Your Custom Quiz

In Calabria 2026 et al., on ovariectomy biomarkers, what was the primary clinical conclusion of the study?

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Correct. The authors concluded that laparoscopic ovariectomy reduced surgical trauma, resulting in less persistent inflammation and oxidative stress than conventional open surgery.
Incorrect. The correct answer is Laparoscopic ovariectomy induced a milder and more transient inflammatory and oxidative stress response than open surgery.
The authors concluded that laparoscopic ovariectomy reduced surgical trauma, resulting in less persistent inflammation and oxidative stress than conventional open surgery.

🔍 Key Findings

  • Laparoscopic ovariectomy produced a milder inflammatory response than open ovariectomy, supporting the benefits of minimally invasive surgery.
  • Twenty-six healthy anestrus bitches were randomized equally to laparoscopic (LAP) or open (OPEN) ovariectomy in a prospective, blinded clinical trial.
  • IL-6 increased rapidly after laparoscopy but returned to baseline by 7 days, whereas OPEN surgery produced a later, more prolonged elevation.
  • Reactive oxygen metabolites (d-ROMs) remained higher after OPEN surgery, while LAP caused only a transient postoperative increase.
  • Biological antioxidant potential (BAP) increased only in the OPEN group by postoperative day 7, suggesting a compensatory response to greater oxidative stress.
  • PON-1 decreased after surgery in both groups, remaining lower in LAP through day 7, indicating that its interpretation as an inflammatory marker remains complex.
  • LAP required longer operative time (35 vs 25 minutes; p = .008) but resulted in significantly smaller total incision length (1.5 vs 2.5 cm; p < .001).
  • No intraoperative or postoperative surgical or anesthetic complications occurred in either treatment group.

Calabria

Veterinary Surgery

5

2026

Surgical impact of laparoscopic and laparotomic elective ovariectomy on inflammatory and oxidative stress biomarkers in anestrus dogs

2026-5-vs-calabria-5

Article Title: Surgical impact of laparoscopic and laparotomic elective ovariectomy on inflammatory and oxidative stress biomarkers in anestrus dogs

Journal: Veterinary Surgery

In Carvajal 2025 et al., on femoral stem breakage, which patient factor was frequently present in failed cases?

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Correct. 10 of 13 dogs were heavier than manufacturer guidelines for the implanted stem size.
Incorrect. The correct answer is Dogs exceeding weight guidelines for stem size.
10 of 13 dogs were heavier than manufacturer guidelines for the implanted stem size.

🔍 Key Findings

Incidence of BFX lateral bolt stem breakage: 2.95% (13 dogs, 14 stems)

Implant factors:

  • 13/14 were BFX lateral bolt stems (sizes #5–7)
  • +9 necks used in 5/11 of 17 mm heads
  • 10/14 stems undersized based on radiographs
  • 10/13 dogs exceeded weight limits for implanted stem size

Malalignment:

  • 10/14 had varus alignment (median 3.9°)
  • 8/14 had insufficient proximodistal seating

Breakage site: Proximolateral shoulder in all cases

Revision outcomes:

  • 11 revised (7 CFX, 3 larger BFX, 1 collared)
  • 9/10 revised dogs regained full function
  • Complications: 1 rebreakage, 1 periprosthetic fracture, 1 fixation failure

Histopathology:

  • Electron microscopy showed fatigue striations and incomplete bead fusion

Conclusion: Avoid small BFX lateral bolt stems if undersized or if long necks required; use weight guidelines to prevent fatigue failure.

Carvajal

Veterinary Surgery

3

2025

Breakage of cementless press‐fit femoral stems following total hip arthroplasty in dogs: 14 cases (2013–2023)

2025-3-VS-carvajal-3

Article Title: Breakage of cementless press‐fit femoral stems following total hip arthroplasty in dogs: 14 cases (2013–2023)

Journal: Veterinary Surgery

In Welsh 2023 et al., on TTAF fixation methods, which failure mode was **most common** in both groups during mechanical testing?

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Correct. 82% of failures were due to pin bending and pullout in both fixation groups.
Incorrect. The correct answer is Pin bending and pullout.
82% of failures were due to pin bending and pullout in both fixation groups.

