Your Custom Quiz

In Miller 2024 et al., on leak testing in cooled feline intestine, what was a key implication of the intraluminal diameter findings?

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Correct. Ileum was widest and data may assist in future stapler selection.
Incorrect. The correct answer is Ileum had the largest diameter, helpful for device planning.
Ileum was widest and data may assist in future stapler selection.

🔍 Key Findings

  • No difference in initial leak pressure (ILP) or maximum intraluminal pressure (MIP) between cooled (17–29 h) and fresh enterotomy constructs.
  • Wall thickness of duodenum and jejunum did not differ between fresh and cooled samples.
  • Leak locations (suture holes vs clamp sites) were similar between groups; not statistically different.
  • Volume of infusion did not influence ILP or MIP outcomes.
  • Mean ILP values: Control = 600 mmHg (maxed), Fresh = 200 mmHg, Cooled = 131 mmHg; CE vs FE difference was not significant.
  • Intraluminal diameter was largest in the ileum, followed by jejunum and duodenum.
  • Cadaveric intestine cooled ≤29h may be reliably used in ex vivo feline leak pressure studies.
  • First report of gross small intestinal lengths by region in cats—useful for resection planning.

Miller

Veterinary Surgery

5

2024

Cooled feline intestine and fresh intestine did not differ in enterotomy leak pressure testing or in gross wall thickness measurement

2024-5-VS-miller-3

Article Title: Cooled feline intestine and fresh intestine did not differ in enterotomy leak pressure testing or in gross wall thickness measurement

Journal: Veterinary Surgery

In Scott 2025 et al., on acetabular cup revision, what was a notable complication observed postoperatively in some cases?

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Correct. One case had low-grade infection and osteolysis potentially linked to metal debris.
Incorrect. The correct answer is Osteolysis possibly associated with metallic debris.
One case had low-grade infection and osteolysis potentially linked to metal debris.

🔍 Key Findings

Population: 9 dogs underwent revision of osteointegrated acetabular cups after total hip arthroplasty (THA)

Revision Indications:

  • 7 luxations (5 ventral, 2 craniodorsal)
  • 1 femoral stem fracture
  • 1 aseptic stem loosening

Implants:

  • 8 BFX cups, 1 Helica; all revised to BFX
  • 7/9 required a larger cup than original

Cup removal: Required sectioning with a high-speed burr and modular osteotome; removal fragments extracted

Complications:

  • 1 recurrent luxation
  • 1 low-grade infection with possible metallic debris-associated osteolysis
  • 2 femoral fissures managed intraoperatively

Outcomes:

  • Good to excellent function in 6/6 dogs available at median 621 days
  • Minimal complications with success in re-osteointegration of new cup

Clinical takeaway: Revision of stable, ingrown cups is feasible and offers an alternative to pelvic osteotomies; typically requires upsizing

Scott

Veterinary Surgery

3

2025

Revision of osteointegrated acetabular cup prostheses in nine dogs

2025-3-VS-scott-4

Article Title: Revision of osteointegrated acetabular cup prostheses in nine dogs

Journal: Veterinary Surgery

In Rocheleau 2025 et al., on infected total hip replacements, which pathogen was among the common isolates recovered?

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Correct. S. pseudointermedius, including methicillin-resistant strains, was commonly isolated.
Incorrect. The correct answer is Staphylococcus pseudointermedius.
S. pseudointermedius, including methicillin-resistant strains, was commonly isolated.

🔍 Key Findings

Study Design: Case series of 8 dogs with confirmed or suspected PJI after total hip replacement (THR)
Dogs were categorized into:

  • Curative intent (CI) group (n=5): short-duration infections, implant retention attempted
  • Non-curative intent (NCI) group (n=3): chronic infections, implants scheduled for removal or revision

Success Rate: 7 of 8 dogs had infection resolution, including 4 of 5 in the CI group
Sampling sensitivity:

  • Arthroscopic culture success was 80% in the CI group but only 33% in the NCI group
  • All explanted implants from NCI group yielded positive cultures

Common isolates: Staphylococcus pseudointermedius (including MRSP), S. epidermidis, Stenotrophomonas maltophilia, and E. coli
Ancillary treatments included:

  • Partial synovectomy, high-volume lavage (5–10 L), biofilm-depleting lavage, and/or amikacin-impregnated calcium sulfate beads

Mean follow-up: >1 year (mean 812 days); no signs of recurrence in successfully treated cases
Conclusions: Arthroscopic management of THR infections is feasible and effective in appropriately selected dogs. Success aligns with human literature when infection type is favorable (Type 1, 3, 4). Sensitivity of arthroscopic culture is higher in early/acute infections.

