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In Lhuillery 2022 et al., on GDV stabilization timing, what was the observed difference in survival between immediate and delayed surgical groups?

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Correct. Survival outcomes were similar between groups, with approx. 80% survival in both.
Incorrect. The correct answer is There was no significant difference in survival between groups.
Survival outcomes were similar between groups, with approx. 80% survival in both.

🔍 Key Findings

  • Survival rates did not differ between immediate (90 min) and delayed (≥5 h) surgical stabilization groups at discharge or 1-month post-op (approx. 80% survival in both).
  • Hyperlactatemia at 24 hours post-fluid therapy was significantly associated with in-hospital and 1-month mortality (P = .01 and P = .02).
  • Persistent tachycardia during hospitalization was linked to increased 1-month mortality (P = .015).
  • Partial gastrectomy was required in ~6–10% of cases, with high associated mortality.
  • Preoperative stabilization protocols (trocarization, nasogastric tube) allowed safe surgical delays up to 13.7 hours without impacting survival.
  • Degree of gastric torsion differed between groups; more 0° torsions in delayed cases, potentially due to decompression-induced derotation.
  • No difference in post-op complications such as arrhythmias, hypotension, or AKI between groups.
  • More intra-anesthetic deaths occurred in immediate surgery group, highlighting importance of adequate pre-op stabilization.

Lhuillery

Veterinary Surgery

5

2022

Outcomes of dogs undergoing surgery for gastric dilatation volvulus after rapid versus prolonged medical stabilization

2022-5-VS-lhuillery-1

Article Title: Outcomes of dogs undergoing surgery for gastric dilatation volvulus after rapid versus prolonged medical stabilization

Journal: Veterinary Surgery

In Beamon 2022 et al., on calcanean tunnel orientation, what was the finding regarding formation of a 3 mm teno-osseous gap?

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Correct. All bone tunnel types showed similar resistance to 3 mm gap formation (P = .347).
Incorrect. The correct answer is No difference among groups.
All bone tunnel types showed similar resistance to 3 mm gap formation (P = .347).

🔍 Key Findings

  • No significant difference in peak load, failure load, stiffness, or 3 mm gap formation among bone tunnel types.
  • Transverse tunnel (TT) constructs had 25% higher yield load than modified tunnels (MT) (P = .027).
  • Most common failure mode was suture pull-through (67%), with no significant difference between groups.
  • Gap formation ≥3 mm occurred in ~90% of constructs; no significant difference in force needed for gap among groups.
  • All bone tunnel techniques (TT, VT, MT) are viable options for CCT reattachment in dogs.
  • The 3-loop pulley (3LP) pattern provided strong, uniform repair, with higher loads to failure than previously reported.
  • TT constructs showed more tendon distortion at the repair interface during loading.
  • Inclusion of accessory tendon may have improved repair strength compared to prior studies using GT alone.

Beamon

Veterinary Surgery

4

2022

Effect of calcanean bone‐tunnel orientation for teno‐osseous repair in a canine common calcanean tendon avulsion model

2022-4-VS-beamon-3

Article Title: Effect of calcanean bone‐tunnel orientation for teno‐osseous repair in a canine common calcanean tendon avulsion model

Journal: Veterinary Surgery

In Gibson 2024 et al., on mediastinoscopy in dogs, what was the **overall complication rate** observed during the cadaveric procedures?

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Correct. Only minor grade 1 events (pleural tear and LN rupture) were reported, with no major complications.
Incorrect. The correct answer is Low with only two minor adverse events.
Only minor grade 1 events (pleural tear and LN rupture) were reported, with no major complications.

🔍 Key Findings

  • Mediastinoscopy was technically feasible in large-breed canine cadavers using a SILS port and standard laparoscopic instruments.
  • The left tracheobronchial lymph node (LTBLN) was successfully retrieved in all cadavers (7/7), while cranial mediastinal lymph nodes were retrieved in only 1/7.
  • Postprocedural pleural gas was observed in 4/7 cadavers, likely due to CO₂ insufflation.
  • Instrument limitations with a human-designed mediastinoscope led to preference for laparoscopic instruments and SILS port for improved access and visualization.
  • Complication rates were low, with only two minor (Grade 1) adverse events (pleural tear and LN rupture).
  • Obesity and mediastinal fat were cited as potential challenges to visualization and node retrieval.
  • NASA-TLX workload scores were lowest for tracheobronchial nodes, indicating these were the easiest to access.
  • The authors concluded this approach may facilitate minimally invasive biopsy or resection of cranial mediastinal masses in live dogs, but clinical trials are needed to validate safety and efficacy.