🔍 Key Findings

  • Two-pin fixation had significantly greater strength (639 N) than single-pin fixation (426 N) in TTAF models (p = .003).
  • Stiffness was also higher with two-pin constructs (72 N/mm vs 57 N/mm); statistically significant (p = .029).
  • Both fixation types withstood loads greater than quadriceps force in dogs at a walk (240 N), indicating clinical viability.
  • Failure was most commonly due to pin bending or pullout (82%), with fewer cases of ligament tearing or epiphyseal fracture.
  • K-wire insertion angle (KWIA) did not significantly differ between fixation types (p = .13).
  • Single larger pins delivered ~68% of the strength and ~83% of the stiffness of two smaller vertically aligned pins.
  • Clinical implication: Two vertically aligned pins are biomechanically superior for TTAF fixation in canine models.
  • Study used mature cadavers, which may underestimate loads and stiffness compared to immature clinical cases.

Welsh

Veterinary Surgery

5

2023

Biomechanical comparison of one pin versus two pin fixation in a canine tibial tuberosity avulsion fracture model

2023-5-VS-welsh-2

Article Title: Biomechanical comparison of one pin versus two pin fixation in a canine tibial tuberosity avulsion fracture model

Journal: Veterinary Surgery

In Dekerle 2022 et al., on ectopic ureter correction, what **was the 1-month postoperative continence rate** in the studied female dogs?

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Correct. 80% of dogs were continent at 1 month postoperatively without medical therapy.
Incorrect. The correct answer is 80%.
80% of dogs were continent at 1 month postoperatively without medical therapy.

🔍 Key Findings

  • Cystoscopic-guided laser ablation (CLA) was associated with significantly fewer minor complications (13%) than neoureterostomy (100%) (P < .01)
  • CLA resulted in significantly fewer recurrences of incontinence compared to neoureterostomy (0/7 vs 5/12; P < .05)
  • 80% of dogs achieved continence within 1 month postoperatively, with a median continence score of 10
  • Long-term continence was achieved in 88% of dogs, with or without adjunctive treatment, over a median of 66 months
  • Major complications occurred in only 8% of dogs, and all were successfully managed with surgical revision
  • Persistent ureteral remnants were seen only in neoureterostomy dogs, potentially contributing to incontinence recurrence
  • All dogs with incontinence recurrence responded to medical treatment, while only 1/5 with persistent incontinence after surgery did
  • CLA is recommended over open surgery for iEU correction, due to lower complication and recurrence rates

Dekerle

Veterinary Surgery

4

2022

Outcomes of 25 female dogs treated for ectopic ureters by open surgery or cystoscopic-guided laser ablation

2022-4-VS-dekerle-2

Article Title: Outcomes of 25 female dogs treated for ectopic ureters by open surgery or cystoscopic-guided laser ablation

Journal: Veterinary Surgery

In Almeida 2025 et al., on TPLO and partial CCL rupture, what was the authors’ conclusion on CCL transection as a preventive for desmitis?

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Correct. Authors do not recommend routine CCL remnant transection to prevent patellar desmitis.
Incorrect. The correct answer is Not recommended.
Authors do not recommend routine CCL remnant transection to prevent patellar desmitis.

🔍 Key Findings

  • Transecting the CCL remnant during TPLO did not reduce patellar ligament thickening (PLT) at any measured point (proximal, mid, distal).
  • Transection also failed to reduce postoperative patellar ligament shortening (PLL) at 6 weeks.
  • Both groups (transected vs non-transected) showed significant thickening and shortening, with greatest PLT increase at the midpoint.
  • Increased PLT was positively correlated with tibial plateau rotation (p = 0.02) and postoperative TPA (p = 0.04).
  • No correlation between TT-O (tibial tuberosity width index) and PLT, suggesting narrow osteotomies did not influence PLT in this population.
  • Partial CCL rupture was not significantly protective; dogs with partial tears still developed ligament thickening.
  • Post-TPLO mid-patellar ligament thickening may relate to Gelpi retractor placement and osteotomy mechanics rather than CCL status.
  • Authors do not recommend CCL transection during TPLO to prevent desmitis, citing possible increased instability and degeneration.