Rocheleau

Veterinary Surgery

4

2025

Arthroscopic sampling, diagnosis and treatment of infected total hip replacements in dogs: Eight cases

2025-4-VS-rocheleau-4

Article Title: Arthroscopic sampling, diagnosis and treatment of infected total hip replacements in dogs: Eight cases

Journal: Veterinary Surgery

In Oramas 2025 et al., on laparoscopic liver lobectomy, what was the median total surgical time?

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Correct. Median total surgical time was 35.5 minutes (range 25.1–62.8).
Incorrect. The correct answer is 35.5 minutes.
Median total surgical time was 35.5 minutes (range 25.1–62.8).

🔍 Key Findings

  • 13 cadaver dogs underwent laparoscopic right lateral liver lobectomy in sternal recumbency using a transdiaphragmatic intrathoracic trocar (ITT).
  • All lobectomies were successful, regardless of dog size.
  • Median total surgical time: 35.5 min; median lobectomy time: 18.5 min.
  • ITT port enhanced visualization and access to hilus.
  • No correlation between body weight and hilus access (p = .78).
  • Stronger correlation between liver lobe weight and lobectomy time (r = .73, p = .004).
  • Complication in 3/13 cases: Loss of insufflation due to balloon-tip port failure and pneumothorax.
  • Recommendation: Use a new balloon trocar per case in clinical applications to prevent failure.

Oramas

Veterinary Surgery

4

2025

Evaluation of sternal recumbency for laparoscopic right lateral liver lobectomy through a transdiaphragmatic port in a canine cadaveric population

2025-4-VS-oramas-5

Article Title: Evaluation of sternal recumbency for laparoscopic right lateral liver lobectomy through a transdiaphragmatic port in a canine cadaveric population

Journal: Veterinary Surgery

In Curuci 2024 et al., which of the following statements best describes the complication rate?

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Correct. Only minor complications were noted (2/18), with no revisions or treatments required:contentReference[oaicite:5]{index=5}
Incorrect. The correct answer is Minor complications in 2/18 stifles.
Only minor complications were noted (2/18), with no revisions or treatments required:contentReference[oaicite:5]{index=5}

🔍 Key Findings Summary

  • 16 dogs (18 stifles) with CrCL rupture and TPA >34° were treated using the DCTPLO
  • Mean TPA correction: from 39.4° to 6.3°
  • Bone union at 60 days in 17/18 stifles; remaining healed by 90 days
  • Minor complications (e.g., small wedge gaps) in 2/18 stifles — no major complications
  • Patellar ligament thickening seen in 16/18 stifles but no clinical signs noted
  • The technique enabled safer reduction with less risk of tibial crest fracture vs. conventional TPLO

Curuci

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Double-Cut Tibial Plateau Leveling Osteotomy for the Management of Cranial Cruciate Ligament Insufficiency in Dogs with an Excessive Plateau Angle: Early Clinical Results in 16 Dogs

2024-6-VCOT-curuci-5

Article Title: Double-Cut Tibial Plateau Leveling Osteotomy for the Management of Cranial Cruciate Ligament Insufficiency in Dogs with an Excessive Plateau Angle: Early Clinical Results in 16 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 de Moya 2023 et al., on FGPP of femoral capital physeal/neck fractures, what was the median surgical time for FGPP procedures?

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Correct. Median surgery time was 60 minutes (range 45–75 min).
Incorrect. The correct answer is 60 minutes.
Median surgery time was 60 minutes (range 45–75 min).

