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In Billas 2022 et al., on SSI risk after limb amputation, what was concluded regarding use of electrosurgery for muscle transection?

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Correct. Monopolar electrosurgery was not associated with increased SSI risk (*P* > .05).
Incorrect. The correct answer is It had no association with SSI.
Monopolar electrosurgery was not associated with increased SSI risk (*P* > .05).

🔍 Key Findings

  • 12.5% overall incidence of SSI after limb amputation, and 10.9% for clean procedures.
  • Bipolar vessel sealing device use for muscle transection significantly increased SSI risk (OR 2.5; P = .023).
  • Monopolar electrosurgery and sharp transection were not associated with increased SSI risk.
  • Non-clean wound classification increased SSI odds (OR 8.2; P = .003).
  • Amputation for infection (OR 5.7) or trauma (OR 4.5) significantly increased SSI risk compared to neoplasia.
  • Preoperative infections at distant sites did not significantly increase SSI risk.
  • Neither surgery/anesthesia duration, hypothermia, hypotension, nor skin closure method significantly affected SSI risk.
  • Study supports avoiding bipolar sealing devices for muscle transection in limb amputations to reduce SSI risk.

Billas

Veterinary Surgery

3

2022

Incidence of and risk factors for surgical site infection following canine limb amputation

2022-3-VS-billas-5

Article Title: Incidence of and risk factors for surgical site infection following canine limb amputation

Journal: Veterinary Surgery

In Bae 2025 et al., on SI screw orientation, which parameter did NOT differ significantly among groups?

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Correct. Moment arm measurements showed no significant differences (p = .82), ensuring fair comparison of torque outcomes.
Incorrect. The correct answer is Moment arm.
Moment arm measurements showed no significant differences (p = .82), ensuring fair comparison of torque outcomes.

🔍 Key Findings

  • Ex vivo study using 24 canine cadaver pelves to test screw thread direction in SI luxation.
  • Four groups: RhRSI, RhLSI, LhRSI, LhLSI.
  • Right-handed screws on right side (RhRSI) had 313% higher torque and 274% higher load vs left side (p < .01).
  • Left-handed screws on left side (LhLSI) had 198% higher torque and 195% higher load vs right side (p < .03).
  • All failures occurred due to rotation, with no screw breakage or fractures.
  • Body weight and moment arm were similar across groups.
  • Clinical implication: Use of screw matching handedness to luxation side improves stability.

Bae

Veterinary Surgery

2

2025

Effect of thread direction on rotational stability in lag​-screw fixation of sacroiliac luxation: An ex vivo cadaveric study in small-breed dogs

2025-2-VS-bae-4

Article Title: Effect of thread direction on rotational stability in lag​-screw fixation of sacroiliac luxation: An ex vivo cadaveric study in small-breed dogs

Journal: Veterinary Surgery

In Sanders 2024 et al., on feline anastomosis techniques, what was the observed mean jejunal mural thickness?

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Correct. Jejunal mural thickness averaged 2.28 ± 0.30 mm, the greatest among gastrointestinal segments measured.
Incorrect. The correct answer is 2.28 mm.
Jejunal mural thickness averaged 2.28 ± 0.30 mm, the greatest among gastrointestinal segments measured.

🔍 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-2

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

Journal: Veterinary Surgery

In Radke 2022 et al., on outcome measure validation, which of the following instruments was noted to have **inconsistent factor analysis results** across validation studies?

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Correct. CBPI’s factor analysis yielded inconsistent structures across studies, questioning construct stability.
Incorrect. The correct answer is Canine Brief Pain Inventory (CBPI).
CBPI’s factor analysis yielded inconsistent structures across studies, questioning construct stability.

🔍 Key Findings

  • CBPI, COI, and LOAD are recommended for assessing canine osteoarthritis based on COSMIN criteria.
  • COI scored highest in development rigor and evidence quality among evaluated OROMs.
  • Internal consistency, reliability, and responsiveness were commonly validated, though no OROMs reported measurement error.
  • LOAD was considered formative, and internal consistency assessment was deemed unnecessary.
  • CBPI and COI showed sufficient internal consistency, but CBPI’s factor structure was inconsistent across studies.
  • All 6 evaluated OROMs (CBPI, COI, LOAD, BHSII, HCPI, HVAS) were quick to complete (under 5 min).
  • Three tools—BHSII, HCPI, HVAS—need more evidence before recommendation; only CBPI, COI, and LOAD are Category A (recommended).
  • Future studies should assess interpretability, including measurement error and clinically meaningful change scores (MIC, SDC).

