Your Custom Quiz

In Boone 2026 et al., on feline urolith surgery, what was the authors' overall conclusion regarding modified percutaneous cystolithotomy?

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Correct. The authors concluded PCCLm is a viable minimally invasive alternative, although it did not reduce SSI or incomplete stone removal rates.
Incorrect. The correct answer is It is an acceptable alternative to open cystotomy.
The authors concluded PCCLm is a viable minimally invasive alternative, although it did not reduce SSI or incomplete stone removal rates.

🔍 Key Findings

  • Modified percutaneous cystolithotomy (PCCLm) resulted in significantly shorter skin incisions and hospitalization duration compared with open cystotomy (OC) (p=.002 and p=.031, respectively).
  • PCCLm cats had fewer immediate postoperative lower urinary tract signs and were more often asymptomatic postoperatively than OC cats (p=.046 and p=.006).
  • Rates of incomplete urolith removal were similar between PCCLm and OC, indicating no clear advantage in stone clearance for either technique.
  • No PCCLm procedures required conversion to open surgery, demonstrating technical feasibility in cats.
  • Clinical urolith recurrence rates were low and similar between PCCLm (10.5%) and OC (8.6%).
  • In PCCLm, incomplete stone removal was associated with longer anesthesia time, longer hospitalization, larger incision length, and postoperative LUTS.
  • In OC, incomplete stone removal was associated with longer surgery time and obstructed/distended bladders at presentation.
  • PCCLm is an acceptable minimally invasive alternative to OC, although it did not reduce surgical site infection rates or incomplete stone removal.

Boone

Veterinary Surgery

4

2026

Outcomes and comparison of modified percutaneous cystolithotomy and traditional open cystotomy in 52 cats

2026-4-vs-boone-5

Article Title: Outcomes and comparison of modified percutaneous cystolithotomy and traditional open cystotomy in 52 cats

Journal: Veterinary Surgery

In Song 2024 et al., on CT vs cystoscopy for ectopic ureters in dogs, what was the sensitivity of CT for intramural ectopic ureters?

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Correct. CT sensitivity for intramural ectopic ureters was 65%, showing moderate detection ability.
Incorrect. The correct answer is 65%.
CT sensitivity for intramural ectopic ureters was 65%, showing moderate detection ability.

🔍 Key Findings

  • CT correctly identified ectopic ureters in 91% of dogs, but missed 50% of normal ureters, limiting its negative predictive value.
  • Sensitivity for intramural ectopic ureters was 65%, while specificity was 71%, indicating moderate diagnostic performance.
  • Sensitivity for extramural ectopic ureters was only 29%, despite a high specificity of 97%.
  • CT was inaccurate in predicting ureteral orifice location, with sensitivity ranging from 0% to 76% depending on the site.
  • 26% of dogs were misclassified for cystoscopic laser ablation (CLA) eligibility based on CT findings alone.
  • Overall CT accuracy for CLA candidacy was 74%, but a significant minority would have been inappropriately treated.
  • Multivariate analysis found no predictive factors (e.g., colon distension, body weight) for when CT would be incorrect.
  • Authors recommend confirmatory cystoscopy to verify CT findings prior to treatment planning.

Song

Veterinary Surgery

3

2024

Receiver operating characteristics of computed tomography (CT) compared to cystoscopy in diagnosis of canine ectopic ureters: Thirty-five cases

2024-3-VS-song-2

Article Title: Receiver operating characteristics of computed tomography (CT) compared to cystoscopy in diagnosis of canine ectopic ureters: Thirty-five cases

Journal: Veterinary Surgery

In Violini 2024 et al., on 3D-guided spinal stabilization in brachycephalic dogs, what percentage of pedicle screws achieved optimal placement?

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Correct. 84% of pedicle screws were fully contained within the pedicle and vertebral body (Grade I):contentReference[oaicite:0]{index=0}.
Incorrect. The correct answer is 84%.
84% of pedicle screws were fully contained within the pedicle and vertebral body (Grade I):contentReference[oaicite:0]{index=0}.

