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 series
- Gomes 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 dogs
- Hertel et al. — Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog
📚 From the July 2025 issue of Veterinary Surgery
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