Your Custom Quiz

In Billas 2022 et al., on SSI risk after limb amputation, what was concluded regarding use of electrosurgery for muscle transection?

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Correct. Monopolar electrosurgery was not associated with increased SSI risk (*P* > .05).
Incorrect. The correct answer is It had no association with SSI.
Monopolar electrosurgery was not associated with increased SSI risk (*P* > .05).

🔍 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-5

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

Journal: Veterinary Surgery

In Lee 2022 et al., on TPLO accuracy, what was the main benefit of using the 3D-printed saw guide in bone models?

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Correct. The 3D-printed guide significantly reduced medial cortical damage in bone models (P < .001).
Incorrect. The correct answer is Reduced medial cortex damage.
The 3D-printed guide significantly reduced medial cortical damage in bone models (P < .001).

🔍 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.

Lee

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-1

Article Title: Evaluation of a customized 3D‐printed saw guide for tibial plateau leveling osteotomy: An ex vivo study

Journal: Veterinary Surgery

In Smith 2025 et al., on bacterial cultures in TECA dehiscence, what percentage of dogs had Staphylococcus spp. isolated at the time of incisional dehiscence?

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Correct. Staphylococcus spp. were found in 10 of 12 dehiscence cultures (83.3%).
Incorrect. The correct answer is 83.3%.
Staphylococcus spp. were found in 10 of 12 dehiscence cultures (83.3%).

🔍 Key Findings

  • Only 1 of 12 dogs (8.3%) cultured the same single organism (Staphylococcus schleiferi) at TECA and dehiscence sites.
  • In 58.3% (7/12), none of the bacteria from TECA cultures were found at dehiscence.
  • Staphylococcus spp. were isolated in 83.3% of dehiscence samples.
  • Methicillin resistance was high among Staphylococcus isolates: 80% at dehiscence.
  • Antibiotic susceptibility differed in 57% (4/7) of cases where the same bacteria were cultured at both time points.
  • TECA cultures were not predictive of bacteria at incisional dehiscence.
  • 75% of dogs healed with either medical or surgical management.

Recommendation: Repeat cultures at dehiscence to guide antibiotic therapy.

Smith

Veterinary Surgery

3

2025

Comparison of bacteria cultured during a total ear canal ablation and subsequent incisional dehiscence in 12 dogs

2025-3-VS-smith-3

Article Title: Comparison of bacteria cultured during a total ear canal ablation and subsequent incisional dehiscence in 12 dogs

Journal: Veterinary Surgery

In Berthomé 2025 et al., on prophylactic fenestration in cervical IVDE, what was the overall recurrence rate reported for dogs treated with ventral slot decompression?

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Correct. The study reported a 25% recurrence rate overall, with all recurrences in the non-fenestrated group.
Incorrect. The correct answer is 25%.
The study reported a 25% recurrence rate overall, with all recurrences in the non-fenestrated group.

🔍 Key Findings

  • Prophylactic fenestration (PF) significantly reduced recurrence of cervical intervertebral disc extrusion (0% vs. 37.8%, p < .001).
  • Surgery time was longer with PF (median 182 vs. 110 min, p = .017), but no difference in perioperative complication rates (PF 16.7%, non-PF 18.9%; p = .838).
  • 25% overall recurrence rate, but all recurrences occurred in the non-PF group.
  • Medical management was effective in 92.9% of recurrence cases.
  • Most PF sites targeted adjacent discs; 88.9% were at adjacent levels, which are common recurrence sites.
  • Neurologic outcomes were similar between PF and non-PF dogs post-surgery and at follow-up.
  • Fenestration technique (blade vs. burr) not shown to affect outcome but contributed to extended surgical time.
  • No major complications or deaths linked directly to PF in initial surgeries.

Berthomé

Veterinary Surgery

6

2025

Recurrence of cervical intervertebral disc extrusion in 55 dogs after surgical decompression with or without prophylactic fenestration

2025-6-VS-berthome-1

Article Title: Recurrence of cervical intervertebral disc extrusion in 55 dogs after surgical decompression with or without prophylactic fenestration

Journal: Veterinary Surgery

In Alvarez-Sanchez 2023 et al., on SLN mapping in canine MCT, which SLN detection method had the higher failure rate?

