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In Simpson 2022 et al., on feline cholecystectomy outcomes, what was the reported perioperative mortality rate?

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Correct. The mortality rate was lower than historical reports but still significant at 21.7%.
Incorrect. The correct answer is 21.7%.
The mortality rate was lower than historical reports but still significant at 21.7%.

🔍 Key Findings

  • Cholelithiasis was the most common indication for cholecystectomy in cats.
  • Perioperative complications were frequent, with intraoperative hypotension in all recorded cases and postoperative anemia in 14 cats.
  • Perioperative mortality was 21.7%, lower than historical rates for feline biliary surgery.
  • 78.3% of cats survived to discharge, and 83.3% of those lived >6 months; 44.4% survived >3 years.
  • Vomiting was the most common short- and long-term complication, though most cats were medically managed.
  • Concurrent EHBDO was not a contraindication provided CBD patency was restored.
  • Positive bacterial cultures were found in 15 cats, with E. coli and Enterococcus faecalis most common.
  • Owner-reported outcomes were excellent in all cats that survived long-term.

Simpson

Veterinary Surgery

1

2022

Cholecystectomy in 23 cats (2005‐2021)

2022-1-VS-simpson-2

Article Title: Cholecystectomy in 23 cats (2005‐2021)

Journal: Veterinary Surgery

In Lemmon 2025 et al., on synovitis severity scoring, what was the association between symptom duration and synovitis severity?

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Correct. Longer clinical signs were associated with higher synovitis scores (OR = 1.27 per month, p < .001).
Incorrect. The correct answer is Significant positive correlation.
Longer clinical signs were associated with higher synovitis scores (OR = 1.27 per month, p < .001).

🔍 Key Findings

Synovitis was present in 100% of canine stifles with CCL disease (n = 163).

The most frequent severity score was 3/5 (55.2%), followed by 4/5 (24.5%).

Higher synovitis scores were significantly associated with:

  • Higher median cartilage scores (p = .042, OR = 2.1 per unit increase)
  • Longer duration of clinical signs (p < .001, OR = 1.27 per month)

Bodyweight (p = .083) and sex (p = .17) were not statistically significant in multivariable analysis.

Bucket handle meniscal tears were not associated with synovitis severity.

Clinical implication: Earlier intervention may help reduce synovitis and slow OA progression.

Lemmon

Veterinary Surgery

3

2025

Arthroscopic synovitis severity scoring in canine stifles with cranial cruciate ligament disease

2025-3-VS-lemmon-3

Article Title: Arthroscopic synovitis severity scoring in canine stifles with cranial cruciate ligament disease

Journal: Veterinary Surgery

In Mullins 2023 et al., on thoracolumbar pin placement, which of the following best explains the design advantage of 3DPGs?

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Correct. 3DPGs were created from CT data and designed for anatomic conformity, enhancing accuracy.
Incorrect. The correct answer is Custom fit based on CT-derived anatomy.
3DPGs were created from CT data and designed for anatomic conformity, enhancing accuracy.

🔍 Key Findings

  • Both free-hand probing (FHP) and 3D-printed guides (3DPG) enabled accurate spinal pin placement, with 87.5% vs 96.4% of pins graded as optimal (Grade I).
  • 3DPGs had fewer intraoperative deviations (0/56 pins) compared to 6/56 with the FHP technique.
  • No pins using either method fully breached the medial vertebral canal (Grade IIb) — a critical safety outcome.
  • Pins placed using 3DPGs required less time overall (mean 2.6 min) than FHP (mean 4.5 min).
  • FHP required specific experience and has a learning curve, whereas 3DPG use requires CAD software and 3D printing access.
  • FHP had more lateral canal violations (Grade IIIa: 4/56 vs 0/56 for 3DPG), suggesting slightly less precision.
  • Both techniques were safe, and all deviations were recognized and corrected intraoperatively.
  • 3DPGs may offer practical advantages in clinical settings lacking surgical expertise, while FHP allows immediate intervention without 3D printing delay.

Mullins

Veterinary Surgery

5

2023

Accuracy of pin placement in the canine thoracolumbar spine using a free-hand probing technique versus 3D-printed patient-specific drill guides: An ex-vivo study

2023-5-VS-mullins-5

Article Title: Accuracy of pin placement in the canine thoracolumbar spine using a free-hand probing technique versus 3D-printed patient-specific drill guides: An ex-vivo study

Journal: Veterinary Surgery

In Heikkilä 2024 et al., on COPLA scaffold evaluation, which parameter improved significantly only in unilaterally operated COPLA limbs?

