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In Miller 2024 et al., on intestinal obstruction and catheter technique in cats, which of the following was TRUE regarding intestinal dehiscence?

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Correct. Only two dehiscence cases were reported, both in cats with DFBOs, and were not statistically different across FBO types.
Incorrect. The correct answer is Occurred in only 2 cats, both with DFBO.
Only two dehiscence cases were reported, both in cats with DFBOs, and were not statistically different across FBO types.

🔍 Key Findings

  • Cats with linear (LFBO) and discrete (DFBO) small intestinal obstructions had similar survival (98.2% vs. 97%, p = 1.0).
  • Postoperative complications were not significantly different between LFBO and DFBO cases (p = .1386).
  • Intestinal dehiscence was rare (only 2 cats), both in DFBOs, with no statistical difference between groups.
  • Red rubber catheter technique (RRCT) successfully removed LFBOs in 83% (20/24) of attempts.
  • All failed RRCTs occurred in cats with perforations or tissue nonviability.
  • Cats with failed RRCTs had longer clinical signs pre-surgery (median 6.5 vs. 2.0 days).
  • Surgical time was longer in LFBO cats (median 77 min vs. 58 min, p = .0018).
  • Preoperative septic peritonitis was rare (4/169 cats), but occurred only in linear or mixed FBO cases.

Miller

Veterinary Surgery

7

2024

Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats

2024-7-VS-miller-3

Article Title: Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats

Journal: Veterinary Surgery

In Veytsman 2023 et al., on feline insulinoma outcomes, what percentage of cats were euglycemic or hyperglycemic immediately after surgery?

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Correct. 90% of cats achieved immediate euglycemia or hyperglycemia postoperatively.
Incorrect. The correct answer is 90%.
90% of cats achieved immediate euglycemia or hyperglycemia postoperatively.

🔍 Key Findings

  • Surgical excision of insulinomas resulted in euglycemia or hyperglycemia in 90% of cats immediately post-op.
  • 18/20 cats (90%) survived to hospital discharge, with a median survival time of 863 days.
  • Younger age, metastasis at surgery, tumor invasion, and lower glucose levels were negative prognostic factors.
  • Two cats had stage III disease with metastasis; one lived 413 days post-op, suggesting some benefit to surgery even in advanced disease.
  • Postoperative hypoglycemia and seizure activity were associated with poorer outcomes; one cat euthanized due to seizures despite euglycemia.
  • Median disease-free interval (DFI) was 1052 days; for cats with metastasis, DFI dropped to 93 days.
  • Partial pancreatectomy was performed in 11 cats, nodulectomy in 10, and enucleation in 1; method of resection not linked to outcome.
  • Postoperative complications occurred in 25% of cats; most were manageable with supportive care.

Veytsman

Veterinary Surgery

1

2023

Retrospective study of 20 cats surgically treated for insulinoma

2023-1-VS-veytsman-1

Article Title: Retrospective study of 20 cats surgically treated for insulinoma

Journal: Veterinary Surgery

In Sanders 2024 et al., on feline anastomosis techniques, which statement is TRUE regarding initial leak pressures (ILPs)?

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Correct. HSA-SI had a mean ILP of 165 ± 122 mmHg, higher than all other treatment groups; however, differences were not statistically significant (p > .08).
Incorrect. The correct answer is HSA-SI had the highest mean ILP among techniques.
HSA-SI had a mean ILP of 165 ± 122 mmHg, higher than all other treatment groups; however, differences were not statistically significant (p > .08).

🔍 Key Findings Summary

  • ILP and MIP: No significant differences in leak pressure between HSA, FEESA, and SS techniques (p > .05).
  • Construct Time:
    • FEESA (no oversew) fastest: 79 ± 30 s
    • HSA-SI slowest: 397 ± 70 s (p < .001)
  • Tissue Thickness:
    • Jejunum thickest: 2.28 ± 0.30 mm
    • Stomach thinnest: 1.66 ± 0.28 mm
  • Staple Malformation: Noted in 2 FEESA-O constructs, vertical staple line.
  • Leak Locations:
    • HSA: All leaked from suture bites
    • FEESA: Leaks from vertical and horizontal staple lines
    • SS: Mostly from staple holes

Sanders

Veterinary Surgery

2

2024

Gastrointestinal thickness, duration, and leak pressure of five intestinal anastomosis techniques in cats

2024-2-VS-sanders-3

Article Title: Gastrointestinal thickness, duration, and leak pressure of five intestinal anastomosis techniques in cats

Journal: Veterinary Surgery

In Allaith 2023 et al., on THR outcomes, which implant system was used most frequently across the 10-year registry period?

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Correct. Kyon implants were used in 46% of THRs, making them the most frequently used implant system in the registry.
Incorrect. The correct answer is Kyon.
Kyon implants were used in 46% of THRs, making them the most frequently used implant system in the registry.

