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In Timmermans 2026 et al., on soft palate changes post-BOAS surgery, which of the following best describes the rostral thickness (RTH) outcome in both treatment groups?

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Correct. Both surgical techniques resulted in increased RTH at 3 months postoperatively.
Incorrect. The correct answer is Increased after both FFP and STS.
Both surgical techniques resulted in increased RTH at 3 months postoperatively.

🔍 Key Findings

  • Soft palate length, volume, and cross-sectional area decreased significantly after both folded flap palatoplasty (FFP) and standard staphylectomy (STS).
  • Middle thickness (MTH) of the soft palate decreased after STS but increased after FFP, indicating FFP may not thin the soft palate long-term.
  • Rostral thickness (RTH) increased in both groups, suggesting regional variation in healing or remodeling.
  • Clinical improvement (exercise tolerance) occurred in most dogs: 6/8 in FFP and 10/10 in STS group.
  • One major complication in FFP group led to death despite revision surgery; another mortality occurred in STS group (likely due to severe laryngeal collapse).
  • No difference in minor complication rates between FFP and STS groups.
  • Histological remodeling or edema may explain lack of MTH reduction in FFP at 3 months.
  • Immediate postoperative imaging may be needed to evaluate initial reduction effects of FFP.

Timmermans

Veterinary Surgery

1

2026

Evaluation of soft palate thickness in brachycephalic dogs 3 months after folded flap palatoplasty versus standard staphylectomy

2026-1-VS-timmermans-5

Article Title: Evaluation of soft palate thickness in brachycephalic dogs 3 months after folded flap palatoplasty versus standard staphylectomy

Journal: Veterinary Surgery

In Hertel 2025 et al., on portal venotomy for insulinoma, what was the primary reason the authors selected portal venotomy instead of en bloc vessel resection?

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Correct. CT imaging and intraoperative palpation showed the thrombus was mobile, making direct venotomy feasible.
Incorrect. The correct answer is Because the thrombus was mobile and not firmly adhered to the vessel wall.
CT imaging and intraoperative palpation showed the thrombus was mobile, making direct venotomy feasible.

🔍 Key Findings

  • Portal venotomy enabled successful en bloc resection of a pancreatic insulinoma and associated thrombus in the portal vein, a novel approach in veterinary literature.
  • Temporary portal vein occlusion (15 min) was well tolerated, causing only transient small intestinal congestion without lasting hemodynamic compromise.
  • No intraoperative hemorrhage occurred following vascular isolation and venotomy repair with 5–0 polypropylene in a simple continuous pattern.
  • Postoperative complications were minimal, with only moderate pancreatitis managed medically and no portal hypertension observed on follow-up imaging.
  • Histopathology confirmed insulinoma, with no initial metastasis; CT at 6 months revealed hepatic and peritoneal metastases but no local recurrence at the venotomy site.
  • Portal vein luminal stenosis occurred post-repair but was clinically insignificant.
  • Advanced CT imaging and 3D printed modeling significantly enhanced surgical planning and anatomical assessment.
  • Surgical excision achieved good short-term outcomes, and the dog was alive and euglycemic one year later despite metastatic disease.

Hertel

Veterinary Surgery

5

2025

Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog

2025-5-VS-hertel-1

Article Title: Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog

Journal: Veterinary Surgery

In Geier 2022 et al., on smoke evacuation in TPLO, which group had the highest maximum particle concentration during surgery?

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Correct. Maximum particle concentration in the non–smoke-evacuator group was 62,450 ppc vs. 10,100 in the SE group.
Incorrect. The correct answer is NSE group (62,450 ppc).
Maximum particle concentration in the non–smoke-evacuator group was 62,450 ppc vs. 10,100 in the SE group.

