Your Custom Quiz

In Story 2024 et al., on surgical correction of excessive tibial plateau angle (eTPA), which procedure consistently under-corrected the tibial plateau angle despite a target TPA of 0°?

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Correct. Group C (mCCWO) aimed for 0° TPA but achieved a mean of 4.76°, reflecting consistent under-correction.
Incorrect. The correct answer is mCCWO.
Group C (mCCWO) aimed for 0° TPA but achieved a mean of 4.76°, reflecting consistent under-correction.

🔍 Key Findings

  • All four techniques achieved TPA <14°, meeting the threshold for acceptable surgical correction in eTPA cases.
  • Group A (CBLO + CCWO) and Group D (PTNWO) showed highest accuracy in achieving target TPA values.
  • Group B (TPLO + CCWO) resulted in significant tibial shortening compared to other techniques.
  • Group A caused the greatest cranial mechanical axis shift, while Group B caused the least.
  • Group C (mCCWO) resulted in consistent under-correction of TPA, despite aiming for 0°.
  • Modified or neutral wedge osteotomies (Groups C and D) had minimal effect on tibial length, making them suitable when preservation is important.
  • All techniques involved mechanical axis shifts, highlighting the importance of preoperative planning to minimize morphologic disruption.
  • Supplemental fixation was standard for all procedures to reduce risks such as tibial tuberosity fracture and plateau leveling loss.

Story

Veterinary Surgery

8

2024

Morphologic impact of four surgical techniques to correct excessive tibial plateau angle in dogs: A theoretical radiographic analysis

2024-8-VS-story-4

Article Title: Morphologic impact of four surgical techniques to correct excessive tibial plateau angle in dogs: A theoretical radiographic analysis

Journal: Veterinary Surgery

In Jourdain 2024 et al., on fluoroscopic fixation of feline SIL, what percentage of screws had ≥60% purchase within the sacral body?

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Correct. 14 of 17 screw placements (82%) had ≥60% purchase within the sacral body, a threshold for biomechanical stability.
Incorrect. The correct answer is 82%.
14 of 17 screw placements (82%) had ≥60% purchase within the sacral body, a threshold for biomechanical stability.

🔍 Key Findings

  • Minimally invasive fluoroscopic technique yielded median reduction of 94.1% immediately postoperative.
  • Screw purchase ≥60% in sacral body achieved in 82% of cases, with median purchase of 73.3%.
  • One screw exited caudally; no dorsal, ventral, or cranial exits reported.
  • At 7-week follow-up, reduction and purchase slightly declined but remained effective (p = .008 and p = .013).
  • No screw loosening observed, even in suboptimal reductions or purchases.
  • Pelvic canal width and symmetry (PCDR and HCWR) were restored and maintained.
  • Excellent long-term function: FMPI ≥0.98 in 9 of 10 cats; owners reported 10/10 satisfaction.
  • Fluoroscopy enabled accurate screw placement and minimized tissue trauma, contributing to rapid recovery.

Jourdain

Veterinary Surgery

4

2024

Fluoroscopically-assisted closed reduction and percutaneous fixation of sacroiliac luxations in cats using 2.4 mm headless cannulated compression screws: Description, evaluation and clinical outcome

2024-4-VS-jourdain-2

Article Title: Fluoroscopically-assisted closed reduction and percutaneous fixation of sacroiliac luxations in cats using 2.4 mm headless cannulated compression screws: Description, evaluation and clinical outcome

Journal: Veterinary Surgery

In Welker 2024 et al., on thoracic duct anastomosis with MAC device, what percentage of dogs had patent anastomoses at 30 days?

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Correct. Four out of six dogs had patent anastomoses confirmed at 30 days.
Incorrect. The correct answer is 67%.
Four out of six dogs had patent anastomoses confirmed at 30 days.

🔍 Key Findings

  • Anastomosis of the thoracic duct (TD) to the intercostal vein (ICV) using a microvascular anastomotic coupler (MAC) was feasible in all 6 healthy dogs
  • Immediate postoperative patency was confirmed in all dogs, but only 4/6 had patent anastomoses at 30 days, with 2 failing due to ICV kinking
  • Kinking of the ICV near the azygos vein insertion was the primary failure mechanism, likely from MAC malalignment
  • No intraoperative or major postoperative complications occurred, though 2 dogs developed mild seromas
  • Use of the MAC device simplified microsurgical anastomosis versus hand suturing, especially in the deep thoracic cavity
  • Contrast lymphangiography showed faster clearance from the cisterna chyli postoperatively, suggesting effective flow redirection
  • Persistent branches of the thoracic duct may impact outcomes, and should be ligated during surgery
  • This technique may be a potential novel treatment for idiopathic chylothorax, improving outcomes by reducing collateral flow stimuli

