Your Custom Quiz

In Jones 2024 et al., on surgical technique mortality, what was found when comparing CO₂ laser and conventional incisional techniques?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Mortality rates were statistically equivalent between CO₂ laser and conventional techniques (p = .890).
Incorrect. The correct answer is No significant difference in mortality.
Mortality rates were statistically equivalent between CO₂ laser and conventional techniques (p = .890).

🔍 Key Findings

  • Study compared 606 dogs (English Bulldogs, French Bulldogs, Pugs) undergoing partial staphylectomy via CO₂ laser, bipolar vessel sealing device (BVSD), or conventional incision.
  • Mortality rate: 4.0% (24/606).
  • BVSD was associated with significantly increased perioperative mortality compared to other methods (OR = 6.0, 95% CI: 1.3–28.4, p = .023).
  • High-grade laryngeal collapse (stage II or III) independently increased mortality risk (OR = 4.6, 95% CI: 1.8–11.8, p = .002).
  • No difference in mortality between CO₂ laser and conventional incision techniques.
  • CO₂ laser and conventional techniques had similar complication rates.

Jones

Veterinary Surgery

1

2024

Comparison of mortality of brachycephalic dogs undergoing partial staphylectomy using conventional incisional, carbon dioxide laser, or bipolar vessel sealing device

2024-1-VS-jones-4

Article Title: Comparison of mortality of brachycephalic dogs undergoing partial staphylectomy using conventional incisional, carbon dioxide laser, or bipolar vessel sealing device

Journal: Veterinary Surgery

In Brincin 2023 et al., on radiographic follow-up post-MPL surgery, what was the likelihood of dogs on NSAIDs at recheck requiring a change in management?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Dogs receiving NSAIDs had 6× higher odds of having their postoperative plan modified.
Incorrect. The correct answer is 6× higher.
Dogs receiving NSAIDs had 6× higher odds of having their postoperative plan modified.

🔍 Key Findings

  • Routine follow-up radiographs after MPL surgery influenced management in only 3% of asymptomatic cases.
  • Isolated radiographic abnormalities were rare (3.3%) and even less likely to alter treatment unless accompanied by clinical concerns.
  • Dogs with both radiographic changes and clinical/owner concerns had 32× higher odds of a management change (OR 32.16, P < .001).
  • Lameness, NSAID use, or prior unplanned visits significantly increased the odds of altered post-op plans.
  • Owner-reported concerns alone led to a change in only 1.6% of cases without corroborating clinical findings.
  • Radiographic follow-up was deemed unnecessary in dogs without owner concerns or abnormal physical findings.
  • Hands-on clinical exam remains critical, though video-based rechecks may aid triage in uncomplicated cases.
  • The study supports selective radiographic follow-up, reducing unnecessary imaging, stress, and clinician workload.

Brincin

Veterinary Surgery

3

2023

The value of routine radiographic follow up in the postoperative management of canine medial patellar luxation

2023-3-VS-brincin-4

Article Title: The value of routine radiographic follow up in the postoperative management of canine medial patellar luxation

Journal: Veterinary Surgery

In Evers 2022 et al., on bone-to-tendon plate fixation, what was the primary reason for anchoring the plate to the tendon instead of the bone?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Small proximal calcaneal fragments limited conventional screw fixation, necessitating tendon anchoring.
Incorrect. The correct answer is The proximal bone fragments were too small for screw purchase.
Small proximal calcaneal fragments limited conventional screw fixation, necessitating tendon anchoring.

🔍 Key Findings

  • Bone-to-tendon plate fixation allowed successful stabilization of a highly comminuted calcaneus fracture in a dog with fragments too small for traditional fixation.
  • The plate was sutured to the common calcaneal tendon using a figure-of-8 pattern, bypassing the need for screw fixation into small proximal fragments.
  • Radiographic union was achieved by 17 weeks, though considered delayed, with the dog returning to normal function by 36 weeks post-op.
  • A second surgery was required to replace the tendon-anchored plate with a calcaneus-only plate due to skin ulceration and implant prominence.
  • Implant-associated infection was suspected; cultures confirmed Staphylococcus pseudintermedius, managed with doxycycline and clindamycin.
  • Use of human placental matrix (hPM) and both autogenous and allogenic bone grafts supported healing, though their specific contribution remains uncertain.
  • Postoperative complications included delayed union and skin ulceration, emphasizing challenges of implant design and soft tissue management.
  • This is the first report of using a bone-to-tendon plate for a calcaneus fracture in dogs and demonstrates its potential in cases where traditional methods are not viable.