Radke

Veterinary Surgery

2

2022

Evidence‐based evaluation of owner‐reported outcome measures for canine orthopedic care – a COSMIN evaluation of 6 instruments

2022-2-VS-radke-3

Article Title: Evidence‐based evaluation of owner‐reported outcome measures for canine orthopedic care – a COSMIN evaluation of 6 instruments

Journal: Veterinary Surgery

In Sunlight 2022 et al., on Protein C monitoring, what percentage of dogs required a second intervention following PTCE for IHPSS?

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Correct. 16 out of 47 dogs (34%) underwent a second procedure, mainly due to recurrence of clinical signs.
Incorrect. The correct answer is 34%.
16 out of 47 dogs (34%) underwent a second procedure, mainly due to recurrence of clinical signs.

🔍 Key Findings

  • Postoperative Protein C (PC) activity increased in 78.7% of dogs, and was significantly higher in dogs with excellent clinical outcomes.
  • Complete acute shunt occlusion resulted in higher postoperative PC activity (96.3%) and better ultimate clinical outcomes than incomplete occlusion.
  • Preoperative PC was not predictive of clinical status, but postoperative PC was associated with improved outcomes.
  • Standard biochemical markers (HCT, MCV, ALB, BUN) also improved postoperatively, especially in dogs with excellent clinical outcomes.
  • Dogs requiring a second procedure had significantly lower postoperative PC (43.5%) than those not requiring further intervention (78.5%).
  • Repeat procedures improved PC and BUN values, with PC increasing significantly after second intervention (to 69.8%).
  • PC normalization (within reference interval) occurred in 87.5% of dogs with excellent clinical status, compared to only 12.5% in those with poor status.
  • Clinical outcome classification (excellent/fair/poor) correlated with biochemical normalization and lack of need for diet/medications.

Sunlight

Veterinary Surgery

1

2022

Protein C and comparative biochemical changes in dogs treated with percutaneous transvenous coil embolization of congenital intrahepatic portosystemic shunts

2022-1-VS-sunlight-3

Article Title: Protein C and comparative biochemical changes in dogs treated with percutaneous transvenous coil embolization of congenital intrahepatic portosystemic shunts

Journal: Veterinary Surgery

In Mattioli 2025 et al., on lymphadenectomy complications, what was the overall postoperative complication rate reported?

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Correct. The study reported an overall complication rate of 7.5% across 201 lymphadenectomies.
Incorrect. The correct answer is 7.5%.
The study reported an overall complication rate of 7.5% across 201 lymphadenectomies.

🔍 Key Findings

Sample: 201 lymphadenectomies in 163 dogs.
Intraoperative techniques:

  • Unassisted: 36%
  • Methylene blue (MB): 24%
  • Gamma probe + MB (γ-MB): 40%

Complication rate: 7.5% overall (93% uncomplicated)

  • 80% were mild, 20% moderate; no severe complications
  • Most common = seroma (2.5%), lymphoedema (1.5%)

Risk factors (via decision tree model):

  • Surgical time > 21.5 min
  • Lymph node site = mandibular or retropharyngeal

No significant difference in complication rate based on:

  • Guidance technique (p = .255)
  • LN palpability, number removed, or LN size

Clinical implication: Peripheral SLN excision is safe regardless of intraoperative technique; certain sites and durations carry slightly higher risk.

Mattioli

Veterinary Surgery

4

2025

Peripheral sentinel lymphadenectomy in 163 dogs: Postoperative surgical complications and comparison between intraoperative dissection techniques

2025-4-VS-mattioli-1

Article Title: Peripheral sentinel lymphadenectomy in 163 dogs: Postoperative surgical complications and comparison between intraoperative dissection techniques

Journal: Veterinary Surgery

In Pfund 2025 et al., on femoral cortical thickness, what percentage of dogs sustained intraoperative fissures or fractures during THR?

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Correct. 22 out of 224 dogs sustained intraoperative fissures or fractures (mostly fissures).
Incorrect. The correct answer is 9.8%.
22 out of 224 dogs sustained intraoperative fissures or fractures (mostly fissures).

🔍 Key Findings

  • Lower CTI values were significantly associated with higher risk of both intraoperative and postoperative femoral fractures or fissures (p <.0001).
  • The mean CTI for all dogs was 0.285, whereas dogs with fissures/fractures had a mean CTI of 0.246.
  • For each 0.001 increase in CTI, odds of fissure/fracture decreased by 2–3% depending on perioperative timing.
  • High interobserver reliability (ICC = 0.984) and consistency between pre- and postoperative CTI measurements (ICC = 0.96).
  • CTI was the only significant risk factor identified; age, breed, bodyweight, BCS, CFI, or luxoid hips were not significant.
  • Prophylactic lateral plating in dogs with low CTI (mean 0.230) resulted in no postoperative fractures.
  • Postoperative fractures occurred in 8% of cases, and 93% of dogs returned to full function within one year.
  • CTI may be a useful radiographic screening tool, especially when advanced imaging (e.g., DEXA) is unavailable.

