
Your Custom Quiz
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?
🔍 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.
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
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?
🔍 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.
Veterinary Surgery
5
2025
Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog
2025-5-VS-hertel-1
In Geier 2022 et al., on smoke evacuation in TPLO, which group had the highest maximum particle concentration during surgery?
🔍 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.
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
In Adair 2023 et al., on PCCLm vs. open cystotomy, what was a statistically significant long-term difference in outcomes?
🔍 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.
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
In Kang 2023 et al., on 3DEP accuracy, what was the maximum acceptable screw intrusion depth into the spinal canal based on design?
2023-8-VS-kang-3
In Aertsens 2025 et al., on thoracic lift technique, what was the primary physiologic improvement observed in Cat 1 following lift device application?
🔍 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.
Veterinary Surgery
4
2025
Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats
2025-4-VS-aertsens-1
In Story 2024 et al., on surgical correction of excessive tibial plateau angle (eTPA), which group showed significant tibial shortening compared to others?
🔍 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.
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
In Perry 2025 et al., on I-Loc fracture fixation, what technical recommendation was emphasized for tibial fractures?
🔍 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.
Veterinary Surgery
8
2025
Outcomes of 243 dogs with traumatic fractures treated with the I-Loc interlocking nail
2025-8-VS-perry-5
In Whyte 2025 et al., on cannulated screw fixation, which breeds made up the majority of dogs in the study population?
🔍 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
Veterinary Surgery
2
2025
Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs
2025-2-VS-whyte-5
In Logothetou 2024 et al., on SPF complications, which flap type had the lowest 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.
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
Quiz Results
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Key Findings