Evers

Veterinary Surgery

5

2022

Use of a bone‐to‐tendon plate to stabilize a comminuted calcaneus fracture in a dog

2022-5-VS-evers-1

Article Title: Use of a bone‐to‐tendon plate to stabilize a comminuted calcaneus fracture in a dog

Journal: Veterinary Surgery

In Eskelinen 2025 et al., on Plate–Pin fixation for MPL, what factor significantly increased the risk of complications?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Surgical deviations increased complication odds 11.3-fold.
Incorrect. The correct answer is Surgical deviation.
Surgical deviations increased complication odds 11.3-fold.

🔍 Key Findings

  • Plate–Pin TTT fixation resolved MPL in 64/65 stifles with low recurrence (1.5%) and good lameness outcomes postoperatively.
  • Complication rate was 21.5% (14/65 stifles), mostly minor (57%); major issues included pin migration, fracture, or capsular failure.
  • Pin-related issues accounted for 8 of 20 total complications, highlighting implant refinement is needed.
  • No avulsions, TT fixation failures, or luxation recurrence occurred in cases where surgical technique was followed precisely.
  • Surgical deviations increased complication risk 11.3× (p < 0.05), suggesting adherence to protocol is critical.
  • Single-session bilateral MPL surgery had comparable complication rate (3/20) to unilateral surgery (11/45).
  • Screw breakage occurred in 3 cases, suggesting at least 3 screws may be needed for secure TT fixation.
  • Authors suggest temporary pin fixation and later removal may reduce complications, though prospective studies are needed.

Eskelinen

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Outcome and Complications Following Medial Patellar Luxation Corrective Surgery with Tibial Tuberosity Transposition Using a Locking Plate and a Pin Fixation: 45 Unilateral and 20 Single-Session Bilateral Procedures

2025-4-VCOT-eskelinen-2

Article Title: Outcome and Complications Following Medial Patellar Luxation Corrective Surgery with Tibial Tuberosity Transposition Using a Locking Plate and a Pin Fixation: 45 Unilateral and 20 Single-Session Bilateral Procedures

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Bondonny 2024 et al., what was the mid-term functional outcome rate after using the modified IM pin technique?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Mid-term full functional outcome was achieved in 96.9% of cats (32/33 fractures):contentReference[oaicite:0]{index=0}
Incorrect. The correct answer is 96.9%.
Mid-term full functional outcome was achieved in 96.9% of cats (32/33 fractures):contentReference[oaicite:0]{index=0}

🔍 Key Findings Summary

  • Retrospective study of 33 fractures in 31 cats with Salter–Harris I or II distal femoral fractures
  • Used 1 intramedullary Steinmann pin + 1 laterally placed antirotational pin
  • 96.9% achieved full functional outcome at mid-term follow-up
  • No implant migration or removal required
  • Minor complications: 2 seromas; Major: 3 (patellar luxation [2], osteomyelitis [1])
  • Growth plate remained open in 27.3% of cases at 6–8 weeks post-op

Bondonny

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Use of a Modified Intramedullary Pinning Technique for Distal Femoral Physeal Salter–Harris Type I and II Fracture Management

2024-2-VCOT-bondonny-1

Article Title: Use of a Modified Intramedullary Pinning Technique for Distal Femoral Physeal Salter–Harris Type I and II Fracture Management

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Monnet 2023 et al., on barbed vs conventional suture in vesicourethral anastomosis (VUA), how did the number of suture bites compare between the UBS and conventional groups?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. UBS group used significantly fewer suture bites (median 14 vs. 19; p = .012).
Incorrect. The correct answer is UBS required fewer suture bites.
UBS group used significantly fewer suture bites (median 14 vs. 19; p = .012).

