Your Custom Quiz

In Welker 2024 et al., on thoracic duct anastomosis with MAC device, what percentage of dogs had patent anastomoses at 30 days?

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Correct. Four out of six dogs had patent anastomoses confirmed at 30 days.
Incorrect. The correct answer is 67%.
Four out of six dogs had patent anastomoses confirmed at 30 days.

🔍 Key Findings

  • Anastomosis of the thoracic duct (TD) to the intercostal vein (ICV) using a microvascular anastomotic coupler (MAC) was feasible in all 6 healthy dogs
  • Immediate postoperative patency was confirmed in all dogs, but only 4/6 had patent anastomoses at 30 days, with 2 failing due to ICV kinking
  • Kinking of the ICV near the azygos vein insertion was the primary failure mechanism, likely from MAC malalignment
  • No intraoperative or major postoperative complications occurred, though 2 dogs developed mild seromas
  • Use of the MAC device simplified microsurgical anastomosis versus hand suturing, especially in the deep thoracic cavity
  • Contrast lymphangiography showed faster clearance from the cisterna chyli postoperatively, suggesting effective flow redirection
  • Persistent branches of the thoracic duct may impact outcomes, and should be ligated during surgery
  • This technique may be a potential novel treatment for idiopathic chylothorax, improving outcomes by reducing collateral flow stimuli

Welker

Veterinary Surgery

7

2024

Anastomosis of the caudal thoracic duct and intercostal vein using a microvascular anastomotic coupler device: Experimental study in six dogs

2024-7-VS-welker-2

Article Title: Anastomosis of the caudal thoracic duct and intercostal vein using a microvascular anastomotic coupler device: Experimental study in six dogs

Journal: Veterinary Surgery

In Story 2024 et al., on surgical correction of excessive tibial plateau angle (eTPA), which group showed significant tibial shortening compared to others?

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Correct. Group B (TPLO + CCWO) was the only group that resulted in tibial shortening relative to baseline length.
Incorrect. The correct answer is TPLO + CCWO.
Group B (TPLO + CCWO) was the only group that resulted in tibial shortening relative to baseline length.

🔍 Key Findings

  • All four techniques achieved TPA <14°, meeting the threshold for acceptable surgical correction in eTPA cases.
  • Group A (CBLO + CCWO) and Group D (PTNWO) showed highest accuracy in achieving target TPA values.
  • Group B (TPLO + CCWO) resulted in significant tibial shortening compared to other techniques.
  • Group A caused the greatest cranial mechanical axis shift, while Group B caused the least.
  • Group C (mCCWO) resulted in consistent under-correction of TPA, despite aiming for 0°.
  • Modified or neutral wedge osteotomies (Groups C and D) had minimal effect on tibial length, making them suitable when preservation is important.
  • All techniques involved mechanical axis shifts, highlighting the importance of preoperative planning to minimize morphologic disruption.
  • Supplemental fixation was standard for all procedures to reduce risks such as tibial tuberosity fracture and plateau leveling loss.

Story

Veterinary Surgery

8

2024

Morphologic impact of four surgical techniques to correct excessive tibial plateau angle in dogs: A theoretical radiographic analysis

2024-8-VS-story-2

Article Title: Morphologic impact of four surgical techniques to correct excessive tibial plateau angle in dogs: A theoretical radiographic analysis

Journal: Veterinary Surgery

In Longo 2023 et al., on CT trochlear measurements, what best describes the significance of FTA and FTRIA in surgical planning for MPL?

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Correct. FTA and FTRIA had lower sensitivity and specificity than FTGA and were less reliable for guiding surgical decisions.
Incorrect. The correct answer is They were less predictive than FTGA and had lower sensitivity.
FTA and FTRIA had lower sensitivity and specificity than FTGA and were less reliable for guiding surgical decisions.