🔍 Key Findings

From Allaith et al., 2023 – Outcomes from a multiuser canine hip replacement registry

  • 2375 total hip replacements were analyzed across 1852 dogs, making this the largest multiuser canine THR dataset to date.
  • Most common indications for THR were hip dysplasia (51%) and osteoarthritis (34%).
  • Implants used included Kyon (46%), BioMedtrix CFX (22%), Hybrid (11%), BFX (9%), and Helica (4.5%).
  • Veterinary-reported complication rate was 8.5%, while owner-reported was 23%, with moderate agreement (k=0.44).
  • Most common complications: Luxation, femoral fracture, and aseptic loosening.
  • BioMedtrix BFX and Helica implants had a higher risk of complications when used after femoral head and neck excision (P = .031).
  • Postoperative LOAD scores significantly improved vs preoperative (21 → 11; P < .0001), supporting improved mobility.
  • Owner satisfaction was high, with 88% rating outcome as very good or good.

Allaith

Veterinary Surgery

2

2023

Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period

2023-2-VS-allaith-5

Article Title: Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period

Journal: Veterinary Surgery

In Gibson 2024 et al., on mediastinoscopy in dogs, what was the most common **postprocedural finding on CT** after the procedure?

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Correct. Pleural gas was seen in 4 of 7 cadavers, likely from CO₂ insufflation.
Incorrect. The correct answer is Pleural gas accumulation.
Pleural gas was seen in 4 of 7 cadavers, likely from CO₂ insufflation.

🔍 Key Findings

  • Mediastinoscopy was technically feasible in large-breed canine cadavers using a SILS port and standard laparoscopic instruments.
  • The left tracheobronchial lymph node (LTBLN) was successfully retrieved in all cadavers (7/7), while cranial mediastinal lymph nodes were retrieved in only 1/7.
  • Postprocedural pleural gas was observed in 4/7 cadavers, likely due to CO₂ insufflation.
  • Instrument limitations with a human-designed mediastinoscope led to preference for laparoscopic instruments and SILS port for improved access and visualization.
  • Complication rates were low, with only two minor (Grade 1) adverse events (pleural tear and LN rupture).
  • Obesity and mediastinal fat were cited as potential challenges to visualization and node retrieval.
  • NASA-TLX workload scores were lowest for tracheobronchial nodes, indicating these were the easiest to access.
  • The authors concluded this approach may facilitate minimally invasive biopsy or resection of cranial mediastinal masses in live dogs, but clinical trials are needed to validate safety and efficacy.

Gibson

Veterinary Surgery

5

2024

Evaluation of mediastinoscopy for cranial mediastinal and tracheobronchial lymphadenectomy in canine cadavers

2024-5-VS-gibson-2

Article Title: Evaluation of mediastinoscopy for cranial mediastinal and tracheobronchial lymphadenectomy in canine cadavers

Journal: Veterinary Surgery

In Poggi 2025 et al., on laparoscopic cholecystectomy in cats, what was the most commonly reported indication for surgery?

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Correct. Cholelithiasis was identified in 9 of the 22 cats, making it the most common indication for LC.
Incorrect. The correct answer is Cholelithiasis.
Cholelithiasis was identified in 9 of the 22 cats, making it the most common indication for LC.

🔍 Key Findings

  • Laparoscopic cholecystectomy (LC) was successfully performed in all 22 cats without conversion to open surgery.
  • Complication rate was low: 3 cats had postoperative complications (1 seroma, 1 vomiting, 1 EHBDO and death).
  • Median operating time was 41 minutes; median hospitalization was 3 days.
  • No cases required conversion to open laparotomy, even in cats as small as 2.5 kg.
  • Common devices used: Hemoclips or Hem-o-lok for cystic duct ligation; Ligasure, harmonic scalpel, or j-hook for dissection.
  • Most common indications: cholelithiasis (9/22) and cholecystitis (10/22), with one biliary mucocele and one adenoma.
  • Histopathology confirmed diagnosis in all cases; concurrent liver or intestinal biopsies were performed in some cats.
  • Postoperative AUS and bloodwork were routine and important for detecting early signs of EHBDO.

Poggi

Veterinary Surgery

5

2025

Laparoscopic cholecystectomy in 22 cats (2018–2024)

2025-5-VS-poggi-1

Article Title: Laparoscopic cholecystectomy in 22 cats (2018–2024)

Journal: Veterinary Surgery

In Johnson 2022 et al., on PET implant outcomes, which of the following outcome measures showed statistically significant improvement after surgery?

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Correct. Both owner-reported LOAD scores and limb asymmetry improved significantly (p = .008 and p = .002, respectively).
Incorrect. The correct answer is LOAD score and gait asymmetry.
Both owner-reported LOAD scores and limb asymmetry improved significantly (p = .008 and p = .002, respectively).

