
Your Custom Quiz
In Dalton 2023 et al., on acetabular fracture repair, what was the observed rate of sciatic nerve injury in cadaveric repairs?
🔍 Key Findings
- Minimally invasive repair of acetabular fractures using precontoured plates on 3D-printed models is feasible and technically reproducible in dogs.
- All cadavers had fracture gaps <2 mm and step defects <1 mm, indicating accurate reduction.
- Sciatic nerve injury was minimal or absent in all cases, supporting potential neuroprotection from indirect approaches.
- Pelvic angulation was maintained <5°, confirming preservation of alignment post-reduction.
- Surgical time averaged ~46 minutes in cadavers for both approaches and repair.
- Clinical case showed good radiographic healing by 8 weeks and full union by 3 months, with early weight-bearing post-op.
- Use of locking screws improved reduction fidelity, particularly across a broad plate span.
- 3D printing accelerated surgical planning, though its necessity remains debated due to the availability and cost concerns.
Veterinary Surgery
6
2023
Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report
2023-6-VS-dalton-1-35052
In Levine 2025 et al., on thoracoscopic pericardiectomy, which approach avoided the need for one-lung ventilation?
🔍 Key Findings
Study design: Randomized cadaveric comparison (n=20 dogs; ILR vs PDR)
Approaches:
- ILR = Intercostal in Left Lateral Recumbency (no OLV required)
- PDR = Paraxiphoid in Dorsal Recumbency (traditional)
Outcomes:
- Pericardiectomy time was shorter for ILR (p = .045)
- Pericardial fragment size was significantly larger in PDR group (p = .004; 23.21 cm² difference)
- Visibility and cardiac exposure were superior in PDR group
Feasibility:
- ILR approach was consistently successful in achieving partial pericardiectomy
- Bilateral ventilation was adequate; no need for OLV
Clinical relevance:
- ILR may improve efficiency when paired with TDL
- PDR remains preferable for cases requiring maximal pericardial resection
Veterinary Surgery
1
2025
Intercostal thoracoscopic pericardiectomy in left lateral recumbency: A cadaveric study of feasibility, efficiency, and extent of pericardial resection
2025-1-VS-levine-2
In Fink 2025 et al., on Roux-en-Y outcomes, what was the reported overall postoperative mortality rate?
🔍 Key Findings
- Roux-en-Y procedures were successfully completed in all 11 cases (6 dogs, 5 cats), despite case complexity and disease severity.
- Median survival post-discharge was longer in cats (365 days) vs. dogs (82 days), with better outcomes in non-neoplastic vs. neoplastic disease (192 vs. 5 days).
- Complication rate was high, with septic peritonitis, dehiscence, and cardiac arrest as leading causes of postoperative death; mortality rate = 36%.
- Dehiscence rate was 8.6% (2 of 23 anastomoses), considered lower than typical rates for GI anastomoses in high-risk patients.
- Feeding tubes (gastrostomy/jejunostomy) were used in all cases, enabling early nutritional support and stomach decompression.
- Postoperative nausea and vomiting were common but mostly self-limiting; managed with metoclopramide, cisapride, and antiemetics.
- Choledochojejunostomy was preferred when common bile duct was dilated, offering a favorable size match and potentially reducing bile leakage.
- Roux-en-Y reduced typical Billroth II complications (e.g., bile reflux, afferent loop syndrome, dumping syndrome), with none observed in discharged patients.
Veterinary Surgery
5
2025
Roux‐en‐Y procedure to reconstruct the upper gastrointestinal tract in six dogs and five cats: A descriptive case series
2025-5-VS-fink-1
In Mihara 2024 et al., on mitral valve repair in dogs, which technique was used during MVP?
🔍 Key Findings
- Mitral valve plasty (MVP) in dogs with MMVD significantly reduced regurgitant volume and fraction, and normalized LA:Ao ratio, indicating reversal of volume overload.
- MVP altered mitral valve geometry, with reduced annular dimensions and increased coaptation length, enhancing valve competence.
- Postoperative LA:Ao ratio dropped from 2.2 to 1.2, consistent with improved left atrial pressure and size.
- Forward stroke volume index and cardiac index increased at 3 months, reflecting improved hemodynamic function despite reduced fractional shortening.
- Three dogs (3.9%) died postoperatively, highlighting a 96.1% survival rate within 3 months.
- The repair technique involved artificial chordal replacement and annuloplasty; no cleft closure or leaflet suturing was used.
- Color Doppler echocardiography confirmed substantial reduction in mitral regurgitation postoperatively in most dogs.
Veterinary Surgery
3
2024
Effects of mitral valve repair on valvular geometry and hemodynamics in dogs with myxomatous mitral valve disease
2024-3-VS-mihara-3
In Young 2023 et al., on minimally invasive parathyroidectomy, which complication led to the only reported postoperative death?
🔍 Key Findings
- Short-term resolution of hypercalcemia occurred in 97.8% (44/45) of dogs.
- Long-term cure rate was 93.3%, comparable to traditional bilateral neck exploration.
- Postoperative hypocalcemia was observed in only 15.6%, which is lower than traditional approaches (36–63.8%).
- Permanent hypocalcemia occurred in 4.4%, requiring lifelong calcitriol supplementation.
- Minimally invasive approach had median surgical times of 26 min (unilateral) and 45.5 min (bilateral).
- Most lesions were adenomas (54.8%), followed by hyperplasia (27.4%) and carcinomas (3.2%).
- Ultrasound identified 98.4% (61/62) of abnormal glands, supporting it as the preferred imaging modality.
- One death due to non-compliance with calcitriol, emphasizing importance of postoperative management.
