Your Custom Quiz

In Niida 2024 et al., on surgical residents and TPLO time, what data did the study provide on complication rates?

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Correct. The study specifically excluded outcomes data and focused on surgical time only.
Incorrect. The correct answer is Complication rates were not evaluated.
The study specifically excluded outcomes data and focused on surgical time only.

🔍 Key Findings

  • Resident involvement significantly increased TPLO surgery duration compared to cases performed by faculty surgeons (FS)-only. Residents required 54% more surgery time (GLSM, 153 min) than FS-only cases (GLSM, 99 min), representing a 1.54-fold increase.
  • The study did not report on short-term complication rates. No conclusions can be drawn from this source regarding complications between resident and faculty groups.
  • Bone plate contouring was not evaluated. The source does not provide data regarding contouring frequency or its comparison between groups.
  • Surgery duration significantly decreased after the first year of residency, but remained stable between second- and third-year residents. This was largely due to shorter tibial osteotomy durations, while arthroscopy times remained unchanged across residency years.
  • Meniscal treatment was performed in 80% of cases, and it was associated with increased surgical duration, but the study did not compare the frequency of medial meniscal release between resident and faculty cases.
  • The study did not evaluate osteotomy healing or revision surgery. Cases requiring immediate reoperation were excluded.
  • Bone union outcomes were not assessed at 8 weeks or any other time point.
  • The study concludes that resident participation significantly prolongs surgical time, but no data are provided regarding the effect on short-term clinical outcomes.

Niida

Veterinary Surgery

5

2024

The impact of surgery resident training on the duration of tibial plateau leveling osteotomy and outcomes in dogs

2024-5-VS-niida-4

Article Title: The impact of surgery resident training on the duration of tibial plateau leveling osteotomy and outcomes in dogs

Journal: Veterinary Surgery

In Lhuillery 2022 et al., on GDV stabilization timing, which variable was significantly associated with increased in-hospital and 1-month mortality?

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Correct. Elevated lactate at 24h was the only variable significantly linked to worse survival outcomes.
Incorrect. The correct answer is Hyperlactatemia 24 hours post-fluid therapy.
Elevated lactate at 24h was the only variable significantly linked to worse survival outcomes.

🔍 Key Findings

  • Survival rates did not differ between immediate (90 min) and delayed (≥5 h) surgical stabilization groups at discharge or 1-month post-op (approx. 80% survival in both).
  • Hyperlactatemia at 24 hours post-fluid therapy was significantly associated with in-hospital and 1-month mortality (P = .01 and P = .02).
  • Persistent tachycardia during hospitalization was linked to increased 1-month mortality (P = .015).
  • Partial gastrectomy was required in ~6–10% of cases, with high associated mortality.
  • Preoperative stabilization protocols (trocarization, nasogastric tube) allowed safe surgical delays up to 13.7 hours without impacting survival.
  • Degree of gastric torsion differed between groups; more 0° torsions in delayed cases, potentially due to decompression-induced derotation.
  • No difference in post-op complications such as arrhythmias, hypotension, or AKI between groups.
  • More intra-anesthetic deaths occurred in immediate surgery group, highlighting importance of adequate pre-op stabilization.

Lhuillery

Veterinary Surgery

5

2022

Outcomes of dogs undergoing surgery for gastric dilatation volvulus after rapid versus prolonged medical stabilization

2022-5-VS-lhuillery-2

Article Title: Outcomes of dogs undergoing surgery for gastric dilatation volvulus after rapid versus prolonged medical stabilization

Journal: Veterinary Surgery

In Griffin 2025 et al., on sentinel lymph mapping, what was the SLN identification success rate across all dogs?

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Correct. All six dogs had at least one sentinel lymph node identified using combined mapping techniques.
Incorrect. The correct answer is 100%.
All six dogs had at least one sentinel lymph node identified using combined mapping techniques.

