
Your Custom Quiz
In Folk 2025 et al., on vessel sealing device reuse, what was the frequency of positive aerobic cultures from either devices or debris?
🔍 Key Findings
40 dogs underwent splenectomy using 16 bipolar vessel sealing devices (VSDs)
Devices were reused up to 4 times after handwashing and ethylene oxide (EtO) sterilization
Biologic debris was found in 100% of devices, specifically under the transection blade, even after a single use
- Mostly scant (14/16) or mild (2/16) debris
No devices or debris yielded positive aerobic culture after EtO sterilization
EtO sterilization proved microbiologically effective despite visible residue
Perioperative failure rate: 1 device (malfunctioned during first activation)
Veterinary Surgery
3
2025
Incidence of residual biologic debris and contamination of reused bipolar vessel sealing devices after ethylene oxide sterilization following splenectomy
2025-3-VS-folk-3
In Butare-Smith 2022 et al., on cerclage knot biomechanics, what was the peak load resisted by double-loop cerclage in single-load testing?
🔍 Key Findings
- Double-loop cerclage resisted the highest peak load (805 N) and maintained tension longer than twist (488 N) and single-loop (397 N) configurations.
- Double-loop cerclage sustained 500,000 cycles at 60–80% of peak load in some cases without loosening, outperforming other types.
- Twist knots loosened rapidly, often within 10 cycles even at low loads (100–390 N).
- Single-loop knots performed better than twist, with partial resistance up to 100,000 cycles at 160 N, but showed wide variability.
- All loosening occurred before wire breakage, indicating clinical failure would happen from slack, not fracture.
- Double-loop cerclage had highest initial tension (323 N) compared to single-loop (124 N) and twist (69 N).
- Fatigue limit was not identified for twist, since they all loosened early at even 20% of peak load.
- Clinical recommendation: double-loop cerclage is best for resisting repeated subfailure loading, ideal for fissure prevention or fragment stabilization.
Veterinary Surgery
2
2022
Double-loop cerclage resists greater loads for more cycles than twist and single-loop cerclage
2022-2-VS-butare-smith-4
In Kokkinos 2025 et al., on THR age effects, what best describes the clinical recommendation based on the study findings?
🔍 Key Findings
- Study population: 116 dogs underwent cementless THR; grouped by age:
- Group A: ≤6 months (n = 27)
- Group B: >6 to ≤12 months (n = 41)
- Group C: >12 months (n = 48)
- Overall perioperative complication rate: 31.9% (37/116)
- Group A: 22.2%
- Group B: 26.8%
- Group C: 41.7%
- No significant difference in total complication rate by age (p = .207), though older dogs (Group C) had numerically higher rates.
- Luxation was significantly more common in dogs >12 months:
- Group C: 14.6% vs. Group A (0%) and Group B (2.4%) → p = .049
- Most common complications: luxation (9.5%) and intraoperative fissure or fracture (9.5%)
- Time under anesthesia and surgery duration were not associated with complication risk (p = .297 and p = .781)
- No infections or aseptic loosening observed during the 8-week follow-up.
Veterinary Surgery
3
2025
The influence of age at total hip replacement on perioperative complications in dogs
2025-3-VS-kokkinos-5
In Takagi 2022 et al., on hepatic venous anatomy, what was the most commonly observed number of veins draining the caudate process of the caudate lobe directly into the caudal vena cava?
🔍 Key Findings
- Hepatic venous drainage patterns vary widely across all lobes, especially the left lateral lobe.
- Right lateral lobe had a median of 2 vessels draining directly into the caudal vena cava (CVC); range: 1–4.
- Caudate process of caudate lobe had the most variability: 1–5 vessels draining into the CVC; 2 vessels was most common (54.5%).
- Left lateral lobe drained via 2–8 veins into the left hepatic vein (LHV), with 3 veins most common (31.2%).
