Your Custom Quiz

In Poggi 2025 et al., on laparoscopic cholecystectomy in cats, what was the median operating time for the procedure alone?

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Correct. The median operating time reported for LC alone was 41 minutes.
Incorrect. The correct answer is 41 minutes.
The median operating time reported for LC alone was 41 minutes.

🔍 Key Findings

  • Laparoscopic cholecystectomy (LC) was successfully performed in all 22 cats without conversion to open surgery.
  • Complication rate was low: 3 cats had postoperative complications (1 seroma, 1 vomiting, 1 EHBDO and death).
  • Median operating time was 41 minutes; median hospitalization was 3 days.
  • No cases required conversion to open laparotomy, even in cats as small as 2.5 kg.
  • Common devices used: Hemoclips or Hem-o-lok for cystic duct ligation; Ligasure, harmonic scalpel, or j-hook for dissection.
  • Most common indications: cholelithiasis (9/22) and cholecystitis (10/22), with one biliary mucocele and one adenoma.
  • Histopathology confirmed diagnosis in all cases; concurrent liver or intestinal biopsies were performed in some cats.
  • Postoperative AUS and bloodwork were routine and important for detecting early signs of EHBDO.

Poggi

Veterinary Surgery

5

2025

Laparoscopic cholecystectomy in 22 cats (2018–2024)

2025-5-VS-poggi-3

Article Title: Laparoscopic cholecystectomy in 22 cats (2018–2024)

Journal: Veterinary Surgery

In Price 2024 et al., on left-sided TD ligation in dogs, where were all thoracic duct branches located in cadaveric dissections?

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Correct. All TD branches in cadavers were lateral to the esophagus, simplifying access.
Incorrect. The correct answer is Left side of esophagus.
All TD branches in cadavers were lateral to the esophagus, simplifying access.

🔍 Key Findings

  • Left fourth intercostal thoracotomy allowed successful thoracic duct (TD) ligation in 9/10 canine cadavers.
  • 10/13 clinical cases had a single TD branch at the left fourth intercostal space, indicating lower anatomical complexity.
  • All TD branches at this site were lateral to the esophagus, simplifying surgical access.
  • Unilateral subphrenic pericardiectomy was successfully performed via the same incision in 10/10 cadavers.
  • Fewer TD branches at the fourth intercostal space than traditional caudal sites may reduce the risk of missed collaterals.
  • In contrast, traditional caudal TD ligation sites had up to 5 branches, requiring broader dissection.
  • No cadaver had right-sided TD branches, reducing surgical complexity at the studied location.
  • Contrast-confirmed ligation was effective in 90% (9/10) cadavers on CT imaging.

Price

Veterinary Surgery

3

2024

Evaluation of thoracic duct ligation and unilateral subphrenic pericardiectomy via a left fourth intercostal approach in normal canine cadavers

2024-3-VS-price-2

Article Title: Evaluation of thoracic duct ligation and unilateral subphrenic pericardiectomy via a left fourth intercostal approach in normal canine cadavers

Journal: Veterinary Surgery

In Ciammaichella 2025 et al., on lymphadenectomy complications, which lymphadenectomy site had the lowest rate of intraoperative complications?

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Correct. Only 1% of axillary lymphadenectomies had intraoperative complications, the lowest among the groups.
Incorrect. The correct answer is Axillary.
Only 1% of axillary lymphadenectomies had intraoperative complications, the lowest among the groups.

🔍 Key Findings

  • Ilio-sacral lymphadenectomy had the highest complication rates: intraoperative (7%) and postoperative (41%)
  • Axillary lymphadenectomy showed the lowest complication rates: intraoperative (1%) and postoperative (16%)
  • Enlarged or metastatic lymph nodes were significantly associated with intraoperative complications (p = .030)
  • Postoperative complications were mostly minor (Grade 1) and self-limiting (seromas, edema)
  • Medial retropharyngeal lymphadenectomy had intermediate complication rates: postoperative complications in 26%
  • No significant predictors retained significance in multivariate analysis
  • Use of methylene blue was associated with fewer complications, although not statistically significant
  • Complication rates did not result in mortality, and all were manageable; MST was 374 days

Ciammaichella

Veterinary Surgery

7

2025

Complications of medial retropharyngeal, axillary, and ilio-sacral lymphadenectomy in 127 dogs with malignant tumors

2025-7-VS-ciammaichella-3

Article Title: Complications of medial retropharyngeal, axillary, and ilio-sacral lymphadenectomy in 127 dogs with malignant tumors

Journal: Veterinary Surgery

In Dalton 2023 et al., on acetabular fracture repair, what was the most likely advantage of using locking screws during the procedure?

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Correct. Locking screws provided fixed-angle stability that helped maintain reduction despite longer working length and lack of compression.
Incorrect. The correct answer is Facilitated reduction due to fixed angle mechanics.
Locking screws provided fixed-angle stability that helped maintain reduction despite longer working length and lack of compression.