Gibson

Veterinary Surgery

5

2024

Evaluation of mediastinoscopy for cranial mediastinal and tracheobronchial lymphadenectomy in canine cadavers

2024-5-VS-gibson-4

Article Title: Evaluation of mediastinoscopy for cranial mediastinal and tracheobronchial lymphadenectomy in canine cadavers

Journal: Veterinary Surgery

In Davis 2025 et al., on modified anal sacculectomy, what was the most common complication grade reported postoperatively?

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Correct. Grade 1 complications (minor, self-limiting signs like scooting or inappropriate defecation) occurred in 32% of dogs.
Incorrect. The correct answer is Grade 1.
Grade 1 complications (minor, self-limiting signs like scooting or inappropriate defecation) occurred in 32% of dogs.

🔍 Key Findings

50 dogs underwent bilateral anal sacculectomy using a modified closed technique.
Intraoperative anal sac perforation occurred in 5 dogs (10%), with no postoperative complications in those dogs.
Postoperative complications (43 dogs with follow-up):

  • Grade 1 (e.g., scooting, inappropriate defecation): 14/43 (32%)
  • Grade 2 (medical treatment needed): 2/43 (5%)
  • Grade 3B (revision surgery): 2/43 (5%)

93% of grade 1 and 100% of grade 2–3B complications resolved by two weeks postop.
Technique highlights: direct duct tracking, no anal sac packing, minimal dissection.

Davis

Veterinary Surgery

2

2025

Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease

2025-2-VS-davis-1

Article Title: Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease

Journal: Veterinary Surgery

In McKay 2023 et al., on patellar tendon augmentation, which method provided the highest construct stiffness?

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Correct. The combined TBW group showed significantly higher construct stiffness compared to single-method augmentations.
Incorrect. The correct answer is Combined transpatellar and suprapatellar TBW.
The combined TBW group showed significantly higher construct stiffness compared to single-method augmentations.

2023-8-VS-mckay-1

Article Title:

Journal:

In Jenkins 2022 et al., on medial epicondylar fissure fracture, what proportion of elbows developed MEFF after transcondylar screw placement?

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Correct. MEFF was documented in 10 out of 88 elbows, or 11.4%.
Incorrect. The correct answer is 11.4%.
MEFF was documented in 10 out of 88 elbows, or 11.4%.

🔍 Key Findings

  • MEFF occurred in 11.4% (10/88 elbows) following medial-to-lateral transcondylar screw placement in dogs with HIF.
  • Screw size to condylar height ratio >41% significantly increased MEFF risk (P = .004, OR 1.52).
  • MEFF was not recognized intraoperatively in 60% of cases and was only seen on follow-up or retrospective imaging review.
  • Screw loosening was the most common complication (11.2%), observed both with and without MEFF.
  • MEFF tended to increase the risk of screw loosening (P = .06), but was not statistically significant.
  • Most MEFFs did not require treatment and healed radiographically by 14–17 weeks in monitored cases.
  • Shaft screws were used in all MEFF cases, but shaft vs cortical design was not significantly associated with MEFF.
  • The clinical impact of MEFF was minor in most cases, although long-term significance is unknown.

Jenkins

Veterinary Surgery

4

2022

Medial epicondylar fissure fracture as a complication of transcondylar screw placement for the treatment of humeral intracondylar fissure

2022-4-VS-jenkins-2

Article Title: Medial epicondylar fissure fracture as a complication of transcondylar screw placement for the treatment of humeral intracondylar fissure

Journal: Veterinary Surgery

In Paul 2024 et al., on postoperative analgesia with BLIS vs fentanyl in amputation, how did postoperative vomiting compare between BLIS and fentanyl-treated dogs?

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Correct. Only fentanyl group dogs vomited (4/20); none in the BLIS group vomited.
Incorrect. The correct answer is Observed only in fentanyl group.
Only fentanyl group dogs vomited (4/20); none in the BLIS group vomited.

🔍 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-2

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

Journal: Veterinary Surgery

In Buote 2023 et al., on 3D printed cannulas, what was the approximate manufacturing cost per sterilizable 3D printed cannula?

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Correct. Each sterilizable 3D printed cannula cost less than $5 to produce including materials and consumables.
Incorrect. The correct answer is $5.00.
Each sterilizable 3D printed cannula cost less than $5 to produce including materials and consumables.