🔍 Key Findings

  • Dogs with MPL had significantly shallower femoral trochlear grooves compared to controls, based on CT-measured femoral trochlear groove angle (FTGA).
  • FTGA >134° in small breeds (SB) and >128° in medium/large breeds (MLB) were associated with MPL and can serve as surgical thresholds for considering trochleoplasty.
  • FTA and FTRIA measurements were less reliable, showing lower sensitivity/specificity than FTGA.
  • Inter-rater reliability for FTGA was excellent (ICC > 0.9), supporting its use in clinical decision-making.
  • FTGA differed significantly between SB and MLB dogs, suggesting anatomical variation influences MPL predisposition.
  • Dogs with MPL but with FTGA below threshold may not benefit from trochleoplasty, supporting individualized surgical planning.
  • CT provides more precise and reproducible evaluation of trochlear morphology than radiography or ultrasound.
  • The study introduces a CT protocol using P25 and P50 reference points for consistent FTGA measurement.

Longo

Veterinary Surgery

3

2023

Computed tomographic measurements of the femoral trochlea in dogs with and without medial patellar luxation

2023-3-VS-longo-3

Article Title: Computed tomographic measurements of the femoral trochlea in dogs with and without medial patellar luxation

Journal: Veterinary Surgery

In Simpson 2022 et al., on feline cholecystectomy outcomes, what was the reported perioperative mortality rate?

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Correct. The mortality rate was lower than historical reports but still significant at 21.7%.
Incorrect. The correct answer is 21.7%.
The mortality rate was lower than historical reports but still significant at 21.7%.

🔍 Key Findings

  • Cholelithiasis was the most common indication for cholecystectomy in cats.
  • Perioperative complications were frequent, with intraoperative hypotension in all recorded cases and postoperative anemia in 14 cats.
  • Perioperative mortality was 21.7%, lower than historical rates for feline biliary surgery.
  • 78.3% of cats survived to discharge, and 83.3% of those lived >6 months; 44.4% survived >3 years.
  • Vomiting was the most common short- and long-term complication, though most cats were medically managed.
  • Concurrent EHBDO was not a contraindication provided CBD patency was restored.
  • Positive bacterial cultures were found in 15 cats, with E. coli and Enterococcus faecalis most common.
  • Owner-reported outcomes were excellent in all cats that survived long-term.

Simpson

Veterinary Surgery

1

2022

Cholecystectomy in 23 cats (2005‐2021)

2022-1-VS-simpson-2

Article Title: Cholecystectomy in 23 cats (2005‐2021)

Journal: Veterinary Surgery

In de la Oliva 2024 et al., what was the prevalence of contralateral HIF in French Bulldogs with humeral condylar fracture?

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Correct. Contralateral intracondylar fissure was identified in 36 out of 89 French Bulldogs (40.4%):contentReference[oaicite:0]{index=0}
Incorrect. The correct answer is 40.4%.
Contralateral intracondylar fissure was identified in 36 out of 89 French Bulldogs (40.4%):contentReference[oaicite:0]{index=0}

🔍 Key Findings Summary

  • 89 French Bulldogs with HCF; 40.4% (36/89) had contralateral HIF
  • Prophylactic transcondylar screws placed in 20/36 HIF; no complications in these
  • Complication rate for HCF repair = 13.4% (6.7% minor, 6.7% major)
  • Most complications occurred with Kirschner wire fixation
  • Short-term outcome: Bone healing observed in all, but 14/45 had persistent intracondylar gap
  • Long-term outcomes (n=27):
    • Excellent = 66.7%
    • Good = 29.6%
    • Fair = 3.7%
  • Complication-free dogs significantly more likely to have excellent/good outcomes (p = 0.007)

Delaoliva

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Humeral Condylar Fractures in French Bulldogs: Prevalence of Contralateral Intracondylar Fissure, Treatment, and Outcome

2024-3-VCOT-delaoliva-1

Article Title: Humeral Condylar Fractures in French Bulldogs: Prevalence of Contralateral Intracondylar Fissure, Treatment, and Outcome

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Veytsman 2023 et al., on feline insulinoma outcomes, what was the reported median overall survival time (OST)?

