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In Stoneburner 2024 et al., on MIS survey results, what was the most commonly cited barrier to performing more MIS procedures?

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Correct. This was the top-ranked barrier to MIS expansion in the survey.
Incorrect. The correct answer is Lack of consistent caseload.
This was the top-ranked barrier to MIS expansion in the survey.

🔍 Key Findings

  • The survey included 111 practicing surgeons and 28 residents from ACVS, ECVS, and ANZCVS. 98.2% had performed soft tissue minimally invasive surgery (MIS).
  • In the past year, surgeons reported a median caseload of 90% basic laparoscopy, 0% advanced laparoscopy, and 10% thoracoscopy; for residents: 100% basic laparoscopy, 0% advanced, 0% thoracoscopy.
  • Laparoscopic ovariectomy and OHE were the most commonly performed MIS procedures, with most respondents proficient in basic laparoscopy, but few performing advanced laparoscopy or thoracoscopy.
  • Top barriers to MIS adoption were: lack of consistent caseload, lack of training, difficult learning curve, equipment limitations, and cost.
  • 76.6% of surgeons and 92.9% of residents received MIS training during residency. Those trained had completed residency median 6 years ago, compared to 22 years ago for those without MIS training (p < .001). Perceived adequate training correlated with higher proficiency.
  • MIS was recognized as having a steep learning curve, but patient benefits (mean score 4.0/5) were the top motivation — less pain, faster recovery, improved visualization.
  • The authors conclude basic laparoscopy is widely adopted, but advanced and thoracoscopic MIS remain underutilized. Training and access are key to future growth.
  • Expanded training and improved access to equipment are necessary to promote broader integration of MIS into veterinary soft-tissue surgery.

Stoneburner

Veterinary Surgery

5

2024

Laparoscopy and thoracoscopy in small animal surgery: A 2020 survey of small animal surgical diplomates and residents

2024-5-VS-stoneburner-4

Article Title: Laparoscopy and thoracoscopy in small animal surgery: A 2020 survey of small animal surgical diplomates and residents

Journal: Veterinary Surgery

In Vandekerckhove 2024 et al., what value did the LImax range across all cadavers?

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Correct. Reported LImax ranged from 0.25 to 0.77, median 0.53
Incorrect. The correct answer is 0.25–0.77.
Reported LImax ranged from 0.25 to 0.77, median 0.53

🔍 Key Findings Summary

  • Used VMBDmD to quantify hip laxity under increasing force in cadaveric dogs (n=34).
  • 90% of hips reached ≥90% of LImax at 95.32 N, defining this force as sufficient for subluxation.
  • LImax was not significantly influenced by osteoarthritis, weight, sex, or limb side.
  • Position of device (lever length) influenced rate of laxity acquisition, not final LImax.
  • LI curves were repeatable across 5 sessions, indicating elastic—not plastic—deformation.

Vandekerckhove

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Quantifying the Stress in Stress Radiographs to Determine Sufficient Laxity of the Coxofemoral Joint

2024-1-VCOT-vandekerckhove-5

Article Title: Quantifying the Stress in Stress Radiographs to Determine Sufficient Laxity of the Coxofemoral Joint

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Swieton 2025 et al., on portocaval shunts, how many dogs were confirmed to have persistent shunting on imaging follow-up?

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Correct. 56% (9 of 16 dogs evaluated) had persistent shunting on follow-up CT or ultrasound imaging.
Incorrect. The correct answer is 9 of 16.
56% (9 of 16 dogs evaluated) had persistent shunting on follow-up CT or ultrasound imaging.

🔍 Key Findings

Study population: 21 dogs with portocaval extrahepatic portosystemic shunts (EHPSS)
Surgical approach: 67% (14/21) underwent ameroid constrictor placement
Perioperative complications: 4 dogs (19%), including seizures (n = 2), vomiting, and abdominal effusion
Perioperative mortality: 1 dog (5%)
Postoperative clinical outcome:

  • Good to excellent outcome: 81% (17/21)
  • Median follow-up: 6 months (range 3–43)

Persistence of shunting (CT or US): 56% (9/16 evaluated)
Dogs with persistent shunting: 67% still had good to excellent clinical outcome
Congenital portocaval shunts may have more favorable outcomes than previously reported

Swieton

Veterinary Surgery

2

2025

Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt

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Article Title: Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt

Journal: Veterinary Surgery

In Knudsen 2024 et al., on CTA diagnosis, which imaging plane combination was used for multiplanar reconstruction of the canine stifle?

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Correct. Multiplanar views included transverse, dorsal (frontal), and sagittal reconstructions.
Incorrect. The correct answer is Transverse, dorsal, sagittal.
Multiplanar views included transverse, dorsal (frontal), and sagittal reconstructions.