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Correct. Only the unilaterally operated COPLA limbs showed a significant improvement in static weight-bearing at 1.5 years (p=0.015):contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is Static weight-bearing on operated limb.
Only the unilaterally operated COPLA limbs showed a significant improvement in static weight-bearing at 1.5 years (p=0.015):contentReference[oaicite:2]{index=2}

🔍 Key Findings Summary

  • 22 dogs (36 shoulders) with shoulder OCD randomly assigned to COPLA scaffold (n=19) or Control (n=17) group
  • At 6 months: Significantly fewer dogs in COPLA group had OA (14% vs. 67%; p = 0.019)
  • At 1.5 years: OA prevalence increased in both groups with no significant difference (COPLA: 64%, Control: 60%)
  • HCPI (pain index) increased significantly at 1 week post-op in COPLA dogs only (p = 0.001), but later normalized
  • Static weight-bearing improved only in unilaterally operated COPLA limbs (p = 0.015)
  • One dog in COPLA group had a fragment dislodge requiring arthroscopic removal
  • Overall, COPLA scaffold may provide short-term benefit in OA reduction, but long-term outcomes were similar

Heikkila

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Randomized, Blinded, Controlled Clinical Trial of Polylactide–Collagen Scaffold in Treatment of Shoulder Osteochondritis Dissecans in Dogs

2024-6-VCOT-heikkila-3

Article Title: Randomized, Blinded, Controlled Clinical Trial of Polylactide–Collagen Scaffold in Treatment of Shoulder Osteochondritis Dissecans in Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Morgera 2022 et al., on stifle surgery draping methods, what was the most commonly performed procedure in the study cohort?

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Correct. TTA accounted for over 60% of the procedures in the study.
Incorrect. The correct answer is Tibial tuberosity advancement (TTA).
TTA accounted for over 60% of the procedures in the study.

🔍 Key Findings

  • No significant difference in infection-inflammation rates between single-layer Kraton drapes and traditional double-layer draping at both 21 days and 6 months postop.
  • Infection-inflammation occurred in 4.56% (36/789) of cases; equally distributed across draping techniques.
  • Tibial tuberosity advancement (TTA) was the most common procedure (61%).
  • Kraton drape features an elastic fenestration that seals without adhesives or towel clamps, offering ecological and workflow advantages.
  • Mean anesthesia duration was similar between groups (~73.8 min), suggesting draping method did not impact overall surgical time.
  • Culture confirmation of infection was low (14 dogs), showing reliance on clinical criteria for diagnosis.
  • Potential benefits of single-layer draping include reduced waste, no need for towel clamps, and ease of use without increased risk.
  • Limitations included subjective follow-up (nearly 30% indirect via phone/images) and antimicrobial usage in all cases.

Morgera

Veterinary Surgery

3

2022

Surgical site infection‐inflammation in dogs draped with a single‐layer Kraton elastic seal extremity drape for stifle surgery

2022-3-VS-morgera-4

Article Title: Surgical site infection‐inflammation in dogs draped with a single‐layer Kraton elastic seal extremity drape for stifle surgery

Journal: Veterinary Surgery

In Simpson 2022 et al., on feline cholecystectomy outcomes, what was the most common surgical indication?

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Oops! Something went wrong while submitting the form.
Correct. Cholelithiasis was identified in 17 of 23 cats and was the leading reason for surgery.
Incorrect. The correct answer is Cholelithiasis.
Cholelithiasis was identified in 17 of 23 cats and was the leading reason for surgery.

🔍 Key Findings

  • Cholelithiasis was the most common indication for cholecystectomy in cats.
  • Perioperative complications were frequent, with intraoperative hypotension in all recorded cases and postoperative anemia in 14 cats.
  • Perioperative mortality was 21.7%, lower than historical rates for feline biliary surgery.
  • 78.3% of cats survived to discharge, and 83.3% of those lived >6 months; 44.4% survived >3 years.
  • Vomiting was the most common short- and long-term complication, though most cats were medically managed.
  • Concurrent EHBDO was not a contraindication provided CBD patency was restored.
  • Positive bacterial cultures were found in 15 cats, with E. coli and Enterococcus faecalis most common.
  • Owner-reported outcomes were excellent in all cats that survived long-term.

Simpson

Veterinary Surgery

1

2022

Cholecystectomy in 23 cats (2005‐2021)

2022-1-VS-simpson-1

Article Title: Cholecystectomy in 23 cats (2005‐2021)

Journal: Veterinary Surgery

In Azuma 2024 et al., on 3D vs 2D laparoscopy, what was the incidence of intraoperative complications in both 2D and 3D groups?

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Correct. No cystic duct injuries, clip failures, or perforations occurred in either group.
Incorrect. The correct answer is Comparable, low in both groups.
No cystic duct injuries, clip failures, or perforations occurred in either group.

🔍 Key Findings

  • 3D laparoscopy significantly reduced time to first endoclip placement compared to 2D (median 76 vs. 238 seconds, p = .016).
  • Total surgical time was not significantly different between 3D and 2D groups.
  • No differences were observed in intraoperative complications such as cystic duct injury, clip dislodgment, or gallbladder perforation.
  • Cystic duct stump length was comparable between groups (median 2.5 mm).
  • Liver parenchyma attachment severity did not differ significantly between 2D and 3D groups.
  • All procedures were performed by an experienced surgeon, potentially reducing the benefit seen with 3D visualization.
  • No conversions to open surgery occurred, and no intraoperative complications were reported.
  • The study suggests 3D laparoscopy may aid less experienced surgeons due to enhanced depth perception.

