
Your Custom Quiz
In Hernon 2023 et al., on flushing the CBD, which of the following best describes the sensitivity of ultrasonographic detection of free abdominal fluid for diagnosing gallbladder rupture?
🔍 Key Findings
- Flushing the common bile duct (CBD) during cholecystectomy did not result in improved hepatobiliary markers compared to no flushing.
- Cholecystectomy alone significantly reduced ALP, ALT, GGT, bilirubin, and cholesterol 3 days postoperatively (p < .05 for all).
- Survival to discharge was 90.3%, with no survival difference between flushed and non-flushed groups.
- Postoperative pancreatitis occurred in 12.9% of dogs, evenly distributed between groups, suggesting flushing did not increase risk.
- Most common complication was regurgitation (29%), not significantly different between groups.
- Free abdominal fluid had low sensitivity (29%) but moderate specificity (73%) for gallbladder rupture.
- No difference in duration of hospitalization or postoperative complications between groups.
- Gallbladder rupture rate was 12.9%, lower than previously reported in literature.
Veterinary Surgery
5
2023
The effect of flushing of the common bile duct on hepatobiliary markers and short‐term outcomes in dogs undergoing cholecystectomy for the management of gall bladder mucocele: A randomized controlled prospective study
2023-5-VS-hernon-4
In Adair 2023 et al., on PCCLm vs. open cystotomy, what was a statistically significant long-term difference in outcomes?
🔍 Key Findings
- PCCLm resulted in significantly fewer postoperative lower urinary tract signs compared to OC (13.0% vs 60.9%, p <.001).
- Incomplete urolith removal was not significantly different between PCCLm and OC (11.4% vs 20%, p = .112).
- PCCLm had significantly shorter anesthesia times than OC when no concurrent procedures were performed (97.5 vs 120 min, p < .001).
- Surgical site infection/inflammation (SSII) rates were low and not significantly different between groups (4.5% PCCLm vs 1.8% OC).
- Dogs undergoing PCCLm were more frequently discharged same-day (84.7% vs 0% in OC), reflecting faster recovery.
- PCCLm had higher intraoperative complication rates (22.1% vs 3.4%), mostly due to incision extension or conversions.
- Time to additional surgery for urolith recurrence was longer in PCCLm dogs (24 vs 11.5 months, p = .004).
- Calcium oxalate uroliths were more prevalent in PCCLm cases, while OC had more struvite or mixed types.
Veterinary Surgery
6
2023
Retrospective comparison of modified percutaneous cystolithotomy (PCCLm) and traditional open cystotomy (OC) in dogs: 218 cases (2010–2019)
2023-7-VS-adair-5
In McNamara 2022 et al., on transoral endoscopic arytenopexy, what was the mean percentage increase in rima glottis area (RGA) following the TEA procedure?
🔍 Key Findings
- TEA significantly increased the rima glottis area (RGA) from a mean of 0.52 cm³ to 0.78 cm³ (p < .0001)
- Mean RGA increased by 157%, equivalent to an 84% estimated decrease in airway resistance
- LEGS (laryngeal epiglottic-glottic seal) remained intact in all cadavers post-procedure, indicating maintained airway protection
- TEA was technically feasible in all 15 cadaveric dogs using a custom endoscopic gag port (EGP)
- TEA avoids cervical dissection, potentially reducing surgical trauma and risks compared to UAL (unilateral arytenoid lateralization)
- Compared to UAL, TEA showed slightly less RGA increase, but greater LEGS preservation, potentially reducing aspiration risk
- No cartilage was included in sutures; arytenopexy involved soft tissue fixation to pharyngeal wall across the piriform recess
- Cadaver model limitations include inability to assess functional outcomes like swallowing and respiratory motion impact
Veterinary Surgery
7
2022
Description and evaluation of a novel transoral endoscopic arytenopexy in canine cadavers
2022-7-VS-mcnamara-2
In Levine 2025 et al., on thoracoscopic pericardiectomy, which approach may offer benefit when paired with thoracic duct ligation (TDL)?
🔍 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
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-5
In Meltzer 2022 et al., on femoral implant selection, what was the role of canal flare index (CFI) in femoral component selection?
🔍 Key Findings
- Hybrid implants were used in older, heavier dogs with lower canal flare index (CFI) compared to cementless types.
- CFI <1.8 was associated with higher risk of femoral fracture or stem subsidence with cementless implants.
- Total complication rate was 14%, with catastrophic complications in only 1.5%—lower than reported in other studies.
- No significant difference in complication rates across implant types (BFX, BFX-C, hybrid).
- Femur fractures were rare (2.9%), lower than in prior studies, and successfully managed with cerclage/plate fixation.
- Coxofemoral luxation was the most common complication (8 cases); all occurred within 62 days post-op, mostly resolved with revision.
- Collared BFX stems did not significantly reduce complications, though they may limit stem subsidence.
- An implant selection algorithm was proposed, using age ≥7 years, weight ≥45 kg, and CFI <1.8 to guide cemented vs. cementless stem use.
Veterinary Surgery
2
2022
Case factors for selection of femoral component type in canine hip arthroplasty using a modular system
2022-2-VS-meltzer-4
In Trefny 2025 et al., on plate length and stiffness, what plate–bone ratio was required before significant stiffness and strain differences became apparent?
🔍 Key Findings
- 12-hole LCPs (80% plate–bone ratio) showed significantly higher construct stiffness than 6-, 8-, or 10-hole plates in both compression and tension bending.
- Strain on the plate was significantly lower in 12-hole vs 6-hole plates at all regions of interest (ROIs), especially around the fracture gap.
- No incremental increases in stiffness or decreases in strain were observed between 6-, 8-, and 10-hole plates—only when comparing to 12-hole plates.