- Left medial lobe typically had 1 vein draining into the LHV (61% of dogs).
- Papillary process drained into the LHV in 93.5% of cases; 6.5% drained directly to the CVC.
- Quadrate lobe always had 1 vessel draining either directly to the CVC or via the LHV.
- CTA revealed more variations than previously described in plastinated or cadaveric studies, highlighting its superior value in surgical planning.
Veterinary Surgery
4
2022
Computed angiographic variations in hepatic venous vasculature in dogs
2022-4-VS-takagi-2
In Gleason 2023 et al., on ala vestibuloplasty in cats, which of the following complications was reported after ala vestibuloplasty?
🔍 Key Findings
- Ala vestibuloplasty significantly reduced normalized pulmonary transit time (nPTT) (mean 5.43 → 3.89 sec; p <.001), suggesting improved cardiopulmonary function.
- Clinical respiratory signs improved, including reduced snoring, sneezing, nasal discharge, and open-mouth breathing (all p <.01).
- Activity tolerance increased, with less dyspnea during activity and longer time to onset of dyspnea (p <.005).
- Paradoxical sternal motion resolved in all affected cats after surgery.
- Hiatal hernias resolved in 75% of affected cats on follow-up CT.
- No serious complications occurred, with only mild, self-limiting epistaxis and hypersalivation in a few cases.
- Aberrant turbinates were detected on CT in all cats, though only 1 showed obstructive CATs endoscopically.
- Total clinical severity scores improved significantly postoperatively (median reduction of 30 points; p <.001).
Veterinary Surgery
4
2023
Ala vestibuloplasty improves cardiopulmonary and activity‐related parameters in brachycephalic cats
2023-4-VS-gleason-4
In Scheuermann 2023 et al., on canine femoral MIPO, what clinical advantage might 3D-printed custom surgical guides offer during MIPO procedures?
🔍 Key Findings
- Precontoured plates using 3D-printed femoral models achieved near-anatomic alignment in all cadaver limbs.
- Fracture reduction system (FRS) required significantly fewer fluoroscopy images than intramedullary pin (IMP) methods (7 vs 26, P = .001).
- Despite longer surgical time (43 vs 29 minutes, P = .011), FRS showed equally accurate or better alignment compared to IMP.
- Femoral length, frontal, sagittal, and axial alignment were all within near-anatomic thresholds (<10 mm or <5° deviation) in both groups.
- FRS was associated with more consistent length maintenance, with IMP showing a median shortening of 2.3 mm (P = .03).
- Axial plane deviation was statistically different in the FRS group (P = .04), but still clinically acceptable.
- Study highlights potential for custom 3D-printed guides to reduce radiation exposure and improve precision in MIPO procedures.
- Authors caution that FRS was time-consuming and cumbersome, suggesting design refinements needed for clinical use.
Veterinary Surgery
6
2023
Minimally invasive plate osteosynthesis of femoral fractures with 3D‐printed bone models and custom surgical guides: A cadaveric study in dogs
2023-6-VS-scheuermann-5-99c5e
In Fidelis 2025 et al., on suture eyelet geometry, which two anchors most frequently showed **suture failure at the mid-section**?
🔍 Key Findings
- Raised eyelets caused more suture mid-section failures than embedded eyelets, suggesting wear or cutting against the anchor.
- No significant effect of cyclic loading on failure load (Fmax) was found for any anchor group.
- Anika anchor showed the least reduction in suture strength relative to the reference (eyebolt screw), indicating a favorable design.
- All sutures failed via suture breakage, not anchor pullout, indicating suture fatigue was the primary failure mode.
- Sutures in raised eyelets more often failed at the mid-section, while those in embedded eyelets failed at the knot.
- IMEX and Jorvet anchors showed significantly reduced Fmax compared to eyebolt screws.
- Loading direction and anchor design likely affect wear and ultimate failure, particularly in dynamic in vivo conditions.
