Your Custom Quiz

In Hertel 2025 et al., on portal venotomy for insulinoma, what was the primary reason the authors selected portal venotomy instead of en bloc vessel resection?

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Correct. CT imaging and intraoperative palpation showed the thrombus was mobile, making direct venotomy feasible.
Incorrect. The correct answer is Because the thrombus was mobile and not firmly adhered to the vessel wall.
CT imaging and intraoperative palpation showed the thrombus was mobile, making direct venotomy feasible.

🔍 Key Findings

  • Portal venotomy enabled successful en bloc resection of a pancreatic insulinoma and associated thrombus in the portal vein, a novel approach in veterinary literature.
  • Temporary portal vein occlusion (15 min) was well tolerated, causing only transient small intestinal congestion without lasting hemodynamic compromise.
  • No intraoperative hemorrhage occurred following vascular isolation and venotomy repair with 5–0 polypropylene in a simple continuous pattern.
  • Postoperative complications were minimal, with only moderate pancreatitis managed medically and no portal hypertension observed on follow-up imaging.
  • Histopathology confirmed insulinoma, with no initial metastasis; CT at 6 months revealed hepatic and peritoneal metastases but no local recurrence at the venotomy site.
  • Portal vein luminal stenosis occurred post-repair but was clinically insignificant.
  • Advanced CT imaging and 3D printed modeling significantly enhanced surgical planning and anatomical assessment.
  • Surgical excision achieved good short-term outcomes, and the dog was alive and euglycemic one year later despite metastatic disease.

Hertel

Veterinary Surgery

5

2025

Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog

2025-5-VS-hertel-1

Article Title: Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog

Journal: Veterinary Surgery

In Forzisi 2025 et al., on femoral growth post-THR, what was the effect of THR on total femoral length?

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Correct. THR caused a 2.3% smaller increase in femoral length (p = .465), not clinically significant.
Incorrect. The correct answer is Total femoral length showed negligible change.
THR caused a 2.3% smaller increase in femoral length (p = .465), not clinically significant.

🔍 Key Findings

Population: 24 dogs (<8.5 months) undergoing unilateral cementless THR.
Growth Impact:

  • Operated femurs showed ~11.5% less trochanteric growth than controls (p = .002).
  • No significant difference in femoral diaphyseal + epiphyseal length (p = .712) or femur overall (p = .465).

Cortical Width:

  • Increased significantly at 10 mm distal to trochanter (4.6% increase, p = .037) and at 50% femoral length (8.5% increase, p = .030).

Clinical relevance: Despite measurable changes, no clinically significant impairment to femoral length occurred.
Effect Sizes:

  • Moderate negative for trochanteric growth.
  • Moderate positive for proximal femoral width.

Forzisi

Veterinary Surgery

1

2025

Evaluation of the effects of cementless total hip replacement on femoral length in skeletally immature dogs

2025-1-VS-forzisi-2

Article Title: Evaluation of the effects of cementless total hip replacement on femoral length in skeletally immature dogs

Journal: Veterinary Surgery

In Burkhardt 2024 et al., on coagulation testing in liver lobectomy, what did the authors recommend regarding preoperative PT and aPTT testing?

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Correct. Authors concluded that routine testing is low-yield and should be considered on a case-by-case basis.
Incorrect. The correct answer is Should be reserved for cases with bleeding tendencies or hemangiosarcoma suspicion.
Authors concluded that routine testing is low-yield and should be considered on a case-by-case basis.

🔍 Key Findings

  • 20.6% of dogs had a preoperative prolongation in PT or aPTT, but only 5.6% had both prolonged.
  • Hemangiosarcoma was the only tumor type significantly associated with both PT and aPTT prolongation (37.5% of hemangiosarcoma cases, p < .001).
  • Dogs with both PT and aPTT prolongations were 6.5× more likely to have emergency surgery (p < .001) and 2.5× more likely to have hemoabdomen (p = .0022).
  • 60% of dogs with both PT and aPTT prolongation required blood transfusion (p < .001).
  • Only 1.9% of all dogs had both PT and aPTT prolonged by >25%, suggesting limited clinical utility of routine PT/aPTT testing.
  • Platelet count <50,000/μL was rare (1.5%) and not associated with PT/aPTT changes or transfusions.
  • Routine PT/aPTT testing offers low diagnostic yield in elective liver lobectomy cases.
  • Authors recommend case-by-case PT/aPTT screening, especially when hemangiosarcoma or bleeding tendencies are suspected.

