Your Custom Quiz

In Moreira 2024 et al., which CCWO technique resulted in the lowest mean prediction error for postoperative TPA?

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Correct. The Slocum method, based on tibial plateau and cranial cortex alignment, had the lowest mean TPA error (–0.7°).
Incorrect. The correct answer is Slocum-type wedge.
The Slocum method, based on tibial plateau and cranial cortex alignment, had the lowest mean TPA error (–0.7°).

2024-1-VS-moreira-1

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In Bower 2025 et al., on radial diaphyseal exposure, which fixation strategy is facilitated by the craniolateral approach?

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Correct. The craniolateral approach enables access to both radius and ulna through one incision.
Incorrect. The correct answer is Dual bone fixation of radius and ulna.
The craniolateral approach enables access to both radius and ulna through one incision.

🔍 Key Findings

  • Craniomedial and craniolateral approaches provided comparable exposure of the feline radial diaphysis (p > .05).
  • Mean exposed surface area was slightly greater with the craniolateral approach, both including and excluding the supinator muscle, but differences were not significant.
  • Elevation of the supinator muscle increased exposure for both approaches.
  • Cadaver weight and limb side did not significantly affect exposure area.
  • The craniolateral approach allows easier patient positioning in lateral recumbency without traction or an assistant.
  • Craniolateral access facilitates dual bone fixation (radius and ulna) through a single approach.
  • The craniomedial approach carries greater risk to median and radial nerves during muscle elevation.
  • Findings validate the craniolateral approach as a practical alternative for feline antebrachial fracture repair.

Bower

Veterinary Surgery

8

2025

Comparison of exposure of the feline radial diaphysis by the craniomedial and craniolateral surgical approaches for repair of antebrachial fractures

2025-8-VS-bower-4

Article Title: Comparison of exposure of the feline radial diaphysis by the craniomedial and craniolateral surgical approaches for repair of antebrachial fractures

Journal: Veterinary Surgery

In Johnson 2022 et al., on PET implant outcomes, what was a key limitation cited that precluded further investigation of this implant?

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Correct. With 8 out of 10 implants either partially torn or fully failed, survivability was deemed too low for continued study.
Incorrect. The correct answer is High rate of implant failure.
With 8 out of 10 implants either partially torn or fully failed, survivability was deemed too low for continued study.

🔍 Key Findings

  • Only 2 of 10 PET implants were fully intact and functional at 6 months post-op.
  • Owner-reported function (LOAD scores) improved by 51.7% (p = .008) over 6 months.
  • Gait asymmetry improved by 86% (p = .002) postoperatively.
  • Implant failure occurred in the midbody of the PET device, suggesting fatigue as a failure mechanism.
  • One dog (10%) developed implant infection, necessitating implant removal.
  • Implant fixation method (screws + washers + interference screw) was mechanically adequate and technically simple.
  • Partially intact implants (4/10) still showed improved clinical outcomes, despite structural compromise.
  • Midbody tearing and lack of long-term integrity prohibit continued use of this PET implant in CCL repair.

Johnson

Veterinary Surgery

8

2022

Outcome of cranial cruciate ligament replacement with an enhanced polyethylene terephthalate implant in the dog: A pilot clinical trial

2022-8-VS-johnson-4

Article Title: Outcome of cranial cruciate ligament replacement with an enhanced polyethylene terephthalate implant in the dog: A pilot clinical trial

Journal: Veterinary Surgery

In Massari 2026 et al., on laparoscopic PPDH repair, what insufflation pressure was recommended during surgery to minimize complications?

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Correct. Low-pressure insufflation (3–4 mmHg) reduces cardiovascular compromise and risk of pneumopericardium while maintaining visualization.
Incorrect. The correct answer is 3–4 mmHg.
Low-pressure insufflation (3–4 mmHg) reduces cardiovascular compromise and risk of pneumopericardium while maintaining visualization.

🔍 Key Findings

  • Laparoscopic PPDH repair was successful in 92% (12/13) of cases, with only one conversion due to CO₂-induced pericardial tamponade
  • Low insufflation pressures (3–4 mmHg) were critical to minimize cardiopulmonary compromise while maintaining adequate visualization
  • No major (Grade ≥3) complications occurred, with only minor issues (15.5% delayed wound healing, 7.7% seroma)
  • All patients survived and had successful long-term outcomes, with imaging confirming repair at 6 months
  • Adhesions were the most common intraoperative challenge, especially involving liver or pericardium, occasionally requiring organ resection
  • Barbed sutures and endoscopic suturing devices improved efficiency, particularly for intracorporeal closure
  • Intraoperative decompression (needle or drain) helped prevent tension pneumopericardium, a key complication risk
  • PPDH-SDC grading system aids case selection, with Grades A–B ideal for laparoscopy, C case-dependent, and D–E unsuitable

Massari

Veterinary Surgery

3

2026

Laparoscopic repair of peritoneopericardial hernias: Multicentric retrospective case series of 12 dogs and one cat

2026-3-vs-massari-2

Article Title: Laparoscopic repair of peritoneopericardial hernias: Multicentric retrospective case series of 12 dogs and one cat

Journal: Veterinary Surgery

In Monnet 2023 et al., on barbed vs conventional suture in vesicourethral anastomosis (VUA), despite reduced suturing time, what is a clinical limitation of using unidirectional barbed suture for VUA?