Veterinary Surgery
1
2023
Surgical description and outcome of ultrasound‐guided minimally invasive parathyroidectomy in 50 dogs with primary hyperparathyroidism
2023-1-VS-young-4
In Banks 2024 et al., on CCWO outcomes, what was the **median postoperative TPA** in small dogs?
🔍 Key Findings
- Oxley's modified CCWO did not achieve the target TPA of 5° in most cases, even with planning.
- Mean planned TPA was 7.6°, higher than target, and consistent across dog sizes.
- Postoperative TPAs were significantly higher in small dogs (median 7°) than in large dogs (median 4.5°).
- Distalization >7.5 mm of the osteotomy from the patellar tendon led to increased under-correction of TPA.
- Only dogs with preoperative TPA >35° achieved post-planning TPAs close to the 5° target.
- Postoperative osteotomy positions were generally more distal than recommended (8.6 mm median).
- Virtual plate fit was appropriate for all dogs at 5 mm or 7.5 mm positions, suggesting no need for excessive distalization.
- Excessive correction leading to negative TPAs occurred in some cases, risking caudal cruciate ligament strain.
Veterinary Surgery
8
2024
A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases
2024-8-VS-banks-4
In Lee 2022 et al., on TPLO accuracy, what was a noted limitation affecting the generalizability of the study?
🔍 Key Findings
- 3D-printed TPLO guides significantly reduced osteotomy inclination angle in both bone models and cadaver limbs compared to jig alone (P < .001).
- Torsional deformities were lower when the 3D-printed guide was used in bone models (P < .001), but not significantly different in cadavers.
- Angular deformities were significantly reduced in cadavers using 3D-printed guides (P < .001).
- Proximal jig pin angulation was more accurate with the guide in cadavers (P < .001); not significant in bone models.
- Medial cortex damage was substantially reduced in bone models when the 3D-printed guide was used (P < .001).
- Postoperative tibial plateau angle (TPA) did not differ significantly between groups, suggesting that clinical alignment can still be achieved without the guide.
- Clinical significance of improved metrics is uncertain, but improved precision may reduce surgical complications.
- 3D guide design allowed direct placement of jig and bone plate, potentially improving workflow and safety.
Veterinary Surgery
6
2022
Evaluation of a customized 3D‐printed saw guide for tibial plateau leveling osteotomy: An ex vivo study
2022-6-VS-lee-4
In Glenn 2024 et al., on questionnaire specificity, which algorithm had the highest specificity for SSI detection?
🔍 Key Findings Summary
- Population: 754 soft tissue or orthopedic procedures in dogs and cats
- SSI Rate: 62/754 (8.2%)
- Algorithms Evaluated:
- Algorithm 1: Highest sensitivity (87.1%) → best for "rule-out"
- Algorithm 2: Highest specificity (97.9%) → best for "rule-in"
- Algorithm 3: Highest overall accuracy (95.5%)
- Active vs. Passive Surveillance:
- Active surveillance detected 12 additional SSIs (19.4%) missed by passive
- Active surveillance increased detection rate by 24%
- Timing: Most SSIs occurred within 30 days; late infections (after 90 days) were rare and implant-related
- Conclusion: Client questionnaires are a valid and scalable tool for SSI detection; active surveillance improves outcomes
Veterinary Surgery
1
2024
Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system
2024-1-VS-glenn-3
In Griffin 2025 et al., on SLN mapping with ICG, how was indocyanine green administered?
🔍 Key Findings
- Case: 9-year-old Labrador with a right caudal pulmonary adenocarcinoma.
- Technique: Peritumoral injection of indocyanine green (ICG) under VATS guidance, followed by near-infrared (NIR) imaging.
- SLN identified: Right tracheobronchial lymph node fluoresced and was safely extirpated.
- Histology: Grade 1 adenocarcinoma, pneumonia, reactive node.
- Outcome: Patient deteriorated and died on postoperative day 3 due to systemic complications (not linked to surgical technique).
- Clinical relevance: First clinical application of SLN mapping for canine pulmonary neoplasia; method feasible with open or minimally invasive approaches.
Veterinary Surgery
1
2025
Intraoperative sentinel lymph node mapping with indocyanine green via video‐assisted thoracoscopic surgery for primary pulmonary neoplasia in a dog
2025-1-VS-griffin-2
In Townsend 2024 et al., on 3D osteotomy accuracy, what was the mean angular deviation using patient-specific guides?
🔍 Key Findings:
- Design: Ex vivo study with 24 paired limbs from normal beagle dogs.
- Osteotomy types (3 groups):
- 30° uniplanar frontal wedge
- Oblique (30° frontal, 15° sagittal)
- Single oblique (30° frontal, 15° sagittal, 30° external rotation)
- Comparison: 3D PSG vs Freehand (FH)
- Main Outcomes:
- PSG accuracy: Mean angular deviation = 2.8° vs 6.4° in FH (p < .001).
- 84% of PSG osteotomies were within 5° of target vs 50% of FH.
- Significant improvements with PSG in:
- Group 1 (uniplanar frontal) proximal and distal frontal planes (p < .001, .006)
- Group 3 (SOO) frontal and sagittal planes (p = .002, .043)
- Time: PSG faster in complex SOO group (84s vs 162s, p < .001); no difference in others.
- No difference in osteotomy location (mm) between methods.
- Clinical relevance: PSG more consistent and accurate, especially for complex cuts.
Veterinary Surgery
2
2024
Comparison of three-dimensional printed patient-specific guides versus freehand approach for radial osteotomies in normal dogs: Ex vivo model
2024-2-VS-townsend-1
Quiz Results
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Key Findings
