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Animals
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Small Animal Surgery Focus on Soft Tissue and Orthopedic Minimally...
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Small Animal Surgery Focus on Soft Tissue and Orthopedic Minimally Invasive Surgery

A special issue of Animals (ISSN 2076-2615). This special issue belongs to the section "Veterinary Clinical Studies".

Deadline for manuscript submissions: closed (1 July 2024) | Viewed by 4463

Special Issue Editors

Dr. Lavinia Elena Chiti

E-Mail Website
Guest Editor
Clinic for Small Animals Surgery, Vetsuisse Faculty, University of Zurich, CH-8057 Zurich, Switzerland
Interests: surgical oncology; maxillofacial surgery; minimally invasive surgery; sentinel lymph node biopsy; reconstructive surgery
Prof. Dr. Antonio Pozzi

E-Mail Website
Guest Editor
Clinic for Small Animals Surgery, Vetsuisse Faculty, University of Zurich, CH-8057 Zurich, Switzerland
Interests: stifle; joint; arthroscopy; minimally invasive surgery; meniscus; orthopedic surgery; fractures; MIPO; joint replacement
Dr. Federico Massari

E-Mail Website
Guest Editor
Clinica Veterinaria Nervianese, Nerviano, Milan, Italy
Interests: veterinay medicine; laparoscopic and thoracoscopic surgery; oncologic surgery; interventional radiology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

We are proud to host a Special Issue on soft tissue and orthopedic minimally invasive surgery in small animals in the open access journal Animals.

We invite our colleagues to submit original research, clinical case series and single case reports on laparoscopy, thoracoscopy, laparoscopic and thoracoscopic-assisted procedures; minimally invasive fracture fixation (MIO and MIPO); arthroscopy; minimally invasive neurosurgery; as well as any procedure that aims to minimize the surgical dose.

As the standards of care for pet animals continue to increase, interest has been drawn to the development of surgical techniques that allow the surgical dose to be minimized without compromising the effectiveness of the procedure. In this scenario, several minimally invasive surgical procedures have been described and validated against the traditional open techniques, with promising results. Indeed, a minimally invasive approach aims to reduce the amount of surgical dissection and tissue trauma, thus minimizing the surgical morbidity and postoperative pain, and potentially allowing for a faster recovery and return to function. This consideration holds true both for soft tissue and surgical oncology, with laparoscopic and thoracoscopic or assisted techniques leading the way in reducing the surgical dose; and for orthopedics and traumatology, where minimally invasive osteosyntheses and arthroscopic approaches are gaining increasing levels of consent.

As the field of minimally invasive surgery continues to grow, a vast number of procedures are constantly being tested and validated. Hence, with this Special Issue, we would like to encourage the submission and publication of research that focuses on the description of minimally invasive techniques, their surgical outcome and potential benefits, compared to a standard surgical approach.

Dr. Lavinia Elena Chiti
Prof. Dr. Antonio Pozzi
Dr. Federico Massari
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Animals is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

 

Keywords

  • minimally invasive surgery
  • laparoscopy
  • thoracoscopy
  • minimally invasive osteosynthesis
  • arthroscopy
  • dog
  • cat
  • minimally invasive neurosurgery

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Published Papers (3 papers)

