Your Custom Quiz

In David 2024 et al., on single-port cryptorchidectomy, why was a 6 mmHg capnoperitoneum preferred?

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Correct. 6 mmHg was found sufficient for caudal visualization without compromising space.
Incorrect. The correct answer is It maintained adequate workspace with minimal pressure.
6 mmHg was found sufficient for caudal visualization without compromising space.

🔍 Key Findings

  • Single-port laparoscopic-assisted cryptorchidectomy (SP-LAC) was feasible in 13/14 dogs with abdominal cryptorchidism.
  • Median surgical time was 17 min for unilateral and 27 min for bilateral cryptorchidectomy.
  • All testes were successfully exteriorized through a 15-mm mini-celiotomy in most dogs; only 2 needed slight enlargement.
  • One major complication occurred (testicular artery hemorrhage, requiring conversion to open surgery).
  • Two minor complications involved trocar-related issues (splenic capsule laceration, capnoretroperitoneum).
  • No incisional complications were reported postoperatively; some dogs had mild dermatitis at the clipped site.
  • The technique requires only one surgeon and no advanced tools beyond a single-port endoscope.
  • Low-pressure capnoperitoneum (6 mmHg) was adequate for visualization in most cases.

David

Veterinary Surgery

3

2024

Single-port laparoscopic-assisted abdominal cryptorchidectomy in 14 dogs

2024-3-VS-david-5

Article Title: Single-port laparoscopic-assisted abdominal cryptorchidectomy in 14 dogs

Journal: Veterinary Surgery

In Paul 2024 et al., on postoperative analgesia with BLIS vs fentanyl in amputation, how many BLIS group dogs required rescue analgesia?

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Correct. Rescue analgesia was required in 5 dogs in the BLIS group and 4 in the control group.
Incorrect. The correct answer is 5.
Rescue analgesia was required in 5 dogs in the BLIS group and 4 in the control group.

🔍 Key Findings

  • BLIS (bupivacaine liposome injectable solution) provided equivalent analgesia to fentanyl CRI based on CMPS-SF scores at all time points except 6h, where BLIS was superior
  • Fewer adverse effects (nausea, vomiting, sedation) were noted in the BLIS group
  • BLIS dogs ate sooner postoperatively (median 6h vs 9h in control)
  • Sedation occurred in 2/20 dogs in BLIS group vs 10/20 in fentanyl group
  • Vomiting occurred in 0/20 BLIS dogs vs 4/20 in fentanyl group
  • Rescue analgesia rates were similar (5 BLIS vs 4 fentanyl group), confirming noninferiority
  • Owner-reported VAS scores were lower for BLIS on day 1 a.m. and p.m. despite variability
  • Results suggest BLIS could reduce opioid reliance post-amputation

Paul

Veterinary Surgery

6

2024

Comparison of bupivacaine liposome injectable solution and fentanyl for postoperative analgesia in dogs undergoing limb amputation

2024-6-VS-paul-4

Article Title: Comparison of bupivacaine liposome injectable solution and fentanyl for postoperative analgesia in dogs undergoing limb amputation

Journal: Veterinary Surgery

In Adams 2024 et al., on canine tibial plateau fractures, what minor complication was observed postoperatively in Case 2?

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Correct. Case 2 experienced implant yield at 2 weeks, leading to a 0.8 mm step defect on CT.
Incorrect. The correct answer is Screw and K-wire yield with step defect.
Case 2 experienced implant yield at 2 weeks, leading to a 0.8 mm step defect on CT.

🔍 Key Findings

  • Tibial plateau fractures (TPF) are rare in dogs, but can be surgically stabilized with good outcomes even in complex trauma cases.
  • Lateral TPFs (Unger type 41-B1) were approached via caudolateral arthrotomy, with elevation of the lateral meniscus for visualization and use of lag screws and K-wires for fixation.
  • Medial TPF (Unger type 41-B2) was addressed via medial parapatellar approach using K-wires and a figure-of-eight tension band.
  • One minor complication occurred: implant yield at 2 weeks in a case with a concurrent fibular fracture, resulting in a 0.8 mm step defect.
  • No major complications were recorded, and all dogs achieved clinical union with full function by 8–10 weeks.
  • Long-term owner-reported outcomes (LOAD scores) were excellent (5/52), indicating minimal osteoarthritis or chronic pain.
  • Concurrent fibular fractures may increase risk of implant failure and should influence implant selection (e.g., considering buttress plating).
  • Arthroscopic-assisted techniques may be applicable in select cases, but open reduction was preferred due to fragment displacement or concurrent injuries.

Adams

Veterinary Surgery

6

2024

Prospective evaluation of the surgical stabilization and outcome of canine tibial plateau fractures in three cases

2024-6-VS-adams-2

Article Title: Prospective evaluation of the surgical stabilization and outcome of canine tibial plateau fractures in three cases

Journal: Veterinary Surgery

In Latifi 2022 et al., on forelimb fascial mapping, which statement is TRUE regarding nerve transection during tumor resection?