Pfund

Veterinary Surgery

6

2025

Femoral cortical thickness index in a population of dogs undergoing total hip replacement

2025-6-VS-pfund-2

Article Title: Femoral cortical thickness index in a population of dogs undergoing total hip replacement

Journal: Veterinary Surgery

In Buote 2023 et al., on 3D-printed cannulas in feline laparoscopy, what was the estimated cost of a single 3D printed autoclavable cannula?

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Correct. Total estimated cost per autoclavable 3DPC was <$5 including materials and consumables.
Incorrect. The correct answer is Under $5.00.
Total estimated cost per autoclavable 3DPC was <$5 including materials and consumables.

🔍 Key Findings

  • 3D-printed cannulas (3DPCs) reduced mean surgical time significantly in cadaveric procedures (125.6 vs 95.2 min, p = 0.03).
  • Cannula pullout events decreased from a mean of 10 to 2.2 per procedure when using only 3DPCs (p = 0.03).
  • Instrument collisions were significantly fewer with 3DPCs (6.8 vs 2.6 collisions, p = 0.03).
  • Live patients experienced no postoperative complications, including no incision site infections or discomfort.
  • Initial versions of 3DPCs had minor issues, including valve leakage and looser trocar fit, requiring surgical workarounds.
  • Customization of cannula shaft length (3 cm vs standard 5–8.3 cm) improved working space and reduced instrument interference.
  • Production cost was under $5 per cannula, suggesting 3DPCs may be a cost-effective and reusable alternative for small patients.
  • Study supports broader use of 3DPCs in laparoscopic procedures requiring long-jawed instruments or intricate tissue handling.

Buote

Veterinary Surgery

6

2023

3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series

2023-6-vs-buote-5-c2b76

Article Title: 3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series

Journal: Veterinary Surgery

In Holman 2024 et al., on canine shoulder arthroscopy, which tendon had the smallest proportion visible from the lateral portal?

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Correct. Only 20% of the subscapularis tendon was visible through the standard lateral portal.
Incorrect. The correct answer is Subscapularis tendon.
Only 20% of the subscapularis tendon was visible through the standard lateral portal.

🔍 Key Findings

  • 48% of the intra-articular biceps tendon was visible at a standing angle; this increased to 63% in flexion (p = 0.0003).
  • 58% of the medial glenohumeral ligament's cranial border was within view.
  • 20% of the subscapularis tendon was visualized via the standard lateral arthroscopic approach.
  • Visibility was assessed using tattoo ink markers and confirmed via dissection in cadavers.
  • Limitations of standard lateral portals may lead to underdiagnosis of deeper or distal pathology in these structures.

Holman

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Quantification of the Field of View for Standard Lateral Arthroscopy of the Canine Shoulder

2024-1-VCOT-holman-2

Article Title: Quantification of the Field of View for Standard Lateral Arthroscopy of the Canine Shoulder

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Cantatore 2022 et al., on transanal submucosal resection, what proportion of dogs with recurrence were successfully treated with a repeat submucosal resection?

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Correct. 12 of 20 dogs (60%) with recurrence underwent repeat submucosal resection.
Incorrect. The correct answer is 60%.
12 of 20 dogs (60%) with recurrence underwent repeat submucosal resection.

🔍 Key Findings

  • Submucosal resection via a transanal approach was associated with a low rate (1.1%) of major complications and prolonged survival across benign and malignant rectal tumors.
  • Overall recurrence rate was 21.5%, with higher recurrence in malignant tumors: 28.6% (carcinomas) and 30.4% (carcinoma in situ) vs. 13.6% (adenomas).
  • Complications (P = .032) and incomplete margins (P = .023) were independently associated with increased recurrence risk.
  • Recurrence was the only factor associated with increased risk of tumor-related death (P = .046).
  • Repeat submucosal resection was successful in 60% of dogs with recurrence, indicating feasibility of this as a salvage approach.
  • 1-, 2-, and 5-year survival rates for carcinomas were 95%, 89%, and 73%, though overall survival was significantly longer for benign tumors (P = .001).
  • Preoperative diagnostics (FNA, biopsy) were often inconsistent with final histopathology – only 64.3% biopsy agreement.
  • Presurgical imaging was not consistently performed, limiting accurate staging in many dogs.

Cantatore

Veterinary Surgery

3

2022

Submucosal resection via a transanal approach for treatment of epithelial rectal tumors – a multicenter study

2022-3-VS-cantatore-4

Article Title: Submucosal resection via a transanal approach for treatment of epithelial rectal tumors – a multicenter study

Journal: Veterinary Surgery

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