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Correct. The median OST was 863 days following surgery.
Incorrect. The correct answer is 863 days.
The median OST was 863 days following surgery.

🔍 Key Findings

  • Surgical excision of insulinomas resulted in euglycemia or hyperglycemia in 90% of cats immediately post-op.
  • 18/20 cats (90%) survived to hospital discharge, with a median survival time of 863 days.
  • Younger age, metastasis at surgery, tumor invasion, and lower glucose levels were negative prognostic factors.
  • Two cats had stage III disease with metastasis; one lived 413 days post-op, suggesting some benefit to surgery even in advanced disease.
  • Postoperative hypoglycemia and seizure activity were associated with poorer outcomes; one cat euthanized due to seizures despite euglycemia.
  • Median disease-free interval (DFI) was 1052 days; for cats with metastasis, DFI dropped to 93 days.
  • Partial pancreatectomy was performed in 11 cats, nodulectomy in 10, and enucleation in 1; method of resection not linked to outcome.
  • Postoperative complications occurred in 25% of cats; most were manageable with supportive care.

Veytsman

Veterinary Surgery

1

2023

Retrospective study of 20 cats surgically treated for insulinoma

2023-1-VS-veytsman-3

Article Title: Retrospective study of 20 cats surgically treated for insulinoma

Journal: Veterinary Surgery

In Carrera 2024 et al., on early MPL correction, which deformity was most frequently associated with grade III patellar luxation in juvenile dogs?

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Correct. This combination was the most common deformity pattern in grade III cases:contentReference[oaicite:0]{index=0}
Incorrect. The correct answer is Femoral varus with external tibial torsion.
This combination was the most common deformity pattern in grade III cases:contentReference[oaicite:0]{index=0}

🔍 Key Findings Summary

  • 5 juvenile dogs (mean age 7.2 months) with grade III–IV MPL were treated surgically.
  • Most had femoral varus + external tibial torsion; some had shallow trochlear grooves.
  • Distal femoral osteotomy was performed in 4/5 dogs; Tibial tuberosity transposition (TTT) in 3/5; Sulcoplasty in 2/5.
  • Mean time to weight bearing: 9.8 ± 5.5 days; healing: 55 ± 24 days
  • No reluxations, and final radiographic values for aLDFA and torsion were maintained at 1 year.
  • One complication due to domestic trauma, not surgical failure.
  • Early surgery appeared to preserve alignment and prevent deformity progression.

Carrera

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs

2024-2-VCOT-carrera-1

Article Title: Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Lotsikas 2025 et al., on stifle distraction portal, what major procedural advantage did the new portal approach provide?

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Correct. The new portal allowed safe insertion of the VSTL without needing to remove the arthroscope or shave the fat pad【69†Veterinary Surgery†L1-L20】
Incorrect. The correct answer is Avoided fat pad shaving and scope removal.
The new portal allowed safe insertion of the VSTL without needing to remove the arthroscope or shave the fat pad【69†Veterinary Surgery†L1-L20】

🔍 Key Findings

Study type: Cadaveric stifle arthroscopy in large breed dogs (n=12 joints from 6 dogs)
Goal: Describe and assess the proximal lateral portal for insertion of a Ventura stifle thrust lever (VSTL)
Main results:

  • No damage to the long digital extensor tendon (LDE) with this portal
  • VSTL could be placed without removing the arthroscope
  • Portal creation time ~37 seconds (faster than previously reported)

Cartilage impact:

  • Superficial iatrogenic articular cartilage injury (IACI) present in all specimens
  • No difference in IACI between 5- and 10-minute lever durations
  • Zone 4 (lateral femoral condyle) had significantly more damage than zones 1–3 (p < .05)