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Correct. Cutaneous innervation is often redundant, and functional loss is limited if only superficial branches are transected.
Incorrect. The correct answer is Sensory loss from radial nerve transection is usually minimal due to overlapping innervation.
Cutaneous innervation is often redundant, and functional loss is limited if only superficial branches are transected.

🔍 Key Findings

  • Fascia was present over most of the canine forelimb, but key areas like the elbow, carpus, and manus lacked robust fascial planes for wide resection.
  • Type I fascia (discrete sheet) was primarily found in the antebrachium, with type IV (periosteal) fascia located at the olecranon, scapular spine, and accessory carpal bone.
  • Distal antebrachial fascia was thin and adherent, often blending with carpal structures and lacking reliable surgical planes.
  • Partial tenectomy or joint capsule resection was often required for wide excision in the distal limb, especially over the triceps tendon and carpus.
  • Nerve transections (e.g., superficial radial or ulnar branches) were commonly needed to maintain fascial margins, though often with minimal functional loss due to overlapping innervation.
  • Digital and metacarpal pads lacked clear deep fascial borders, making digit amputation necessary for oncologic margins in distal tumors.
  • Dissections revealed fascial junctions as either Type A (easily separable) or Type B (risk of disruption), guiding resection plane selection.
  • Findings provide a surgical map to guide preoperative planning for superficial tumor excision on the forelimb.

Latifi

Veterinary Surgery

1

2022

Fascial plane mapping for superficial tumor resection in dogs. Part II: Forelimb

2022-1-VS-latifi-4

Article Title: Fascial plane mapping for superficial tumor resection in dogs. Part II: Forelimb

Journal: Veterinary Surgery

In Israel 2023 et al., on povidone-iodine lavage, what was the infection rate observed in the PrePIL group?

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Correct. No infections occurred in the 102 PrePIL cases, demonstrating 0% infection rate.
Incorrect. The correct answer is 0%.
No infections occurred in the 102 PrePIL cases, demonstrating 0% infection rate.

🔍 Key Findings

  • No infections (0/102) occurred in cases where preclosure povidone-iodine lavage (PrePIL) was used, compared to 21/2111 (0.99%) with saline lavage.
  • Break-even cost for PrePIL was calculated at $49.74, while the actual cost was only $2.07, confirming strong cost-effectiveness.
  • No adverse reactions or healing complications were reported in the 102 PrePIL cases.
  • The PrePIL protocol used 0.35% povidone-iodine for 3 minutes before closure, followed by sterile saline lavage.
  • Majority of THRs (97%) used cementless fixation (BFX) in PrePIL group; only 3 cases used CFX components.
  • Surgeries followed consistent perioperative antibiotic protocols, making PrePIL the only major protocol variable.
  • Antibiotics were not added to lavage, aligning with WHO and CDC guidelines for antimicrobial stewardship.
  • The infection reduction with PrePIL supports routine use in total hip replacement to reduce periprosthetic joint infections.

Israel

Veterinary Surgery

1

2023

Preclosure povidone‐iodine lavage in total hip replacement surgery: Infection outcomes and cost–benefit analysis

2023-1-VS-israel-1

Article Title: Preclosure povidone‐iodine lavage in total hip replacement surgery: Infection outcomes and cost–benefit analysis

Journal: Veterinary Surgery

In Rodiño Tilve 2022 et al., on feline THR outcomes, what was the most common indication for surgery?

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Correct. SCFE was the most common indication, present in 34 of 56 THRs.
Incorrect. The correct answer is Slipped capital femoral epiphysis.
SCFE was the most common indication, present in 34 of 56 THRs.

🔍 Key Findings

From “Long-term follow up of 44 cats undergoing total hip replacement” by Rodiño Tilve et al.

  • Slipped capital femoral epiphysis (SCFE) was the most common surgical indication (61%, 34/56 hips), primarily affecting young neutered male cats.
  • All THRs used cemented micro/nano BioMedtrix implants; most common femoral stem was size #3, and most common acetabular cup was 12 mm.
  • Postoperative complication rate was 19.6% (11/56) with 9 major complications (luxation most common), and no intraoperative complications reported.
  • All luxations occurred in hips implanted with femoral neck +0 mm length implants.
  • Second luxations were more common when revision used same implant size; use of larger implants reduced reluxation rates.
  • FMPI-sf score improved significantly from median 2.111 pre-op to 0.111 post-op (P < .001), indicating reduced pain and improved function.
  • Very high owner satisfaction: 91% (30/33) reported outcome as "very good."
  • No significant associations found between complications and variables like weight, sex, implant size, or surgical indication.

