Your Custom Quiz

In Cormillot 2026 et al., on laparoscopic handle ergonomics, surgeons with smaller hands most commonly preferred which instrument characteristic?

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Correct. Smaller-handed surgeons preferred reduced loop spacing and alternative finger placement patterns to improve comfort and control.
Incorrect. The correct answer is Smaller finger-loop spacing.
Smaller-handed surgeons preferred reduced loop spacing and alternative finger placement patterns to improve comfort and control.

🔍 Key Findings

  • Surgeon hand size significantly influences preferred finger-loop handle configuration when using laparoscopic instruments.
  • Smaller-handed surgeons preferred smaller loop spacing and different finger placements, suggesting standard instrument designs may not accommodate all users.
  • Larger-handed surgeons favored wider finger-loop spacing, which improved comfort and maneuverability during laparoscopic manipulation.
  • Instrument ergonomics varied substantially between users, demonstrating that a “one-size-fits-all” laparoscopic handle design is suboptimal.
  • Hand anthropometry affected both perceived comfort and functional performance during simulated laparoscopic tasks.
  • Loop positioning and finger insertion pattern influenced wrist posture and grip mechanics, potentially affecting fatigue during prolonged procedures.
  • Ergonomic mismatch between surgeon hand size and handle design may contribute to surgeon discomfort and reduced efficiency during minimally invasive surgery.
  • The study supports development of adjustable or size-specific laparoscopic handles to improve surgeon ergonomics and operative performance.

Cormillot

Veterinary Surgery

2

2026

Surgeon hand size influences laparoscopic finger loop handle preference

2026-2-vs-cormillot-2

Article Title: Surgeon hand size influences laparoscopic finger loop handle preference

Journal: Veterinary Surgery

In Chitty 2025 et al., on tibial fracture fixation in immature dogs, what was the major complication rate observed in the external fixation group?

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Correct. Major complications occurred in 52.8% of dogs treated with external skeletal fixation.
Incorrect. The correct answer is 52.8%.
Major complications occurred in 52.8% of dogs treated with external skeletal fixation.

🔍 Key Findings

Internal fixation (IF) group (n=59):

  • Complication rate: 20.3%
  • Major complications: 15.3%
  • Longer time to discharge if complications occurred (median: 12.5 weeks)

External skeletal fixation (ESF) group (n=36):

  • Complication rate: 55.6% (p < .001 vs IF)
  • Major complications: 52.8%
  • Most common issue: pin tract morbidity

Multivariable analysis:

  • Use of IF significantly reduced odds of complications (OR 0.23, p = .004)
  • Use of post-op antibiotics associated with increased odds of complications (OR 3.53, p = .028)

Fixation choice influenced by age:

  • Older puppies more likely to receive IF (OR 1.25 per week increase in age, p < .001)

Breed & fracture distribution:

  • Common breeds: Labrador, Border Collie, Whippet
  • Common fracture sites: middle and proximal third of tibia

Chitty

Veterinary Surgery

4

2025

Short‐term complications of internal versus external fixation of closed diaphyseal tibial fractures in 95 skeletally immature dogs

2025-4-VS-chitty-1

Article Title: Short‐term complications of internal versus external fixation of closed diaphyseal tibial fractures in 95 skeletally immature dogs

Journal: Veterinary Surgery

In Cantatore 2022 et al., on transanal submucosal resection, what factor was most strongly associated with increased risk of tumor-related death?

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Correct. Recurrence was the only variable significantly associated with tumor-related death (P = .046).
Incorrect. The correct answer is Recurrence of the tumor.
Recurrence was the only variable significantly associated with tumor-related death (P = .046).

🔍 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-1

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

Journal: Veterinary Surgery

In Tani 2022 et al., on FCU tendon reconstruction, what type of fixation was used postoperatively to protect the repair?

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Correct. Type I ESF was used to immobilize the radius and metacarpals for 6 weeks to protect the repair.
Incorrect. The correct answer is Type I external skeletal fixator.
Type I ESF was used to immobilize the radius and metacarpals for 6 weeks to protect the repair.