🔍 Key Findings

  • Multidetector CTA had high sensitivity (up to 100%) and specificity (up to 96%) for detecting medial meniscal tears in dogs.
  • Observer experience significantly influenced diagnostic accuracy, with more experienced observers showing higher agreement and better performance.
  • Training effect was evident, as less experienced observers improved between first and second readings.
  • Positive likelihood ratios ≥4.6 and negative likelihood ratios ≤0.08 were observed, suggesting CTA is clinically useful for confirming or ruling out meniscal injury.
  • CTA allowed identification of full and partial thickness lesions, with good visualization in sagittal, transverse, and frontal reconstructions.
  • Approximately 90% of menisci were correctly classified in second readings.
  • No adverse reactions were noted from the contrast injection; sedation was used instead of general anesthesia.
  • CTA was less invasive and potentially more cost-effective compared to arthroscopy, especially in settings without MRI access.

Knudsen

Veterinary Surgery

8

2024

Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography

2024-8-VS-knudsen-5

Article Title: Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography

Journal: Veterinary Surgery

In Deveci 2025 et al., on 3D drill guides, what was the median grade of sacral canal wall cortical breach?

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Correct. All screws had cortical breaches ≤ grade 2, but the median breach grade was 0 (IQR 0–1).
Incorrect. The correct answer is 0.
All screws had cortical breaches ≤ grade 2, but the median breach grade was 0 (IQR 0–1).

🔍 Key Findings

  • Objective: Evaluate feasibility and accuracy of 3D-printed patient-specific drill guides for iliosacral screw placement in cadaver dogs.
  • N = 10 canine cadavers (20 hemipelves); screw placement done using fluoroscopic-assisted patient-specific guides (PSG).
  • Median cortical breach grade: 0 (IQR 0–1) for all screws.
    19/20 screws breached sacral canal wall (all ≤ grade 2), but no screws breached canal contents (grade 3).
  • Median trajectory deviation: 0.88° transverse, 0.72° dorsal.
  • Procedure time: Median 7.2 minutes for guide placement and drilling.
  • Conclusions: PSG-assisted screw placement was safe, accurate, and fast, offering clinical potential in pelvic trauma.

Deveci

Veterinary Surgery

2

2025

Evaluation of 3D‐printed patient‐specific guides to facilitate fluoroscopic‐assisted iliosacral screw placement in dogs

2025-2-VS-deveci-1

Article Title: Evaluation of 3D‐printed patient‐specific guides to facilitate fluoroscopic‐assisted iliosacral screw placement in dogs

Journal: Veterinary Surgery

In Logothetou 2024 et al., on SPF complications, which flap type had the lowest complication rate on univariable analysis?

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Correct. Advancement flaps were associated with a significantly lower complication rate on univariable analysis.
Incorrect. The correct answer is Advancement flap.
Advancement flaps were associated with a significantly lower complication rate on univariable analysis.

🔍 Key Findings

  • Complication rate for subdermal plexus flaps (SPFs) in dogs was 53.6%.
  • Skin staples had a numerically higher complication rate (72.2%) than sutures (49.3%), but not statistically significant due to small sample size.
  • Most common complication was wound dehiscence (35%), followed by seroma (14%) and wound discharge (14%).
  • Increased body weight was significantly associated with higher complication risk (OR = 1.056 per kg; p = .029).
  • Advancement flaps were associated with a lower incidence of complications on univariable analysis (p < .001).
  • Head region flap closures had fewer complications, while proximal pelvic limb closures had the highest complication rate.
  • Age was a risk factor—each additional year increased odds of complications (OR = 1.019; p = .004).
  • Closure technique did not significantly influence complication severity, though staple use was numerically worse.

Logothetou

Veterinary Surgery

3

2024

Complications and influence of cutaneous closure technique on subdermal plexus flaps in 97 dogs (2006–2022)

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Article Title: Complications and influence of cutaneous closure technique on subdermal plexus flaps in 97 dogs (2006–2022)

Journal: Veterinary Surgery

In Dekerle 2022 et al., on ectopic ureter correction, what was the **median duration of continence** after surgery in dogs that became continent?

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Correct. The median duration of continence postoperatively was 66 months.
Incorrect. The correct answer is 66 months.
The median duration of continence postoperatively was 66 months.

🔍 Key Findings

  • Cystoscopic-guided laser ablation (CLA) was associated with significantly fewer minor complications (13%) than neoureterostomy (100%) (P < .01)
  • CLA resulted in significantly fewer recurrences of incontinence compared to neoureterostomy (0/7 vs 5/12; P < .05)
  • 80% of dogs achieved continence within 1 month postoperatively, with a median continence score of 10
  • Long-term continence was achieved in 88% of dogs, with or without adjunctive treatment, over a median of 66 months
  • Major complications occurred in only 8% of dogs, and all were successfully managed with surgical revision
  • Persistent ureteral remnants were seen only in neoureterostomy dogs, potentially contributing to incontinence recurrence
  • All dogs with incontinence recurrence responded to medical treatment, while only 1/5 with persistent incontinence after surgery did
  • CLA is recommended over open surgery for iEU correction, due to lower complication and recurrence rates

Dekerle

Veterinary Surgery

4

2022

Outcomes of 25 female dogs treated for ectopic ureters by open surgery or cystoscopic-guided laser ablation

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Article Title: Outcomes of 25 female dogs treated for ectopic ureters by open surgery or cystoscopic-guided laser ablation

Journal: Veterinary Surgery

In Hawker 2024 et al., on checklist attitudes, what proportion of ACVS diplomates reported using a surgical safety checklist (SSC)?