Burkhardt

Veterinary Surgery

7

2024

Evaluating preoperative coagulation panels in dogs undergoing liver lobectomy for primary liver tumors: A multi-institutional retrospective study

2024-7-VS-burkhardt-4

Article Title: Evaluating preoperative coagulation panels in dogs undergoing liver lobectomy for primary liver tumors: A multi-institutional retrospective study

Journal: Veterinary Surgery

In Bounds 2023 et al., on feline hip arthroscopy, which statement best describes feasibility of hip arthroscopy in cats with DJD?

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Correct. The two DJD hips showed no difference in arthroscopic access or visibility.
Incorrect. The correct answer is Feasible with comparable visualization to normal hips.
The two DJD hips showed no difference in arthroscopic access or visibility.

2023-8-VS-bounds-5

Article Title:

Journal:

In Petazzoni 2022 et al., on DPO in older dogs, what was the primary clinical outcome 8 weeks postoperatively?

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Correct. All dogs showed resolution of pain and lameness by 8 weeks.
Incorrect. The correct answer is No lameness and no pain on hip extension.
All dogs showed resolution of pain and lameness by 8 weeks.

🔍 Key Findings

  • DPO improved joint congruity and clinical signs in dogs ≥10 months old with minimal osteoarthritis.
  • Median Norberg angle increased by 21.8% 1 year postoperatively (from 87° to 106°; p < .01).
  • Femoral head coverage increased significantly, with PC rising 66.7% and LHC by 162.5% at 1 year (p < .01).
  • No significant change in pelvic canal width postoperatively, suggesting pelvic conformation was preserved.
  • All ilial osteotomies healed with complete osseous bridging by 8 weeks; 7/11 pubic osteotomies achieved full healing.
  • No intraoperative or postoperative complications were reported, including implant failure.
  • Locking plates and additional ventral plating were used in select cases and may have contributed to implant stability.
  • DPO may be extended to older dogs with suitable hip morphology and minimal OA, expanding traditional age criteria.

Petazzoni

Veterinary Surgery

2

2022

Clinical outcomes of double pelvic osteotomies in eight dogs with hip dysplasia aged 10–28 months

2022-2-VS-petazzoni-5

Article Title: Clinical outcomes of double pelvic osteotomies in eight dogs with hip dysplasia aged 10–28 months

Journal: Veterinary Surgery

In Horwood 2024 et al., on complications in luxoid hip dysplasia, what femoral morphological abnormality was frequently seen and may complicate stem placement?

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Correct. Valgus, medialization of the trochanter, and lateralized cortex were common in LH dogs and can complicate stem positioning.
Incorrect. The correct answer is Proximal femoral valgus.
Valgus, medialization of the trochanter, and lateralized cortex were common in LH dogs and can complicate stem positioning.

🔍 Key Findings

  • Luxoid hip dysplasia (LH) was present in 8% of THA cases and significantly increased risk of major complications (p < .001).
  • Intraoperative fissures/fractures were 3x more likely in LH dogs vs non-LH (39% vs 16%, p = .001).
  • Dorsal luxation was more frequent in LH dogs (28% vs 4%, p = .019).
  • Acetabular cup placement with ALO >35° was associated with luxation in LH dogs.
  • Morphologic abnormalities (e.g., femoral valgus, lateralization/medialization of cortices) were common in LH and may complicate implantation.
  • Despite higher risk, 94% of LH dogs achieved satisfactory outcomes after appropriate revisions.
  • Younger age and lighter weight characterized LH dogs (mean age 14.7 months vs 40.9 months, p < .001).
  • All LH dogs were treated with cementless stems; prophylactic cerclage was rarely used.

Horwood

Veterinary Surgery

4

2024

Complications and outcomes of total hip arthroplasty in dogs with luxoid hip dysplasia: 18 cases (2010–2022)

2024-4-VS-horwood-4

Article Title: Complications and outcomes of total hip arthroplasty in dogs with luxoid hip dysplasia: 18 cases (2010–2022)

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

In Tobias 2022 et al., on perineal hernia repair positioning, which surgical advantage did dorsal recumbency provide?

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Correct. Dorsal positioning allowed concurrent perineal and abdominal procedures without needing repositioning.
Incorrect. The correct answer is Simultaneous access to abdomen and perineum.
Dorsal positioning allowed concurrent perineal and abdominal procedures without needing repositioning.

