Your Custom Quiz

In Moore 2023 et al., on Divisional outcomes in canine liver mass resection, what was the effect of thoracic incision extension on postoperative complications?

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Correct. Thoracic extension (e.g., sternotomy) significantly increased the odds of postoperative complications.
Incorrect. The correct answer is 9.1x increased odds of complications.
Thoracic extension (e.g., sternotomy) significantly increased the odds of postoperative complications.

🔍 Key Findings

  • Liver masses were most common in the left division (58%), followed by central (27%) and right (15%).
  • Right divisional masses were significantly associated with intraoperative complications (33% vs 5.6% left, p = .0037), particularly hemorrhage and injury to major vessels.
  • Mortality rate was 6.5% overall, with no significant association with liver lobe location.
  • Postoperative complications occurred in 28.7% of cases, but were not significantly associated with mass location.
  • Thoracic incision extension (sternotomy or diaphragmotomy) increased odds of postoperative complications by 9.1x (p < .001).
  • Use of TA stapler significantly reduced both intraoperative (OR 19x lower) and postoperative complications (OR 4.4x lower) vs other methods.
  • Specialist surgeons and heavier dogs had significantly fewer postoperative complications.
  • Right lobectomies often required thoracic extension, indirectly linking them to increased postoperative morbidity.

Moore

Veterinary Surgery

4

2023

Association between divisional location and short-term outcome of liver mass resection in 124 dogs

2023-4-VS-moore-4

Article Title: Association between divisional location and short-term outcome of liver mass resection in 124 dogs

Journal: Veterinary Surgery

In Giansetto 2022 et al., on preputial urethrostomy, which key benefit did the novel surgical technique provide over traditional prepubic urethrostomy?

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Correct. The internal anastomosis via the prepuce avoided contact with skin, reducing urine-induced complications.
Incorrect. The correct answer is Eliminated urine dribbling and skin scalding.
The internal anastomosis via the prepuce avoided contact with skin, reducing urine-induced complications.

🔍 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-1

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

Journal: Veterinary Surgery

In Adrian 2024 et al., on feline pelvic fracture stabilization, how did the median sacral index change from immediate postop to follow-up?

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Correct. Pelvic canal narrowing led to a median sacral index decrease of 5.7% at follow-up.
Incorrect. The correct answer is Decreased by ~5.7%.
Pelvic canal narrowing led to a median sacral index decrease of 5.7% at follow-up.

🔍 Key Findings

  • 20 cats with pelvic fractures treated with SOP plates and cortical screws
  • Full function reported in all patients per FMPI follow-up
  • Screw loosening in 3/20 SOP cases; implant removal in 3 cats
  • Median sacral index decrease at follow-up: 5.7%; mostly mild narrowing
  • Complications: 5 major (3 SOP removals, 2 trochanter osteotomy issues); 20 minor
  • SOP plate shown feasible even in challenging configurations; good functional outcomes

Adrian

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Use of Locking Plates Fixed with Cortical Screws for Pelvic Fracture Repair in 20 Cats

2024-1-VCOT-adrian-3

Article Title: Use of Locking Plates Fixed with Cortical Screws for Pelvic Fracture Repair in 20 Cats

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Motta 2026 et al., on feline shoulder arthrodesis, what fixation strategy was recommended to improve construct stability and promote arthrodesis healing?

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Correct. The authors suggest compression across the osteotomy or dual-plate fixation to reduce strain and improve stability of the arthrodesis construct.
Incorrect. The correct answer is Double plate fixation or compression across the osteotomy.
The authors suggest compression across the osteotomy or dual-plate fixation to reduce strain and improve stability of the arthrodesis construct.

