Your Custom Quiz

In Fracka 2024 et al., on perioperative risk factors, which clinical feature had the strongest association with poor recovery outcomes?

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Correct. Dogs with collapse > Grade 2 had OR = 97.13 for complicated recovery, the highest of all variables.
Incorrect. The correct answer is Laryngeal collapse > Grade 2.
Dogs with collapse > Grade 2 had OR = 97.13 for complicated recovery, the highest of all variables.

🔍 Key Findings

  • Staphylectomy was linked to higher risk of complicated recovery than folded flap palatoplasty (OR = 59.29, p = .0002).
  • Laryngeal collapse > Grade 2 was strongly associated with poor recovery (OR = 97.13, p < .0001).
  • Longer general anesthesia duration increased the risk of complications (OR = 1.01 per min, p = .0051).
  • Increasing age significantly raised the odds of perioperative complication (OR = 1.04 per month, p = .0113).
  • History of aspiration pneumonia was only found in dogs with complications, though not in final model due to instability.
  • Complicated recovery included >12 h O₂ therapy, tracheostomy, or death.
  • FFP may reduce pharyngeal-laryngeal edema, possibly improving immediate outcomes.
  • Bulldogs comprised 80% of population, with French Bulldogs most common (63%).

Fracka

Veterinary Surgery

4

2024

Risk factors for complicated perioperative recovery in dogs undergoing staphylectomy or folded flap palatoplasty: Seventy-six cases (2018–2022)

2024-4-VS-fracka-2

Article Title: Risk factors for complicated perioperative recovery in dogs undergoing staphylectomy or folded flap palatoplasty: Seventy-six cases (2018–2022)

Journal: Veterinary Surgery

In Alvarez 2022 et al., on rehabilitation modalities, which modality had the most studies showing positive postoperative effects in dogs but also had high risk of bias?

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Correct. Exercise had the most studies showing positive effects, but most were Level III or IV evidence with high RoB.
Incorrect. The correct answer is Exercise.
Exercise had the most studies showing positive effects, but most were Level III or IV evidence with high RoB.

🔍 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.

Alvarez

Veterinary Surgery

2

2022

Systematic review of postoperative rehabilitation interventions after cranial cruciate ligament surgery in dogs

2022-2-VS-alvarez-1

Article Title: Systematic review of postoperative rehabilitation interventions after cranial cruciate ligament surgery in dogs

Journal: Veterinary Surgery

In Cantatore 2022 et al., on transanal submucosal resection, what was the major complication rate following surgery?

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Correct. Only 1 of 93 dogs experienced a major complication requiring surgical revision.
Incorrect. The correct answer is 1.1%.
Only 1 of 93 dogs experienced a major complication requiring surgical revision.

🔍 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-3

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

Journal: Veterinary Surgery

In Duffy 2022 et al., on barbed suture oversew, what was the **most common leakage site** among all FEESA groups regardless of suture type?

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Correct. Over 80% of leakage in all groups occurred at the anastomotic crotch, not staple lines or suture holes.
Incorrect. The correct answer is Crotch of the anastomosis.
Over 80% of leakage in all groups occurred at the anastomotic crotch, not staple lines or suture holes.

🔍 Key Findings

  • Oversewing the transverse staple line using barbed suture showed no difference in initial (ILP) or maximum leakage pressure (MLP) compared to monofilament suture (p = .439 and .644).
  • Barbed suture repairs were ~18% faster (25 seconds faster; p < .001) than monofilament suture.
  • No difference was found between unidirectional and bidirectional barbed sutures in leakage resistance or repair time (p = .697).
  • Mean ILP and MLP were significantly higher in control jejunal segments (6.6x and 5.1x greater respectively; p < .001).
  • Leakage consistently occurred at the crotch of the FEESA in all oversew groups (>80%), not the staple line.
  • All oversewn techniques leaked at supraphysiologic pressures, indicating clinical safety against in vivo leakage.
  • No leakage was observed from barbed suture holes, addressing concerns of tissue trauma due to barb design.
  • The study supports barbed suture as a viable alternative to conventional monofilament suture for FEESA oversew in dogs.