🔍 Key Findings

  • Customized 3D printed cannulas (3DPCs) significantly reduced surgical time in feline cadaver models (125.6 vs. 95.2 min, p = 0.03).
  • Use of 3DPCs resulted in a reduction in instrument collisions (6.8 vs. 2.6, p = 0.03).
  • Cannula pullout complications decreased with 3DPCs (10 vs. 2.2 per procedure, p = 0.03).
  • 3DPCs were designed at shorter lengths (3 cm), improving intra-abdominal working space in cats.
  • No incisional or postoperative complications occurred in the two live feline cases.
  • One 3DPC insufflation port broke intraoperatively; resolved by using a male luer lock connector in the next case.
  • CO₂ leakage occurred from re-used silicone valves in 2 ports; emphasizing the need for durable valve design.
  • Estimated cost per 3DPC was <$5.00, suggesting cost-effective customization for feline laparoscopy.

Buote

Veterinary Surgery

7

2023

3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series

2023-7-VS-buote-4

Article Title: 3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series

Journal: Veterinary Surgery

In Williams 2024 et al., on local anesthetic protocol, what was the standard volume used per side for the maxillary nerve block?

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Correct. Each side received 0.5 mL regardless of patient size; this standardization was applied to both groups.
Incorrect. The correct answer is 0.5 mL.
Each side received 0.5 mL regardless of patient size; this standardization was applied to both groups.

🔍 Key Findings Summary

  • Design: Prospective, randomized, double-blinded controlled trial
  • Population: 32 brachycephalic dogs undergoing cut-and-sew sharp staphylectomy
  • Groups: Adrenaline + lidocaine (Group A) vs. Lidocaine only (Group NA)
  • Main Findings:
    • Total hemorrhage significantly lower in Group A (median 1.82 g) vs Group NA (7.95 g); p = .013
    • Normalized hemorrhage significantly lower in Group A; p = .021
    • Surgeon-assigned hemorrhage scores significantly lower in Group A; p = .029
    • No adverse effects (tachycardia, hypertension, arrhythmia, etc.) noted from adrenaline use
    • Breed effect: English Bulldogs bled more overall even after normalization
  • Clinical Implication: Adrenaline in nerve blocks reduces hemorrhage without added risk

Williams

Veterinary Surgery

1

2024

Evaluation of the addition of adrenaline in a bilateral maxillary nerve block to reduce hemorrhage in dogs undergoing sharp staphylectomy for brachycephalic obstructive airway syndrome. A prospective, randomized study

2024-1-VS-williams-5

Article Title: Evaluation of the addition of adrenaline in a bilateral maxillary nerve block to reduce hemorrhage in dogs undergoing sharp staphylectomy for brachycephalic obstructive airway syndrome. A prospective, randomized study

Journal: Veterinary Surgery

In Smith 2025 et al., on bacterial cultures in TECA dehiscence, what percentage of dogs had changes in antibiotic susceptibility when the same bacteria were isolated at both TECA and dehiscence?

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Correct. In 4 of 7 cases where the same bacteria were cultured, antibiotic susceptibility differed.
Incorrect. The correct answer is 57%.
In 4 of 7 cases where the same bacteria were cultured, antibiotic susceptibility differed.

🔍 Key Findings

  • Only 1 of 12 dogs (8.3%) cultured the same single organism (Staphylococcus schleiferi) at TECA and dehiscence sites.
  • In 58.3% (7/12), none of the bacteria from TECA cultures were found at dehiscence.
  • Staphylococcus spp. were isolated in 83.3% of dehiscence samples.
  • Methicillin resistance was high among Staphylococcus isolates: 80% at dehiscence.
  • Antibiotic susceptibility differed in 57% (4/7) of cases where the same bacteria were cultured at both time points.
  • TECA cultures were not predictive of bacteria at incisional dehiscence.
  • 75% of dogs healed with either medical or surgical management.

Recommendation: Repeat cultures at dehiscence to guide antibiotic therapy.

Smith

Veterinary Surgery

3

2025

Comparison of bacteria cultured during a total ear canal ablation and subsequent incisional dehiscence in 12 dogs

2025-3-VS-smith-5

Article Title: Comparison of bacteria cultured during a total ear canal ablation and subsequent incisional dehiscence in 12 dogs

Journal: Veterinary Surgery

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