
Your Custom Quiz
In O'Marra 2026 et al., on perioperative septic peritonitis, what was the most commonly reported cause of recurrent septic peritonitis in dogs?
🔍 Key Findings
- Early enteral nutrition (<24–48 hrs) is associated with improved survival and reduced hospitalization in dogs with septic peritonitis.
- Appropriate empirical antimicrobials improve survival in cats, but data are mixed in dogs.
- Recurrent septic peritonitis (RecSP) has poor survival (0%–43.9%); most common cause is gastrointestinal dehiscence.
- Intraoperative hypotension and preoperative hypoalbuminemia may increase dehiscence risk, though findings are inconsistent.
- Lidocaine CRI during surgery improves survival over opioids alone in dogs.
- Hydroxyethyl starch (HES) is not recommended due to risks of coagulopathy and kidney injury; albumin use is controversial.
- Intra-abdominal hypertension (IAH) is under-recognized but contributes to mortality; IAP monitoring should be considered.
- Diagnostic tests (effusion lactate, glucose, cytology) are unreliable for detecting RecSP; clinical judgment and ultrasound are advised.
Veterinary Surgery
1
2026
Perioperative management of septic peritonitis in small animals: A review
2026-1-VS-omarra-3
In Lampart 2023 et al., on manual laxity testing, which test elicited the highest cranial tibial translation (CTT) in CCL-deficient stifles?
🔍 Key Findings
- Cranial drawer (CD), tibial compression (TCT), and tibial pivot compression test (TPCT) showed 100% sensitivity and specificity in differentiating intact from CCL-deficient stifles in this ex vivo model.
- TPCT elicited the highest cranial tibial translation (CTT) and internal tibial rotation, though differences in rotation did not reach statistical significance.
- Inter- and intraobserver agreement for CTT was excellent across all tests (ICC >0.9).
- Rotation and force application had greater variability, particularly with less experienced observers and during CD.
- Forces applied during CD were significantly higher in intact limbs and correlated with observer experience.
- Subjective CTT estimates strongly correlated with objective kinematic measurements (r = 0.895), with a median absolute error of 1.31 mm.
- TPCT may be particularly useful for assessing rotational instability, mimicking the pivot-shift test used in human ACL exams.
- Study supports development of a grading system for manual laxity testing, especially in acute CCLR cases.
Veterinary Surgery
5
2023
Evaluation of the accuracy and intra‐ and interobserver reliability of three manual laxity tests for canine cranial cruciate ligament rupture—An ex vivo kinetic and kinematic study
2023-5-VS-lampart-1
In Latifi 2022 et al., on forelimb fascial mapping, which of the following structures was typically associated with type IV fascia?
🔍 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-2
In Nagahiro 2023 et al., on quadriceps-femoral mismatch, which variables were significantly associated with a decreased QML/FL in the final regression model?
🔍 Key Findings
- Quadriceps muscle length/femoral length ratio (QML/FL) was significantly lower in dogs with grade IV MPL than grades I–III (p ≤ .002).
- Shortened QML was associated with increased femoral torsion angle (FTA) and increased aLDFA, indicating correlation with femoral deformity.
- QML/FL increased with age, possibly due to muscular development or reduced deformity in older dogs (p = .004).
- Grade IV MPL dogs had QML/FL < 0.87, the lower normal limit based on healthy beagles, suggesting clinically significant muscle shortening.
- PLL/PL ratio (used to diagnose patella alta) was not associated with QML/FL or MPL severity in small breeds.
- QML/FL can help preoperatively identify candidates for femoral shortening ostectomy, improving femoropatellar alignment.
- Multivariate regression model confirmed QML/FL is independently influenced by age, FTA, and aLDFA (R² = 0.45).
- CT-based 3D measurements enabled objective, noninvasive quantification of femoral and muscle alignment parameters.
Veterinary Surgery
4
2023
Evaluation of the quadriceps muscle length to femoral length ratio in small breed dogs with medial patellar luxation
2023-4-VS-nagahiro-3
In Jones 2024 et al., on surgical technique mortality, what was the overall in-hospital mortality rate for dogs undergoing BOAS surgery?
🔍 Key Findings
- Study compared 606 dogs (English Bulldogs, French Bulldogs, Pugs) undergoing partial staphylectomy via CO₂ laser, bipolar vessel sealing device (BVSD), or conventional incision.
- Mortality rate: 4.0% (24/606).
- BVSD was associated with significantly increased perioperative mortality compared to other methods (OR = 6.0, 95% CI: 1.3–28.4, p = .023).
- High-grade laryngeal collapse (stage II or III) independently increased mortality risk (OR = 4.6, 95% CI: 1.8–11.8, p = .002).
- No difference in mortality between CO₂ laser and conventional incision techniques.
- CO₂ laser and conventional techniques had similar complication rates.
Veterinary Surgery
1
2024
Comparison of mortality of brachycephalic dogs undergoing partial staphylectomy using conventional incisional, carbon dioxide laser, or bipolar vessel sealing device
2024-1-VS-jones-2
In Dickson 2024 et al., on VATS for feline chylothorax, what was the study's overall conclusion about clinical outcomes?
🔍 Key Findings
- Objective: To evaluate outcomes and complications of video-assisted thoracoscopic surgery (VATS) for idiopathic chylothorax in 15 cats.