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Correct. NIRF failed in 20% of dogs, while ICTL failed in only 5%, making NIRF the less sensitive method individually.
Incorrect. The correct answer is Near-infrared fluorescence (NIRF).
NIRF failed in 20% of dogs, while ICTL failed in only 5%, making NIRF the less sensitive method individually.

🔍 Key Findings

  • Combined ICTL and NIRF detected the same SLN in 80% of cases; each method alone missed sentinel lymph nodes in some dogs.
  • ICLT failed in 5% of dogs, while NIRF failed in 20%; combined use resulted in only 5% failure in SLN detection.
  • Metastatic lymph nodes were detected in 95% of dogs, despite most tumors being low or intermediate grade (95%).
  • 27 of 41 nodes (65.8%) were histologically metastatic (HN2 or HN3), many of which would have been missed using ALN alone.
  • ALN matched the SLN in only 45% of cases with ICTL and 30% with NIRF, supporting the need for SLN mapping.
  • ICLT and NIRF were complementary, often identifying different SLN, with some only fluorescent or enhanced in one modality.
  • Subcutaneous MCT had higher metastatic rates (7/8 dogs) than previously reported, challenging older assumptions about benign behavior.
  • Removing both ALN and SLN (from both methods) improved detection of metastasis to 85–95%, reducing risk of understaging.

Alvarez-Sanchez

Veterinary Surgery

3

2023

Comparison of indirect computed tomographic lymphography and near-infrared fluorescence sentinel lymph node mapping for integumentary canine mast cell tumors

2023-3-VS-alvarez-sanchez-2

Article Title: Comparison of indirect computed tomographic lymphography and near-infrared fluorescence sentinel lymph node mapping for integumentary canine mast cell tumors

Journal: Veterinary Surgery

In Paul 2024 et al., on postoperative analgesia with BLIS vs fentanyl in amputation, at which time point did BLIS show significantly lower pain scores?

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Correct. BLIS pain scores were significantly lower at 6 h; equivalence was not shown at this time point.
Incorrect. The correct answer is 6 hours.
BLIS pain scores were significantly lower at 6 h; equivalence was not shown at this time point.

🔍 Key Findings

  • BLIS (bupivacaine liposome injectable solution) provided equivalent analgesia to fentanyl CRI based on CMPS-SF scores at all time points except 6h, where BLIS was superior
  • Fewer adverse effects (nausea, vomiting, sedation) were noted in the BLIS group
  • BLIS dogs ate sooner postoperatively (median 6h vs 9h in control)
  • Sedation occurred in 2/20 dogs in BLIS group vs 10/20 in fentanyl group
  • Vomiting occurred in 0/20 BLIS dogs vs 4/20 in fentanyl group
  • Rescue analgesia rates were similar (5 BLIS vs 4 fentanyl group), confirming noninferiority
  • Owner-reported VAS scores were lower for BLIS on day 1 a.m. and p.m. despite variability
  • Results suggest BLIS could reduce opioid reliance post-amputation

Paul

Veterinary Surgery

6

2024

Comparison of bupivacaine liposome injectable solution and fentanyl for postoperative analgesia in dogs undergoing limb amputation

2024-6-VS-paul-1

Article Title: Comparison of bupivacaine liposome injectable solution and fentanyl for postoperative analgesia in dogs undergoing limb amputation

Journal: Veterinary Surgery

In Kwok 2023 et al. on BFX lateral bolt THR in dogs,what factor was most associated with postoperative femoral fractures?

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Correct. Increased age was significantly associated with postoperative femoral fractures (p = .01).
Incorrect. The correct answer is Increased age.
Increased age was significantly associated with postoperative femoral fractures (p = .01).

🔍 Key Findings

  • 97.4% of dogs returned to normal function after total hip replacement using the BFX lateral bolt.
  • Mean femoral stem subsidence was 1.22 mm, with most occurring in the first month and minimal thereafter.
  • Postoperative complication rate was 13.6%, with 9.2% major and 4.4% minor complications.
  • Femoral fractures (3.6%) and coxofemoral luxations (3.6%) were the most common major complications.
  • Increased age and higher stem size were risk factors for postoperative femoral fractures; CFI >2.0 was also associated.
  • Medial calcar fractures were avoided, and fractures occurred distal to stem ingrowth zone, simplifying repairs.
  • Three cases underwent prophylactic plating, all with excellent outcomes and no complications.
  • Explant rate was 2.6% (5/195), with most failures involving acetabular cup rather than femoral stem.