Rodiño Tilve

Veterinary Surgery

5

2022

Long‐term follow up of 44 cats undergoing total hip replacement: Cases from a feline hip registry (2010–2020)

2022-5-VS-rodino-1

Article Title: Long‐term follow up of 44 cats undergoing total hip replacement: Cases from a feline hip registry (2010–2020)

Journal: Veterinary Surgery

In Thomsen 2024 et al., on CT accuracy for liver tumors, which liver lobes showed significantly lower CT localization accuracy?

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Correct. These lobes were significantly more prone to localization errors.
Incorrect. The correct answer is Quadrate and right lateral.
These lobes were significantly more prone to localization errors.

🔍 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-2

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 Holman 2024 et al., what was concluded about the standard lateral approach for shoulder arthroscopy in dogs?

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Correct. Study concluded <75% of medial shoulder stabilizers were visible via lateral arthroscopy.
Incorrect. The correct answer is Visualizes less than 75% of key structures.
Study concluded <75% of medial shoulder stabilizers were visible via lateral arthroscopy.

🔍 Key Findings

  • 48% of the intra-articular biceps tendon was visible at a standing angle; this increased to 63% in flexion (p = 0.0003).
  • 58% of the medial glenohumeral ligament's cranial border was within view.
  • 20% of the subscapularis tendon was visualized via the standard lateral arthroscopic approach.
  • Visibility was assessed using tattoo ink markers and confirmed via dissection in cadavers.
  • Limitations of standard lateral portals may lead to underdiagnosis of deeper or distal pathology in these structures.

Holman

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Quantification of the Field of View for Standard Lateral Arthroscopy of the Canine Shoulder

2024-1-VCOT-holman-5

Article Title: Quantification of the Field of View for Standard Lateral Arthroscopy of the Canine Shoulder

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Bower 2025 et al., on radial diaphyseal exposure, which risk is more associated with the craniomedial approach?

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Correct. The craniomedial approach requires caution due to proximity of median and radial nerves during muscle elevation.
Incorrect. The correct answer is Damage to median and radial nerves.
The craniomedial approach requires caution due to proximity of median and radial nerves during muscle elevation.

🔍 Key Findings

  • Craniomedial and craniolateral approaches provided comparable exposure of the feline radial diaphysis (p > .05).
  • Mean exposed surface area was slightly greater with the craniolateral approach, both including and excluding the supinator muscle, but differences were not significant.
  • Elevation of the supinator muscle increased exposure for both approaches.
  • Cadaver weight and limb side did not significantly affect exposure area.
  • The craniolateral approach allows easier patient positioning in lateral recumbency without traction or an assistant.
  • Craniolateral access facilitates dual bone fixation (radius and ulna) through a single approach.
  • The craniomedial approach carries greater risk to median and radial nerves during muscle elevation.
  • Findings validate the craniolateral approach as a practical alternative for feline antebrachial fracture repair.

Bower

Veterinary Surgery

8

2025

Comparison of exposure of the feline radial diaphysis by the craniomedial and craniolateral surgical approaches for repair of antebrachial fractures

2025-8-VS-bower-5

Article Title: Comparison of exposure of the feline radial diaphysis by the craniomedial and craniolateral surgical approaches for repair of antebrachial fractures

Journal: Veterinary Surgery

In Johnson 2026 et al., on long-term respiratory outcomes, which factor was most associated with worsening RFGs in the long term?

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Correct. Among dogs with worsening RFGs, 66% also had increased body condition scores, suggesting obesity as a factor.
Incorrect. The correct answer is Obesity.
Among dogs with worsening RFGs, 66% also had increased body condition scores, suggesting obesity as a factor.

🔍 Key Findings

  • Long-term respiratory outcomes after BOAS surgery remained improved vs. preoperative values, with no significant decline over time.
  • Short-term and long-term Respiratory Functional Grades (RFGs) improved in 81% of dogs, with 34% improving by two grades.
  • BOAS indices improved significantly in both short- and long-term follow-ups (mean decrease ~23–25%), supporting sustained benefit.
  • No significant difference between short- and long-term BOAS indices (p = .623), indicating durability of surgical effects.
  • Obesity impacted outcomes — dogs with increased RFG at long-term follow-up were more likely to have gained weight.
  • Owner-reported outcomes poorly correlated with objective measures — some dogs classified as BOAS-affected were perceived by owners as “normal.”
  • Multilevel surgery was common, with palatoplasty, tonsillectomy, sacculectomy, and ala-vestibuloplasty most frequently performed.
  • Dogs undergoing revision airway surgery were excluded, possibly biasing long-term outcomes toward favorable results.

Johnson

Veterinary Surgery

1

2026

Comparison of short- and long-term objective respiratory outcomes after surgery for brachycephalic obstructive airway syndrome

2026-1-VS-johnson-3

Article Title: Comparison of short- and long-term objective respiratory outcomes after surgery for brachycephalic obstructive airway syndrome

Journal: Veterinary Surgery

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