
Your Custom Quiz
In Jeong 2025 et al., on contoured saw guide vs jig, what was a key outcome in terms of osteotomy *inclination* on cadaver limbs?
🔍 Key Findings
- TPLO with the contoured saw guide achieved more accurate osteotomy angles for both inclination and torsion in bone models and cadaveric limbs (p < .05).
- Medial cortical damage was significantly lower with the contoured guide (247 vs. 1866 pixels in bone models; p < .001).
- No significant difference in eccentricity (distance between actual and intended osteotomy center) was found between groups.
- Postoperative tibial plateau angle (TPA) was similar between groups (6.4° vs. 7.6°; p = .15), though both were slightly higher than the target of 6°.
- Deviation in medial mechanical proximal tibial angle (mMPTA) showed no significant group difference; valgus deformity occurred in both.
- Osteotomy and device application times were similar between the contoured guide and jig-assisted TPLO.
- The contoured guide eliminated the need for proximal jig pin, potentially reducing intra-articular pin risk.
- The guide's multiple pin fixation system improved stability and alignment, supporting safer osteotomy on curved tibial surfaces.
Veterinary Surgery
7
2025
Evaluation of a contoured saw guide for tibial plateau leveling osteotomy in dogs
2025-7-VS-jeong-1
In Raleigh 2022 et al., on pericardiectomy complications, which surgical tool was most frequently associated with the onset of ventricular fibrillation?
🔍 Key Findings
- Ventricular fibrillation (VF) occurred in 3% of pericardiectomy cases across reporting institutions.
- 14 of 16 dogs (88%) that developed intraoperative VF died, indicating high mortality.
- Electrosurgical devices were used in 15/16 dogs; VF onset coincided with their use in 8 dogs, suggesting a potential but unproven association.
- Preoperative arrhythmias were seen in 7 dogs (e.g., VPCs, VT, bradycardia), possibly serving as early warning signs.
- Thoracoscopic approach was used in 75% of cases; however, conversion to open surgery was required in 9/13 thoracoscopic procedures after VF onset.
- Defibrillation was attempted in 13 dogs, but only 3 converted to sinus rhythm, and only 2 survived postoperatively.
- VF may result from stray current or cardiac manipulation; bipolar energy devices were implicated despite lower theoretical risk.
- Preventative strategies include judicious electrosurgery use, close ECG monitoring, rapid CPR preparedness, and preop cardiac risk assessment.
Veterinary Surgery
4
2022
The development of ventricular fibrillation as a complication of pericardiectomy in 16 dogs
2022-4-VS-raleigh-3
In Huerta 2025 et al., on leakage in canine lung lobectomy, what was the odds ratio of leakage for PL-30 compared to TL-30 at 30 cm H₂O?
🔍 Key Findings
PL-30 group (partial, TA30-V3 wedge):
- 100% leaked
- Median leakage pressure: 10 cm H₂O
- Most failures from periphery of staple line
PL-60 group (partial, TA60-3.5):
- 100% leaked
- Median leakage pressure: 18 cm H₂O
- Better than PL-30 (p = .006)
TL-30 group (total, TA30-V3):
- Only 1 of 11 leaked (at 22 cm H₂O)
- All others resisted pressures >50–65 cm H₂O
- Significantly higher leakage pressure than both PL groups (p < .001)
Odds ratios (leakage vs TL-30):
- PL-30: OR 437 at both 20 and 30 cm H₂O (p = .003)
- PL-60: OR 437 at 20 cm H₂O and 133 at 30 cm H₂O (p = .003)
Recommendation: Prefer TL-30 when possible. If partial needed, PL-60 superior to PL-30, but all partials leaked at physiologic pressures.
Veterinary Surgery
4
2025
Leakage pressures of partial and total lung lobectomies performed with thoracoabdominal staplers in cadaveric dogs
2025-4-VS-huerta-5
In Janas 2024 et al., on ARC outcomes in cats, what was the most serious postoperative complication observed?
🔍 Key Findings:
- Study design: Retrospective, 20 cats with congenital EHPSS treated with ameroid ring constrictor (ARC).
- Perioperative complication rate: 25% (5/20), including seizures, blindness, ascites, and one death.
- Short-term outcomes (18 cats):
- Excellent: 14
- Good: 2
- Poor: 2
- Long-term outcomes (18 cats):
- Excellent: 15
- Good: 1
- Poor: 2
- Persistent seizures: Noted in some cats despite normal bile acids and CBC/chemistry.
- Preoperative blindness resolved in most cats.
- Mean follow-up duration: Median 8 years.
Veterinary Surgery
2
2024
Clinical outcomes for 20 cats with congenital extrahepatic portosystemic shunts treated with ameroid constrictor ring attenuation (2002–2020)
2024-2-VS-janas-3
In Bush 2023 et al., on canine salivary gland carcinoma, what was the concordance rate between incisional biopsy and final excisional histopathology?
🔍 Key Findings
Source: Bush et al., 2023, Veterinary Surgery
- Median survival time (MST) after surgery was 1886 days, which is significantly longer than previously reported.
- Lymph node metastasis at surgery was a negative prognostic factor, reducing MST to 248 days (vs. 2340 days without nodal involvement).
- Local recurrence occurred in 42% of dogs, with a median disease-free interval (DFI) of 191 days.
- Metastatic disease occurred in 32% of dogs, most commonly to the lungs, with a median DFI of 299 days.
- Histologic features (e.g., margin status, capsular, lymphatic, or vascular invasion) were not significantly correlated with recurrence or metastasis.
