
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?
🔍 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
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
In Story 2024 et al., on surgical correction of excessive tibial plateau angle (eTPA), which group showed significant tibial shortening compared to others?
🔍 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.
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
In Longo 2023 et al., on CT trochlear measurements, what best describes the significance of FTA and FTRIA in surgical planning for MPL?
🔍 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.
Veterinary Surgery
3
2023
Computed tomographic measurements of the femoral trochlea in dogs with and without medial patellar luxation
2023-3-VS-longo-3
In Simpson 2022 et al., on feline cholecystectomy outcomes, what was the reported perioperative mortality rate?
🔍 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.
Veterinary Surgery
1
2022
Cholecystectomy in 23 cats (2005‐2021)
2022-1-VS-simpson-2
In de la Oliva 2024 et al., what was the prevalence of contralateral HIF in French Bulldogs with humeral condylar fracture?
🔍 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)
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
In Veytsman 2023 et al., on feline insulinoma outcomes, what was the reported median overall survival time (OST)?
🔍 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.
Veterinary Surgery
1
2023
Retrospective study of 20 cats surgically treated for insulinoma
2023-1-VS-veytsman-3
In Carrera 2024 et al., on early MPL correction, which deformity was most frequently associated with grade III patellar luxation in juvenile dogs?
🔍 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.
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs
2024-2-VCOT-carrera-1
In Lotsikas 2025 et al., on stifle distraction portal, what major procedural advantage did the new portal approach provide?
🔍 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
Veterinary Surgery
3
2025
Proximal lateral insertion portal of an intra-articular arthroscopic stifle lever: A cadaveric study
2025-3-VS-lotsikas-5
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?
🔍 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.
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
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?
🔍 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.
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
Quiz Results
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