🔍 Key Findings

  • 3D-printed patient-specific guides (PSG) enabled accurate surgical planning and osteotomy execution for feline shoulder arthrodesis, improving control of humeroscapular alignment.
  • Four cats with severe shoulder pathology (instability, osteoarthritis, recurrent luxation, or glenoid dysplasia) were treated successfully using CAD-planned osteotomies and PSG-assisted fixation.
  • Preoperative CT-based planning standardized scapular and humeral axes, allowing planned scapulohumeral arthrodesis angles of 105–110°.
  • Postoperative alignment closely matched planned angles, differing by only 2–5°, demonstrating high transfer accuracy from digital planning to surgery.
  • All cats were weight-bearing within 48 hours, and long-term follow-up showed good to excellent functional outcomes with only mild mechanical lameness.
  • Complications were minor and implant-related, including Kirschner wire migration and screw loosening, neither resulting in catastrophic failure.
  • Double plating constructs provided strong stability, and the authors recommend compression or dual-plate fixation to reduce osteotomy strain and improve healing.
  • PSG technology may reduce malalignment risk compared with traditional arthrodesis techniques, but requires CAD expertise, 3D-printing resources, and additional surgical planning time.

Motta

Veterinary and Comparative Orthopaedics and Traumatology

1

2026

Feline Shoulder Arthrodesis Using 3D-printed Patient-specific Guides

2026-1-vcot-motta-4

Article Title: Feline Shoulder Arthrodesis Using 3D-printed Patient-specific Guides

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Kuvaldina 2023 et al., on axillary lymph node excision, which anatomical landmark helped identify the location of the axillary lymph node during endoscopic dissection?

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Correct. The axillary lymph node was located adjacent to the axillary artery and vein and near the first rib.
Incorrect. The correct answer is First rib and axillary vessels.
The axillary lymph node was located adjacent to the axillary artery and vein and near the first rib.

🔍 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-4

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

Journal: Veterinary Surgery

In Poggi 2024 et al., on laparoscopic resection of pancreatic masses in dogs, what was the maximum tumor size among resected pancreatic masses?

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Correct. The largest resected tumor measured 65 mm in diameter.
Incorrect. The correct answer is 65 mm.
The largest resected tumor measured 65 mm in diameter.

🔍 Key Findings

  • Laparoscopic pancreatic mass resection (LPMR) was successfully performed in all 12 dogs, with no conversion to open laparotomy required.
  • Median operative time was 69 minutes (range 35–100 min); 11/12 dogs were discharged within 48 hours, and one was discharged after 7 days.
  • No major intraoperative complications occurred; minor complications included mild bleeding (2/12) and cannula malfunction (1/12).
  • All dogs survived the procedure and were discharged.
  • Histopathology confirmed neoplasia in all dogs: 9 insulinomas and 3 pancreatic carcinomas; all tumors were completely excised with clear margins.
  • No recurrences were reported; 3 dogs died of unrelated causes, and 9 were still alive at the time of reporting.
  • No postoperative hypoglycemia was observed; 1 dog had transient hyperglycemia, and minor complications included vomiting, idiopathic seizures, and pancreatitis, all of which resolved.
  • Authors concluded that LPMR is a safe, effective, and minimally invasive alternative to open surgery for selected distal pancreatic masses in dogs.

Poggi

Veterinary Surgery

5

2024

Laparoscopic resection of pancreatic masses in 12 dogs

2024-5-VS-poggi-5

Article Title: Laparoscopic resection of pancreatic masses in 12 dogs

Journal: Veterinary Surgery

In McCagherty 2025 et al., on WID detection accuracy, how did image-guided swabs compare to non-guided swabs in bacterial yield?

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Correct. Paired swabs showed no statistical difference in species count or CFU yield.
Incorrect. The correct answer is No significant difference was found between groups.
Paired swabs showed no statistical difference in species count or CFU yield.

🔍 Key Findings

  • Bacterial fluorescence was detected in all wounds (17 dogs, 4 cats) using the point-of-care wound imaging device (WID).
  • The WID confirmed the presence of clinically relevant wound infection in all evaluated cases at the time of imaging.
  • No significant difference was found in bacterial yield or burden between image-guided and non-guided swabs (QBC and PCR; p > 0.05).
  • The WID helped guide wound debridement in some cases by localizing areas of fluorescence, especially in necrotic tissue.
  • Most infections were polymicrobial and dominated by anaerobes, highlighting the need for anaerobic culture inclusion.
  • PCR analysis showed low bacterial DNA yields, often complicated by host DNA contamination, limiting its utility.
  • The study did not evaluate sensitivity/specificity of WID, as only fluorescence-positive wounds were included.
  • Clinical utility of WID lies in immediate visual confirmation of infection, supporting timely antimicrobial treatment decisions.