🔍 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.

Johnson

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-3

Article Title: Outcome of cranial cruciate ligament replacement with an enhanced polyethylene terephthalate implant in the dog: A pilot clinical trial

Journal: Veterinary Surgery

In Renaud 2025 et al., on biliary peritonitis surgery, which bacterial species was most frequently isolated from septic effusions?

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Correct. E. coli was cultured from 80% of septic effusions, making it the most common isolate in this cohort.
Incorrect. The correct answer is Escherichia coli.
E. coli was cultured from 80% of septic effusions, making it the most common isolate in this cohort.

🔍 Key Findings

Mortality rate: 36% (12/33)
Cholecystectomy performed: 94% of dogs (31/33)
New significant prognostic factors for survival:

  • Hyperbilirubinemia (p = .049) — threshold = 60.5 μmol/L
  • Use of vasopressors (p = .002)
  • Renal dysfunction postoperatively (p = .008)
  • Number of postoperative complications (p = .005)

Multivariate model: Total bilirubin and number of complications best predicted survival
Septic vs nonseptic effusion: No significant difference in survival
Diagnostic imaging: Ultrasound sensitivity for extrahepatic biliary rupture = 38%
Most cultured pathogen: E. coli (80% of septic cases)

Renaud

Veterinary Surgery

2

2025

Clinical findings and prognostic factors for immediate survival in 33 dogs undergoing surgery for biliary peritonitis

2025-2-VS-renaud-4

Article Title: Clinical findings and prognostic factors for immediate survival in 33 dogs undergoing surgery for biliary peritonitis

Journal: Veterinary Surgery

In Katz 2022 et al., on meniscal flounce sign, which meniscal tear type was observed in stifles that retained a positive flounce sign?

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Correct. Radial tears did not abolish the flounce sign, likely due to minimal fiber disruption.
Incorrect. The correct answer is Radial tear.
Radial tears did not abolish the flounce sign, likely due to minimal fiber disruption.

🔍 Key Findings

  • A positive meniscal flounce sign was associated with normal menisci in 95.5% of cases, demonstrating strong predictive value.
  • Absence of the meniscal flounce sign was associated with meniscal tears in 92.7% of cases.
  • Overall diagnostic accuracy of the flounce sign was 94.6%, with 96.6% sensitivity and 90.5% specificity.
  • Most tears in flounce-negative stifles were bucket-handle tears (73.8%), while radial tears were present in some flounce-positive stifles.
  • Radial tears did not consistently eliminate the flounce sign, suggesting they may not disrupt meniscal fiber tension sufficiently.
  • All procedures were arthroscopically performed, with probing and visualization of the medial meniscus' caudal pole.
  • Flounce sign should complement, not replace, probing—especially as some tear types (e.g., radial) may not abolish the sign.
  • Limb positioning and joint distraction may affect flounce visibility, introducing minor observer variability.

Katz

Veterinary Surgery

2

2022

The significance of the meniscal flounce sign in canine stifle arthroscopy

2022-2-VS-katz-2

Article Title: The significance of the meniscal flounce sign in canine stifle arthroscopy

Journal: Veterinary Surgery

In McLean 2024 et al., on TPLO rock-back, what proportion of cases demonstrated rock-back (TPA increase ≥2°)?

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Correct. 21% of TPLOs (20/95) showed TPA increase ≥2°, defining rock-back:contentReference[oaicite:0]{index=0}
Incorrect. The correct answer is 21%.
21% of TPLOs (20/95) showed TPA increase ≥2°, defining rock-back:contentReference[oaicite:0]{index=0}

🔍 Key Findings Summary

  • 95 TPLO procedures reviewed retrospectively with follow-up radiographs
  • Rock-back defined as increase in tibial plateau angle (TPA) ≥2° from immediate post-op to recheck
  • 21% of stifles (20/95) experienced rock-back
  • Mean ΔTPA among rock-back cases = 3.2° ± 2.6°
  • No implant failures or tibial tuberosity fractures were reported in these cases
  • Plate inclination and exit cut angle (ECA) were not associated with increased risk of rock-back (p = 0.4 and 0.2)
  • Authors hypothesize that compression across osteotomy in vivo may mitigate torsional effects from ECA, unlike in gap-model studies
  • Emphasizes that rock-back is relatively common, even with well-placed implants

Mclean

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Effect of Plate Inclination and Osteotomy Positioning on Rock-back following Tibial Plateau Levelling Osteotomy in Dogs

2024-6-VCOT-mclean-1

Article Title: Effect of Plate Inclination and Osteotomy Positioning on Rock-back following Tibial Plateau Levelling Osteotomy in Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

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