
Your Custom Quiz
In Poggi 2025 et al., on laparoscopic cholecystectomy in cats, which instrument was most frequently used for gallbladder dissection?
🔍 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-4
In Lampart 2023 et al., on manual laxity testing, which test showed the greatest interobserver variability in compressive force applied?
🔍 Key Findings
- Cranial drawer (CD), tibial compression (TCT), and tibial pivot compression test (TPCT) showed 100% sensitivity and specificity in differentiating intact from CCL-deficient stifles in this ex vivo model.
- TPCT elicited the highest cranial tibial translation (CTT) and internal tibial rotation, though differences in rotation did not reach statistical significance.
- Inter- and intraobserver agreement for CTT was excellent across all tests (ICC >0.9).
- Rotation and force application had greater variability, particularly with less experienced observers and during CD.
- Forces applied during CD were significantly higher in intact limbs and correlated with observer experience.
- Subjective CTT estimates strongly correlated with objective kinematic measurements (r = 0.895), with a median absolute error of 1.31 mm.
- TPCT may be particularly useful for assessing rotational instability, mimicking the pivot-shift test used in human ACL exams.
- Study supports development of a grading system for manual laxity testing, especially in acute CCLR cases.
Veterinary Surgery
5
2023
Evaluation of the accuracy and intra‐ and interobserver reliability of three manual laxity tests for canine cranial cruciate ligament rupture—An ex vivo kinetic and kinematic study
2023-5-VS-lampart-4
In Banks 2024 et al., what patient factor was associated with higher preoperative and postoperative TPAs?
🔍 Key Findings Summary
- Study Design: Retrospective study of 100 radiographs using in silico and clinical data
- Mean preoperative TPA: 28.6°, higher in small dogs than large (p = .02)
- Mean planned TPA (in silico): 7.6°, not achieving 5° target (p < .01)
- Median postoperative TPA: 5.5° overall; higher in small dogs (7°) vs large (4.5°) (p = .06)
- Postoperative ostectomy position: More distal than recommended; average = 8.6 mm
- Increased distalization → greater under-correction of TPA (p = .01)
- Most accurate correction occurred when ostectomy was ≤7.5 mm from patellar tendon
- Wedge angle categories (TPA-Pre minus 5–2°) were used based on pre-op TPA
Veterinary Surgery
1
2024
A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases
2024-1-VS-banks-4
In Schneider 2025 et al., on axillary LN extirpation, what percentage of removed axillary lymph nodes contained tumor-related pathology?
🔍 Key Findings
- Lateral approach to ALN extirpation was successful in 100% of cases (44 dogs, 48 ALNs) with consistent anatomical landmarks (costochondral junction of rib 1 and caudal scapular edge).
- Median time for ALN removal was 16.6 minutes, highlighting a fast and efficient dissection method.
- No intraoperative complications were recorded (e.g., hemorrhage or inability to find the lymph node).
- Postoperative complications occurred in 18% of cases, including seromas (n=2), wound dehiscence (n=4), lameness (n=1), and discomfort (n=1).
- Histopathology revealed 56% of ALNs had tumor-related pathology, including overt metastases, early metastasis (HN2), or premetastatic changes (HN1).
- Normal-sized ALNs (<2 cm) still harbored metastases in 22% of cases, emphasizing the unreliability of size as a staging criterion.
- False negatives in cytology occurred in 4 cases, underlining the limitations of cytologic evaluation for staging.
- The technique was reproducible without specialized tools, suggesting wide applicability in general and referral practice.
Veterinary Surgery
6
2025
Axillary lymph node removal for staging cancer; description of a lateral approach and application in 44 tumor-bearing dogs
2025-6-VS-schneider-2
In Spies 2024 et al., on EHPSS in large dogs, what proportion of surviving surgically treated dogs were completely weaned off medical management?
🔍 Key Findings
- 63 dogs ≥15 kg with single EHPSS were reviewed.
- Most common breeds: Golden Retriever (28.6%), mixed breed (20.6%).
- Most common shunt types: splenocaval (25.4%) and portocaval (25.4%).
- 45 dogs received surgical attenuation; 18 were medically managed.
- 6.7% (3/45) of surgically treated dogs died due to shunt-related complications; 22.2% (4/18) of medically managed dogs died.
- Hypoplastic portal vein was noted in 52.9% of dogs where portal anatomy was described.
- 37.5% of surviving attenuated dogs were weaned off all medical management.
- Attenuated dogs had higher 1-, 2-, and 5-year survival rates (89%, 77%, 77%) than nonattenuated dogs (82%, 49%, 24%).
Veterinary Surgery
2
2024
Clinical presentation and short‐term outcomes of dogs ≥15 kg with extrahepatic portosystemic shunts
2024-2-VS-spies-4
In Sandoval 2024 et al., on lung lobectomy technique outcomes, what was the most common intraoperative complication?
🔍 Key Findings
- Intra- and postoperative complications occurred only in stapled lobectomies, but the difference was not statistically significant (intra: p = .069, post: p = .112).
- Intraoperative hemorrhage was the most common complication (11.8%), followed by air leakage (2%).
- All self-ligating loop (SLL) lobectomies had zero complications (n=18), though the sample was small.
- Postoperative complications included 4 catastrophic events (cardiopulmonary arrest), all in stapled cases.
- Lung lobectomy technique was not associated with duration of chest tube use, hospitalization, or survival (p > .05).
- 94.3% of patients survived to discharge (82/87).