Welker

Veterinary Surgery

7

2024

Anastomosis of the caudal thoracic duct and intercostal vein using a microvascular anastomotic coupler device: Experimental study in six dogs

2024-7-VS-welker-2

Article Title: Anastomosis of the caudal thoracic duct and intercostal vein using a microvascular anastomotic coupler device: Experimental study in six dogs

Journal: Veterinary Surgery

In Sandoval 2024 et al., on lung lobectomy technique outcomes, how many lobectomies per group are needed for a superiority study comparing SLL and stapler?

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Correct. A sample size of 103 per technique group was calculated to power a future superiority trial.
Incorrect. The correct answer is 103.
A sample size of 103 per technique group was calculated to power a future superiority trial.

🔍 Key Findings

  • Intra- and postoperative complications occurred only in stapled lobectomies, but the difference was not statistically significant (intra: p = .069, post: p = .112).
  • Intraoperative hemorrhage was the most common complication (11.8%), followed by air leakage (2%).
  • All self-ligating loop (SLL) lobectomies had zero complications (n=18), though the sample was small.
  • Postoperative complications included 4 catastrophic events (cardiopulmonary arrest), all in stapled cases.
  • Lung lobectomy technique was not associated with duration of chest tube use, hospitalization, or survival (p > .05).
  • 94.3% of patients survived to discharge (82/87).
  • SLLs are lower-cost and may be more feasible for thoracoscopic/minimally invasive approaches due to smaller port size (5mm vs. 12mm for staplers).
  • A future superiority study would need ≥103 lobectomies per group to assess differences in complication rates.

Sandoval

Veterinary Surgery

7

2024

Short‐term outcomes of dogs and cats undergoing lung lobectomy using either a self-ligating loop or a thoracoabdominal stapler

2024-7-VS-sandoval-5

Article Title: Short‐term outcomes of dogs and cats undergoing lung lobectomy using either a self-ligating loop or a thoracoabdominal stapler

Journal: Veterinary Surgery

In Monti 2025 et al., on lymph node fluorescence imaging, what was the observed postoperative complication rate following laparoscopic ISLN removal using NIRF-ICG?

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Correct. No postoperative complications were recorded during hospitalization or follow-up.
Incorrect. The correct answer is 0%.
No postoperative complications were recorded during hospitalization or follow-up.

🔍 Key Findings

  • Laparoscopic ISLN removal using NIRF-ICG was feasible in 89% of dogs (16/18), demonstrating high procedural success with minimal invasiveness.
  • Median laparoscopic dissection time was only 12 minutes, suggesting efficiency of the NIRF-guided approach.
  • No postoperative complications were observed, and intraoperative complications occurred in only 2 dogs (11.1%), both requiring conversion to open surgery.
  • Metastatic disease was confirmed in 48% of patients (12/25 nodes), including cases where LNs appeared normal in size, highlighting the value of histologic evaluation.
  • NIRF-ICG enabled precise identification of small and mildly enlarged nodes, which are often missed during traditional imaging or palpation.
  • Fluorescent dye leakage following LN capsule rupture limited visibility and required surgical conversion, indicating a key limitation of the technique.
  • ICG signal was occasionally absent in metastatic LNs, likely due to lymphatic rerouting or obstruction, underscoring limitations in SLN identification.
  • The lateral approach allowed consistent access to ipsilateral MILN, IILN, and sacral LNs, though contralateral nodes were inaccessible with this method.

Monti

Veterinary Surgery

6

2025

Near‐infrared fluorescence‐guided minimally invasive surgery for iliosacral lymph node removal in 18 dogs (2023–2025)

2025-6-VS-monti-5

Article Title: Near‐infrared fluorescence‐guided minimally invasive surgery for iliosacral lymph node removal in 18 dogs (2023–2025)

Journal: Veterinary Surgery

In O'Marra 2026 et al., on perioperative septic peritonitis, which analgesic protocol was associated with increased short-term survival in dogs?

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Correct. Multimodal intraoperative analgesia using opioids and lidocaine CRI resulted in improved short-term survival over opioids alone in dogs with septic peritonitis.
Incorrect. The correct answer is Opioid combined with lidocaine CRI.
Multimodal intraoperative analgesia using opioids and lidocaine CRI resulted in improved short-term survival over opioids alone in dogs with septic peritonitis.