Azuma

Veterinary Surgery

4

2024

Three-dimensional versus two-dimensional laparoscopy for cholecystectomy in a canine cadaveric study

2024-4-VS-azuma-3

Article Title: Three-dimensional versus two-dimensional laparoscopy for cholecystectomy in a canine cadaveric study

Journal: Veterinary Surgery

In Larose 2024 et al., on laparoscopic liver biopsies in dogs, how did the 3 mm biopsy cup perform in larger dogs compared to smaller dogs?

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Correct. 3 mm instruments were easier in small dogs but more difficult in large dogs due to shaft length.
Incorrect. The correct answer is It was harder to manipulate.
3 mm instruments were easier in small dogs but more difficult in large dogs due to shaft length.

🔍 Key Findings

  • Histologic agreement between 3 mm and 5 mm biopsies was 90%, with a Gwet's AC1 of 0.81 (p < .0001).
  • 5 mm biopsies yielded significantly more portal triads and lobules than 3 mm samples (p = .0003 and p < .0001).
  • Crush artifacts were significantly higher in 3 mm samples (p = .035), though fragmentation scores were similar (p = .935).
  • Both forceps produced adequate samples for histopathology, copper quantification, and bacterial culture.
  • No hemorrhage requiring intervention occurred, and both sizes were deemed safe and minimally invasive.
  • Surface area ≥40 mm² strongly predicted ≥11 portal triads, a desirable threshold for reliable histopathology.
  • Use of 3 mm instruments was easier in small dogs (<12 kg), but more challenging in larger dogs due to shaft length.
  • Clinical diagnoses were unaffected by forceps size, even in the one discordant histologic pair.

Larose

Veterinary Surgery

4

2024

Comparing 3 mm and 5 mm laparoscopic liver biopsy samples in dogs

2024-4-VS-larose1-5

Article Title: Comparing 3 mm and 5 mm laparoscopic liver biopsy samples in dogs

Journal: Veterinary Surgery

In Giansetto 2022 et al., on preputial urethrostomy, what role did postoperative urinary catheterization play?

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Correct. Urinary catheterization helped divert urine flow and protect the anastomosis during early healing.
Incorrect. The correct answer is Protected urethral anastomosis from urine during healing.
Urinary catheterization helped divert urine flow and protect the anastomosis during early healing.

🔍 Key Findings

  • Modified preputial urethrostomy without penile amputation was successfully performed in 4 male dogs with urethral stenosis or trauma.
  • The technique involved anastomosis of the pelvic urethra to the preputial mucosa via caudal celiotomy, avoiding perineal urethrostomy complications.
  • No cases of skin scalding or stoma stenosis were reported during short- and long-term follow-up.
  • Two dogs developed mild urinary incontinence, particularly when excited; one improved with phenylpropanolamine.
  • The approach preserved local anatomy, avoiding penile amputation, osteotomies, and preputial dissection.
  • Postoperative urinary catheterization was used to protect the anastomosis, although optimal duration remains debated.
  • Surgical access via the linea alba minimized tension at the anastomosis site and avoided complications from paramedian approaches.
  • This technique may serve as a viable alternative to prepubic urethrostomy, reducing urine-related skin complications and improving cosmetic outcome.

Giansetto

Veterinary Surgery

8

2022

Preputial urethrostomy with preservation of the local anatomy in 4 dogs

2022-8-VS-giansetto-5

Article Title: Preputial urethrostomy with preservation of the local anatomy in 4 dogs

Journal: Veterinary Surgery

In Levine 2025 et al., on thoracoscopic pericardiectomy, which approach produced the largest pericardial resection?

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Correct. PDR achieved significantly larger pericardial fragment sizes (mean difference = 23.21 cm², p = .004).
Incorrect. The correct answer is Paraxiphoid in dorsal recumbency (PDR).
PDR achieved significantly larger pericardial fragment sizes (mean difference = 23.21 cm², p = .004).

🔍 Key Findings

Study design: Randomized cadaveric comparison (n=20 dogs; ILR vs PDR)

Approaches:

  • ILR = Intercostal in Left Lateral Recumbency (no OLV required)
  • PDR = Paraxiphoid in Dorsal Recumbency (traditional)

Outcomes:

  • Pericardiectomy time was shorter for ILR (p = .045)
  • Pericardial fragment size was significantly larger in PDR group (p = .004; 23.21 cm² difference)
  • Visibility and cardiac exposure were superior in PDR group

Feasibility:

  • ILR approach was consistently successful in achieving partial pericardiectomy
  • Bilateral ventilation was adequate; no need for OLV

Clinical relevance:

  • ILR may improve efficiency when paired with TDL
  • PDR remains preferable for cases requiring maximal pericardial resection

Levine

Veterinary Surgery

1

2025

Intercostal thoracoscopic pericardiectomy in left lateral recumbency: A cadaveric study of feasibility, efficiency, and extent of pericardial resection

2025-1-VS-levine-1

Article Title: Intercostal thoracoscopic pericardiectomy in left lateral recumbency: A cadaveric study of feasibility, efficiency, and extent of pericardial resection

Journal: Veterinary Surgery

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