
Your Custom Quiz
In Niida 2024 et al., on surgical residents and TPLO time, what data did the study provide on complication rates?
🔍 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.
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
In Lhuillery 2022 et al., on GDV stabilization timing, which variable was significantly associated with increased in-hospital and 1-month mortality?
🔍 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.
Veterinary Surgery
5
2022
Outcomes of dogs undergoing surgery for gastric dilatation volvulus after rapid versus prolonged medical stabilization
2022-5-VS-lhuillery-2
In Griffin 2025 et al., on sentinel lymph mapping, what was the SLN identification success rate across all dogs?
🔍 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.
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
In Sabol 2024 et al., what was the smallest allowable deviation angle reported?
🔍 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 3°), 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.
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
In Griffin 2025 et al., on sentinel lymph mapping, what protocol change improved SLN visualization intraoperatively?
🔍 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.
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
In Clarke 2022 et al., on nasopharyngeal collapse severity, which median percentage collapse was found in brachycephalic dogs preoperatively?
🔍 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.
Veterinary Surgery
6
2022
Severity of nasopharyngeal collapse before and after corrective upper airway surgery in brachycephalic dogs
2022-6-VS-clarke-1
In Janas 2024 et al., on ARC outcomes in cats, what best describes the relationship between seizures and postoperative bloodwork?
🔍 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.
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
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?
🔍 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.
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
In Fracka 2024 et al., on perioperative risk factors, what was the most common breed affected in this study?
🔍 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%).
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
In Chitty 2025 et al., on tibial fracture fixation in immature dogs, which factor was associated with increased odds of short-term complications?
🔍 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
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
Quiz Results
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Key Findings