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Correct. Despite shorter suturing time, UBS had lower leakage pressure (some as low as 5 mmHg), necessitating catheter use post-op.
Incorrect. The correct answer is Leakage pressure remains low.
Despite shorter suturing time, UBS had lower leakage pressure (some as low as 5 mmHg), necessitating catheter use post-op.

🔍 Key Findings

  • Leakage pressure was not significantly different between unidirectional barbed suture (UBS) and conventional (C) suture groups (p = .236).
  • UBS group had a 28% lower median leakage pressure than the C group (8.6 mmHg vs. 11.7 mmHg), suggesting higher biological risk of leakage.
  • UBS significantly reduced suturing time (median 12.7 vs. 17.3 minutes; p < .0002).
  • Fewer suture bites were needed in the UBS group (median 14 vs. 19; p = .012).
  • No suture breakage or urethral narrowing occurred in either group.
  • Leakage site distribution (ventral vs lateral) was similar between groups; no dorsal leaks noted.
  • Leakage occurred as low as 5 mmHg in UBS group, indicating potential for postoperative extravasation.
  • UBS may aid intracorporeal suturing in minimally invasive prostatectomy, but catheterization remains necessary postoperatively.

Monnet

Veterinary Surgery

5

2023

Influence of conventional versus unidirectional barbed suture on leakage pressures in canine vesicourethral anastomosis: An ex-vivo study

2023-5-VS-monnet-5

Article Title: Influence of conventional versus unidirectional barbed suture on leakage pressures in canine vesicourethral anastomosis: An ex-vivo study

Journal: Veterinary Surgery

In McClean 2025 et al., on shoulder arthrocentesis techniques, what proportion of SA injections resulted in cartilage injury (IACI)?

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Correct. Half of the SA injections resulted in iatrogenic cartilage injury.
Incorrect. The correct answer is 50%.
Half of the SA injections resulted in iatrogenic cartilage injury.

🔍 Key Findings

  • Study Type: Cadaveric study using 36 paired canine shoulders (n = 18 per group: Subacromial [SA] and Supratubercular [ST])
  • Survey Results: 75% of clinicians preferred SA technique; 25% used ST
Accuracy Outcomes:
  • Complete accuracy: 50% (SA), 44% (ST) — no significant difference (p = .8)
  • Partial accuracy: 39% (SA), 50% (ST)
  • Complete miss: 11% (SA), 5.6% (ST)
Safety Outcomes (India Ink Assay for Iatrogenic Articular Cartilage Injury [IACI]):
  • Incidence of IACI:
    • SA: 50% (9/18 shoulders)
    • ST: 11% (2/18 shoulders) → statistically significant (p = .007)
  • Lesion depth: All ST lesions were partial-thickness; SA group had one full-thickness lesion (p = .027)
  • Location: Lesions found on glenoid and humeral head with even distribution in SA; only one each in ST
Clinical Implications:
  • Landmark-guided injections were ≤50% completely accurate, even by an experienced operator.
  • ST technique is safer with lower risk of cartilage damage, despite similar accuracy.
  • Findings support considering image-guided techniques to improve both safety and accuracy in clinical settings.

Mcclean

Veterinary Surgery

4

2025

Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

2025-4-VS-mcclean-4

Article Title: Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

Journal: Veterinary Surgery

In Wilson 2025 et al., on acetabular measurement accuracy, which method demonstrated the highest intra- and interobserver reliability?

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Correct. The acetabular circle method on VD view (ACVD) showed the highest intra- and interobserver agreement.
Incorrect. The correct answer is ACVD.
The acetabular circle method on VD view (ACVD) showed the highest intra- and interobserver agreement.

🔍 Key Findings

Study population: 73 hips from 60 dogs undergoing cementless THR.
Methods evaluated:

  • ACVD/ACOLL (acetabular circle on VD or OLL view)
  • ALVD/ALOLL (acetabular line)
  • FHCVD/FHCOLL/FHCCCHB (femoral head circle)
Findings:
  • Intraobserver repeatability and interobserver consistency were excellent for ACVD and ACOLL.
  • FHC methods consistently underestimated actual cup size by 2.4–3.6 mm.
  • AC and AL methods had low bias (±0.5 mm) and better predictive value.
  • OA severity negatively affected the accuracy of all measurements (p < .05).
  • Highest predictive accuracy was ~49% using ACVD with rounding down protocol.

