (31.2) months, range 12–132, for juvenile and adult dogs, respectively. Followup extended for a mean 47.8 (20.0) and 42.0 (13.5) months for juvenile and adults dogs, respectively, with complications recorded in 20% and 13% of Z-THA, respectively. All hips were successfully revised except for 2 explants in juvenile dogs and 2 in adult dogs. There were no statistical differences in the frequency of complications between juveniles or adult dogs, but the type of complication did appear to be different. From the logistic model, the probability of a complication increased with an increase in body condition score after surgery (P < .0001) and with an increase in the pre-surgery body condition score (P = .05), and decreased with an increase in weight after surgery (P = .05). The frequency of complications was less than 20% in juvenile and adult dogs and the frequency was not different across age groups. Complications were primarily related to the change (increase) in body condition score after surgery. Revision was successful in almost all dogs.
    Veterinary Surgery 09/2015; DOI:10.1111/vsu.12371