Kwok

Veterinary Surgery

1

2023

Clinical outcomes of canine total hip replacement utilizing a BFX lateral bolt femoral stem: 195 consecutive cases (2013–2019)

2023-1-VS-kwok-3

Article Title: Clinical outcomes of canine total hip replacement utilizing a BFX lateral bolt femoral stem: 195 consecutive cases (2013–2019)

Journal: Veterinary Surgery

In Kang 2023 et al., on 3DEP accuracy, what was the average screw angle deviation achieved by both experienced and inexperienced surgeons?

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Correct. Mean screw angle deviation was approximately 2.2° with no significant difference between experience levels.
Incorrect. The correct answer is 2.2°.
Mean screw angle deviation was approximately 2.2° with no significant difference between experience levels.

2023-8-VS-kang-1

Article Title:

Journal:

In Tobias 2025 et al., on frontal sinus mucoceles, what was a common minor postoperative complication seen in some dogs?

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Correct. Minor complications included transient swelling or nasal discharge; no major intraoperative issues were reported.
Incorrect. The correct answer is Swelling and nasal discharge.
Minor complications included transient swelling or nasal discharge; no major intraoperative issues were reported.

🔍 Key Findings

  • Frontal sinus mucoceles occurred in young dogs, often linked to prior skull trauma by 10 months of age.
  • All dogs presented with expansile, fluid-filled lesions causing facial swelling; CT showed multicentric bone erosion, including the frontal bone and cribriform plate.
  • Surgical options included frontal sinusotomy with either sinus lining ablation or re-establishment of nasofrontal drainage, with or without stenting.
  • Nasofrontal stenting led to long-term resolution in most dogs, although recurrence occurred in 4/8 dogs, requiring revision surgery in 3.
  • Complications were minor and included swelling or nasal discharge; no intraoperative complications were reported.
  • Histology confirmed sterile mucoceles with neutrophilic inflammation and mucin, and cultures were negative in all cases.
  • Guaifenesin was used postoperatively in several cases to reduce mucus viscosity; its benefit is unproven in dogs but may support drainage.

Tobias

Veterinary Surgery

6

2025

Clinical findings and outcomes of eight dogs with surgically treated frontal sinus mucoceles

2025-6-VS-tobias-4

Article Title: Clinical findings and outcomes of eight dogs with surgically treated frontal sinus mucoceles

Journal: Veterinary Surgery

In Miyagi 2025 et al., on endoscopic laser sphincterotomy, what defined the transition between the intramural and extramural common bile duct (CBD)?

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Correct. This anatomic separation reliably marked the end of the ICBD and was used to prevent over-ablation.
Incorrect. The correct answer is Separation of the duodenal submucosa from CBD wall.
This anatomic separation reliably marked the end of the ICBD and was used to prevent over-ablation.

🔍 Key Findings

  • Endoscopic-assisted retrograde catheterization (EARC) and laser sphincterotomy were successful in 18/18 cadavers, demonstrating technical feasibility.
  • Intramural common bile duct (ICBD) length ranged from 10 to 21 mm (mean 15.8 mm), with no correlation to body weight (r = 0.06, p = .79).
  • Transition from ICBD to extramural duct was accurately identified endoscopically in 88% (16/18); transition was heralded by separation of the submucosal layer.
  • Partial lateral perforations occurred in 2/18 dogs, only during early learning phase; no leakage was found on open dissection.
  • Laser sphincterotomy preserved the pancreatic duct orifice, aided by protective catheter positioning.
  • Compared to open duodenotomy, this technique allows for a smaller incision and less manipulation of the pancreas, which may reduce morbidity.
  • No adverse events such as intra-abdominal saline egress or full-thickness perforation occurred, and the technique allowed safe access up to 10 mm from the MDP.
  • Cadaveric limitations included absence of biliary pathology and inability to evaluate live complications, but the technique shows promise for future live animal trials.

Miyagi

Veterinary Surgery

5

2025

Endoscopic‐assisted laser sphincterotomy of the intramural common bile duct: A cadaveric pilot study

2025-5-VS-miyagi-1

Article Title: Endoscopic‐assisted laser sphincterotomy of the intramural common bile duct: A cadaveric pilot study

Journal: Veterinary Surgery

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