🔍 Key Findings

  • Spinal stabilization with 3D-printed patient-specific drill guides (3D-PSGs) was safe, with no immediate perioperative complications reported.
  • 84% of pedicle screws were optimally placed, and only 0.5% breached the spinal canal, reflecting high placement accuracy.
  • 80% of dogs experienced no neurologic deterioration postoperatively, indicating reliable short-term safety.
  • 3D-PSGs were accurate and reproducible, even across multiple institutions and surgeons.
  • Mid-term outcomes were favorable: all dogs were ambulatory, and 90% had static or improved neurologic signs.
  • 7 of 10 mid-term follow-ups showed abnormal gait, though owners rated lifestyle ≥3/5, suggesting acceptable function.
  • 3D-printed guides enabled precise pedicle screw placement in deformed vertebrae, expanding options in small breeds.
  • One dog suffered a T4 spinous process fracture due to overextension of PMMA cement, emphasizing the need for cement placement caution.

Violini

Veterinary Surgery

4

2024

Clinical outcomes of 20 brachycephalic dogs with thoracolumbar spinal deformities causing neurological signs treated with spinal stabilization using 3D-printed patient-specific drill guides

2024-4-VS-violini-1

Article Title: Clinical outcomes of 20 brachycephalic dogs with thoracolumbar spinal deformities causing neurological signs treated with spinal stabilization using 3D-printed patient-specific drill guides

Journal: Veterinary Surgery

In Quitzan 2022 et al., on staple line configuration, which FEESA group had significantly higher ILP than both 2V/2T and 3V/2T groups?

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Correct. 3V/3T was significantly stronger (P < .001) in ILP than 2V/2T and 3V/2T groups.
Incorrect. The correct answer is 3V/3T.
3V/3T was significantly stronger (P < .001) in ILP than 2V/2T and 3V/2T groups.

🔍 Key Findings

  • All FEESA configurations leaked at lower pressures than intact segments, confirming reduced integrity vs. native tissue.
  • FEESA with 3-row transverse staples (3V/3T or 2V/3T) had significantly higher leak pressures than 2-row configurations.
  • 3V/3T configuration had the highest ILP (69.88 ± 21.23 mmHg) among all groups, significantly greater than 2V/2T and 3V/2T (P < .001).
  • Leakage consistently occurred at the transverse staple line (not vertical), regardless of configuration.
  • No significant difference in maximum intraluminal pressure (MIP) between FEESA groups.
  • All FEESA constructs withstood intraluminal pressures >25 mmHg, exceeding normal physiological jejunal pressure in dogs.
  • No leaks occurred from the vertical staple line, highlighting it as a more robust closure site.
  • Third staple row in transverse line may be a viable alternative to suture oversew, pending further clinical evaluation.

Quitzan

Veterinary Surgery

5

2022

Influence of staple line number and configuration on the leakage of small intestinal functional end-to-end stapled anastomosis: An ex vivo study

2022-5-VS-quitzan-3

Article Title: Influence of staple line number and configuration on the leakage of small intestinal functional end-to-end stapled anastomosis: An ex vivo study

Journal: Veterinary Surgery

In Moreira 2024 et al., on predictive equations for TPA correction, what was the purpose of the generated corrective equations?

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Correct. Equations allowed precise planning by adjusting for TLA shift and preoperative TPA.
Incorrect. The correct answer is To select wedge angle achieving 5° TPA while accounting for TLA shift.
Equations allowed precise planning by adjusting for TLA shift and preoperative TPA.

🔍 Key Findings

  • A linear relationship was observed between wedge angle and tibial plateau angle (TPA) correction across all four CCWO techniques.
  • All techniques produced predictable TPA corrections using linear regression-derived equations, allowing wedge angle extrapolation to achieve a target postoperative TPA of 5°.
  • TLA shift (tibial long axis) increased with wedge angle and influenced final TPA; greatest in Frederick & Cross method.
  • Tibial shortening (mTL%) varied by technique, being most severe (up to 40.9%) in traditional Slocum & Devine CCWO and least in newer techniques (7.5–12%).
  • The Oxley mCCWO technique showed lower TLA shift compared to the Frederick & Cross and Christ techniques, though similar to Slocum & Devine; tibial shortening was more pronounced than other modified techniques at wedge angles ≤40°.
  • Techniques varied in craniocaudal translation and wedge apex positioning, influencing planning accuracy and mechanical axis alignment.
  • The corrective wedge angle equations reliably predicted TPA within 4–6° across varied tibial conformations.
  • The study supports equation-based planning over static TPA–5° subtraction to reduce risk of under- or over-correction.