Almeida

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Effect of Cranial Cruciate Ligament Transection during TPLO on Patellar Desmitis in Dogs with Partial Cranial Cruciate Ligament Rupture

2025-4-VCOT-almeida-4

Article Title: Effect of Cranial Cruciate Ligament Transection during TPLO on Patellar Desmitis in Dogs with Partial Cranial Cruciate Ligament Rupture

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Thompson 2024 et al., on cyanoacrylate enterotomy sealants, which group had the highest initial leak pressure (ILP)?

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Correct. The HS + CE group achieved the highest ILP (83.3 mmHg), significantly exceeding all others (p < .001).
Incorrect. The correct answer is Handsewn + cyanoacrylate.
The HS + CE group achieved the highest ILP (83.3 mmHg), significantly exceeding all others (p < .001).

🔍 Key Findings

  • Highest initial leak pressure (ILP) observed in the handsewn + cyanoacrylate (HS + CE) group: 83.3 ± 4.6 mmHg (p < .001 vs. others).
  • Lowest ILP: cyanoacrylate-only group (CE): 18.6 ± 3.5 mmHg.
  • No significant MIP difference between handsewn (HSE) and HS + CE groups (p = .19); CE had significantly lower MIP (22.7 mmHg).
  • Leak location:
    • HSE: 60% from suture holes
    • CE: 100% from incisional line
    • HS + CE: 60% from incisional line, 40% from suture holes
  • Authors conclude cyanoacrylate augmentation significantly increases ILP and could reduce enterotomy leakage risk.

Thompson

Veterinary Surgery

2

2024

Effects of cyanoacrylate on leakage pressures of cooled canine cadaveric jejunal enterotomies

2024-2-VS-thompson-1

Article Title: Effects of cyanoacrylate on leakage pressures of cooled canine cadaveric jejunal enterotomies

Journal: Veterinary Surgery

In Marturello 2023 et al., on 3D-printed humeral models, which anatomical region had the **highest model accuracy** across all printer types?

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Correct. Humeral condyle replicas were consistently within 0.5 mm of cadaveric measurements, the most accurate across the study.
Incorrect. The correct answer is Humeral condyle.
Humeral condyle replicas were consistently within 0.5 mm of cadaveric measurements, the most accurate across the study.

🔍 Key Findings

  • 3D-printed models using desktop printers (FDM, LFS) showed submillimetric accuracy, comparable to or better than industrial-grade PJP printers.
  • Bone size had a greater effect on print accuracy than printer type, especially in proximal humerus regions.
  • The humeral condyle region showed the greatest model accuracy, with mean differences under 0.5 mm, regardless of printer.
  • Models tended to be slightly smaller than cadaveric bones, potentially due to systematic underestimation during printing.
  • FDM printer provided the highest accuracy at the humeral condyle in medium-sized bones (+0.09 mm).
  • LFS printer produced prints faster and more reliably than FDM, although both had comparable dimensional accuracy.
  • Statistically significant differences existed, but all were submillimetric and unlikely to impact surgical outcomes.
  • Desktop printers are suitable for surgical planning, including plate pre-contouring and patient-specific instrumentation.

Marturello

Veterinary Surgery

1

2023

Accuracy of anatomic 3‐dimensionally printed canine humeral models

2023-1-VS-marturello-2

Article Title: Accuracy of anatomic 3‐dimensionally printed canine humeral models

Journal: Veterinary Surgery

In Monti 2025 et al., on lymph node fluorescence imaging, what was the most common intraoperative complication encountered during NIRF-ICG guided laparoscopic ISLN excision?

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Correct. Capsular rupture with ICG dye dispersion was reported in one of the two dogs requiring conversion to open surgery.
Incorrect. The correct answer is Capsular disruption with dye leakage.
Capsular rupture with ICG dye dispersion was reported in one of the two dogs requiring conversion to open surgery.