Duffy

Veterinary Surgery

5

2022

Influence of barbed suture oversew of the transverse staple line during functional end-to-end stapled anastomosis in a canine jejunal enterectomy model

2022-5-VS-duffy-2

Article Title: Influence of barbed suture oversew of the transverse staple line during functional end-to-end stapled anastomosis in a canine jejunal enterectomy model

Journal: Veterinary Surgery

In Matz 2022 et al., on stapler size comparison, which of the following factors was NOT significantly associated with ILP?

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Correct. No significant correlation was found between ILP and any of these variables (P > .05).
Incorrect. The correct answer is All of the above.
No significant correlation was found between ILP and any of these variables (P > .05).

🔍 Key Findings

  • No significant difference in initial leak pressure (ILP) among TA 30 V3 2.5 mm, TA 60 3.5 mm, and TA 60 4.8 mm stapler sizes (P = .78).
  • All stapler types exceeded the physiological intraluminal pressure threshold (~25 mmHg), suggesting acceptable leak resistance.
  • Mean ILPs: TA 30 V3 (181.5 mmHg), TA 60 3.5 mm (112 mmHg), TA 60 4.8 mm (77.2 mmHg).
  • Leakage occurred at the staple line in 23 of 24 specimens; only one had ileal wall rupture.
  • No correlation found between ILP and cadaver weight, cecal wall thickness, or cecal length.
  • Cecal wall thickness averaged 4.9 mm, yet staple heights ranged only from 1.0–2.0 mm.
  • One specimen in each TA 60 group leaked near or below physiologic pressures, suggesting rare outliers.
  • Study supports clinical viability of all tested stapler sizes for canine typhlectomy, but highlights need for in vivo data on healing and complications.

Matz

Veterinary Surgery

4

2022

Ex vivo comparison of different thoracoabdominal stapler sizes for typhlectomy in canine cadavers

2022-4-VS-matz-3

Article Title: Ex vivo comparison of different thoracoabdominal stapler sizes for typhlectomy in canine cadavers

Journal: Veterinary Surgery

In Ellis 2024 et al., what was the purpose of using standardized CT reconstruction planes?

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Correct. Standardized reconstruction planes were used to consistently define regions of interest and reduce interobserver variability:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is To ensure consistent HU measurements.
Standardized reconstruction planes were used to consistently define regions of interest and reduce interobserver variability:contentReference[oaicite:2]{index=2}

🔍 Key Findings Summary

  • 86 elbows assessed: 32 Guide Dogs, 11 Border Collies
  • Guide Dogs showed significantly higher HU values in:
    • MCP: min (p = 0.022), mean (p < 0.01), max (p < 0.01)
    • Humeral trochlea: mean (p < 0.01), max (p < 0.01)
  • Results imply breed-associated HU variation, not necessarily pathologic sclerosis
  • Relevance: Important to avoid false positives for elbow dysplasia during CT-based breeding screens
  • Good interobserver agreement for mean HU values (ICC ~0.82–0.90)

Ellis

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Comparison of Hounsfield Units within the Humeral Trochlea and Medial Coronoid Process in a Population of Labrador X Golden Retriever Guide Dogs and Border Collies

2024-3-VCOT-ellis-3

Article Title: Comparison of Hounsfield Units within the Humeral Trochlea and Medial Coronoid Process in a Population of Labrador X Golden Retriever Guide Dogs and Border Collies

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Alvarez 2024 et al., which quadrant had significantly reduced compression when only Kern forceps were used?

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Correct. Kern forceps alone produced compression mostly in the craniomedial quadrant, reducing caudal compression:contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is Caudo­lateral.
Kern forceps alone produced compression mostly in the craniomedial quadrant, reducing caudal compression:contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • F + P (forceps + plate compression) achieved the most uniform, high-pressure distribution across all quadrants.
  • Kern forceps alone concentrated force in craniomedial quadrant, reducing caudal compression.
  • Combining Kern + F improved craniolateral compression but did not restore caudal compression.
  • Plate compression alone yielded caudal bias, not uniform pressure.
  • Significant inter-method variation in quadrant-specific compression confirmed via ANOVA (p < 0.001 for all quadrants).