Moreira

Veterinary Surgery

8

2024

Predicting tibial plateau angles following four different types of cranial closing wedge ostectomy

2024-8-VS-moreira-4

Article Title: Predicting tibial plateau angles following four different types of cranial closing wedge ostectomy

Journal: Veterinary Surgery

In Bush 2023 et al., on canine salivary gland carcinoma, what was the rate of local recurrence after surgical excision of salivary carcinoma in dogs?

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Correct. Local recurrence (confirmed or suspected) occurred in 42% of cases, with a median DFI of 191 days.
Incorrect. The correct answer is 42%.
Local recurrence (confirmed or suspected) occurred in 42% of cases, with a median DFI of 191 days.

🔍 Key Findings

Source: Bush et al., 2023, Veterinary Surgery

  • Median survival time (MST) after surgery was 1886 days, which is significantly longer than previously reported.
  • Lymph node metastasis at surgery was a negative prognostic factor, reducing MST to 248 days (vs. 2340 days without nodal involvement).
  • Local recurrence occurred in 42% of dogs, with a median disease-free interval (DFI) of 191 days.
  • Metastatic disease occurred in 32% of dogs, most commonly to the lungs, with a median DFI of 299 days.
  • Histologic features (e.g., margin status, capsular, lymphatic, or vascular invasion) were not significantly correlated with recurrence or metastasis.
  • Facial nerve injury occurred in 9.7% perioperatively, especially after parotidectomy; intraoperative facial nerve transection led to long-term deficits.
  • Adjuvant therapies (chemotherapy, radiation, NSAIDs) did not significantly affect survival time.
  • Incisional biopsy was only 38% concordant with final excisional histology, suggesting limited reliability for definitive diagnosis.

Bush

Veterinary Surgery

3

2023

Outcomes and clinical features associated with surgically excised canine salivary gland carcinoma: A multi-institutional, retrospective, Veterinary Society of Surgical Oncology study

2023-3-VS-bush-3

Article Title: Outcomes and clinical features associated with surgically excised canine salivary gland carcinoma: A multi-institutional, retrospective, Veterinary Society of Surgical Oncology study

Journal: Veterinary Surgery

In Duvieusart 2025 et al., on lung lobectomy approaches, which technique provided the greatest surgical exposure?

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Correct. TDCM had the largest median exposure area (193.5 cm²), significantly more than ICT and MS.
Incorrect. The correct answer is Transdiaphragmatic with caudal sternotomy (TDCM).
TDCM had the largest median exposure area (193.5 cm²), significantly more than ICT and MS.

🔍 Key Findings

  • Study Design: Canine cadaveric study comparing intercostal thoracotomy (ICT), median sternotomy (MS), and transdiaphragmatic with caudal median sternotomy (TDCM) for accessory lung lobectomy (ALL).
  • Main Outcomes:
    • Exposure Area: TDCM (193.5 cm²) > MS (106.5 cm²) > ICT (73.5 cm²) (p = .01).
    • TDCM provided significantly greater exposure than MS (p = .02) and ICT (p = .02); MS > ICT (p = .04).
    • Surgical Time: No significant difference (p = .06).
    • Lobe Excision (% by weight/surface area): No significant difference between groups (p = .4).
    • Staple Line Leak: Leak at ≤40 cmH₂O in 2/4 ICT, 0/4 MS, 0/4 TDCM (p = .09).
  • Complications:
    • 1/4 MS cases had iatrogenic damage to an adjacent lobe.
  • Technical Insights:
    • TDCM approach allowed immediate visualization of all three parts of the right pulmonary ligament.
    • The TDCM approach offers improved access without requiring en bloc removal with the right caudal lobe.
  • Conclusion: The TDCM approach provides improved exposure for ALL lobectomy with no increase in surgical time or complications relative to other approaches.

Duvieusart

Veterinary Surgery

1

2025

Comparison of three approaches for accessory lung lobectomy in the canine cadaveric model: Intercostal thoracotomy, median sternotomy, and a transdiaphragmatic approach combined with caudal median sternotomy

2025-1-VS-duvieusart-1

Article Title: Comparison of three approaches for accessory lung lobectomy in the canine cadaveric model: Intercostal thoracotomy, median sternotomy, and a transdiaphragmatic approach combined with caudal median sternotomy

Journal: Veterinary Surgery

In Sabol 2024 et al., what was the smallest allowable deviation angle reported?

