
Your Custom Quiz
In Espinel Rupérez 2023 et al., on feline hip stabilization, how many surgical technique deviations were reported across the 14 joints?
🔍 Key Findings
- Arthroscopic-assisted hip toggle stabilization (AA-HTS) was successfully completed in all 14 feline cadaver joints.
- Femoral and acetabular tunnel creation was feasible in all cases, though femoral tunnel placement had a higher rate of deviations.
- Intraoperative complications occurred in 5/14 joints, mostly related to femoral tunnel creation and toggle lodging.
- Minor articular cartilage injury (<10% total cartilage area) occurred in 10/14 joints, but no injury to neurovascular or intrapelvic structures.
- Thirteen surgical technique deviations (8 major, 5 minor) were identified in 7 joints, all involving the femoral tunnel.
- Toggle passage through the femoral tunnel was the most challenging step, being mildly difficult in 6 joints.
- Postoperative CT and gross dissection confirmed all toggles and buttons were in correct position, without damage to major surrounding structures.
- No deviations, complications, or cartilage injuries occurred in the last 4 joints, suggesting a learning curve effect.
Veterinary Surgery
6
2023
Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study
2023-6-vs-espinel-3
In Dickson 2024 et al., on VATS for feline chylothorax, what was the survival rate to hospital discharge?
🔍 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-3
In Williams 2024 et al., on breed effects, which breed exhibited significantly greater hemorrhage, even after normalization?
🔍 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
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-4
In Bae 2025 et al., on SI screw orientation, which screw-side combination yielded the highest rotational stability?
🔍 Key Findings
- Ex vivo study using 24 canine cadaver pelves to test screw thread direction in SI luxation.
- Four groups: RhRSI, RhLSI, LhRSI, LhLSI.
- Right-handed screws on right side (RhRSI) had 313% higher torque and 274% higher load vs left side (p < .01).
- Left-handed screws on left side (LhLSI) had 198% higher torque and 195% higher load vs right side (p < .03).
- All failures occurred due to rotation, with no screw breakage or fractures.
- Body weight and moment arm were similar across groups.
- Clinical implication: Use of screw matching handedness to luxation side improves stability.
Veterinary Surgery
2
2025
Effect of thread direction on rotational stability in lag-screw fixation of sacroiliac luxation: An ex vivo cadaveric study in small-breed dogs
2025-2-VS-bae-1
In Miller 2025 et al., on spinal drill guide accuracy, how long did it take to apply each drilling guide during surgery?
🔍 Key Findings
- 3D-printed, SOP plate-specific guides enabled safe screw placement from T12–L5 in canine cadavers and models.
- All 140 screw trajectories were classified as Zdichavski Grade 1, indicating optimal placement without vertebral canal breach.
- Screw angles (cranial-caudal and transverse) matched preoperative planning, with no significant deviation.
- Entry/exit point deviations were <1 mm on average, deemed clinically negligible.
- Drill guides were quick to place (<30 sec per vertebra) and improved ease of surgery.
- Plates acted as effective reduction tools, guiding alignment during screw placement in mobile spines.
- Minor technical challenges arose from cadaveric spine mobility, mitigated by sequential screw insertion.
- Technique may enable future use in fracture/luxation reduction, pending further cadaveric and clinical trials.
Veterinary Surgery
6
2025
Development and testing of an animal-specific and string-of-pearls (SOP) plate specific, three-dimensionally (3D) printed drilling guide: A proof of concept study for canine thoracolumbar spinal stabilization
2025-6-VS-miller-4
In Silveira 2022 et al., on GTO in canine THR, how was the greater trochanter osteotomy (GTO) stabilized during surgery?
🔍 Key Findings
- GTO enabled successful cementless THR in dogs with severe medialization of the greater trochanter or chronic craniodorsal hip luxation.
- All 5 hips had acceptable long-term outcomes (median follow-up: 48 months) with full function and no persistent complications.
- Only one major complication occurred—a luxation unrelated to the GTO and successfully corrected with cup revision.
- GTO facilitated femoral canal access and gluteal preservation, reducing risk of iatrogenic injury during broaching.
- All GTOs healed radiographically (4 by 6 weeks, 1 by 12 weeks), with no cases of nonunion or implant migration.
- No complications related to GTO or PTBW fixation (pins + tension band) were observed in any dog.
- Surgical planning included templating both THR and GTO to ensure ideal alignment and reduce fracture risk.