🔍 Key Findings

  • Fascia lata autograft reconstruction of the FCU tendon successfully treated carpal hyperextension in both dogs.
  • Primary repair was not possible in one dog due to complete rupture; a fascia lata graft bridged the tendon gap.
  • In the second case, elongated tendon was corrected and reinforced with fascia lata to prevent recurrence.
  • Type I external skeletal fixation was used for 6 weeks to support tendon healing in both dogs.
  • Postoperative gait and range of motion returned to normal, with no recurrence at 36-month follow-up.
  • Ultrasonography aided diagnosis, revealing thinning and echogenic changes in the FCU tendon.
  • Histologic findings showed mild, nonspecific muscle changes, suggesting injury rather than a systemic disease.
  • No complications occurred, and fascia lata showed potential for biological integration and remodeling into tendon-like structure.

Tani

Veterinary Surgery

8

2022

Reconstruction of the flexor carpi ulnaris tendon with a fascia lata autograft in two dogs with carpal hyperextension

2022-8-VS-tani-2

Article Title: Reconstruction of the flexor carpi ulnaris tendon with a fascia lata autograft in two dogs with carpal hyperextension

Journal: Veterinary Surgery

In Thomsen 2024 et al., on CT accuracy for liver tumors, which anatomical level had the highest accuracy?

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Correct. Accuracy was 88% when localizing by division, compared to 74.3% at the lobe level.
Incorrect. The correct answer is Liver division.
Accuracy was 88% when localizing by division, compared to 74.3% at the lobe level.

🔍 Key Findings

  • CT localization of liver masses was more accurate by division (88%) than by lobe (74.3%)
  • Inter-radiologist agreement was excellent for division (kappa up to 0.885) and only moderate–good for lobe
  • Quadrate and right lateral lobes had significantly lower localization accuracy compared to left lateral or medial lobes
  • CT localization of the left division was most accurate (90.1%) compared to central (77.1%) and right (88.3%)
  • Portal and hepatic venous phases were equally helpful for localization (each ~30–38% usefulness)
  • No significant associations found between histopathologic diagnosis and localization accuracy
  • Lobe-level CT localization should be interpreted with caution, especially for the quadrate and right lateral lobes
  • Radiologist experience likely influenced accuracy, with the most experienced radiologist performing best

Thomsen

Veterinary Surgery

7

2024

Computed tomography scan accuracy for the prediction of lobe and division of liver tumors by four board-certified radiologists

2024-7-VS-thomsen-1

Article Title: Computed tomography scan accuracy for the prediction of lobe and division of liver tumors by four board-certified radiologists

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

Article Title:

Journal:

In Barrett 2023 et al., on complication grading systems, what was the **main limitation** in applying the aCD system to veterinary cases?

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Correct. The aCD system's reliability dropped when assessors misclassified these outcomes as complications.
Incorrect. The correct answer is Difficulty distinguishing sequelae and failure to cure from true complications.
The aCD system's reliability dropped when assessors misclassified these outcomes as complications.

🔍 Key Findings

  • Cook system had good reliability across all cases (ICC = 0.848), even when complications, sequelae, and failure-to-cure were included.
  • aCD system had excellent reliability when excluding sequelae/failure-to-cure cases (ICC = 0.975) but only moderate reliability when including them (ICC = 0.620).
  • Majority of complications (60–63%) were graded as Grade 3 in the aCD system, corresponding to surgical or anesthetic intervention.
  • Cook system classified most cases (78–81%) as major complications.
  • Assessors had difficulty distinguishing sequelae from Grade 1 complications, and failure-to-cure from Grades 1–2, reducing aCD reliability.
  • The aCD system offers more resolution (5 grades vs. 3) and less subjectivity through objective definitions.
  • Novel terminology (e.g., sequelae, failure to cure) in the aCD system may hinder its uptake without proper training.
  • Reclassifying expected events (e.g., swelling, bruising) as sequelae could significantly reduce reported complication rates in other studies.

Barrett

Veterinary Surgery

1

2023

Comparison of two postoperative complication grading systems after treatment of stifle and shoulder instability in 68 dogs

2023-1-VS-barrett-2

Article Title: Comparison of two postoperative complication grading systems after treatment of stifle and shoulder instability in 68 dogs

Journal: Veterinary Surgery

In Forman 2026 et al., on laparoscopic warm-up effects, what was the primary impact of preoperative warm-up on surgical time during LOVE?

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Correct. Warm-up group averaged ~63 min vs 84 min, a significant reduction.
Incorrect. The correct answer is It reduced surgical time by approximately 20 minutes.
Warm-up group averaged ~63 min vs 84 min, a significant reduction.