- Facial nerve injury occurred in 9.7% perioperatively, especially after parotidectomy; intraoperative facial nerve transection led to long-term deficits.
- Adjuvant therapies (chemotherapy, radiation, NSAIDs) did not significantly affect survival time.
- Incisional biopsy was only 38% concordant with final excisional histology, suggesting limited reliability for definitive diagnosis.
Veterinary Surgery
3
2023
Outcomes and clinical features associated with surgically excised canine salivary gland carcinoma: A multi-institutional, retrospective, Veterinary Society of Surgical Oncology study
2023-3-VS-bush-5
In Canever 2022 et al., on labial flap vascular anatomy, what did angiographic evaluation of feline cadavers reveal about the blood supply to the upper and lower lips?
🔍 Key Findings
- Superior and inferior labial arteries in cats perfuse robust angiosomes, which support musculomucosal axial pattern flaps.
- Cadaver angiography confirmed vascular anatomy, with consistent patterns between sides and among specimens.
- The vascular supply is located primarily in the musculomucosal layer, not the skin, critical for flap viability.
- Flap harvest requires inclusion of the orbicularis oris (± buccinator) muscle to ensure vascular integrity and flap survival.
- Two clinical cases demonstrated successful use of superior and inferior labial musculomucosal flaps for palatal reconstruction with complete flap survival and resolution of clinical signs.
- Intraoperative transillumination aided vessel localization, facilitating surgical planning and flap design.
- No cases of distal flap necrosis or dehiscence occurred, although mild donor site morbidity (lip retraction, mucosal denuding) was noted.
- These flaps offer a valuable option when local tissues are compromised, especially after failed previous repairs or radiation therapy.
Veterinary Surgery
4
2022
Evaluation of the superior and inferior labial musculomucosal flaps in cats: An angiographic study and case series
2022-4-VS-canever-1
In Redolfi 2024 et al., what factor contributed to the single case of MPL reluxation?
🔍 Key Findings Summary
- Study of 24 stifles in 22 dogs with concurrent CCLR and grade III–IV MPL treated via TPLO-TTT
- Major complications: 4/24 (3 surgical site infections, 1 MPL reluxation); minor complications: 5/24
- Long-term follow-up (median 27 months): 21/22 dogs sound, 23/24 stifles resolved
- Patellar ligament thickening observed post-op in 4 cases, resolved with rehab
- The only case of MPL reluxation involved untreated tibial torsion, suggesting case selection is critical
Veterinary and Comparative Orthopedics and Traumatology
1
2024
Complications and Long-Term Outcomes after Combined Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Treatment of Concurrent Cranial Cruciate Ligament Rupture and Grade III or IV Medial Patellar Luxation
2024-1-VCOT-redolfi-4
In Poggi 2025 et al., on laparoscopic cholecystectomy in cats, what was the median operating time for the procedure alone?
🔍 Key Findings
- Laparoscopic cholecystectomy (LC) was successfully performed in all 22 cats without conversion to open surgery.
- Complication rate was low: 3 cats had postoperative complications (1 seroma, 1 vomiting, 1 EHBDO and death).
- Median operating time was 41 minutes; median hospitalization was 3 days.
- No cases required conversion to open laparotomy, even in cats as small as 2.5 kg.
- Common devices used: Hemoclips or Hem-o-lok for cystic duct ligation; Ligasure, harmonic scalpel, or j-hook for dissection.
- Most common indications: cholelithiasis (9/22) and cholecystitis (10/22), with one biliary mucocele and one adenoma.
- Histopathology confirmed diagnosis in all cases; concurrent liver or intestinal biopsies were performed in some cats.
- Postoperative AUS and bloodwork were routine and important for detecting early signs of EHBDO.
Veterinary Surgery
5
2025
Laparoscopic cholecystectomy in 22 cats (2018–2024)
2025-5-VS-poggi-3
In Vandekerckhove 2024 et al., what was the main biomechanical interpretation of repeated stress testing on hip joints?
🔍 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.
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-3
In Planchamp 2022 et al., on imaging-based AAI diagnosis, what cranial translation ratio (CTR) cutoff identified potentially unstable dogs?
🔍 Key Findings
- Ventral Compression Index (VCI) ≥0.16 (extension) or ≥0.2 (flexion) was diagnostic for AAI with 100% sensitivity and >94% specificity
- VCI had the highest diagnostic accuracy among all measured variables (AUC > 0.99)
- C1-C2 overlap ≤2.7 mm (extension) or ≤1.8 mm (flexion) also diagnostic for AAI (sensitivity 84–96%, specificity 81–90%)
- C1-C2 angle ≥176.9° (extension) or ≥187.4° (flexion) had high sensitivity and specificity (~95%)
- Basion-dens interval ≥5.9 mm (extension) or ≥3.0 mm (flexion) provided moderate diagnostic accuracy
- Cranial translation ratio (CTR) ≥0.18 classified dogs as potentially unstable (sensitivity 90%, specificity 78%)
- VCI ≥0.23 reliably differentiated AAI from potentially unstable cases (sensitivity 94%, specificity 94%)
- DALR ≤0.24 had high specificity (100%) but low sensitivity for AAI diagnosis
Veterinary Surgery
4
2022
Determination of cutoff values on computed tomography and magnetic resonance images for the diagnosis of atlantoaxial instability in small-breed dogs
2022-4-VS-planchamp-4
Quiz Results
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Key Findings