Wilson

Veterinary Surgery

1

2025

Evaluation of three acetabular measurement methods for total hip replacement in dogs

2025-1-VS-wilson-1

Article Title: Evaluation of three acetabular measurement methods for total hip replacement in dogs

Journal: Veterinary Surgery

In Stoneburner 2024 et al., on MIS survey results, what was the most commonly performed MIS procedure among respondents?

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Correct. Most surgeons reported laparoscopic ovariectomy/hysterectomy as their most frequent MIS procedure.
Incorrect. The correct answer is Laparoscopic OVE/OHE.
Most surgeons reported laparoscopic ovariectomy/hysterectomy as their most frequent MIS procedure.

🔍 Key Findings

  • The survey included 111 practicing surgeons and 28 residents from ACVS, ECVS, and ANZCVS. 98.2% had performed soft tissue minimally invasive surgery (MIS).
  • In the past year, surgeons reported a median caseload of 90% basic laparoscopy, 0% advanced laparoscopy, and 10% thoracoscopy; for residents: 100% basic laparoscopy, 0% advanced, 0% thoracoscopy.
  • Laparoscopic ovariectomy and OHE were the most commonly performed MIS procedures, with most respondents proficient in basic laparoscopy, but few performing advanced laparoscopy or thoracoscopy.
  • Top barriers to MIS adoption were: lack of consistent caseload, lack of training, difficult learning curve, equipment limitations, and cost.
  • 76.6% of surgeons and 92.9% of residents received MIS training during residency. Those trained had completed residency median 6 years ago, compared to 22 years ago for those without MIS training (p < .001). Perceived adequate training correlated with higher proficiency.
  • MIS was recognized as having a steep learning curve, but patient benefits (mean score 4.0/5) were the top motivation — less pain, faster recovery, improved visualization.
  • The authors conclude basic laparoscopy is widely adopted, but advanced and thoracoscopic MIS remain underutilized. Training and access are key to future growth.
  • Expanded training and improved access to equipment are necessary to promote broader integration of MIS into veterinary soft-tissue surgery.

Stoneburner

Veterinary Surgery

5

2024

Laparoscopy and thoracoscopy in small animal surgery: A 2020 survey of small animal surgical diplomates and residents

2024-5-VS-stoneburner-2

Article Title: Laparoscopy and thoracoscopy in small animal surgery: A 2020 survey of small animal surgical diplomates and residents

Journal: Veterinary Surgery

In Buote 2023 et al., on 3D-printed cannulas in feline laparoscopy, what was the most common cannula-related complication reduced by 3DPCs in the cadaveric model?

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Correct. Cannula pullout events decreased significantly from 10 to 2.2 per procedure (*p* = 0.03).
Incorrect. The correct answer is Cannula pullout.
Cannula pullout events decreased significantly from 10 to 2.2 per procedure (*p* = 0.03).

🔍 Key Findings

  • 3D-printed cannulas (3DPCs) reduced mean surgical time significantly in cadaveric procedures (125.6 vs 95.2 min, p = 0.03).
  • Cannula pullout events decreased from a mean of 10 to 2.2 per procedure when using only 3DPCs (p = 0.03).
  • Instrument collisions were significantly fewer with 3DPCs (6.8 vs 2.6 collisions, p = 0.03).
  • Live patients experienced no postoperative complications, including no incision site infections or discomfort.
  • Initial versions of 3DPCs had minor issues, including valve leakage and looser trocar fit, requiring surgical workarounds.
  • Customization of cannula shaft length (3 cm vs standard 5–8.3 cm) improved working space and reduced instrument interference.
  • Production cost was under $5 per cannula, suggesting 3DPCs may be a cost-effective and reusable alternative for small patients.
  • Study supports broader use of 3DPCs in laparoscopic procedures requiring long-jawed instruments or intricate tissue handling.

Buote

Veterinary Surgery

6

2023

3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series

2023-6-vs-buote-2

Article Title: 3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series

Journal: Veterinary Surgery

In Davis 2025 et al., on modified anal sacculectomy, what proportion of grade 3B complications resolved with revision surgery?

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Correct. Both grade 3B cases (5%) resolved fully after revision surgery within 2 weeks.
Incorrect. The correct answer is 100%.
Both grade 3B cases (5%) resolved fully after revision surgery within 2 weeks.

🔍 Key Findings

50 dogs underwent bilateral anal sacculectomy using a modified closed technique.
Intraoperative anal sac perforation occurred in 5 dogs (10%), with no postoperative complications in those dogs.
Postoperative complications (43 dogs with follow-up):

  • Grade 1 (e.g., scooting, inappropriate defecation): 14/43 (32%)
  • Grade 2 (medical treatment needed): 2/43 (5%)
  • Grade 3B (revision surgery): 2/43 (5%)

93% of grade 1 and 100% of grade 2–3B complications resolved by two weeks postop.
Technique highlights: direct duct tracking, no anal sac packing, minimal dissection.

Davis

Veterinary Surgery

2

2025

Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease

2025-2-VS-davis-5

Article Title: Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease

Journal: Veterinary Surgery

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