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Simple Summary: An adrenal mass represents the primary indication for adrenalectomy. Laparoscopic adrenalectomy is a minimally invasive surgical technique that minimizes pain and improves patient recovery. The traditional technique involves the use of a single or multiple port (three or four). The objective of the study was to evaluate the feasibility and complication rate of two-port laparoscopic adrenalectomy to remove adrenal masses smaller than 4 cm in diameter. In total, 16 dogs with adrenal masses were enrolled in the study and clinicopathologic data were harvested from the medical records. The dogs were placed in sternal recumbency with cushions positioned under the sternum and pubis to simulate the quadrupedal station and displace the abdominal viscera. In all cases, the procedures were feasible with two ports. In five cases, capsule rupture occurred, and all were adrenal gland carcinomas. The gold-standard treatment for functional tumors is adrenalectomy, and the procedure can be either open or laparoscopic. Laparoscopic adrenalectomy (LA) is a minimally invasive technique designated for small–medium-sized adrenal tumors without vascular invasion. LA is routinely performed using three or four ports with the patient in sternal or lateral recumbency. The aim of the study was to evaluate the feasibility of LA with two ports in order to reduce invasiveness and improve patient recovery. In total, 16 dogs with adrenal tumors were included in the study and the two-port technique was performed. Adrenalectomy was performed based on the presence of hypercortisolism in thirteen cases, whereas, in three cases, adrenalectomy was performed in the absence of evidence of cortisol production. Thirteen cases were carcinomas and three were adenomas of the adrenal gland; furthermore, twelve were on the left side and four were on the right side. Capsule rupture occurred in five cases. After performing the technique in all cases, no additional ports or laparotomy conversion occurred. Based on the authors' experience, laparoscopic adrenalectomy can be performed with two ports. [ABSTRACT FROM AUTHOR]

Simple Summary: Laryngeal collapse is a condition characterized by the medial deviation of the cuneiform cartilage caused by upper airway obstruction. The condition is graded in three stages: stage III is defined as the collapse of the corniculate processes of the arytenoids and the destructuration of the dorsal portion of the rima glottidis. The surgical treatments for this condition include unilateral arytenoid laryngoplasty with cricoarytenoid lateralization combined with thyroarytenoid caudo-lateralization or permanent tracheostomy. Subtotal epiglottectomy was initially described for dogs with epiglottic retroversion. In the present study, subtotal epiglottectomy in association with the ablation of unilateral arytenoid cartilage is proposed as an alternative treatment for 16 dogs with stage III laryngeal collapse. The procedure aims to increase the air passage through the larynx, decrease negative intraglottic pressure, and reduce airway resistance. Stage III laryngeal collapse is defined as the collapse of the corniculate processes of the arytenoid cartilages and the destructuration of the dorsal portion of the rima glottidis. The primary cause is chronic upper airway obstruction, and the condition is often present in brachycephalic dogs. The treatment is still controversial; the patients are generally treated with a permanent tracheostomy. This article reports the authors' experience with 16 dogs affected by stage III laryngeal collapse treated with subtotal epiglottectomy and the ablation of unilateral arytenoid cartilage. Before the surgery, all of the dogs underwent an effort test to classify the clinical severity of the disease and an endoscopic examination of the airways to determine the stage of severity of the laryngeal collapse. One month after surgery, the effort test was repeated in order to evaluate the clinical outcome. One year after surgery, the owners of 12 patients rated their dogs as follows: excellent in five cases, good in five cases, and fair in two cases. According to this pilot study, epiglottectomy associated with the photoablation of unilateral arytenoid cartilage increases airway flow, and thus may be considered a valid surgical procedure to treat dogs affected by grade III laryngeal collapse. [ABSTRACT FROM AUTHOR]