- Future designs should aim for embedded, smooth eyelets that can accommodate larger suture sizes without increasing wear.
Veterinary Surgery
6
2025
Effect of suture anchor type, eyelet configuration, and loading condition on suture failure: An in vitro study
2025-6-VS-fidelis-3
In Knudsen 2024 et al., on CTA diagnosis, what was the approximate percentage of menisci correctly classified in second readings?
🔍 Key Findings
- Multidetector CTA had high sensitivity (up to 100%) and specificity (up to 96%) for detecting medial meniscal tears in dogs.
- Observer experience significantly influenced diagnostic accuracy, with more experienced observers showing higher agreement and better performance.
- Training effect was evident, as less experienced observers improved between first and second readings.
- Positive likelihood ratios ≥4.6 and negative likelihood ratios ≤0.08 were observed, suggesting CTA is clinically useful for confirming or ruling out meniscal injury.
- CTA allowed identification of full and partial thickness lesions, with good visualization in sagittal, transverse, and frontal reconstructions.
- Approximately 90% of menisci were correctly classified in second readings.
- No adverse reactions were noted from the contrast injection; sedation was used instead of general anesthesia.
- CTA was less invasive and potentially more cost-effective compared to arthroscopy, especially in settings without MRI access.
Veterinary Surgery
8
2024
Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography
2024-8-VS-knudsen-3
In Downey 2023 et al., on thoracoscopic lobectomy, what was the long-term outcome for dogs that survived to discharge?
🔍 Key Findings
- Thoracoscopic (TL) or thoracoscopic-assisted (TAL) lobectomy was successfully performed in 12 dogs with non-neoplastic pulmonary consolidation (PC).
- 44% (4/9) of TL cases were converted to open thoracotomy due to adhesions or poor visualization—higher than rates for neoplastic lobectomies.
- OLV was successful in 7/9 TL dogs; unsuccessful attempts were managed with intermittent ventilation, mostly in brachycephalic breeds.
- Median hospital stay was 3 days; 91.7% (11/12) survived to discharge, and 100% of survivors showed no recurrence at median 24-month follow-up.
- Complications were mostly minor: pneumothorax (2), minor hemorrhage (3), dehiscence (1), and 1 fatality due to BOAS complications.
- Histopathology showed infectious pneumonia in 10 dogs, and in 4 cases, foreign body migration was suspected as the underlying cause.
- Median surgical time for TL was 90 minutes; conversion correlated with longer symptom duration (median 90 vs. 7 days).
- Postoperative recovery was excellent in all surviving dogs, with one case of persistent cough attributed to concurrent heart disease.
Veterinary Surgery
7
2023
Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs
2023-7-VS-downey-5
In Davey 2024 et al., on modified closed anal sacculectomy, what postoperative complication was most commonly reported after modified closed anal sacculectomy?
🔍 Key Findings
- Modified closed anal sacculectomy resulted in a local recurrence rate of only 2.2%, substantially lower than prior reports (18–50%).
- Postoperative complications occurred in 31.9% of dogs; most (93%) were minor, with dehiscence being the most common.
- Mean survival time in deceased dogs was 521 days; median was 388 days.
- Surgical technique included complete en bloc excision of the sac and duct with sphincter reconstruction, aiming to reduce seeding risk.
- Only one major complication resulted in euthanasia due to infection and dehiscence.
- Histologic margins were complete in 44.7% of dogs; lymphatic invasion was present in 31.9%, and vascular in 8.5%.
- Adjunctive chemotherapy was administered in 34% of dogs (mostly carboplatin); not standardized due to retrospective design.
- Routine rectal exam was key to diagnosis in 57.4% of dogs with no clinical signs, underscoring the importance of screening.
Veterinary Surgery
6
2024
Outcomes of dogs with apocrine gland anal sac adenocarcinoma treated via modified closed anal sacculectomy (2015–2022)
2024-6-VS-davey-2
Quiz Results
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