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Research

9 pages, 808 KiB  
Article
Learning Curve in Two-Port Laparoscopic Gastropexy Using FlexDex
by Federico Massari and Gary Matthew Martin Kelly
Animals 2024, 14(14), 2016; https://doi.org/10.3390/ani14142016 - 9 Jul 2024
Viewed by 864
Abstract
Objectives: Keyhole gastropexy is becoming increasingly popular, and the new development facilitates shorter surgical times. This paper reports on the learning curve in two-port laparoscopic gastropexy using FlexDex in a specialist’s hands. FlexDex is a novel tool combining aspects of robotic surgery without [...] Read more.
Objectives: Keyhole gastropexy is becoming increasingly popular, and the new development facilitates shorter surgical times. This paper reports on the learning curve in two-port laparoscopic gastropexy using FlexDex in a specialist’s hands. FlexDex is a novel tool combining aspects of robotic surgery without requiring an expensive robot theatre setting. Methods: Cohort of 16 dogs >25 kg and at high risk of gastric volvulus and dilatation (GDV) undergoing elective laparoscopic gastropexy were enrolled in the study consecutively from 5/2022 to 9/2023. All patients were operated on by one surgeon (FM), and surgical time was recorded to assess learning curve. Competence was defined as plateauing surgical time. Detailed follow-up at 1 day, 7 days, 14 days, 2 months, 6 months, and long-term was recorded for success rate and complications. Ultrasound examination was scheduled at 4–6-month review to confirm lasting success of the gastropexy. Results: All 16 patients were operated on successfully without any significant complications, as confirmed on the ultrasound. The surgical time of laparoscopic gastropexy reduced from 52 to 14 min (reduction of 38 min/73%) and reached plateau after the 12th case of the 16, making it a very steep learning curve in specialist hands. There were no serious complications, and success rate was 100% at the 6-month ultrasound assessment. Clinical Significance: This is the first paper to report on the learning curve with the FlexDex device in a two-port laparoscopic gastropexy setting. It effectively halves the operating time to 30 min, making the surgery safer for the patient and more cost-efficient, without compromising the result. Full article
(This article belongs to the Special Issue Small Animal Surgery Focus on Soft Tissue and Orthopedic Minimally Invasive Surgery)
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15 pages, 17531 KiB  
Article
Minimally Invasive Plate Osteosynthesis (MIPO) of Comminuted Radial Fractures Using a Locking Plate Contoured on a 3D-Printed Model of the Feline Antebrachium: A Cadaveric Study
by Piotr Trębacz, Jan Frymus, Mateusz Pawlik, Anna Barteczko, Aleksandra Kurkowska and Michał Czopowicz
Animals 2024, 14(9), 1381; https://doi.org/10.3390/ani14091381 - 4 May 2024
Viewed by 1592
Abstract
(1) Background: Due to the unique structural and functional characteristics of the forelimb in cats, fractures of the radius and ulna are best repaired using internal fixation and stabilization in accordance with AO principles. This study presents the results of reduction of 42 [...] Read more.
(1) Background: Due to the unique structural and functional characteristics of the forelimb in cats, fractures of the radius and ulna are best repaired using internal fixation and stabilization in accordance with AO principles. This study presents the results of reduction of 42 cadaveric comminuted feline radial fractures reduced by minimally invasive plate osteosynthesis (MIPO). (2) Methods: Radius fractures were created on 21 pairs of forelimbs with intact bones. MIPO was then performed using two locking bone plates pre-contoured on 3D-printed bone models of the antebrachium of a male and a female cat. Pre- and postoperative radiographs were taken, and radius length and anatomical lateral distal radial angle (aLDRA) were measured. (3) Results: All fractures were classified as complex diaphyseal fractures of the radius. The radial bone length did not change significantly after surgery (F1,18 = 0.01, p = 0.933). However, the aLDRA was modified after surgery (F1,18 = 7.51, p = 0.013), but this change was only observed in females, in whom the aLDRA was significantly reduced (p = 0.035) compared to the value determined by the shape of the plate. In males, the pre- and postoperative aLDRA values were similar (p = 0.824). In 40 cases, alignment, adjacency of bone fragments, and apparatus were judged to be satisfactory. In two cases, the plate was fixed to the proximal radius and distal ulna due to misidentification of the distal radius. In both cases, revision surgery and correct fixation of the radius gave proper alignment, adjacency, and apparatus. (4) Conclusion: A pre-contoured plate on a 3D-printed model of the male and female domestic cat antebrachium was suitable for the reduction and stabilization of comminuted radial fractures in a cohort of domestic cat cadavers without the need to print individual antebrachial bone models for each patient. Full article
(This article belongs to the Special Issue Small Animal Surgery Focus on Soft Tissue and Orthopedic Minimally Invasive Surgery)
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8 pages, 3404 KiB  
Communication
Accuracy of Instrument Portal Placement Using a Custom-Made 3D-Printed Aiming Device versus Free Hand Technique in Canine Elbow Arthroscopy
by Piotr Trębacz, Jan Frymus, Anna Barteczko, Mateusz Pawlik, Aleksandra Kurkowska and Michał Czopowicz
Animals 2023, 13(23), 3592; https://doi.org/10.3390/ani13233592 - 21 Nov 2023
Viewed by 1372
Abstract
While the insertion of the arthroscope into the elbow joint is relatively easy based on anatomical landmarks, obtaining a correctly located instrument portal is often difficult. Therefore, the goal of the study was to create a 3D-printed prototype of an aiming device for [...] Read more.
While the insertion of the arthroscope into the elbow joint is relatively easy based on anatomical landmarks, obtaining a correctly located instrument portal is often difficult. Therefore, the goal of the study was to create a 3D-printed prototype of an aiming device for the guiding needle, and to check its feasibility. The study included fresh cadavers of 15 dogs, 9 males and 6 females, aged from 1 to 6 years (median 4 years) with body weight from 17 to 57 kg (median 30 kg). On each dog, we compared the number of attempts needed to obtain optimal direction of the guiding needle for the portal, using one elbow the prototype, and performing this as control on the opposite joint without the prototype (with a free hand). The number of attempts needed was significantly lower using the prototype (median 1) than on the control elbows (median 2, p = 0.009). The number of attempts was not correlated with the body weight neither in the case of experimental (Rs = 0.18, p = 0.532) nor control elbows (Rs = 0.13, p = 0.642). We conclude that the used prototype seems to be helpful in elbow joint arthroscopy. Full article
(This article belongs to the Special Issue Small Animal Surgery Focus on Soft Tissue and Orthopedic Minimally Invasive Surgery)
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