🔍 Key Findings

  • Six dogs with thyroid carcinoma underwent preoperative CT lymphography (CTL) and intraoperative sentinel lymph node (SLN) mapping using methylene blue (MB) and indocyanine green (ICG) with near-infrared (NIR) imaging.
  • SLNs were successfully identified in all dogs (6/6).
  • SLNs included medial retropharyngeal, cranial deep cervical, and superficial cervical nodes.
  • Metastatic carcinoma was found in 3/12 SLNs, in 2/6 dogs.
  • Some discordance occurred between CTL and intraoperative SLN findings (partial match in 3/6).
  • Protocol modifications (e.g., reduced dye volume, post-exposure injection) improved localization and minimized dye diffusion.
  • No intraoperative complications or adverse events occurred.
  • Study supports further investigation of combined SLN mapping techniques in canine thyroid cancer.

Griffin

Veterinary Surgery

4

2025

A combination of pre‐ and intraoperative techniques identifies sentinel lymph nodes in dogs with thyroid carcinoma: A pilot study

2025-4-VS-griffin-1

Article Title: A combination of pre‐ and intraoperative techniques identifies sentinel lymph nodes in dogs with thyroid carcinoma: A pilot study

Journal: Veterinary Surgery

In Sabol 2024 et al., what was the smallest allowable deviation angle reported?

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Correct. Some vertebrae permitted as little as 3° of deviation before breaching cortex or spinal canal:contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is .
Some vertebrae permitted as little as 3° of deviation before breaching cortex or spinal canal:contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • Evaluated ideal dorsolateral implant trajectories in T1–T13 using CT in 30 dogs across five weight classes.
  • Corridor widths were narrowest in the mid-thoracic vertebrae (as little as 1.8 mm) and increased cranially and caudally.
  • Allowable deviation angles (ADA) were often very small (as little as ), indicating high risk for canal or thoracic structure breach.
  • Distances to critical structures (lungs, aorta, subclavian artery, azygos vein) were often <1 mm, even in large dogs.
  • Data suggest extreme caution and precision are needed for thoracic vertebral implant placement and support use of navigation or 3D-printed guides.

Sabol

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Implantation Corridors in Canine Thoracic Vertebrae: A Morphometric Study in Dogs of Varying Sizes

2024-2-VCOT-sabol-2

Article Title: Implantation Corridors in Canine Thoracic Vertebrae: A Morphometric Study in Dogs of Varying Sizes

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Griffin 2025 et al., on sentinel lymph mapping, what protocol change improved SLN visualization intraoperatively?

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Correct. Injecting a lower volume after cervical exposure helped prevent dye dispersion and improved SLN detection.
Incorrect. The correct answer is Post-exposure injection with smaller volume.
Injecting a lower volume after cervical exposure helped prevent dye dispersion and improved SLN detection.

🔍 Key Findings

  • Six dogs with thyroid carcinoma underwent preoperative CT lymphography (CTL) and intraoperative sentinel lymph node (SLN) mapping using methylene blue (MB) and indocyanine green (ICG) with near-infrared (NIR) imaging.
  • SLNs were successfully identified in all dogs (6/6).
  • SLNs included medial retropharyngeal, cranial deep cervical, and superficial cervical nodes.
  • Metastatic carcinoma was found in 3/12 SLNs, in 2/6 dogs.
  • Some discordance occurred between CTL and intraoperative SLN findings (partial match in 3/6).
  • Protocol modifications (e.g., reduced dye volume, post-exposure injection) improved localization and minimized dye diffusion.
  • No intraoperative complications or adverse events occurred.
  • Study supports further investigation of combined SLN mapping techniques in canine thyroid cancer.

Griffin

Veterinary Surgery

4

2025

A combination of pre‐ and intraoperative techniques identifies sentinel lymph nodes in dogs with thyroid carcinoma: A pilot study

2025-4-VS-griffin-4

Article Title: A combination of pre‐ and intraoperative techniques identifies sentinel lymph nodes in dogs with thyroid carcinoma: A pilot study

Journal: Veterinary Surgery

In Clarke 2022 et al., on nasopharyngeal collapse severity, which median percentage collapse was found in brachycephalic dogs preoperatively?

