
Your Custom Quiz
In Miyagi 2025 et al., on endoscopic laser sphincterotomy, what was concluded regarding ICBD length and body weight?
🔍 Key Findings
- Endoscopic-assisted retrograde catheterization (EARC) and laser sphincterotomy were successful in 18/18 cadavers, demonstrating technical feasibility.
- Intramural common bile duct (ICBD) length ranged from 10 to 21 mm (mean 15.8 mm), with no correlation to body weight (r = 0.06, p = .79).
- Transition from ICBD to extramural duct was accurately identified endoscopically in 88% (16/18); transition was heralded by separation of the submucosal layer.
- Partial lateral perforations occurred in 2/18 dogs, only during early learning phase; no leakage was found on open dissection.
- Laser sphincterotomy preserved the pancreatic duct orifice, aided by protective catheter positioning.
- Compared to open duodenotomy, this technique allows for a smaller incision and less manipulation of the pancreas, which may reduce morbidity.
- No adverse events such as intra-abdominal saline egress or full-thickness perforation occurred, and the technique allowed safe access up to 10 mm from the MDP.
- Cadaveric limitations included absence of biliary pathology and inability to evaluate live complications, but the technique shows promise for future live animal trials.
Veterinary Surgery
5
2025
Endoscopic‐assisted laser sphincterotomy of the intramural common bile duct: A cadaveric pilot study
2025-5-VS-miyagi-5
In Jeong 2025 et al., on contoured saw guide vs jig, which statement is correct regarding *osteotomy torsion*?
🔍 Key Findings
- TPLO with the contoured saw guide achieved more accurate osteotomy angles for both inclination and torsion in bone models and cadaveric limbs (p < .05).
- Medial cortical damage was significantly lower with the contoured guide (247 vs. 1866 pixels in bone models; p < .001).
- No significant difference in eccentricity (distance between actual and intended osteotomy center) was found between groups.
- Postoperative tibial plateau angle (TPA) was similar between groups (6.4° vs. 7.6°; p = .15), though both were slightly higher than the target of 6°.
- Deviation in medial mechanical proximal tibial angle (mMPTA) showed no significant group difference; valgus deformity occurred in both.
- Osteotomy and device application times were similar between the contoured guide and jig-assisted TPLO.
- The contoured guide eliminated the need for proximal jig pin, potentially reducing intra-articular pin risk.
- The guide's multiple pin fixation system improved stability and alignment, supporting safer osteotomy on curved tibial surfaces.
Veterinary Surgery
7
2025
Evaluation of a contoured saw guide for tibial plateau leveling osteotomy in dogs
2025-7-VS-jeong-4
In Mullen 2023 et al., on microvascular perfusion, which metric differed significantly between obstructed and healthy intestines?
🔍 Key Findings
- Microvascular density at the site of foreign body obstruction was significantly lower in obstructed dogs compared to healthy controls.
- PBR (perfused boundary region) was paradoxically lower in obstructed dogs, indicating that PBR may not reliably correlate with tissue viability in this context.
- No significant difference in microvascular perfusion between subjectively viable vs nonviable intestines, suggesting subjective assessment is unreliable.
- No difference in perfusion parameters between handsewn and stapled enterectomies, indicating both techniques preserve vascular health equally.
- Stapled enterectomy using green TA staples is safe and did not impair intestinal perfusion at the anastomosis site.
- SDF videomicroscopy is feasible intraoperatively and can differentiate healthy from diseased intestine in dogs.
- Surgeons' subjective evaluations led to potentially unnecessary enterectomies, as microvascular parameters did not differ.
- No cases of dehiscence or mortality, suggesting both surgical approaches are effective when applied properly.
Veterinary Surgery
4
2023
A quantitative evaluation of the effect of foreign body obstruction and enterectomy technique on canine small intestinal microvascular health
2023-4-VS-mullen-2
In Poggi 2025 et al., on laparoscopic cholecystectomy in cats, which of the following was a reported postoperative complication leading to death?
🔍 Key Findings
- Laparoscopic cholecystectomy (LC) was successfully performed in all 22 cats without conversion to open surgery.
- Complication rate was low: 3 cats had postoperative complications (1 seroma, 1 vomiting, 1 EHBDO and death).
- Median operating time was 41 minutes; median hospitalization was 3 days.
- No cases required conversion to open laparotomy, even in cats as small as 2.5 kg.
- Common devices used: Hemoclips or Hem-o-lok for cystic duct ligation; Ligasure, harmonic scalpel, or j-hook for dissection.
- Most common indications: cholelithiasis (9/22) and cholecystitis (10/22), with one biliary mucocele and one adenoma.
- Histopathology confirmed diagnosis in all cases; concurrent liver or intestinal biopsies were performed in some cats.
- Postoperative AUS and bloodwork were routine and important for detecting early signs of EHBDO.
Veterinary Surgery
5
2025
Laparoscopic cholecystectomy in 22 cats (2018–2024)
2025-5-VS-poggi-2
In Mattioli 2025 et al., on lymphadenectomy complications, what percentage of complications were classified as mild?
🔍 Key Findings
Sample: 201 lymphadenectomies in 163 dogs.
Intraoperative techniques:
- Unassisted: 36%
- Methylene blue (MB): 24%
- Gamma probe + MB (γ-MB): 40%
Complication rate: 7.5% overall (93% uncomplicated)
- 80% were mild, 20% moderate; no severe complications
- Most common = seroma (2.5%), lymphoedema (1.5%)
Risk factors (via decision tree model):
- Surgical time > 21.5 min
- Lymph node site = mandibular or retropharyngeal
No significant difference in complication rate based on:
- Guidance technique (p = .255)
- LN palpability, number removed, or LN size
Clinical implication: Peripheral SLN excision is safe regardless of intraoperative technique; certain sites and durations carry slightly higher risk.