Simple Summary: Laparoscopy is routinely used in veterinary medicine for both diagnostic and operative procedures. Laparoscopy requires the creation of a pneumoperitoneum to increase the working space, and the placement of portals to allow the insertion of instruments into the abdominal cavity. Instrument insertion is associated with most of the intraoperative complications described in the literature and can also prolong the operation time. Different techniques for reducing the complication rate and time taken for the first portal placement have been described, but there are no clear guidelines in either medical (human) or veterinary literature. In the present study, a total of 30 female dogs underwent laparoscopic ovariectomy. The times required for the first portal placement and the complication rates when using the Veress needle (10 patients) or the modified Hasson technique (20 patients) were recorded and compared. The results of this study suggest that the modified Hasson technique is faster and safer. Minimally invasive surgery is increasingly being used in veterinary medicine. Laparoscopic procedures have several advantages compared with open surgery. These include the magnification of the field of surgery, reduced post-surgical pain and associated stress, reduced post-operative infection rates, and decreased hospitalization time. The establishment of a pneumoperitoneum is a critical step; however, this procedure can prolong the operation time, and most of the complications associated with laparoscopic surgery have been attributed to the insertion of devices into the abdominal cavity. Two main techniques have been employed to create pneumoperitoneum: the closed-entry method using the Veress needle and the open Hasson technique. The first portal is necessary to start insufflation and, subsequently, to realize the operative channel to insert the laparoscopic instruments into the abdomen. Many authors have compared the time necessary to create the first portal using different techniques in human medicine, but studies on this topic in veterinary medicine are lacking. In the veterinary medicine literature, complications associated with the creation of a pneumoperitoneum and the placement of ports include spleen, bowel, or bladder injuries; pneumothorax; and subcutaneous emphysema. The aim of the present study was to compare the times required for the placement of the first portal and the creation of pneumoperitoneum, and the rates of intraoperative complications using the Veress needle technique (VNT) and the open modified Hasson technique (MHT). The sample population comprised 30 female dogs who underwent laparoscopic ovariectomies. The dogs were randomly organized into two groups and two different entry techniques were used: Veress needle (VNT = group A) and the modified Hasson technique (MHT = group B). Complications related to abdominal entry were classified as major, in cases of organ perforation, and minor, in cases of subcutaneous emphysema and gas leakage. The VNT and MHT required 374.0 s and 242.9 s, respectively, for the placement of the first portal and for establishing pneumoperitoneum (p < 0.05). Their major complications rates were 20% and 0%, respectively (p < 0.05). Their minor complications rates were 20% and 35%, respectively (p < 0.05). No surgical procedures required laparotomy. The MHT was associated with a lower major complication rate and required less time to create the first portal, compared with the Veress needle technique. [ABSTRACT FROM AUTHOR]

The aim of this retrospective study was to evaluate the clinical and radiographic outcomes of 21 cats that underwent coxofemoral toggle stabilization using the Mini TightRope® Fixation System (mTR®). Data were compiled from client-owned cats with traumatic hip luxation. Each cat underwent the same protocol including orthopedic assessment, preoperative radiographic evaluation, surgical procedure, postoperative management and clinical re-examination at 14 days, 8 weeks and 12 months following surgery. Age, body weight, implants and osteoarthritis progression were recorded. A lameness score 0-4 was assigned to each cat. Pain upon hip extension was not quantified but as pain reaction or no pain reaction. Major complications and osteoarthritic (OA) changes were recorded. Osteoarthritic changes were classified on a 0-4 scale. Twenty-one cats were included in the study. Coxofemoral luxations were stabilized using a mTR®. At 8 weeks, weight bearing was considered normal (grade 0) in all cats and no pain reaction was elicited during hip extension. One year after surgery, orthopedic examination was within the normal limits and according to the owners, all animals exhibited a normal physical activity. No complications were recorded. Evidence of slight OA changes were observed in 5 out of 21 cats. The final outcome was considered excellent in 16/21 patients and good in 5/21 cats. The application of the mTR® system can be considered a suitable surgical treatment in cats affected by traumatic hip luxation. [ABSTRACT FROM AUTHOR]