- All 15 cats underwent thoracoscopic thoracic duct ligation (TDL); 13 also had simultaneous pericardectomy, 2 had VATS TDL + laparoscopic cisterna chyli ablation (CCA), and 1 cat had an open CCA.
- Median surgical time was 152.5 minutes (range 60–255).
- Contrast was used intraoperatively in 13 cats; 11 received methylene blue, and 2 received indocyanine green (ICG).
- One intraoperative complication (6%) occurred — a minor intercostal artery laceration. Conversion to open surgery occurred in 3 cases (20%) due to visualization issues or bleeding.
- Postoperative complications occurred in 8 cats (53%), with persistent pleural effusion in 5 cats (33%) being the most common.
- Mortality was high: 4 cats (27%) died or were euthanized before discharge. Only 7 of 11 cats discharged had resolution of effusion, and recurrence occurred in 1.
- Authors concluded that while VATS is technically feasible in cats, it did not improve clinical outcomes compared to open surgery, and feline idiopathic chylothorax continues to have a high mortality rate.
Veterinary Surgery
5
2024
Outcome of video-assisted thoracoscopic treatment of idiopathic chylothorax in 15 cats
2024-5-VS-dickson-5
In Whyte 2025 et al., on cannulated screw fixation, what factor was significantly associated with an increased risk of screw breakage?
🔍 Key Findings
Study focus: Outcomes of cannulated screw fixation in unicondylar humeral condylar fractures (UHCF) in dogs.
Clinical union rate: 89%
Overall complication rate: 36%
- Major complication: Most common was screw breakage
Significant risk factor for screw breakage:
- Body weight >20 kg (statistically significant)
Breed distribution:
- Spaniels, especially English Springer Spaniels, were most common
No mention of plate augmentation as standard in this cohort
Veterinary Surgery
2
2025
Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs
2025-2-VS-whyte-4
In Scott 2025 et al., on acetabular cup revision, what type of tools were required to remove the osteointegrated cups?
🔍 Key Findings
Population: 9 dogs underwent revision of osteointegrated acetabular cups after total hip arthroplasty (THA)
Revision Indications:
- 7 luxations (5 ventral, 2 craniodorsal)
- 1 femoral stem fracture
- 1 aseptic stem loosening
Implants:
- 8 BFX cups, 1 Helica; all revised to BFX
- 7/9 required a larger cup than original
Cup removal: Required sectioning with a high-speed burr and modular osteotome; removal fragments extracted
Complications:
- 1 recurrent luxation
- 1 low-grade infection with possible metallic debris-associated osteolysis
- 2 femoral fissures managed intraoperatively
Outcomes:
- Good to excellent function in 6/6 dogs available at median 621 days
- Minimal complications with success in re-osteointegration of new cup
Clinical takeaway: Revision of stable, ingrown cups is feasible and offers an alternative to pelvic osteotomies; typically requires upsizing
Veterinary Surgery
3
2025
Revision of osteointegrated acetabular cup prostheses in nine dogs
2025-3-VS-scott-2
In Lederer 2025 et al., on MIPO vs ORPS, which surgeon-related variable significantly influenced fixation technique choice?
🔍 Key Findings
Study size: 105 dogs (73 ORPS; 32 MIPO)
MIPO vs ORPS differences:
- Surgical time: MIPO median 130 min vs ORPS 85 min (p < .001)
- Explant rate: MIPO 25% vs ORPS 4.1% (p = .003)
- Time to clinical union: MIPO 85 days vs ORPS 57 days (p = .010)
- Frontal alignment deviation: MIPO 3.5° vs ORPS 2.0° (p = .047)
- Comminution more frequent in MIPO (41% vs 16%; p = .012)
Significant predictors for MIPO use: More proximal fracture margin (p = .004), surgeon identity (p < .001)
No significant difference: Sagittal alignment, radial length, union rate, or complication rate by surgeon
Implant preference: Fixin plates used in 84% of MIPO; locking plates more common in ORPS
Veterinary Surgery
4
2025
Retrospective comparison of minimally invasive plate osteosynthesis and open reduction and plate stabilization of antebrachial fractures in 105 dogs (2017–2022)
2025-4-VS-lederer-5
In O'Marra 2026 et al., on perioperative septic peritonitis, which of the following is a recommended strategy to mitigate intra-abdominal hypertension in at-risk veterinary patients?
🔍 Key Findings
- Early enteral nutrition (<24–48 hrs) is associated with improved survival and reduced hospitalization in dogs with septic peritonitis.
- Appropriate empirical antimicrobials improve survival in cats, but data are mixed in dogs.
- Recurrent septic peritonitis (RecSP) has poor survival (0%–43.9%); most common cause is gastrointestinal dehiscence.
- Intraoperative hypotension and preoperative hypoalbuminemia may increase dehiscence risk, though findings are inconsistent.
- Lidocaine CRI during surgery improves survival over opioids alone in dogs.
- Hydroxyethyl starch (HES) is not recommended due to risks of coagulopathy and kidney injury; albumin use is controversial.
- Intra-abdominal hypertension (IAH) is under-recognized but contributes to mortality; IAP monitoring should be considered.
- Diagnostic tests (effusion lactate, glucose, cytology) are unreliable for detecting RecSP; clinical judgment and ultrasound are advised.
Veterinary Surgery
1
2026
Perioperative management of septic peritonitis in small animals: A review
2026-1-VS-omarra-5
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
