Your Custom Quiz

In Miyagi 2025 et al., on endoscopic laser sphincterotomy, what was concluded regarding ICBD length and body weight?

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Correct. Statistical analysis showed no significant correlation (r = 0.06, p = .79).
Incorrect. The correct answer is No correlation was found.
Statistical analysis showed no significant correlation (r = 0.06, p = .79).

🔍 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.

Miyagi

Veterinary Surgery

5

2025

Endoscopic‐assisted laser sphincterotomy of the intramural common bile duct: A cadaveric pilot study

2025-5-VS-miyagi-5

Article Title: Endoscopic‐assisted laser sphincterotomy of the intramural common bile duct: A cadaveric pilot study

Journal: Veterinary Surgery

In Jeong 2025 et al., on contoured saw guide vs jig, which statement is correct regarding *osteotomy torsion*?

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Correct. Contoured guide improved torsional precision (e.g., 257 vs 2573 pixels in bone models; p < .001).
Incorrect. The correct answer is Contoured guide reduced torsion significantly in both bone models and cadavers..
Contoured guide improved torsional precision (e.g., 257 vs 2573 pixels in bone models; p < .001).

🔍 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.

Jeong

Veterinary Surgery

7

2025

Evaluation of a contoured saw guide for tibial plateau leveling osteotomy in dogs

2025-7-VS-jeong-4

Article Title: Evaluation of a contoured saw guide for tibial plateau leveling osteotomy in dogs

Journal: Veterinary Surgery

In Mullen 2023 et al., on microvascular perfusion, which metric differed significantly between obstructed and healthy intestines?

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Correct. Microvascular density was significantly lower in obstructed intestines compared to controls (p < .01), making it a reliable indicator.
Incorrect. The correct answer is Microvascular density.
Microvascular density was significantly lower in obstructed intestines compared to controls (p < .01), making it a reliable indicator.

🔍 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.

Mullen

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

Article Title: A quantitative evaluation of the effect of foreign body obstruction and enterectomy technique on canine small intestinal microvascular health

Journal: Veterinary Surgery

In Poggi 2025 et al., on laparoscopic cholecystectomy in cats, which of the following was a reported postoperative complication leading to death?

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Correct. EHBDO developed postoperatively in one cat with cholelithiasis and led to death within 3 days.
Incorrect. The correct answer is Extrahepatic biliary duct obstruction.
EHBDO developed postoperatively in one cat with cholelithiasis and led to death within 3 days.

🔍 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.

Poggi

Veterinary Surgery

5

2025

Laparoscopic cholecystectomy in 22 cats (2018–2024)

2025-5-VS-poggi-2

Article Title: Laparoscopic cholecystectomy in 22 cats (2018–2024)

Journal: Veterinary Surgery

In Mattioli 2025 et al., on lymphadenectomy complications, what percentage of complications were classified as mild?

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Correct. Eighty percent of the complications were classified as mild in severity.
Incorrect. The correct answer is 80%.
Eighty percent of the complications were classified as mild in severity.

🔍 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.

Mattioli

Veterinary Surgery

4

2025

Peripheral sentinel lymphadenectomy in 163 dogs: Postoperative surgical complications and comparison between intraoperative dissection techniques

2025-4-VS-mattioli-5

Article Title: Peripheral sentinel lymphadenectomy in 163 dogs: Postoperative surgical complications and comparison between intraoperative dissection techniques

Journal: Veterinary Surgery

In Dickerson 2023 et al., on surgical outcomes in hepatic abscessation, what was the median survival time for dogs discharged from the hospital?

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Correct. Dogs surviving to discharge had a median survival time of 638 days.
Incorrect. The correct answer is 638 days.
Dogs surviving to discharge had a median survival time of 638 days.

🔍 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.

Dickerson

Veterinary Surgery

1

2023

Outcome in 38 dogs surgically treated for hepatic abscessation

2023-1-VS-dickerson-4

Article Title: Outcome in 38 dogs surgically treated for hepatic abscessation

Journal: Veterinary Surgery

In Carvajal 2025 et al., on femoral stem breakage, what implant feature was shared by the majority of failed stems?

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Correct. 13 of 14 failed implants were BFX lateral bolt stems, highlighting a common feature among breakages.
Incorrect. The correct answer is Use of BFX lateral bolt stem.
13 of 14 failed implants were BFX lateral bolt stems, highlighting a common feature among breakages.

🔍 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-2

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

Journal: Veterinary Surgery

In Evers 2022 et al., on bone-to-tendon plate fixation, what was the final functional outcome for the patient at 8.5 months?

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Correct. The dog returned to normal function without lameness, though tendon thickening remained.
Incorrect. The correct answer is Full function with mild thickening of tendon.
The dog returned to normal function without lameness, though tendon thickening remained.

🔍 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.

Evers

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

Article Title: Use of a bone‐to‐tendon plate to stabilize a comminuted calcaneus fracture in a dog

Journal: Veterinary Surgery

In Rodiño Tilve 2022 et al., on feline THR outcomes, what percentage of owners reported a “very good” outcome?

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Correct. 30 of 33 owners (91%) reported the outcome as "very good."
Incorrect. The correct answer is 90.9%.
30 of 33 owners (91%) reported the outcome as "very good."

🔍 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.

Rodiño Tilve

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

Article Title: Long‐term follow up of 44 cats undergoing total hip replacement: Cases from a feline hip registry (2010–2020)

Journal: Veterinary Surgery

In Suematsu 2026 et al., on W-shaped tracheal collapse, what was the 36-month survival rate for dogs with WTC after CETP placement?

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Correct. WTC dogs had a 36-month survival of 90.9%, slightly higher than TTC but not statistically different.
Incorrect. The correct answer is 90.9%.
WTC dogs had a 36-month survival of 90.9%, slightly higher than TTC but not statistically different.

🔍 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.

Suematsu

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

Article Title: Long‐term outcomes of dogs with W‐shaped or traditional tracheal collapse treated with a continuous extraluminal tracheal prosthesis: A retrospective study

Journal: Veterinary Surgery

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