🔍 Key Findings

  • Leakage pressure was not significantly different between unidirectional barbed suture (UBS) and conventional (C) suture groups (p = .236).
  • UBS group had a 28% lower median leakage pressure than the C group (8.6 mmHg vs. 11.7 mmHg), suggesting higher biological risk of leakage.
  • UBS significantly reduced suturing time (median 12.7 vs. 17.3 minutes; p < .0002).
  • Fewer suture bites were needed in the UBS group (median 14 vs. 19; p = .012).
  • No suture breakage or urethral narrowing occurred in either group.
  • Leakage site distribution (ventral vs lateral) was similar between groups; no dorsal leaks noted.
  • Leakage occurred as low as 5 mmHg in UBS group, indicating potential for postoperative extravasation.
  • UBS may aid intracorporeal suturing in minimally invasive prostatectomy, but catheterization remains necessary postoperatively.

Monnet

Veterinary Surgery

5

2023

Influence of conventional versus unidirectional barbed suture on leakage pressures in canine vesicourethral anastomosis: An ex-vivo study

2023-5-VS-monnet-4

Article Title: Influence of conventional versus unidirectional barbed suture on leakage pressures in canine vesicourethral anastomosis: An ex-vivo study

Journal: Veterinary Surgery

In Kuvaldina 2023 et al., on axillary lymph node excision, what was the average surgical time to remove axillary lymph nodes using the minimally invasive technique in cadavers?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The mean time reported for excision of axillary lymph nodes in cadaver specimens was 33 minutes.
Incorrect. The correct answer is 33 minutes.
The mean time reported for excision of axillary lymph nodes in cadaver specimens was 33 minutes.

🔍 Key Findings

  • Endoscopic excisional biopsy of axillary lymph nodes was successfully performed in cadavers and clinical dogs with minimal complications.
  • The technique used a SILS port and CO₂ insufflation through a small incision between the latissimus dorsi and superficial pectorals.
  • In 4 cadavers (6 limbs), mean time to remove axillary nodes was 33 minutes, and single nodes were found in 5/6 limbs.
  • In 3 clinical dogs, the procedure was successful in 2 cases; 1 required conversion to open surgery due to difficulty manipulating the node.
  • Accessory axillary nodes were successfully excised when present, located adherent to deep latissimus dorsi.
  • No cases developed lymphedema, pneumothorax, or major complications postoperatively.
  • Subjective benefits included better visualization, reduced dissection, and less postoperative morbidity than open techniques.
  • Study suggests MIS lymphadenectomy may improve staging accuracy and reduce complications, though larger studies are needed.

Kuvaldina

Veterinary Surgery

6

2023

Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

2023-6-VS-kuvaldina-2

Article Title: Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

Journal: Veterinary Surgery

In Blatt 2026 et al., on carotid ligation approaches, what potential physiologic complication did the authors identify because CCA ligation at the cranial two-thirds of the MRLN occurs near the carotid sinus?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The ligation site lies near the carotid sinus; therefore, the authors highlighted potential baroreceptor-mediated bradycardia and hypotension as effects that should be monitored in future in vivo studies.
Incorrect. The correct answer is Bradycardia and hypotension from baroreceptor stimulation.
The ligation site lies near the carotid sinus; therefore, the authors highlighted potential baroreceptor-mediated bradycardia and hypotension as effects that should be monitored in future in vivo studies.

🔍 Key Findings

  • Both lateral and ventral approaches reliably permitted CCA isolation and ligation at the level of the MRLN, with or without concurrent lymphadenectomy; bilateral temporary ligation was successful in all 12 cadavers.
  • The CCA was consistently dorsomedial to the MRLN, while the MRLN was medial to the caudodorsal mandibular salivary gland (MSG), providing reproducible landmarks for surgical orientation.
  • Concurrent lymphadenectomy can be incorporated into the same surgical approach, permitting removal of the mandibular and medial retropharyngeal lymph nodes while gaining access to the CCA.
  • Brachycephalic dogs had a significantly deeper CCA from the lateral approach than the ventral approach (44.8 ± 12.8 vs 29.3 ± 8.3 mm; p = .02), which may influence approach selection.
  • No gross vascular trauma occurred after temporary CCA ligation, although careful dissection was required to avoid the adjacent vagosympathetic trunk.
  • One inadvertent mandibular salivary gland capsular disruption occurred during a lateral approach without lymphadenectomy; Figure 2 demonstrates this complication and the close relationship of the MRLN, CCA, and vagosympathetic trunk.
  • CCA ligation was performed at the cranial two-thirds of the MRLN, caudal to the internal carotid branching, placing the operative site near the carotid sinus and raising potential concerns for bradycardia and hypotension in live patients.
  • Clinical efficacy remains unproven because this was a CT/cadaveric study; the authors specifically recommend in vivo evaluation of hemorrhage control, hemodynamic effects, and procedural complications.