- GTO may be especially valuable in luxoid hip dysplasia phenotypes or chronically fixed luxations.
Veterinary Surgery
2
2022
Greater trochanter osteotomy as a component of cementless total hip replacement: Five cases in four dogs
2022-2-VS-silveira-3
In Peng 2025 et al., on topical amikacin gel, what correlation was found between dose and serum levels?
🔍 Key Findings
Objective: Determine if topical 45 mg/mL amikacin in CMC gel leads to systemic absorption in dogs with wounds.
Dogs enrolled: 11 client-owned dogs, with 31 applications of the gel.
Serum findings:
- Only 5 of 153 samples were above the 2.5 µg/mL quantification limit
- All values remained <5 µg/mL, the presumed toxicity threshold
- No correlation was found between dose-related parameters (mg, mg/kg, mg/cm²) and serum amikacin levels
Peak concentrations were observed at ~2 hours post-application, declining rapidly thereafter
No nephrotoxicity observed, and most values were below detection
Conclusion: Topical amikacin gel appears safe at doses up to 24.9 mg/kg, with minimal systemic absorption
Veterinary Surgery
3
2025
Serum amikacin concentrations in dogs with naturally occurring open wounds treated with topical amikacin in carboxymethylcellulose hydrogel
2025-3-VS-peng2-5
In Simpson 2022 et al., on feline cholecystectomy outcomes, what was the reported perioperative mortality rate?
🔍 Key Findings
- Cholelithiasis was the most common indication for cholecystectomy in cats.
- Perioperative complications were frequent, with intraoperative hypotension in all recorded cases and postoperative anemia in 14 cats.
- Perioperative mortality was 21.7%, lower than historical rates for feline biliary surgery.
- 78.3% of cats survived to discharge, and 83.3% of those lived >6 months; 44.4% survived >3 years.
- Vomiting was the most common short- and long-term complication, though most cats were medically managed.
- Concurrent EHBDO was not a contraindication provided CBD patency was restored.
- Positive bacterial cultures were found in 15 cats, with E. coli and Enterococcus faecalis most common.
- Owner-reported outcomes were excellent in all cats that survived long-term.
Veterinary Surgery
1
2022
Cholecystectomy in 23 cats (2005‐2021)
2022-1-VS-simpson-2
In Mayhew 2023 et al., on BOAS surgery effects, which surgical procedures were consistently performed in all dogs in the study?
🔍 Key Findings
- Owner-reported regurgitation improved after CMS, especially post-eating and during activity (P = .012 and P = .002)
- No significant improvement in VFSS measures of SHH or GER postoperatively (P > .05 for all comparisons)
- Laryngeal ventriculectomy and soft palate resection were performed in all dogs, alaplasty in 14/16
- Aspiration pneumonia occurred in 1 dog immediately post-op and resolved with treatment
- Post-op esophagoscopy results varied, with persistent esophagitis in some cases
- Clinical response was variable, with ~25–30% of dogs being “non-responders” based on owner scoring
- 13/16 dogs showed partial or full clinical improvement, despite no change in objective SHH/GER indicators
- Final follow-up at median 36.5 months showed some dogs still on medical therapy; one underwent further surgery
Veterinary Surgery
2
2023
Effect of conventional multilevel brachycephalic obstructive airway syndrome surgery on clinical and videofluoroscopic evidence of hiatal herniation and gastroesophageal reflux in dogs
2023-2-VS-mayhew-4
In Billas 2022 et al., on SSI risk after limb amputation, which muscle transection method was associated with increased infection odds?
🔍 Key Findings
- 12.5% overall incidence of SSI after limb amputation, and 10.9% for clean procedures.
- Bipolar vessel sealing device use for muscle transection significantly increased SSI risk (OR 2.5; P = .023).
- Monopolar electrosurgery and sharp transection were not associated with increased SSI risk.
- Non-clean wound classification increased SSI odds (OR 8.2; P = .003).
- Amputation for infection (OR 5.7) or trauma (OR 4.5) significantly increased SSI risk compared to neoplasia.
- Preoperative infections at distant sites did not significantly increase SSI risk.
- Neither surgery/anesthesia duration, hypothermia, hypotension, nor skin closure method significantly affected SSI risk.
- Study supports avoiding bipolar sealing devices for muscle transection in limb amputations to reduce SSI risk.
Veterinary Surgery
3
2022
Incidence of and risk factors for surgical site infection following canine limb amputation
2022-3-VS-billas-1
Quiz Results
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Key Findings
