TY  - JOUR
T1  - The Best Surgical Technique Depends on the Failure Mode: A Comparative Veterinary Decision Architecture for Matching Open, Arthroscopic, Laparoscopic, and Image-Guided Intervention to Patient, Lesion, and Procedural Risk
A1  - Ahmed Ben Ali
A1  - Samira Gharbi
A1  - Nabil Jebali
JF  - International Journal of Veterinary Research and Allied Sciences
JO  - Int J Vet Res Allied Sci
SN  - 3062-357X
Y1  - 2026
VL  - 6
IS  - 1
DO  - 10.51847/P1lWRImhQv
SP  - 24
EP  - 32
N2  - Surgical technique selection in veterinary medicine is frequently framed as a comparison between open and minimally invasive approaches, yet this framing can obscure the distinct ways procedures succeed or fail. This article proposes a comparative surgical decision architecture based on failure modes rather than technique labels. The framework examines how exposure, visualization, access, fixation or repair control, tissue burden, patient characteristics, lesion characteristics, and procedural resources interact to influence the suitability of open surgery, arthroscopy, laparoscopy, and image-guided intervention. The article synthesizes comparative veterinary evidence to distinguish established observations from proposed decision logic. The central contribution is a failure-mode matching approach in which the preferred technique is determined by the dominant anticipated limitation and the consequences of alternative failure pathways. This framework does not establish a universally superior surgical method. Instead, it provides a structured basis for clinical reasoning, identifies boundaries requiring validation, and highlights the need for prospective comparative studies incorporating technical, functional, safety, and patient-centered outcomes.
UR  - https://esvpub.com/article/the-best-surgical-technique-depends-on-the-failure-mode-a-comparative-veterinary-decision-architect-eun5yj45mj0txws
ER  -