🔍 Key Findings

  • Perineal hernia repair was feasible in dorsal recumbency in all 23 dogs, allowing simultaneous perineal and abdominal procedures without repositioning.
  • Internal obturator muscle transposition (IOMT) was successfully performed in 22 dogs, with tendon transection facilitating improved muscle elevation.
  • Complication rate was 60.9% in-hospital and 47.8% post-discharge, mostly minor (e.g., swelling, drainage), with infection suspected in 4 dogs (17.4%).
  • Recurrence rate was 19% overall, but significantly higher in dogs with prior hernia repairs (50% vs 5.9%; p = 0.053).
  • Dogs without prior repairs or organ pexies had no recurrences (p = 0.035), suggesting primary repairs without preexisting interventions fare better.
  • Castration and adjunctive abdominal procedures (e.g., colopexy, cystopexy) were often performed concurrently (18/23 dogs).
  • Colopexy did not prevent recurrence, although it aided in surgical visualization during perineal repair.
  • Dorsal positioning allowed simultaneous access to the abdomen and perineum, improving surgical efficiency without added complications.

Tobias

Veterinary Surgery

5

2022

Perineal hernia repair in dorsal recumbency in 23 dogs: Description of technique, complications, and outcome

2022-5-VS-tobias-1

Article Title: Perineal hernia repair in dorsal recumbency in 23 dogs: Description of technique, complications, and outcome

Journal: Veterinary Surgery

In Huels 2025 et al., on second-generation screw cup THA, what was the most common major complication encountered in this THA case series?

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Correct. Three stem fractures occurred in a single dog, making it the most frequent major complication.
Incorrect. The correct answer is Stem fracture.
Three stem fractures occurred in a single dog, making it the most frequent major complication.

🔍 Key Findings

  • Total complication rate was 16.7%, with 5/30 hips experiencing major complications, mostly related to the femoral component.
  • Cup-associated complications were rare (3.3%), with only one case of acetabular cup luxation attributed to surgical technique rather than implant failure.
  • No cases of late aseptic loosening were observed during a median follow-up of 17.5 months.
  • Implant stability was attributed to the SCSL's porous, trabecular titanium surface, enhancing osseointegration.
  • Three femoral stem fractures occurred in a single dog, leading to implant removal; material testing was not performed.
  • Most complications were femoral in origin (6/7), not acetabular, suggesting improved performance of the SCSL.
  • Explantation rate was 13% (4/30), but some removals were due to owner preference against revision.
  • Subjective functional outcome was full recovery in 26/30 hips, including one with successful revision of stem subsidence.

Huels

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

Complications and Long-Term Outcome in 30 Canine Total Hip Arthroplasties Using a Second-Generation Selective Laser Melted Screw Cup

2025-2-VCOT-huels-4

Article Title: Complications and Long-Term Outcome in 30 Canine Total Hip Arthroplasties Using a Second-Generation Selective Laser Melted Screw Cup

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Aertsens 2025 et al., on thoracic lift technique, what was a key advantage of using a pretied ligating loop (PLL) in feline lobectomy?

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Correct. Pretied ligating loops enabled precise hilar ligation and removal of the foreign body with the lung lobe.
Incorrect. The correct answer is Allows vessel sealing near bronchus.
Pretied ligating loops enabled precise hilar ligation and removal of the foreign body with the lung lobe.

🔍 Key Findings

Case 1: Chest wall lift improved oxygenation (PaO₂ increased from 179.4 to 306.3 mmHg) and enabled thoracoscopic-assisted lobectomy in a cat with pleural effusion and pulmonary carcinoma.
Case 2: Chest wall lift using a Steinmann pin allowed 3-port thoracoscopic lobectomy for a bronchial foreign body; no complications observed.
Both cats: Lift increased working space and eliminated need for thoracotomy; no device-related complications.
Pretied ligating loops (PLL) were effective for hilar vessel ligation—preferred over staplers or self-locking ligatures in feline thorax.
Conclusion: Thoracic lift is a novel, minimally invasive method enhancing thoracoscopic procedures in small patients, particularly cats.

Aertsens

Veterinary Surgery

4

2025

Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats

2025-4-VS-aertsens-3

Article Title: Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats

Journal: Veterinary Surgery

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