Veterinary Surgery
4
2025
Peripheral sentinel lymphadenectomy in 163 dogs: Postoperative surgical complications and comparison between intraoperative dissection techniques
2025-4-VS-mattioli-5
In Dickerson 2023 et al., on surgical outcomes in hepatic abscessation, what was the median survival time for dogs discharged from the hospital?
🔍 Key Findings
- Liver lobectomy was the most common treatment (27/36 dogs), with multiple lobes removed in ~1/3 of cases.
- Septic peritonitis was present in 21/23 sampled dogs, making it a frequent complication.
- Perioperative complications occurred in 21/36 dogs, including aspiration pneumonia, pancreatitis, and acute kidney injury.
- Intraoperative hypotension was common (32/36), often requiring vasopressors or colloids.
- Mortality prior to discharge was 21% (8/38), with deaths related to sepsis, aspiration pneumonia, and multi-organ dysfunction.
- Median survival time was 638 days in dogs surviving to discharge.
- No recurrence of hepatic abscessation was observed in the surviving population.
- E. coli and Clostridium spp. were the most commonly cultured organisms, often as single-agent infections.
Veterinary Surgery
1
2023
Outcome in 38 dogs surgically treated for hepatic abscessation
2023-1-VS-dickerson-4
In Carvajal 2025 et al., on femoral stem breakage, what implant feature was shared by the majority of failed stems?
🔍 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.
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-2
In Evers 2022 et al., on bone-to-tendon plate fixation, what was the final functional outcome for the patient at 8.5 months?
🔍 Key Findings
- Bone-to-tendon plate fixation allowed successful stabilization of a highly comminuted calcaneus fracture in a dog with fragments too small for traditional fixation.
- The plate was sutured to the common calcaneal tendon using a figure-of-8 pattern, bypassing the need for screw fixation into small proximal fragments.
- Radiographic union was achieved by 17 weeks, though considered delayed, with the dog returning to normal function by 36 weeks post-op.
- A second surgery was required to replace the tendon-anchored plate with a calcaneus-only plate due to skin ulceration and implant prominence.
- Implant-associated infection was suspected; cultures confirmed Staphylococcus pseudintermedius, managed with doxycycline and clindamycin.
- Use of human placental matrix (hPM) and both autogenous and allogenic bone grafts supported healing, though their specific contribution remains uncertain.
- Postoperative complications included delayed union and skin ulceration, emphasizing challenges of implant design and soft tissue management.
- This is the first report of using a bone-to-tendon plate for a calcaneus fracture in dogs and demonstrates its potential in cases where traditional methods are not viable.
Veterinary Surgery
5
2022
Use of a bone‐to‐tendon plate to stabilize a comminuted calcaneus fracture in a dog
2022-5-VS-evers-5
In Rodiño Tilve 2022 et al., on feline THR outcomes, what percentage of owners reported a “very good” outcome?
🔍 Key Findings
From “Long-term follow up of 44 cats undergoing total hip replacement” by Rodiño Tilve et al.
- Slipped capital femoral epiphysis (SCFE) was the most common surgical indication (61%, 34/56 hips), primarily affecting young neutered male cats.
- All THRs used cemented micro/nano BioMedtrix implants; most common femoral stem was size #3, and most common acetabular cup was 12 mm.
- Postoperative complication rate was 19.6% (11/56) with 9 major complications (luxation most common), and no intraoperative complications reported.
- All luxations occurred in hips implanted with femoral neck +0 mm length implants.
- Second luxations were more common when revision used same implant size; use of larger implants reduced reluxation rates.
- FMPI-sf score improved significantly from median 2.111 pre-op to 0.111 post-op (P < .001), indicating reduced pain and improved function.
- Very high owner satisfaction: 91% (30/33) reported outcome as "very good."
- No significant associations found between complications and variables like weight, sex, implant size, or surgical indication.
Veterinary Surgery
5
2022
Long‐term follow up of 44 cats undergoing total hip replacement: Cases from a feline hip registry (2010–2020)
2022-5-VS-rodino-5
In Suematsu 2026 et al., on W-shaped tracheal collapse, what was the 36-month survival rate for dogs with WTC after CETP placement?
🔍 Key Findings
- Dogs with W-shaped tracheal collapse (WTC) had significantly more stridor and labored breathing preoperatively than those with traditional collapse (TTC) (p < .0001 and p = .0419).
- WTC dogs were 12.1× more likely to require preoperative oxygen support than TTC dogs.
- All dogs (TTC and WTC) survived to discharge after CETP placement; no intraoperative deaths occurred.
- Postoperative laryngeal paralysis occurred in 5 dogs (7.2%), with similar rates between TTC and WTC groups.
- Recurrent tracheal collapse occurred in 3 dogs (1 TTC, 2 WTC), all requiring additional stenting.
- 36-month survival was 75.7% (TTC) and 90.9% (WTC), not statistically different.
- Multivariate analysis showed Yorkshire Terriers (HR = 19.3) and older age (HR = 1.35 per year) were significantly associated with reduced survival.
- CETP was safe and effective for WTC, despite more severe preoperative signs, offering a viable alternative to stenting.
Veterinary Surgery
1
2026
Long‐term outcomes of dogs with W‐shaped or traditional tracheal collapse treated with a continuous extraluminal tracheal prosthesis: A retrospective study
2026-1-vs-suematsu-3
Quiz Results
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