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In Espinel Rupérez 2023 et al., on feline hip stabilization, how many surgical technique deviations were reported across the 14 joints?

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Correct. Thirteen total deviations were reported in 7 joints, including major and minor deviations.
Incorrect. The correct answer is 13.
Thirteen total deviations were reported in 7 joints, including major and minor deviations.

🔍 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.

Espinel Rupérez

Veterinary Surgery

6

2023

Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study

2023-6-vs-espinel-3

Article Title: Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study

Journal: Veterinary Surgery

In Dickson 2024 et al., on VATS for feline chylothorax, what was the survival rate to hospital discharge?

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Correct. 11 of 15 cats survived to hospital discharge, equating to a 73% discharge rate.
Incorrect. The correct answer is 73%.
11 of 15 cats survived to hospital discharge, equating to a 73% discharge rate.

🔍 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.

Dickson

Veterinary Surgery

5

2024

Outcome of video-assisted thoracoscopic treatment of idiopathic chylothorax in 15 cats

2024-5-VS-dickson-3

Article Title: Outcome of video-assisted thoracoscopic treatment of idiopathic chylothorax in 15 cats

Journal: Veterinary Surgery

In Williams 2024 et al., on breed effects, which breed exhibited significantly greater hemorrhage, even after normalization?

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Correct. English Bulldogs had significantly higher normalized hemorrhage than other breeds (p = .048).
Incorrect. The correct answer is English Bulldog.
English Bulldogs had significantly higher normalized hemorrhage than other breeds (p = .048).

🔍 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-4

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 Bae 2025 et al., on SI screw orientation, which screw-side combination yielded the highest rotational stability?

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Correct. Right-handed screws on right SI (RhRSI) had the highest torque and load values (e.g., 313% more torque vs RhLSI, p < .01).
Incorrect. The correct answer is Right-handed screw on right SI.
Right-handed screws on right SI (RhRSI) had the highest torque and load values (e.g., 313% more torque vs RhLSI, p < .01).

🔍 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.

Bae

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

Article Title: Effect of thread direction on rotational stability in lag​-screw fixation of sacroiliac luxation: An ex vivo cadaveric study in small-breed dogs

Journal: Veterinary Surgery

In Miller 2025 et al., on spinal drill guide accuracy, how long did it take to apply each drilling guide during surgery?

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Correct. Each vertebral guide took less than 30 seconds to place and drill, improving surgical efficiency.
Incorrect. The correct answer is Less than 30 seconds.
Each vertebral guide took less than 30 seconds to place and drill, improving surgical efficiency.

🔍 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.

Miller

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

Article Title: 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

Journal: Veterinary Surgery

In Silveira 2022 et al., on GTO in canine THR, how was the greater trochanter osteotomy (GTO) stabilized during surgery?

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Correct. The GTO was fixed using pins placed perpendicular to the osteotomy and orthopedic wire in figure-of-eight fashion.
Incorrect. The correct answer is With two intramedullary pins and a figure-of-eight tension band wire.
The GTO was fixed using pins placed perpendicular to the osteotomy and orthopedic wire in figure-of-eight fashion.

🔍 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.

Silveira

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

Article Title: Greater trochanter osteotomy as a component of cementless total hip replacement: Five cases in four dogs

Journal: Veterinary Surgery

In Peng 2025 et al., on topical amikacin gel, what correlation was found between dose and serum levels?

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Correct. Serum levels showed no correlation to mg, mg/kg, mg/cm², or other dose parameters【90†Veterinary Surgery†L1-L20】
Incorrect. The correct answer is No significant correlation found.
Serum levels showed no correlation to mg, mg/kg, mg/cm², or other dose parameters【90†Veterinary Surgery†L1-L20】

🔍 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

Peng

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

Article Title: Serum amikacin concentrations in dogs with naturally occurring open wounds treated with topical amikacin in carboxymethylcellulose hydrogel

Journal: Veterinary Surgery

In Simpson 2022 et al., on feline cholecystectomy outcomes, what was the reported perioperative mortality rate?

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Correct. The mortality rate was lower than historical reports but still significant at 21.7%.
Incorrect. The correct answer is 21.7%.
The mortality rate was lower than historical reports but still significant at 21.7%.

🔍 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.

Simpson

Veterinary Surgery

1

2022

Cholecystectomy in 23 cats (2005‐2021)

2022-1-VS-simpson-2

Article Title: Cholecystectomy in 23 cats (2005‐2021)

Journal: Veterinary Surgery

In Mayhew 2023 et al., on BOAS surgery effects, which surgical procedures were consistently performed in all dogs in the study?

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Correct. All dogs underwent laryngeal ventriculectomy and soft palate resection; alaplasty was performed in 14/16.
Incorrect. The correct answer is Laryngeal ventriculectomy and soft palate resection.
All dogs underwent laryngeal ventriculectomy and soft palate resection; alaplasty was performed in 14/16.

🔍 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

Mayhew

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

Article Title: Effect of conventional multilevel brachycephalic obstructive airway syndrome surgery on clinical and videofluoroscopic evidence of hiatal herniation and gastroesophageal reflux in dogs

Journal: Veterinary Surgery

In Billas 2022 et al., on SSI risk after limb amputation, which muscle transection method was associated with increased infection odds?

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Correct. Use of bipolar vessel sealing devices significantly increased the odds of SSI (OR 2.5; *P* = .023).
Incorrect. The correct answer is Bipolar vessel sealing device.
Use of bipolar vessel sealing devices significantly increased the odds of SSI (OR 2.5; *P* = .023).

🔍 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.

Billas

Veterinary Surgery

3

2022

Incidence of and risk factors for surgical site infection following canine limb amputation

2022-3-VS-billas-1

Article Title: Incidence of and risk factors for surgical site infection following canine limb amputation

Journal: Veterinary Surgery

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