
Your Custom Quiz
In Moreira 2024 et al., which CCWO technique resulted in the lowest mean prediction error for postoperative TPA?
2024-1-VS-moreira-1
In Bower 2025 et al., on radial diaphyseal exposure, which fixation strategy is facilitated by the craniolateral approach?
🔍 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.
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
In Johnson 2022 et al., on PET implant outcomes, what was a key limitation cited that precluded further investigation of this implant?
🔍 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.
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
In Massari 2026 et al., on laparoscopic PPDH repair, what insufflation pressure was recommended during surgery to minimize complications?
🔍 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
Veterinary Surgery
3
2026
Laparoscopic repair of peritoneopericardial hernias: Multicentric retrospective case series of 12 dogs and one cat
2026-3-vs-massari-2
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?
🔍 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.
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
In McClean 2025 et al., on shoulder arthrocentesis techniques, what proportion of SA injections resulted in cartilage injury (IACI)?
🔍 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
- Complete accuracy: 50% (SA), 44% (ST) — no significant difference (p = .8)
- Partial accuracy: 39% (SA), 50% (ST)
- Complete miss: 11% (SA), 5.6% (ST)
- 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
- 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.
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
In Wilson 2025 et al., on acetabular measurement accuracy, which method demonstrated the highest intra- and interobserver reliability?
🔍 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)
- 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.
Veterinary Surgery
1
2025
Evaluation of three acetabular measurement methods for total hip replacement in dogs
2025-1-VS-wilson-1
In Stoneburner 2024 et al., on MIS survey results, what was the most commonly performed MIS procedure among respondents?
🔍 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.
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
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?
🔍 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.
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
In Davis 2025 et al., on modified anal sacculectomy, what proportion of grade 3B complications resolved with revision surgery?
🔍 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.
Veterinary Surgery
2
2025
Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease
2025-2-VS-davis-5
Quiz Results
You answered 7 out of 10 questions correctly
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