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Correct. Median preoperative nasopharyngeal collapse in brachycephalic dogs was 65%, significantly higher than in controls.
Incorrect. The correct answer is 65%.
Median preoperative nasopharyngeal collapse in brachycephalic dogs was 65%, significantly higher than in controls.

🔍 Key Findings

  • Nasopharyngeal collapse was significantly more severe in brachycephalic dogs (median 65%) than in nonbrachycephalic controls (median 10%) (p = .0001).
  • Postoperative fluoroscopy showed no significant improvement in nasopharyngeal collapse (p = .0505), despite reported clinical improvement.
  • 70% of brachycephalic dogs had ≥50% collapse; 26% had 100% collapse preoperatively.
  • All owners of surgical cases reported clinical improvement, including reduced respiratory noise and improved exercise tolerance.
  • Surgical techniques used included combinations of alaplasty, staphylectomy, sacculectomy, and tonsillectomy.
  • Improvement in nasopharyngeal dimensions was variable, with some dogs improving ≥45%, some worsening, and one dog showing a 100% increase post-op.
  • Pharyngeal collapse may not be solely anatomical; neuromuscular dysfunction (e.g., reduced pharyngeal dilator muscle function) may contribute.
  • Current surgical techniques may not address functional airway abnormalities, suggesting a need for multimodal or targeted interventions.

Clarke

Veterinary Surgery

6

2022

Severity of nasopharyngeal collapse before and after corrective upper airway surgery in brachycephalic dogs

2022-6-VS-clarke-1

Article Title: Severity of nasopharyngeal collapse before and after corrective upper airway surgery in brachycephalic dogs

Journal: Veterinary Surgery

In Janas 2024 et al., on ARC outcomes in cats, what best describes the relationship between seizures and postoperative bloodwork?

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Correct. Some cats continued to have seizures despite normal bile acids and chemistry.
Incorrect. The correct answer is Seizures persisted despite normal bloodwork.
Some cats continued to have seizures despite normal bile acids and chemistry.

🔍 Key Findings:

  • Study design: Retrospective, 20 cats with congenital EHPSS treated with ameroid ring constrictor (ARC).
  • Perioperative complication rate: 25% (5/20), including seizures, blindness, ascites, and one death.
  • Short-term outcomes (18 cats):
    • Excellent: 14
    • Good: 2
    • Poor: 2
  • Long-term outcomes (18 cats):
    • Excellent: 15
    • Good: 1
    • Poor: 2
  • Persistent seizures: Noted in some cats despite normal bile acids and CBC/chemistry.
  • Preoperative blindness resolved in most cats.
  • Mean follow-up duration: Median 8 years.

Janas

Veterinary Surgery

2

2024

Clinical outcomes for 20 cats with congenital extrahepatic portosystemic shunts treated with ameroid constrictor ring attenuation (2002–2020)

2024-2-VS-janas-5

Article Title: Clinical outcomes for 20 cats with congenital extrahepatic portosystemic shunts treated with ameroid constrictor ring attenuation (2002–2020)

Journal: Veterinary Surgery

In Otero Balda 2025 et al., on Short-term outcomes after feline cPSS surgery, what was the 30-day survival rate in cats that developed postattenuation neurologic signs (PANS) after surgical attenuation of a single congenital portosystemic shunt?

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Correct. The study reported a 30-day survival rate of 78% in PANS-affected cats.
Incorrect. The correct answer is 78%.
The study reported a 30-day survival rate of 78% in PANS-affected cats.

🔍 Key Findings

  • 78% of cats that developed postattenuation neurologic signs (PANS) after congenital portosystemic shunt (cPSS) surgery survived to 30 days.
  • Postattenuation seizures (PAS) were associated with significantly decreased 30-day survival (50% vs. 78%; OR: 0.015, p = .005).
  • Treatment of PANS with propofol was a negative prognostic factor (OR: 0.112, p = .0008).
  • Generalized PAS accounted for most seizure cases and were more frequently fatal than focal or unknown-type seizures.
  • Pretreatment with levetiracetam (LEV1 protocol) showed a trend toward improved survival (100% vs. 60.6% in untreated cats), though not statistically significant (p = .06).
  • Shunt morphology, method of attenuation, and study period (early vs. late) were not significantly associated with 30-day survival.
  • Electrolyte, glucose, and ammonia abnormalities were not strongly linked to survival outcomes in this study.
  • Majority of PAS-related deaths were due to uncontrolled generalized seizures or euthanasia because of severity.