🔍 Key Findings

  • Minimally invasive repair of acetabular fractures using precontoured plates on 3D-printed models is feasible and technically reproducible in dogs.
  • All cadavers had fracture gaps <2 mm and step defects <1 mm, indicating accurate reduction.
  • Sciatic nerve injury was minimal or absent in all cases, supporting potential neuroprotection from indirect approaches.
  • Pelvic angulation was maintained <5°, confirming preservation of alignment post-reduction.
  • Surgical time averaged ~46 minutes in cadavers for both approaches and repair.
  • Clinical case showed good radiographic healing by 8 weeks and full union by 3 months, with early weight-bearing post-op.
  • Use of locking screws improved reduction fidelity, particularly across a broad plate span.
  • 3D printing accelerated surgical planning, though its necessity remains debated due to the availability and cost concerns.

Dalton

Veterinary Surgery

6

2023

Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

2023-6-vs-dalton-2

Article Title: Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

Journal: Veterinary Surgery

In Pilot 2022 et al., on closure methods in sternotomy, what was the overall rate of closure-related complications observed in dogs?

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Correct. This multi-institutional study found a 14.1% complication rate after median sternotomy closure.
Incorrect. The correct answer is 14.1%.
This multi-institutional study found a 14.1% complication rate after median sternotomy closure.

🔍 Key Findings

  • Overall closure-related complication rate was 14.1%, lower than previously reported (17–78%).
  • No clinically meaningful difference in complication rate between orthopedic wire (17.4%) and suture (11.5%) closure methods.
  • Dog size (≥20 kg) was the only significant risk factor associated with increased closure-related complications (p = .01).
  • Type of closure (wire vs. suture) did not affect risk, even in larger dogs.
  • Suture closure showed a non-significant trend toward fewer complications (mean reduction 2.3%, 95% CI: –9.1% to +4.5%).
  • Most complications were mild (62%), with only 10 severe cases requiring surgical revision.
  • Infection rate was low (2.7%), and not significantly different between wire and suture.
  • Suture closure is a valid alternative to wire, including in large dogs, based on this large, multi-institutional study.

Pilot

Veterinary Surgery

6

2022

Comparison of median sternotomy closure‐related complication rates using orthopedic wire or suture in dogs: A multi-institutional observational treatment effect analysis

2022-6-VS-pilot-1

Article Title: Comparison of median sternotomy closure‐related complication rates using orthopedic wire or suture in dogs: A multi-institutional observational treatment effect analysis

Journal: Veterinary Surgery

In Kang 2024 et al., on sacroiliac fixation strength, what was the primary failure mode for the double 2.3-mm HCS group?

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Correct. Failure was typically within the sacral bone; no screw head pullout noted in HCS group
Incorrect. The correct answer is Cancellous bone failure in sacrum.
Failure was typically within the sacral bone; no screw head pullout noted in HCS group

🔍 Key Findings Summary

  • 20 cats with pelvic fractures treated using locking plates with only cortical screws
  • 28 fractures stabilized (ilium: 17, acetabulum: 6, ischium: 3, pubis: 2)
  • Implants: Primarily 1.5/2.0 mm LCPs or String-of-Pearls plates
  • Major complications in 2/20 cases (10%): sciatic entrapment, malunion requiring THA
  • Minor complications in 2/20 cases (10%): plate impingement, transient lameness
  • Clinical union in all cats by 8 weeks; all cats returned to full function
  • Authors conclude cortical screws alone can provide adequate fixation in feline pelvic fractures if screw purchase and bone quality are sufficient

Kang

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Biomechanical Comparison of Double 2.3-mm Headless Cannulated Self-Compression Screws and Single 3.5-mm Cortical Screw in Lag Fashion in a Canine Sacroiliac Luxation Model

2024-1-VCOT-kang-2

Article Title: Biomechanical Comparison of Double 2.3-mm Headless Cannulated Self-Compression Screws and Single 3.5-mm Cortical Screw in Lag Fashion in a Canine Sacroiliac Luxation Model

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Saitoh 2025 et al., on CTS stabilization, what method was commonly used in addition to CTS?

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Correct. All dogs received postoperative external coaptation alongside CTS.
Incorrect. The correct answer is External coaptation.
All dogs received postoperative external coaptation alongside CTS.

🔍 Key Findings

Study population: 12 dogs with medial or lateral tarsocrural joint instability (TCI), including 5 working farm dogs.
Procedure: Temporary immobilization using a calcaneotibial screw (CTS) combined with external coaptation (EC).
Stabilization techniques:

  • 3 dogs = primary ligamentous repair
  • 8 dogs = synthetic ligament reconstruction
  • 2 dogs = malleolar fracture repair

Follow-up: Median 31 months (range 4–66); 10 owners completed outcome survey.
Outcomes:

  • All 10 dogs had improved or resolved lameness.
  • All 5 farm dogs returned to work (most at full or substantial capacity).
  • Complication rate: 4 distinct events in 3 dogs (1 major = CTS breakage; 3 minor = bandage-related soft tissue injuries).

Conclusion: CTS + EC provided effective immobilization with low complication rate, and functional outcomes were favorable even in active dogs.