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Correct. Some vertebrae permitted as little as 3° of deviation before breaching cortex or spinal canal:contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is 3°.
Some vertebrae permitted as little as 3° of deviation before breaching cortex or spinal canal:contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • Evaluated ideal dorsolateral implant trajectories in T1–T13 using CT in 30 dogs across five weight classes.
  • Corridor widths were narrowest in the mid-thoracic vertebrae (as little as 1.8 mm) and increased cranially and caudally.
  • Allowable deviation angles (ADA) were often very small (as little as 3°), indicating high risk for canal or thoracic structure breach.
  • Distances to critical structures (lungs, aorta, subclavian artery, azygos vein) were often <1 mm, even in large dogs.
  • Data suggest extreme caution and precision are needed for thoracic vertebral implant placement and support use of navigation or 3D-printed guides.

Sabol

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Implantation Corridors in Canine Thoracic Vertebrae: A Morphometric Study in Dogs of Varying Sizes

2024-2-VCOT-sabol-2

Article Title: Implantation Corridors in Canine Thoracic Vertebrae: A Morphometric Study in Dogs of Varying Sizes

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Kokkinos 2025 et al., on THR age effects, which variable remained significantly associated with complications on multivariable analysis?

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Correct. Only age <6 months was statistically associated with increased complication risk on multivariable analysis.
Incorrect. The correct answer is Age at surgery.
Only age <6 months was statistically associated with increased complication risk on multivariable analysis.

🔍 Key Findings

  • Study population: 116 dogs underwent cementless THR; grouped by age:
    • Group A: ≤6 months (n = 27)
    • Group B: >6 to ≤12 months (n = 41)
    • Group C: >12 months (n = 48)
  • Overall perioperative complication rate: 31.9% (37/116)
    • Group A: 22.2%
    • Group B: 26.8%
    • Group C: 41.7%
  • No significant difference in total complication rate by age (p = .207), though older dogs (Group C) had numerically higher rates.
  • Luxation was significantly more common in dogs >12 months:
    • Group C: 14.6% vs. Group A (0%) and Group B (2.4%) → p = .049
  • Most common complications: luxation (9.5%) and intraoperative fissure or fracture (9.5%)
  • Time under anesthesia and surgery duration were not associated with complication risk (p = .297 and p = .781)
  • No infections or aseptic loosening observed during the 8-week follow-up.

Kokkinos

Veterinary Surgery

3

2025

The influence of age at total hip replacement on perioperative complications in dogs

2025-3-VS-kokkinos-3

Article Title: The influence of age at total hip replacement on perioperative complications in dogs

Journal: Veterinary Surgery

In Bower 2025 et al., on radial diaphyseal exposure, which practical advantage is associated with the craniolateral approach?

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Correct. The craniolateral approach allows relaxed lateral recumbency without traction or assistance.
Incorrect. The correct answer is Easier lateral positioning without an assistant.
The craniolateral approach allows relaxed lateral recumbency without traction or assistance.

🔍 Key Findings

  • Craniomedial and craniolateral approaches provided comparable exposure of the feline radial diaphysis (p > .05).
  • Mean exposed surface area was slightly greater with the craniolateral approach, both including and excluding the supinator muscle, but differences were not significant.
  • Elevation of the supinator muscle increased exposure for both approaches.
  • Cadaver weight and limb side did not significantly affect exposure area.
  • The craniolateral approach allows easier patient positioning in lateral recumbency without traction or an assistant.
  • Craniolateral access facilitates dual bone fixation (radius and ulna) through a single approach.
  • The craniomedial approach carries greater risk to median and radial nerves during muscle elevation.
  • Findings validate the craniolateral approach as a practical alternative for feline antebrachial fracture repair.

Bower

Veterinary Surgery

8

2025

Comparison of exposure of the feline radial diaphysis by the craniomedial and craniolateral surgical approaches for repair of antebrachial fractures

2025-8-vs-bower-3

Article Title: Comparison of exposure of the feline radial diaphysis by the craniomedial and craniolateral surgical approaches for repair of antebrachial fractures

Journal: Veterinary Surgery

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