
Your Custom Quiz
In Cormillot 2026 et al., on laparoscopic handle ergonomics, surgeons with smaller hands most commonly preferred which instrument characteristic?
🔍 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.
Veterinary Surgery
2
2026
Surgeon hand size influences laparoscopic finger loop handle preference
2026-2-vs-cormillot-2
In Chitty 2025 et al., on tibial fracture fixation in immature dogs, what was the major complication rate observed in the external fixation group?
🔍 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
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
In Cantatore 2022 et al., on transanal submucosal resection, what factor was most strongly associated with increased risk of tumor-related death?
🔍 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.
Veterinary Surgery
3
2022
Submucosal resection via a transanal approach for treatment of epithelial rectal tumors – a multicenter study
2022-3-VS-cantatore-1
In Tani 2022 et al., on FCU tendon reconstruction, what type of fixation was used postoperatively 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.
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
In Thomsen 2024 et al., on CT accuracy for liver tumors, which anatomical level had the highest accuracy?
🔍 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
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
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 Barrett 2023 et al., on complication grading systems, what was the **main limitation** in applying the aCD system to veterinary cases?
🔍 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.
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
In Forman 2026 et al., on laparoscopic warm-up effects, what was the primary impact of preoperative warm-up on surgical time during LOVE?
🔍 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
Veterinary Surgery
3
2026
Effects of preoperative warm-ups on veterinary medical students' performance with live dog laparoscopic ovariectomy
2026-3-vs-forman-1
In Kang 2024 et al., on sacroiliac fixation strength, which implant required significantly longer placement time?
🔍 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
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
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?
🔍 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.
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
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
