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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?
🔍 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.
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
In Veytsman 2023 et al., on feline insulinoma outcomes, what percentage of cats were euglycemic or hyperglycemic immediately after surgery?
🔍 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.
Veterinary Surgery
1
2023
Retrospective study of 20 cats surgically treated for insulinoma
2023-1-VS-veytsman-1
In Sanders 2024 et al., on feline anastomosis techniques, which statement is TRUE regarding initial leak pressures (ILPs)?
🔍 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
Veterinary Surgery
2
2024
Gastrointestinal thickness, duration, and leak pressure of five intestinal anastomosis techniques in cats
2024-2-VS-sanders-3
In Allaith 2023 et al., on THR outcomes, which implant system was used most frequently across the 10-year registry period?
🔍 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.
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
In Gibson 2024 et al., on mediastinoscopy in dogs, what was the most common **postprocedural finding on CT** after the procedure?
🔍 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.
Veterinary Surgery
5
2024
Evaluation of mediastinoscopy for cranial mediastinal and tracheobronchial lymphadenectomy in canine cadavers
2024-5-VS-gibson-2
In Poggi 2025 et al., on laparoscopic cholecystectomy in cats, what was the most commonly reported indication for surgery?
🔍 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.
Veterinary Surgery
5
2025
Laparoscopic cholecystectomy in 22 cats (2018–2024)
2025-5-VS-poggi-1
In Johnson 2022 et al., on PET implant outcomes, which of the following outcome measures showed statistically significant improvement after surgery?
🔍 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.
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
In Renaud 2025 et al., on biliary peritonitis surgery, which bacterial species was most frequently isolated from septic effusions?
🔍 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)
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
In Katz 2022 et al., on meniscal flounce sign, which meniscal tear type was observed in stifles that retained a positive flounce sign?
🔍 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.
Veterinary Surgery
2
2022
The significance of the meniscal flounce sign in canine stifle arthroscopy
2022-2-VS-katz-2
In McLean 2024 et al., on TPLO rock-back, what proportion of cases demonstrated rock-back (TPA increase ≥2°)?
🔍 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
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
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