Saitoh

Veterinary Surgery

1

2025

Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs

2025-1-VS-saitoh-3

Article Title: Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs

Journal: Veterinary Surgery

In Violini 2024 et al., on 3D-guided spinal stabilization in brachycephalic dogs, what percentage of pedicle screws achieved optimal placement?

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Correct. 84% of pedicle screws were fully contained within the pedicle and vertebral body (Grade I):contentReference[oaicite:0]{index=0}.
Incorrect. The correct answer is 84%.
84% of pedicle screws were fully contained within the pedicle and vertebral body (Grade I):contentReference[oaicite:0]{index=0}.

🔍 Key Findings

  • Spinal stabilization with 3D-printed patient-specific drill guides (3D-PSGs) was safe, with no immediate perioperative complications reported.
  • 84% of pedicle screws were optimally placed, and only 0.5% breached the spinal canal, reflecting high placement accuracy.
  • 80% of dogs experienced no neurologic deterioration postoperatively, indicating reliable short-term safety.
  • 3D-PSGs were accurate and reproducible, even across multiple institutions and surgeons.
  • Mid-term outcomes were favorable: all dogs were ambulatory, and 90% had static or improved neurologic signs.
  • 7 of 10 mid-term follow-ups showed abnormal gait, though owners rated lifestyle ≥3/5, suggesting acceptable function.
  • 3D-printed guides enabled precise pedicle screw placement in deformed vertebrae, expanding options in small breeds.
  • One dog suffered a T4 spinous process fracture due to overextension of PMMA cement, emphasizing the need for cement placement caution.

Violini

Veterinary Surgery

4

2024

Clinical outcomes of 20 brachycephalic dogs with thoracolumbar spinal deformities causing neurological signs treated with spinal stabilization using 3D-printed patient-specific drill guides

2024-4-VS-violini-1

Article Title: Clinical outcomes of 20 brachycephalic dogs with thoracolumbar spinal deformities causing neurological signs treated with spinal stabilization using 3D-printed patient-specific drill guides

Journal: Veterinary Surgery

In Danielski 2022 et al., on humero-anconeal incongruity, what was the proposed mechanism by which HIF may develop in spaniel breeds?

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Correct. Study findings supported mechanical impingement leading to stress fissures in the medial humeral condyle.
Incorrect. The correct answer is Humero-anconeal incongruity causing focal stress.
Study findings supported mechanical impingement leading to stress fissures in the medial humeral condyle.

🔍 Key Findings

  • A novel caudo-medial arthroscopic portal allowed visualization of previously undescribed cartilage lesions on the caudal medial humeral condyle.
  • A consistent focal cartilage lesion (HA lesion) was observed in 100% of elbows with HIF (21/21), but in none of the 31 elbows without HIF.
  • Lesions varied from indentations to full-thickness cartilage loss, typically elliptical and located just medial to the humeral condyle isthmus.
  • A clunk-like sensation and dynamic engagement of the anconeal process into the lesion were observed in 16/21 elbows with HIF during elbow manipulation.
  • In 5/21 elbows, engagement of the anconeal process led to observable widening of the HIF line, suggesting dynamic instability.
  • Findings support a novel concept of humero-anconeal incongruity as a contributor to the pathogenesis of HIF.
  • Spaniel breed was not a confounder—the lesion was only present in elbows with HIF, regardless of breed.
  • The study suggests potential for using arthroscopy as a screening tool for early detection of humero-anconeal incongruity and HIF risk.

Danielski

Veterinary Surgery

1

2022

Humero-anconeal elbow incongruity in spaniel breed dogs with humeral intracondylar fissure: Arthroscopic findings

2022-1-VS-danielski2-4

Article Title: Humero-anconeal elbow incongruity in spaniel breed dogs with humeral intracondylar fissure: Arthroscopic findings

Journal: Veterinary Surgery

In Kuvaldina 2023 et al., on endoscopic axillary lymphadenectomy, what was the reported complication rate in clinical cases?

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Correct. Clinical cases were largely complication-free, aside from minor, transient issues.
Incorrect. The correct answer is No major complications were encountered; some mild lameness and seroma were observed.
Clinical cases were largely complication-free, aside from minor, transient issues.

🔍 Key Findings

  • Endoscopic excisional biopsy of axillary lymph nodes was successfully performed in cadavers and clinical dogs with minimal complications.
  • The technique used a SILS port and CO₂ insufflation through a small incision between the latissimus dorsi and superficial pectorals.
  • In 4 cadavers (6 limbs), mean time to remove axillary nodes was 33 minutes, and single nodes were found in 5/6 limbs.
  • In 3 clinical dogs, the procedure was successful in 2 cases; 1 required conversion to open surgery due to difficulty manipulating the node.
  • Accessory axillary nodes were successfully excised when present, located adherent to deep latissimus dorsi.
  • No cases developed lymphedema, pneumothorax, or major complications postoperatively.
  • Subjective benefits included better visualization, reduced dissection, and less postoperative morbidity than open techniques.
  • Study suggests MIS lymphadenectomy may improve staging accuracy and reduce complications, though larger studies are needed.

Kuvaldina

Veterinary Surgery

6

2023

Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

2023-6-vs-kuvaldina-2

Article Title: Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

Journal: Veterinary Surgery

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