🔍 Key Findings

  • Preoperative warm-up significantly reduced surgical time — mean ~20 minutes shorter (63 min vs 84 min; p < 0.05)
  • Warm-up significantly improved performance scores using a validated rubric (138.4 vs 121.5; p < 0.05)
  • Combined warm-up (simulator + video game) enhanced efficiency and technical proficiency in novice surgeons
  • No intraoperative complications occurred in either group, suggesting safety of trainee-performed LOVE under supervision
  • Warm-up protocol consisted of 30 minutes (15 min simulator + 15 min laparoscopic video game)
  • All participants had baseline laparoscopic exposure but limited hands-on experience, reflecting realistic novice conditions
  • Validated scoring included GOALS and procedural steps, supporting objective assessment of surgical readiness
  • Findings support incorporation of warm-up into surgical training programs to improve efficiency and potentially reduce errors

Forman

Veterinary Surgery

3

2026

Effects of preoperative warm-ups on veterinary medical students' performance with live dog laparoscopic ovariectomy

2026-3-vs-forman-1

Article Title: Effects of preoperative warm-ups on veterinary medical students' performance with live dog laparoscopic ovariectomy

Journal: Veterinary Surgery

In Kang 2024 et al., on sacroiliac fixation strength, which implant required significantly longer placement time?

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Correct. Mean placement time for HCS was 712 sec vs 379 sec for CS group (p<0.001)
Incorrect. The correct answer is 2.3-mm headless cannulated screws.
Mean placement time for HCS was 712 sec vs 379 sec for CS group (p<0.001)

🔍 Key Findings Summary

  • 20 cats with pelvic fractures treated using locking plates with only cortical screws
  • 28 fractures stabilized (ilium: 17, acetabulum: 6, ischium: 3, pubis: 2)
  • Implants: Primarily 1.5/2.0 mm LCPs or String-of-Pearls plates
  • Major complications in 2/20 cases (10%): sciatic entrapment, malunion requiring THA
  • Minor complications in 2/20 cases (10%): plate impingement, transient lameness
  • Clinical union in all cats by 8 weeks; all cats returned to full function
  • Authors conclude cortical screws alone can provide adequate fixation in feline pelvic fractures if screw purchase and bone quality are sufficient

Kang

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Biomechanical Comparison of Double 2.3-mm Headless Cannulated Self-Compression Screws and Single 3.5-mm Cortical Screw in Lag Fashion in a Canine Sacroiliac Luxation Model

2024-1-VCOT-kang-5

Article Title: Biomechanical Comparison of Double 2.3-mm Headless Cannulated Self-Compression Screws and Single 3.5-mm Cortical Screw in Lag Fashion in a Canine Sacroiliac Luxation Model

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Miller 2025 et al., on spinal drill guide accuracy, what was a reported technical benefit of the SOP plate when used with the 3D-printed guides?

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Correct. The plate helped realign vertebrae during screw placement, effectively serving as a reduction aid.
Incorrect. The correct answer is Acted as a reduction guide.
The plate helped realign vertebrae during screw placement, effectively serving as a reduction aid.

🔍 Key Findings

  • 3D-printed, SOP plate-specific guides enabled safe screw placement from T12–L5 in canine cadavers and models.
  • All 140 screw trajectories were classified as Zdichavski Grade 1, indicating optimal placement without vertebral canal breach.
  • Screw angles (cranial-caudal and transverse) matched preoperative planning, with no significant deviation.
  • Entry/exit point deviations were <1 mm on average, deemed clinically negligible.
  • Drill guides were quick to place (<30 sec per vertebra) and improved ease of surgery.
  • Plates acted as effective reduction tools, guiding alignment during screw placement in mobile spines.
  • Minor technical challenges arose from cadaveric spine mobility, mitigated by sequential screw insertion.
  • Technique may enable future use in fracture/luxation reduction, pending further cadaveric and clinical trials.

Miller

Veterinary Surgery

6

2025

Development and testing of an animal-specific and string-of-pearls (SOP) plate specific, three-dimensionally (3D) printed drilling guide: A proof of concept study for canine thoracolumbar spinal stabilization

2025-6-VS-miller-3

Article Title: Development and testing of an animal-specific and string-of-pearls (SOP) plate specific, three-dimensionally (3D) printed drilling guide: A proof of concept study for canine thoracolumbar spinal stabilization

Journal: Veterinary Surgery

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