Alvarez

Veterinary and Comparative Orthopedics and Traumatology

2

2024

In Vitro Assessment of Compression Patterns Using Different Methods to Achieve Interfragmentary Compression during Tibial Plateau Levelling Osteotomy

2024-2-VCOT-alvarez-2

Article Title: In Vitro Assessment of Compression Patterns Using Different Methods to Achieve Interfragmentary Compression during Tibial Plateau Levelling Osteotomy

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Latifi 2024 et al., on fascial mapping in the canine hindlimb, which fascial structure was most suitable as a consistent surgical deep margin in the lateral thigh?

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Correct. The fascia lata was a robust type I sheet suitable for pseudocompartmental resection.
Incorrect. The correct answer is Fascia lata.
The fascia lata was a robust type I sheet suitable for pseudocompartmental resection.

🔍 Key Findings

  • This anatomical study mapped fascial planes of the canine hindlimb and pelvis to aid superficial tumor resection.
  • Type I fascia (discrete sheets) was suitable for deep margins in fascia lata, lateral crus, and gluteal regions.
  • Areas with poor or absent fascia included the ischiorectal fossa, femoral triangle, stifle extensor mechanism, and pes.
  • Type IV fascia associated with periosteum (e.g., patella, tibial tuberosity) required partial ostectomy for inclusion in surgical margins.
  • Nerves at risk during deep dissection included obturator, superficial peroneal, and tibial nerves, particularly in regions with weak fascia.
  • In males, bulbospongiosus muscle could act as a fascial plane but dissection was challenging and potentially hemorrhagic.
  • In females, constrictor vulvae/vestibulae muscles were tightly associated with mucosa, limiting clean resection options.
  • Distal hindlimb resections often lacked a usable fascial plane, suggesting that amputation or adjuvant therapy may be more appropriate.

Latifi

Veterinary Surgery

3

2024

Fascial plane mapping for superficial tumor resection in dogs: Part III – Hindlimb and pelvis

2024-3-VS-latifi-4

Article Title: Fascial plane mapping for superficial tumor resection in dogs: Part III – Hindlimb and pelvis

Journal: Veterinary Surgery

In Longo 2025 et al., on MITA, which of the following was *not* observed in any case?

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Correct. No dogs developed plantar necrosis, a known risk in open arthrodesis.
Incorrect. The correct answer is Plantar necrosis.
No dogs developed plantar necrosis, a known risk in open arthrodesis.

🔍 Key Findings

  • 15 dogs underwent minimally invasive tarsal arthrodesis (MITA); 10 partial, 5 pantarsal.
  • Mean time to radiographic union: 1.8 ± 0.5 months.
  • Mean time to clinical union: 3.7 ± 0.8 months.
  • Complete osseous union: 46%; the rest achieved ≥50% with functional weightbearing.
  • Complication rate: 26% major (mostly implant-related); no catastrophic complications or plantar necrosis.
  • Functional outcomes: 6 full, 8 acceptable, 1 unacceptable (not due to MITA).
  • MITA may lower soft tissue complications vs open approaches and enable faster healing.

Longo

Veterinary Surgery

1

2025

Minimally invasive tarsal arthrodesis in 15 dogs

2025-1-VS-longo-4

Article Title: Minimally invasive tarsal arthrodesis in 15 dogs

Journal: Veterinary Surgery

In Mattioli 2025 et al., on lymphadenectomy complications, which lymph node sites were associated with a higher complication rate when surgery exceeded 21.5 minutes?

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Correct. Mandibular and retropharyngeal lymphadenectomies lasting more than 21.5 minutes were associated with higher complication rates.
Incorrect. The correct answer is Mandibular and retropharyngeal.
Mandibular and retropharyngeal lymphadenectomies lasting more than 21.5 minutes were associated with higher complication rates.

🔍 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-3

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

Journal: Veterinary Surgery

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