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Correct. Survey data indicated 67.9% of respondents used an SSC at their practice.
Incorrect. The correct answer is 67.9%.
Survey data indicated 67.9% of respondents used an SSC at their practice.

🔍 Key Findings

  • 67.9% of respondents reported using SSCs, with most indicating frequent use (64% used in every surgery).
  • 78.7% agreed SSCs reduce complications, and 89.6% believed SSCs improve communication.
  • Respondents not using SSCs were more likely to view them as a waste of time (p < .001).
  • Forgetfulness (39.6%) and time constraints (36.5%) were leading reasons for checklist noncompletion.
  • Only 23.3% had SSC training during surgical residency, with newer diplomates more likely to have had exposure (p < .001).
  • Key strategies to improve uptake included: staff feedback modifications (67.9%), formal designation of initiator (48.6%), and training (52.2%).
  • Surgeons and OR staff were most commonly identified as noncompliant team members.
  • SSC use was more frequent in small animal practices, and mandating SSCs by management was favored but not always effective alone.

Hawker

Veterinary Surgery

5

2024

Attitudes towards surgical safety checklists among American College of Veterinary Surgeons diplomates

2024-5-VS-hawker-1

Article Title: Attitudes towards surgical safety checklists among American College of Veterinary Surgeons diplomates

Journal: Veterinary Surgery

In Poggi 2024 et al., on laparoscopic resection of pancreatic masses in dogs, what was the maximum tumor size among resected pancreatic masses?

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Correct. The largest resected tumor measured 65 mm in diameter.
Incorrect. The correct answer is 65 mm.
The largest resected tumor measured 65 mm in diameter.

🔍 Key Findings

  • Laparoscopic pancreatic mass resection (LPMR) was successfully performed in all 12 dogs, with no conversion to open laparotomy required.
  • Median operative time was 69 minutes (range 35–100 min); 11/12 dogs were discharged within 48 hours, and one was discharged after 7 days.
  • No major intraoperative complications occurred; minor complications included mild bleeding (2/12) and cannula malfunction (1/12).
  • All dogs survived the procedure and were discharged.
  • Histopathology confirmed neoplasia in all dogs: 9 insulinomas and 3 pancreatic carcinomas; all tumors were completely excised with clear margins.
  • No recurrences were reported; 3 dogs died of unrelated causes, and 9 were still alive at the time of reporting.
  • No postoperative hypoglycemia was observed; 1 dog had transient hyperglycemia, and minor complications included vomiting, idiopathic seizures, and pancreatitis, all of which resolved.
  • Authors concluded that LPMR is a safe, effective, and minimally invasive alternative to open surgery for selected distal pancreatic masses in dogs.

Poggi

Veterinary Surgery

5

2024

Laparoscopic resection of pancreatic masses in 12 dogs

2024-5-VS-poggi-5

Article Title: Laparoscopic resection of pancreatic masses in 12 dogs

Journal: Veterinary Surgery

In Danielski 2024 et al., on PUO effect on HIF, which group showed the largest increase in HU at the fissure site postoperatively?

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Correct. This age group showed an average HU increase of 384.54, indicating the highest healing response.
Incorrect. The correct answer is Dogs aged 0–14 months.
This age group showed an average HU increase of 384.54, indicating the highest healing response.

🔍 Key Findings Summary

  • Sample: 51 elbows from 35 spaniel dogs
  • Healing Rate: Subjective healing (complete or partial) in 80.3% of elbows; complete in 54.9%
  • Objective HU analysis: Mean HU increased from 640 (pre-op) to 835 (follow-up) (p = .001)
  • Age Effect: Dogs <14 months showed the greatest HU increase (+384 HU) and had wider fissures with less sclerosis
  • Complications:
    • Major: 5 dogs (6 limbs); 4 related to fissure healing (7.8%), 2 related to PUO healing (3.9%)
    • Minor: 3 cases (5.8%) due to IM pin migration
  • Sclerosis: Older dogs had more humeral condyle sclerosis, possibly limiting healing
  • PUO Effectiveness: Confirmed cranio-proximal displacement of anconeal process; aimed to relieve humero-anconeal incongruity
  • Control Comparison: Avoids complications associated with transcondylar screw (infection, breakage)

Danielski

Veterinary Surgery

2

2024

Influence of oblique proximal ulnar osteotomy on humeral intracondylar fissures in 35 spaniel breed dogs

2024-2-VS-danielski-2

Article Title: Influence of oblique proximal ulnar osteotomy on humeral intracondylar fissures in 35 spaniel breed dogs

Journal: Veterinary Surgery

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