🔍 Key Findings

  • Use of smoke evacuators reduced ultrafine particle concentrations by 56.4% during approach to the proximal tibia for TPLO in dogs.
  • Mean intraoperative particle concentrations were significantly higher in surgeries without smoke evacuation (1352 ppc vs. 763 ppc, P < .0001).
  • Maximum particle concentrations were six times higher without smoke evacuation (62,450 ppc vs. 10,100 ppc, P < .0001).
  • Particle counts increased above baseline regardless of evacuator use, confirming electrosurgery contributes substantially to airborne particles.
  • Surgeons noted reduced odor and health concerns when using the smoke evacuator, despite initial visibility limitations due to pencil attachment.
  • Standard surgical masks do not protect against ultrafine particles, underscoring the importance of smoke mitigation systems.
  • The smoke-evacuation unit did not eliminate all ultrafine particles, suggesting optimization (e.g., higher power setting) may be beneficial.
  • This is the first clinical veterinary study to measure surgical smoke reduction using evacuators during TPLO.

Geier

Veterinary Surgery

5

2022

The effect of a smoke‐evacuation unit on ultrafine particle concentrations in the operating room during approach to the proximal tibia for tibial plateau-leveling osteotomy surgery in dogs

2022-5-VS-geier-3

Article Title: The effect of a smoke‐evacuation unit on ultrafine particle concentrations in the operating room during approach to the proximal tibia for tibial plateau-leveling osteotomy surgery in dogs

Journal: Veterinary Surgery

In Adair 2023 et al., on PCCLm vs. open cystotomy, what was a statistically significant long-term difference in outcomes?

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Correct. OC group had significantly shorter median time to death postoperatively (17 vs. 46 months).
Incorrect. The correct answer is Shorter time to death in OC group.
OC group had significantly shorter median time to death postoperatively (17 vs. 46 months).

🔍 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.

Adair

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

Article Title: Retrospective comparison of modified percutaneous cystolithotomy (PCCLm) and traditional open cystotomy (OC) in dogs: 218 cases (2010–2019)

Journal: Veterinary Surgery

In Kang 2023 et al., on 3DEP accuracy, what was the maximum acceptable screw intrusion depth into the spinal canal based on design?

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Correct. Drill stoppers were designed to limit screw penetration into the canal to 0.5 mm.
Incorrect. The correct answer is 0.5 mm.
Drill stoppers were designed to limit screw penetration into the canal to 0.5 mm.

2023-8-VS-kang-3

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In Aertsens 2025 et al., on thoracic lift technique, what was the primary physiologic improvement observed in Cat 1 following lift device application?

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Correct. PaO₂ improved from 179.4 mmHg to 306.3 mmHg after thoracic lift was applied in Cat 1.
Incorrect. The correct answer is Improved oxygenation (PaO₂ increase).
PaO₂ improved from 179.4 mmHg to 306.3 mmHg after thoracic lift was applied in Cat 1.

🔍 Key Findings

Case 1: Chest wall lift improved oxygenation (PaO₂ increased from 179.4 to 306.3 mmHg) and enabled thoracoscopic-assisted lobectomy in a cat with pleural effusion and pulmonary carcinoma.
Case 2: Chest wall lift using a Steinmann pin allowed 3-port thoracoscopic lobectomy for a bronchial foreign body; no complications observed.
Both cats: Lift increased working space and eliminated need for thoracotomy; no device-related complications.
Pretied ligating loops (PLL) were effective for hilar vessel ligation—preferred over staplers or self-locking ligatures in feline thorax.
Conclusion: Thoracic lift is a novel, minimally invasive method enhancing thoracoscopic procedures in small patients, particularly cats.

Aertsens

Veterinary Surgery

4

2025

Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats

2025-4-VS-aertsens-1

Article Title: Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats

Journal: Veterinary Surgery

In Story 2024 et al., on surgical correction of excessive tibial plateau angle (eTPA), which group showed significant tibial shortening compared to others?

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Correct. Group B (TPLO + CCWO) was the only group that resulted in tibial shortening relative to baseline length.
Incorrect. The correct answer is TPLO + CCWO.
Group B (TPLO + CCWO) was the only group that resulted in tibial shortening relative to baseline length.