McCagherty

Veterinary Surgery

6

2025

Diagnostic value of a point of care bacterial fluorescence imaging device for detecting wound infections in dogs and cats

2025-6-VS-mccagherty-2

Article Title: Diagnostic value of a point of care bacterial fluorescence imaging device for detecting wound infections in dogs and cats

Journal: Veterinary Surgery

In De Moya 2025 et al., on antebrachial deformity correction, which of the following was a **major complication** reported?

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Correct. One major complication was a permanent carpal flexor contracture; minor complications included synostosis, pin tract drainage, and carpal stiffness.
Incorrect. The correct answer is Carpal flexor contracture.
One major complication was a permanent carpal flexor contracture; minor complications included synostosis, pin tract drainage, and carpal stiffness.

🔍 Key Findings

  • CESF with distraction osteogenesis restored elbow congruity and normalized aLDRA in skeletally immature dogs with PCDRP.
  • Radial head subluxation was eliminated in all dogs, and elbow incongruity reduced significantly (from 6.1 mm to 0.3 mm, p <.01).
  • Mean radial lengthening of 22.6 mm (∼11% of normal length) was achieved, but only 80% of recorded distraction translated to length gain.
  • Major complications occurred in 2/12 dogs: one with permanent carpal contracture, one with radial fracture at wire tract.
  • Minor complications (e.g., carpal pain, restricted extension, synostosis, pin tract issues) were noted in 10/12 dogs but generally resolved.
  • Owner surveys (8/12 dogs) reported good to excellent long-term function, even up to 6 years post-op.
  • Radial valgus deformities were moderate (mean 15°) and less severe than deformities from ulnar physeal closure.
  • Surgical strategy included staged distraction, with radial or combined radius/ulna distraction guided by fluoroscopy and adjusted per case.

De Moya

Veterinary Surgery

6

2025

Treatment of antebrachial deformities secondary to premature closure of the distal radial physis using circular external skeletal fixation and distraction osteogenesis in skeletally immature dogs

2025-6-VS-demoya-3

Article Title: Treatment of antebrachial deformities secondary to premature closure of the distal radial physis using circular external skeletal fixation and distraction osteogenesis in skeletally immature dogs

Journal: Veterinary Surgery

In Kikuchi 2025 et al., on arthroscopic MMI in toy breeds, what was the purpose of using a 2.4-mm arthroscope in this population?

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Correct. A 2.4-mm arthroscope allowed detailed assessment of the stifle joint in toy breeds, ensuring meniscal injuries were not missed.
Incorrect. The correct answer is To achieve accurate diagnosis in small joints.
A 2.4-mm arthroscope allowed detailed assessment of the stifle joint in toy breeds, ensuring meniscal injuries were not missed.

🔍 Key Findings

  • Medial meniscus injury (MMI) occurred in 36.3% of stifles with CrCLR in toy breed dogs (<5 kg)
  • Complete CrCLR was significantly associated with MMI (15.3% of complete vs. 3.4% of partial)
  • Severe lameness (grade 3) increased the likelihood of MMI compared to mild lameness (grade 1)
  • Higher body weight, even within the toy breed range, was positively associated with MMI
  • Yorkshire Terriers had the highest MMI incidence (55.6%), but this was not a significant independent factor due to multicollinearity
  • Arthroscopy identified more meniscal damage (including small radial tears and bucket-handle lesions) than gross examination might detect
  • MMI was classified as mild (radial tear) or severe (bucket-handle or flap) with implications for partial meniscectomy
  • Arthroscopy was used in all cases, underscoring its utility in small-breed stifle assessment

Kikuchi

Veterinary and Comparative Orthopaedics and Traumatology

5

2025

Incidence of Medial Meniscus Injury Detected by Arthroscopy in Toy Breed Dogs

2025-5-VCOT-kikuchi-5

Article Title: Incidence of Medial Meniscus Injury Detected by Arthroscopy in Toy Breed Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

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

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