- Bone model strain adjacent to the plate end was significantly lower for 10- and 12-hole plates vs 6-hole plates under both loading conditions.
- The threshold effect suggests biomechanical benefits only emerge beyond a plate–bone ratio of ~80%.
- Working length increased from 9.4 mm (6-hole) to 13 mm (others), potentially influencing strain/stiffness differences.
- Four-point bending was used, as it replicates the most biomechanically relevant force on plated long bones.
- Clinical implication: Longer plates may reduce plate strain and peri-implant bone strain, potentially lowering risk of fatigue failure or stress risers.
Veterinary and Comparative Orthopaedics and Traumatology
2
2025
Effect of Plate Length on Construct Stiffness and Strain in a Synthetic Short-Fragment Fracture Gap Model Stabilized with a 3.5-mm Locking Compression Plate
2025-2-VCOT-trefny-5
In Parker 2023 et al., on Locoregional analgesia in TPLO, what was the most commonly preferred locoregional anesthesia technique among anesthesiologists for dogs undergoing TPLO?
🔍 Key Findings
- Peripheral nerve block (PNB) was preferred by 79% of anesthesiologists; lumbosacral epidural (LE) by 21%; PI <1%.
- Time since board-certification significantly influenced preference: PNB favored by newer diplomates, LE favored by more senior ones (p < .001).
- Employment sector mattered: PNB was preferred more in private practice, LE more in academia (p = .003).
- PNB perceived as more effective, with 78% reporting 81–100% effectiveness; compared to 55% for LE.
- PNB associated with fewer adverse effects (75%) than LE (4%) and PI (21%).
- PNB required less rescue analgesia intraoperatively (57%) and postoperatively (54%) than LE or PI.
- LE preferred for bilateral TPLOs and in smaller dogs; PNB for larger dogs, due to motor function preservation.
- Dexmedetomidine was the most common additive to PNB; bupivacaine-only was most used for PNB.
Veterinary Surgery
4
2023
Pelvic limb anesthesia and analgesia in dogs undergoing tibial plateau leveling osteotomy (TPLO): A survey of board-certified anesthesiologists
2023-4-VS-parker-1
In de Moya 2023 et al., on FGPP of femoral capital physeal/neck fractures, what was the overall healing outcome?
🔍 Key Findings
- 11 dogs, 13 fractures (mostly Salter-Harris type I) were repaired with FGPP using Kirschner wires.
- 10/13 fractures achieved satisfactory healing with good limb function at ~43 days median follow-up.
- Major complications occurred in 5 dogs: intra-articular pin placement, implant migration (2), implant failure with nonunion, and malunion.
- 2 dogs presenting >15 days post-injury with radiographic remodeling were poor candidates → higher risk of nonunion/malunion.
- Preoperative displacement was mostly mild (10/13 fractures); these had better outcomes than chronic or severely displaced cases.
- Median surgical time: 60 minutes (range 45–75), all performed percutaneously without conversion to open.
- Elective pin removal was performed in 5 cases; migration occurred with both short and long cut wires.
- Femoral neck resorption (“apple-coring”) was rare (2/10 healed cases) and thought to be less frequent than after ORIF due to reduced vascular disruption.
Veterinary Surgery
7
2023
Closed reduction and fluoroscopic-guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs
2023-7-VS-demoya-1
In González Montaño 2023 et al., on traumatic pulmonary pseudocysts (TPP), which management strategy was used in the majority of TPP cases?
🔍 Key Findings
- Traumatic pulmonary pseudocysts (TPP) were diagnosed in 11 patients (9 dogs, 2 cats) using CT after blunt trauma.
- TPPs were identified on radiographs in 64% of cases that were CT-confirmed, highlighting the superior sensitivity of CT.
- Most cases (7/10) were managed conservatively, with complete recovery and no TPP-related mortality.
- Thoracic surgery (lung lobectomy) was performed in 3 dogs, due to persistent pneumothorax or large TPP with perceived risk of complications.
- All pneumothorax cases were managed with thoracostomy tubes, and chest drains were used in 73% of cases.
- Pneumothorax was present in 100% of patients, often bilateral, and pulmonary contusions were reported in 73%.
- One cat was euthanized due to unrelated maxillofacial trauma; no deaths were attributed to TPP itself.
- Long-term follow-up (median 768 days) revealed only 1 case with possible TPP-related pneumonia; others had no complications.
Veterinary Surgery
4
2023
Traumatic pulmonary pseudocysts in nine dogs and two cats
2023-4-VS-gonzalezmontano-3
In Quitzan 2022 et al., on staple line configuration, where did initial leakage most frequently occur in the FEESA constructs?
🔍 Key Findings
- All FEESA configurations leaked at lower pressures than intact segments, confirming reduced integrity vs. native tissue.
- FEESA with 3-row transverse staples (3V/3T or 2V/3T) had significantly higher leak pressures than 2-row configurations.
- 3V/3T configuration had the highest ILP (69.88 ± 21.23 mmHg) among all groups, significantly greater than 2V/2T and 3V/2T (P < .001).
- Leakage consistently occurred at the transverse staple line (not vertical), regardless of configuration.
- No significant difference in maximum intraluminal pressure (MIP) between FEESA groups.
- All FEESA constructs withstood intraluminal pressures >25 mmHg, exceeding normal physiological jejunal pressure in dogs.
- No leaks occurred from the vertical staple line, highlighting it as a more robust closure site.
- Third staple row in transverse line may be a viable alternative to suture oversew, pending further clinical evaluation.
Veterinary Surgery
5
2022
Influence of staple line number and configuration on the leakage of small intestinal functional end-to-end stapled anastomosis: An ex vivo study
2022-5-VS-quitzan-2
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