🔍 Key Findings

  • Laparoscopic ISLN removal using NIRF-ICG was feasible in 89% of dogs (16/18), demonstrating high procedural success with minimal invasiveness.
  • Median laparoscopic dissection time was only 12 minutes, suggesting efficiency of the NIRF-guided approach.
  • No postoperative complications were observed, and intraoperative complications occurred in only 2 dogs (11.1%), both requiring conversion to open surgery.
  • Metastatic disease was confirmed in 48% of patients (12/25 nodes), including cases where LNs appeared normal in size, highlighting the value of histologic evaluation.
  • NIRF-ICG enabled precise identification of small and mildly enlarged nodes, which are often missed during traditional imaging or palpation.
  • Fluorescent dye leakage following LN capsule rupture limited visibility and required surgical conversion, indicating a key limitation of the technique.
  • ICG signal was occasionally absent in metastatic LNs, likely due to lymphatic rerouting or obstruction, underscoring limitations in SLN identification.
  • The lateral approach allowed consistent access to ipsilateral MILN, IILN, and sacral LNs, though contralateral nodes were inaccessible with this method.

Monti

Veterinary Surgery

6

2025

Near‐infrared fluorescence‐guided minimally invasive surgery for iliosacral lymph node removal in 18 dogs (2023–2025)

2025-6-VS-monti-1

Article Title: Near‐infrared fluorescence‐guided minimally invasive surgery for iliosacral lymph node removal in 18 dogs (2023–2025)

Journal: Veterinary Surgery

In Murphy 2024 et al., what was the overall prevalence of contralateral CCLR in dogs ≥8 years and ≥15kg?

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Correct. Contralateral CCLR occurred in 159/831 dogs, or 19.1%, lower than prior reports of 33–48% prevalence.
Incorrect. The correct answer is 19.1%.
Contralateral CCLR occurred in 159/831 dogs, or 19.1%, lower than prior reports of 33–48% prevalence.

🔍 Key Findings Summary

  • Prevalence of contralateral CCLR in dogs ≥8 years and ≥15kg was 19.1%, notably lower than previous studies (33–50%).
  • Median time to contralateral CCLR was 12.9 months.
  • Older age reduced risk — 2% decrease per month of age (p=0.003).
  • Golden Retrievers and Labradors had significantly lower risk (p=0.028 and p=0.007, respectively).
  • No effect found from TPA, meniscal injury, or comorbidities (e.g., hip dysplasia, hypothyroidism).

Murphy

Veterinary and Comparative Orthopedics and Traumatology

1

2024

The Prevalence and Risk Factors of Contralateral Cranial Cruciate Ligament Rupture in Medium-to-Large (≥15kg) Breed Dogs 8 Years of Age or Older

2024-1-VCOT-murphy-1

Article Title: The Prevalence and Risk Factors of Contralateral Cranial Cruciate Ligament Rupture in Medium-to-Large (≥15kg) Breed Dogs 8 Years of Age or Older

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Hawker 2024 et al., on checklist attitudes, what was true regarding SSC exposure during training?

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Correct. Only 23.3% of respondents reported exposure to SSCs during their formal training.
Incorrect. The correct answer is Less than 25% had exposure during training.
Only 23.3% of respondents reported exposure to SSCs during their formal training.

🔍 Key Findings

  • 67.9% of respondents reported using SSCs, with most indicating frequent use (64% used in every surgery).
  • 78.7% agreed SSCs reduce complications, and 89.6% believed SSCs improve communication.
  • Respondents not using SSCs were more likely to view them as a waste of time (p < .001).
  • Forgetfulness (39.6%) and time constraints (36.5%) were leading reasons for checklist noncompletion.
  • Only 23.3% had SSC training during surgical residency, with newer diplomates more likely to have had exposure (p < .001).
  • Key strategies to improve uptake included: staff feedback modifications (67.9%), formal designation of initiator (48.6%), and training (52.2%).
  • Surgeons and OR staff were most commonly identified as noncompliant team members.
  • SSC use was more frequent in small animal practices, and mandating SSCs by management was favored but not always effective alone.

Hawker

Veterinary Surgery

5

2024

Attitudes towards surgical safety checklists among American College of Veterinary Surgeons diplomates

2024-5-VS-hawker-5

Article Title: Attitudes towards surgical safety checklists among American College of Veterinary Surgeons diplomates

Journal: Veterinary Surgery

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