Blatt

Veterinary Surgery

6

2026

Surgical approach for common carotid ligation at the level of the medial retropharyngeal lymph node in dogs: A comparative cadaveric study

2026-6-vs-blatt-5

Article Title: Surgical approach for common carotid ligation at the level of the medial retropharyngeal lymph node in dogs: A comparative cadaveric study

Journal: Veterinary Surgery

In Swieton 2025 et al., on portocaval shunts, which postoperative complication occurred most frequently?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Seizures occurred in 2 of the 4 dogs with postoperative complications, making them the most common complication reported.
Incorrect. The correct answer is Seizures.
Seizures occurred in 2 of the 4 dogs with postoperative complications, making them the most common complication reported.

🔍 Key Findings

Study population: 21 dogs with portocaval extrahepatic portosystemic shunts (EHPSS)
Surgical approach: 67% (14/21) underwent ameroid constrictor placement
Perioperative complications: 4 dogs (19%), including seizures (n = 2), vomiting, and abdominal effusion
Perioperative mortality: 1 dog (5%)
Postoperative clinical outcome:

  • Good to excellent outcome: 81% (17/21)
  • Median follow-up: 6 months (range 3–43)

Persistence of shunting (CT or US): 56% (9/16 evaluated)
Dogs with persistent shunting: 67% still had good to excellent clinical outcome
Congenital portocaval shunts may have more favorable outcomes than previously reported

Swieton

Veterinary Surgery

2

2025

Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt

2025-2-VS-swieton-3

Article Title: Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt

Journal: Veterinary Surgery

In González Montaño 2023 et al., on traumatic pulmonary pseudocysts (TPP), what was the most common concurrent thoracic injury in patients with traumatic pulmonary pseudocysts?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Pneumothorax was present in 100% of cases and was often bilateral.
Incorrect. The correct answer is Pneumothorax.
Pneumothorax was present in 100% of cases and was often bilateral.

🔍 Key Findings

  • Traumatic pulmonary pseudocysts (TPP) were diagnosed in 11 patients (9 dogs, 2 cats) using CT after blunt trauma.
  • TPPs were identified on radiographs in 64% of cases that were CT-confirmed, highlighting the superior sensitivity of CT.
  • Most cases (7/10) were managed conservatively, with complete recovery and no TPP-related mortality.
  • Thoracic surgery (lung lobectomy) was performed in 3 dogs, due to persistent pneumothorax or large TPP with perceived risk of complications.
  • All pneumothorax cases were managed with thoracostomy tubes, and chest drains were used in 73% of cases.
  • Pneumothorax was present in 100% of patients, often bilateral, and pulmonary contusions were reported in 73%.
  • One cat was euthanized due to unrelated maxillofacial trauma; no deaths were attributed to TPP itself.
  • Long-term follow-up (median 768 days) revealed only 1 case with possible TPP-related pneumonia; others had no complications.

González Montaño

Veterinary Surgery

4

2023

Traumatic pulmonary pseudocysts in nine dogs and two cats

2023-4-VS-gonzalezmontano-2

Article Title: Traumatic pulmonary pseudocysts in nine dogs and two cats

Journal: Veterinary Surgery

Quiz Results

Previously Missed Questions
70%

You answered 7 out of 10 questions correctly

Question 1:

❌ Incorrect. You answered: Answer

Correct answer:

Rationale

Question 1:

✅ Correct! You answered: Answer

Rationale

Author: Journal Name - 2025

Article Title

Key Findings

Something off with this question?
Tell us what needs fixing—drop your note below.

You’re flagging: [question text]

Thanks for your feedback!
We’ll review your comment as soon as possible.
Oops! Something went wrong while submitting the form.