🔍 Key Findings

  • Early enteral nutrition (<24–48 hrs) is associated with improved survival and reduced hospitalization in dogs with septic peritonitis.
  • Appropriate empirical antimicrobials improve survival in cats, but data are mixed in dogs.
  • Recurrent septic peritonitis (RecSP) has poor survival (0%–43.9%); most common cause is gastrointestinal dehiscence.
  • Intraoperative hypotension and preoperative hypoalbuminemia may increase dehiscence risk, though findings are inconsistent.
  • Lidocaine CRI during surgery improves survival over opioids alone in dogs.
  • Hydroxyethyl starch (HES) is not recommended due to risks of coagulopathy and kidney injury; albumin use is controversial.
  • Intra-abdominal hypertension (IAH) is under-recognized but contributes to mortality; IAP monitoring should be considered.
  • Diagnostic tests (effusion lactate, glucose, cytology) are unreliable for detecting RecSP; clinical judgment and ultrasound are advised.

O'Marra

Veterinary Surgery

1

2026

Perioperative management of septic peritonitis in small animals: A review

2026-1-vs-omarra-2

Article Title: Perioperative management of septic peritonitis in small animals: A review

Journal: Veterinary Surgery

In Poggi 2024 et al., on laparoscopic resection of pancreatic masses in dogs, what postoperative complication occurred in one dog but resolved without intervention?

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Correct. One dog experienced transient hyperglycemia post-op, which resolved in 24 hours.
Incorrect. The correct answer is Hyperglycemia.
One dog experienced transient hyperglycemia post-op, which resolved in 24 hours.

🔍 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-4

Article Title: Laparoscopic resection of pancreatic masses in 12 dogs

Journal: Veterinary Surgery

In Niida 2024 et al., on surgical residents and TPLO time, which surgical phase improved most as residents progressed in training?

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Correct. Decreased tibial osteotomy duration accounted for most surgical time improvement across years.
Incorrect. The correct answer is Tibial osteotomy.
Decreased tibial osteotomy duration accounted for most surgical time improvement across years.

🔍 Key Findings

  • Resident involvement significantly increased TPLO surgery duration compared to cases performed by faculty surgeons (FS)-only. Residents required 54% more surgery time (GLSM, 153 min) than FS-only cases (GLSM, 99 min), representing a 1.54-fold increase.
  • The study did not report on short-term complication rates. No conclusions can be drawn from this source regarding complications between resident and faculty groups.
  • Bone plate contouring was not evaluated. The source does not provide data regarding contouring frequency or its comparison between groups.
  • Surgery duration significantly decreased after the first year of residency, but remained stable between second- and third-year residents. This was largely due to shorter tibial osteotomy durations, while arthroscopy times remained unchanged across residency years.
  • Meniscal treatment was performed in 80% of cases, and it was associated with increased surgical duration, but the study did not compare the frequency of medial meniscal release between resident and faculty cases.
  • The study did not evaluate osteotomy healing or revision surgery. Cases requiring immediate reoperation were excluded.
  • Bone union outcomes were not assessed at 8 weeks or any other time point.
  • The study concludes that resident participation significantly prolongs surgical time, but no data are provided regarding the effect on short-term clinical outcomes.

Niida

Veterinary Surgery

5

2024

The impact of surgery resident training on the duration of tibial plateau leveling osteotomy and outcomes in dogs

2024-5-VS-niida-2

Article Title: The impact of surgery resident training on the duration of tibial plateau leveling osteotomy and outcomes in dogs

Journal: Veterinary Surgery

In McClean 2025 et al., on shoulder arthrocentesis techniques, which of the following best summarizes the accuracy comparison between SA and ST techniques?

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Correct. SA was 50% accurate; ST was 44% — not statistically different (p = .8).
Incorrect. The correct answer is No significant difference in accuracy.
SA was 50% accurate; ST was 44% — not statistically different (p = .8).

🔍 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-3

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 Pilot 2022 et al., on closure methods in sternotomy, what was the observed difference in complication rates between wire and suture groups?

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Correct. Treatment effect analysis showed a mean 2.3% lower complication rate with suture, though not statistically significant.
Incorrect. The correct answer is Suture was associated with a 2.3% lower complication rate.
Treatment effect analysis showed a mean 2.3% lower complication rate with suture, though not statistically significant.

🔍 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-3

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

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