Conclusion: Portal was safe, repeatable, minimally invasive, and did not increase cartilage damage with up to 10-minute lever use

Lotsikas

Veterinary Surgery

3

2025

Proximal lateral insertion portal of an intra-articular arthroscopic stifle lever: A cadaveric study

2025-3-VS-lotsikas-5

Article Title: Proximal lateral insertion portal of an intra-articular arthroscopic stifle lever: A cadaveric study

Journal: Veterinary Surgery

In Timmermans 2026 et al., on soft palate changes post-BOAS surgery, what was a proposed explanation for the lack of soft palate thinning 3 months after FFP?

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Correct. Accumulation in the folded flap and/or remodeling changes may account for the persistent or increased thickness.
Incorrect. The correct answer is Dead space formation or tissue edema.
Accumulation in the folded flap and/or remodeling changes may account for the persistent or increased thickness.

🔍 Key Findings

  • Soft palate length, volume, and cross-sectional area decreased significantly after both folded flap palatoplasty (FFP) and standard staphylectomy (STS).
  • Middle thickness (MTH) of the soft palate decreased after STS but increased after FFP, indicating FFP may not thin the soft palate long-term.
  • Rostral thickness (RTH) increased in both groups, suggesting regional variation in healing or remodeling.
  • Clinical improvement (exercise tolerance) occurred in most dogs: 6/8 in FFP and 10/10 in STS group.
  • One major complication in FFP group led to death despite revision surgery; another mortality occurred in STS group (likely due to severe laryngeal collapse).
  • No difference in minor complication rates between FFP and STS groups.
  • Histological remodeling or edema may explain lack of MTH reduction in FFP at 3 months.
  • Immediate postoperative imaging may be needed to evaluate initial reduction effects of FFP.

Timmermans

Veterinary Surgery

1

2026

Evaluation of soft palate thickness in brachycephalic dogs 3 months after folded flap palatoplasty versus standard staphylectomy

2026-1-VS-timmermans-4

Article Title: Evaluation of soft palate thickness in brachycephalic dogs 3 months after folded flap palatoplasty versus standard staphylectomy

Journal: Veterinary Surgery

In Davey 2024 et al., on modified closed anal sacculectomy, what feature distinguishes the modified closed technique from the traditional closed method for anal sacculectomy?

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Correct. The modified technique involves complete excision of the duct and sac en bloc to reduce tumor cell seeding.
Incorrect. The correct answer is Circumferential duct excision and en bloc removal.
The modified technique involves complete excision of the duct and sac en bloc to reduce tumor cell seeding.

🔍 Key Findings

  • Modified closed anal sacculectomy resulted in a local recurrence rate of only 2.2%, substantially lower than prior reports (18–50%).
  • Postoperative complications occurred in 31.9% of dogs; most (93%) were minor, with dehiscence being the most common.
  • Mean survival time in deceased dogs was 521 days; median was 388 days.
  • Surgical technique included complete en bloc excision of the sac and duct with sphincter reconstruction, aiming to reduce seeding risk.
  • Only one major complication resulted in euthanasia due to infection and dehiscence.
  • Histologic margins were complete in 44.7% of dogs; lymphatic invasion was present in 31.9%, and vascular in 8.5%.
  • Adjunctive chemotherapy was administered in 34% of dogs (mostly carboplatin); not standardized due to retrospective design.
  • Routine rectal exam was key to diagnosis in 57.4% of dogs with no clinical signs, underscoring the importance of screening.

Davey

Veterinary Surgery

6

2024

Outcomes of dogs with apocrine gland anal sac adenocarcinoma treated via modified closed anal sacculectomy (2015–2022)

2024-6-VS-davey-3

Article Title: Outcomes of dogs with apocrine gland anal sac adenocarcinoma treated via modified closed anal sacculectomy (2015–2022)

Journal: Veterinary Surgery

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