- SLLs are lower-cost and may be more feasible for thoracoscopic/minimally invasive approaches due to smaller port size (5mm vs. 12mm for staplers).
- A future superiority study would need ≥103 lobectomies per group to assess differences in complication rates.
Veterinary Surgery
7
2024
Short‐term outcomes of dogs and cats undergoing lung lobectomy using either a self-ligating loop or a thoracoabdominal stapler
2024-7-VS-sandoval-2
In Alvarez 2022 et al., on rehabilitation modalities, which statement best reflects the findings on photobiomodulation (PBM)?
🔍 Key Findings
- Exercise-based rehabilitation showed benefits in 6 of 7 studies, including increased peak vertical force (PVF) and reduced lameness, though most had high risk of bias (RoB).
- Cold compression therapy (CCT) had 2 high-quality (Level II, low RoB) studies showing improvements in pain scores, range of motion, and swelling, supporting its clinical use.
- Extracorporeal shockwave therapy (ESWT) was supported by 2 Level II studies; only one had low RoB, showing short-term benefits in patellar ligament thickness and PVF, but no long-term benefit on bone healing.
- Photobiomodulation (PBM) had mixed results across 3 Level II studies (all low RoB); only 1 showed positive impact on PVF, limiting its recommendation.
- Low-intensity pulsed ultrasound (LIPUS) showed no significant impact on gait analysis or bone healing in a Level II, low RoB study.
- Electrical muscle stimulation (EMS) improved lameness and thigh circumference in one Level III study, but had high-moderate RoB and involved experimentally-induced CCL rupture, limiting clinical relevance.
- No modality beyond exercise and CCT had consistent or strong evidence for efficacy in post-TPLO or extracapsular repair rehabilitation.
- The absence of standardized protocols, small sample sizes, and inconsistent outcome measures limited the generalizability of findings.
Veterinary Surgery
2
2022
Systematic review of postoperative rehabilitation interventions after cranial cruciate ligament surgery in dogs
2022-2-VS-alvarez-4
In İnal 2025 et al., on supracutaneous locking plates, which complication was most frequently encountered?
🔍 Key Findings
- Supracutaneous locking plates (SLPs) were successfully used to manage 33 diaphyseal fractures (radial–ulnar and tibial) in 30 cats and dogs.
- Median fracture healing time was 50.5 days (range: 27–88), with most patients regaining limb use within days postoperatively.
- CT-based metrics (callus area, HU, and 3D bone volume) increased significantly during healing (p < 0.05), validating CT as a quantitative tool for assessing healing.
- Complications were minimal: minor in 15/33 (e.g., screw tract discharge, edema), and major in 3/33 (e.g., implant failure, delayed union, nonunion).
- Minimally invasive osteosynthesis required longer surgery times than closed reduction (p < 0.05), but both techniques were viable.
- SLPs enabled successful bilateral fracture management without inter-plate interference due to their compact design.
- Screw orientation challenges were noted in cats, especially with cranial application to the radius due to narrow anatomy.
- Polyaxial locking screws were used safely and did not dislodge, allowing for angular insertion (≤10°) to avoid neurovascular structures.
Veterinary and Comparative Orthopaedics and Traumatology
5
2025
Minimally Invasive Radial–Ulnar and Tibial Fracture Management with Supracutaneous Locking Plates in Dogs and Cats
2025-5-VCOT-inal-3
In Low 2025 et al., on machine-learning outcomes in IVDE, what proportion of deep-pain-negative dogs recovered ambulation after decompressive surgery?
🔍 Key Findings
The study included 162 deep-pain-negative dogs undergoing decompressive surgery (hemilaminectomy) for acute thoracolumbar intervertebral disc extrusion (IVDE).
Ambulatory recovery occurred in 53.1% of dogs (86/162).
The best performing machine-learning model was XGBoost, with an AUC of 0.9502 and accuracy of 89.1%, outperforming Ridge, AdaBoost, and Naive Bayes models.
Preoperative-only XGBoost models were less accurate, with AUC dropping to 0.8271 and accuracy to 71.9%.
Top predictive features (by SHAP analysis) included:
- T2-weighted to L2 spinal cord signal ratio (lower values predicted better outcome)
- Use of fenestration (presence associated with better recovery)
- Hospitalization duration
- Imaging modality used
- Duration of nonambulatory status
Machine learning provided better insight into prognostic factors than traditional statistical methods.
Veterinary Surgery
4
2025
Machine-learning-based prediction of functional recovery in deep-pain-negative dogs after decompressive thoracolumbar hemilaminectomy for acute intervertebral disc extrusion
2025-4-VS-low-1
In Klever 2024 et al., which statement about evaluating Norberg angle on laterally tilted radiographs is correct?
🔍 Key Findings
- Dorsoventral radiographs artificially increase Norberg angle values by 3.2–5.8% and should be excluded.
- Lateral pelvic tilt >2° causes asymmetric changes in Norberg angle; >3° results in significant side-specific changes.
- Cranioventral-to-caudodorsal tilt >10° results in obvious radiographic tilt, but changes Norberg angle by only ~2%.
- Tilted but subjectively acceptable images have minor impact and may still be usable for screening.
- Norberg angle readings differed consistently between left/right hips — possibly due to operator handedness.
Veterinary and Comparative Orthopedics and Traumatology
1
2024
Influence of Femoral Position and Pelvic Projection on Norberg Angle Measurements
2024-1-VCOT-klever-3
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