🔍 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-2

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

Journal: Veterinary Surgery

In Perry 2025 et al., on I-Loc fracture fixation, what technical recommendation was emphasized for tibial fractures?

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Correct. Prebending tibial nails was recommended to maintain alignment and avoid increased tibial plateau angle.
Incorrect. The correct answer is Prebend the nail to follow recurvatum.
Prebending tibial nails was recommended to maintain alignment and avoid increased tibial plateau angle.

🔍 Key Findings

  • High union rate with low complications was achieved using the I-Loc angle-stable interlocking nail across 243 canine long-bone fractures.
  • Mean time to clinical union was 8.3 weeks, faster than many historical plate-rod or non-angle-stable nail reports.
  • Major complications occurred in only 5.3% and minor complications in 9.1% of cases.
  • Most fractures were diaphyseal (75%) and comminuted (62%), demonstrating effectiveness in complex fracture patterns.
  • Ancillary implants were uncommon (21%), mainly used in epi-/metaphyseal fractures or for anatomic reconstruction.
  • Postoperative missed bolt rate was very low (0.94%), reflecting improved targeting accuracy.
  • Open fractures carried a substantially higher risk of SSI and implant removal compared with closed fractures.
  • Prebending of tibial nails was strongly recommended to follow natural recurvatum and avoid iatrogenic alignment errors.

Perry

Veterinary Surgery

8

2025

Outcomes of 243 dogs with traumatic fractures treated with the I-Loc interlocking nail

2025-8-VS-perry-5

Article Title: Outcomes of 243 dogs with traumatic fractures treated with the I-Loc interlocking nail

Journal: Veterinary Surgery

In Whyte 2025 et al., on cannulated screw fixation, which breeds made up the majority of dogs in the study population?

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Correct. Spaniels, particularly English Springer Spaniels, were the most common breed in the study cohort.
Incorrect. The correct answer is Spaniels.
Spaniels, particularly English Springer Spaniels, were the most common breed in the study cohort.

🔍 Key Findings

Study focus: Outcomes of cannulated screw fixation in unicondylar humeral condylar fractures (UHCF) in dogs.
Clinical union rate: 89%
Overall complication rate: 36%

  • Major complication: Most common was screw breakage

Significant risk factor for screw breakage:

  • Body weight >20 kg (statistically significant)

Breed distribution:

  • Spaniels, especially English Springer Spaniels, were most common

No mention of plate augmentation as standard in this cohort

Whyte

Veterinary Surgery

2

2025

Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs

2025-2-VS-whyte-5

Article Title: Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs

Journal: Veterinary Surgery

In Logothetou 2024 et al., on SPF complications, which flap type had the lowest complication rate on univariable analysis?

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Correct. Advancement flaps were associated with a significantly lower complication rate on univariable analysis.
Incorrect. The correct answer is Advancement flap.
Advancement flaps were associated with a significantly lower complication rate on univariable analysis.

🔍 Key Findings

  • Complication rate for subdermal plexus flaps (SPFs) in dogs was 53.6%.
  • Skin staples had a numerically higher complication rate (72.2%) than sutures (49.3%), but not statistically significant due to small sample size.
  • Most common complication was wound dehiscence (35%), followed by seroma (14%) and wound discharge (14%).
  • Increased body weight was significantly associated with higher complication risk (OR = 1.056 per kg; p = .029).
  • Advancement flaps were associated with a lower incidence of complications on univariable analysis (p < .001).
  • Head region flap closures had fewer complications, while proximal pelvic limb closures had the highest complication rate.
  • Age was a risk factor—each additional year increased odds of complications (OR = 1.019; p = .004).
  • Closure technique did not significantly influence complication severity, though staple use was numerically worse.

Logothetou

Veterinary Surgery

3

2024

Complications and influence of cutaneous closure technique on subdermal plexus flaps in 97 dogs (2006–2022)

2024-3-VS-logothetou-4

Article Title: Complications and influence of cutaneous closure technique on subdermal plexus flaps in 97 dogs (2006–2022)

Journal: Veterinary Surgery

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