Otero Balda

Veterinary Surgery

5

2025

Prognostic factors for short‐term survival of cats that experienced postattenuation neurologic signs after surgical attenuation of single congenital portosystemic shunts

2025-5-VS-otero-1

Article Title: Prognostic factors for short‐term survival of cats that experienced postattenuation neurologic signs after surgical attenuation of single congenital portosystemic shunts

Journal: Veterinary Surgery

In Fracka 2024 et al., on perioperative risk factors, what was the most common breed affected in this study?

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Correct. 63% of the cases were French Bulldogs; 80% were Bulldogs overall.
Incorrect. The correct answer is French Bulldog.
63% of the cases were French Bulldogs; 80% were Bulldogs overall.

🔍 Key Findings

  • Staphylectomy was linked to higher risk of complicated recovery than folded flap palatoplasty (OR = 59.29, p = .0002).
  • Laryngeal collapse > Grade 2 was strongly associated with poor recovery (OR = 97.13, p < .0001).
  • Longer general anesthesia duration increased the risk of complications (OR = 1.01 per min, p = .0051).
  • Increasing age significantly raised the odds of perioperative complication (OR = 1.04 per month, p = .0113).
  • History of aspiration pneumonia was only found in dogs with complications, though not in final model due to instability.
  • Complicated recovery included >12 h O₂ therapy, tracheostomy, or death.
  • FFP may reduce pharyngeal-laryngeal edema, possibly improving immediate outcomes.
  • Bulldogs comprised 80% of population, with French Bulldogs most common (63%).

Fracka

Veterinary Surgery

4

2024

Risk factors for complicated perioperative recovery in dogs undergoing staphylectomy or folded flap palatoplasty: Seventy-six cases (2018–2022)

2024-4-VS-fracka-4

Article Title: Risk factors for complicated perioperative recovery in dogs undergoing staphylectomy or folded flap palatoplasty: Seventy-six cases (2018–2022)

Journal: Veterinary Surgery

In Chitty 2025 et al., on tibial fracture fixation in immature dogs, which factor was associated with increased odds of short-term complications?

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Correct. Use of postoperative antibiotics was linked to increased complication risk (OR 3.53, p = .028).
Incorrect. The correct answer is Postoperative antibiotics.
Use of postoperative antibiotics was linked to increased complication risk (OR 3.53, p = .028).

🔍 Key Findings

Internal fixation (IF) group (n=59):

  • Complication rate: 20.3%
  • Major complications: 15.3%
  • Longer time to discharge if complications occurred (median: 12.5 weeks)

External skeletal fixation (ESF) group (n=36):

  • Complication rate: 55.6% (p < .001 vs IF)
  • Major complications: 52.8%
  • Most common issue: pin tract morbidity

Multivariable analysis:

  • Use of IF significantly reduced odds of complications (OR 0.23, p = .004)
  • Use of post-op antibiotics associated with increased odds of complications (OR 3.53, p = .028)

Fixation choice influenced by age:

  • Older puppies more likely to receive IF (OR 1.25 per week increase in age, p < .001)

Breed & fracture distribution:

  • Common breeds: Labrador, Border Collie, Whippet
  • Common fracture sites: middle and proximal third of tibia

Chitty

Veterinary Surgery

4

2025

Short‐term complications of internal versus external fixation of closed diaphyseal tibial fractures in 95 skeletally immature dogs

2025-4-VS-chitty-4

Article Title: Short‐term complications of internal versus external fixation of closed diaphyseal tibial fractures in 95 skeletally immature dogs

Journal: Veterinary Surgery

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