
Your Custom Quiz
In David 2024 et al., on single-port cryptorchidectomy, why was a 6 mmHg capnoperitoneum preferred?
🔍 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.
Veterinary Surgery
3
2024
Single-port laparoscopic-assisted abdominal cryptorchidectomy in 14 dogs
2024-3-VS-david-5
In Paul 2024 et al., on postoperative analgesia with BLIS vs fentanyl in amputation, how many BLIS group dogs required rescue analgesia?
🔍 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
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
In Adams 2024 et al., on canine tibial plateau fractures, what minor complication was observed postoperatively in Case 2?
🔍 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.
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
In Latifi 2022 et al., on forelimb fascial mapping, which statement is TRUE regarding nerve transection during tumor resection?
🔍 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.
Veterinary Surgery
1
2022
Fascial plane mapping for superficial tumor resection in dogs. Part II: Forelimb
2022-1-VS-latifi-4
In Israel 2023 et al., on povidone-iodine lavage, what was the infection rate observed in the PrePIL group?
🔍 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.
Veterinary Surgery
1
2023
Preclosure povidone‐iodine lavage in total hip replacement surgery: Infection outcomes and cost–benefit analysis
2023-1-VS-israel-1
In Rodiño Tilve 2022 et al., on feline THR outcomes, what was the most common indication for surgery?
🔍 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.
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
In Thomsen 2024 et al., on CT accuracy for liver tumors, which liver lobes showed significantly lower CT localization 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-2
In Holman 2024 et al., what was concluded about the standard lateral approach for shoulder arthroscopy in dogs?
🔍 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.
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
In Bower 2025 et al., on radial diaphyseal exposure, which risk is more associated with the craniomedial approach?
🔍 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.
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
In Johnson 2026 et al., on long-term respiratory outcomes, which factor was most associated with worsening RFGs in the long term?
🔍 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.
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
Quiz Results
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