🔍 Key Findings

  • 11 dogs, 13 fractures (mostly Salter-Harris type I) were repaired with FGPP using Kirschner wires.
  • 10/13 fractures achieved satisfactory healing with good limb function at ~43 days median follow-up.
  • Major complications occurred in 5 dogs: intra-articular pin placement, implant migration (2), implant failure with nonunion, and malunion.
  • 2 dogs presenting >15 days post-injury with radiographic remodeling were poor candidates → higher risk of nonunion/malunion.
  • Preoperative displacement was mostly mild (10/13 fractures); these had better outcomes than chronic or severely displaced cases.
  • Median surgical time: 60 minutes (range 45–75), all performed percutaneously without conversion to open.
  • Elective pin removal was performed in 5 cases; migration occurred with both short and long cut wires.
  • Femoral neck resorption (“apple-coring”) was rare (2/10 healed cases) and thought to be less frequent than after ORIF due to reduced vascular disruption.

de Moya

Veterinary Surgery

7

2023

Closed reduction and fluoroscopic-guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

2023-7-VS-demoya-5

Article Title: Closed reduction and fluoroscopic-guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

Journal: Veterinary Surgery

In Monti 2025 et al., on lymph node fluorescence imaging, what was the median dissection time during laparoscopic removal of iliosacral lymph nodes using NIRF-ICG?

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Correct. The median dissection time reported was 12 minutes, indicating a relatively efficient surgical technique.
Incorrect. The correct answer is 12 minutes.
The median dissection time reported was 12 minutes, indicating a relatively efficient surgical technique.

🔍 Key Findings

  • Laparoscopic ISLN removal using NIRF-ICG was feasible in 89% of dogs (16/18), demonstrating high procedural success with minimal invasiveness.
  • Median laparoscopic dissection time was only 12 minutes, suggesting efficiency of the NIRF-guided approach.
  • No postoperative complications were observed, and intraoperative complications occurred in only 2 dogs (11.1%), both requiring conversion to open surgery.
  • Metastatic disease was confirmed in 48% of patients (12/25 nodes), including cases where LNs appeared normal in size, highlighting the value of histologic evaluation.
  • NIRF-ICG enabled precise identification of small and mildly enlarged nodes, which are often missed during traditional imaging or palpation.
  • Fluorescent dye leakage following LN capsule rupture limited visibility and required surgical conversion, indicating a key limitation of the technique.
  • ICG signal was occasionally absent in metastatic LNs, likely due to lymphatic rerouting or obstruction, underscoring limitations in SLN identification.
  • The lateral approach allowed consistent access to ipsilateral MILN, IILN, and sacral LNs, though contralateral nodes were inaccessible with this method.

Monti

Veterinary Surgery

6

2025

Near‐infrared fluorescence‐guided minimally invasive surgery for iliosacral lymph node removal in 18 dogs (2023–2025)

2025-6-VS-monti-4

Article Title: Near‐infrared fluorescence‐guided minimally invasive surgery for iliosacral lymph node removal in 18 dogs (2023–2025)

Journal: Veterinary Surgery

In Alvarez 2022 et al., on rehabilitation modalities, which modality had the most studies showing positive postoperative effects in dogs but also had high risk of bias?

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Correct. Exercise had the most studies showing positive effects, but most were Level III or IV evidence with high RoB.
Incorrect. The correct answer is Exercise.
Exercise had the most studies showing positive effects, but most were Level III or IV evidence with high RoB.

🔍 Key Findings

  • Exercise-based rehabilitation showed benefits in 6 of 7 studies, including increased peak vertical force (PVF) and reduced lameness, though most had high risk of bias (RoB).
  • Cold compression therapy (CCT) had 2 high-quality (Level II, low RoB) studies showing improvements in pain scores, range of motion, and swelling, supporting its clinical use.
  • Extracorporeal shockwave therapy (ESWT) was supported by 2 Level II studies; only one had low RoB, showing short-term benefits in patellar ligament thickness and PVF, but no long-term benefit on bone healing.
  • Photobiomodulation (PBM) had mixed results across 3 Level II studies (all low RoB); only 1 showed positive impact on PVF, limiting its recommendation.
  • Low-intensity pulsed ultrasound (LIPUS) showed no significant impact on gait analysis or bone healing in a Level II, low RoB study.
  • Electrical muscle stimulation (EMS) improved lameness and thigh circumference in one Level III study, but had high-moderate RoB and involved experimentally-induced CCL rupture, limiting clinical relevance.
  • No modality beyond exercise and CCT had consistent or strong evidence for efficacy in post-TPLO or extracapsular repair rehabilitation.
  • The absence of standardized protocols, small sample sizes, and inconsistent outcome measures limited the generalizability of findings.

Alvarez

Veterinary Surgery

2

2022

Systematic review of postoperative rehabilitation interventions after cranial cruciate ligament surgery in dogs

2022-2-VS-alvarez-1

Article Title: Systematic review of postoperative rehabilitation interventions after cranial cruciate ligament surgery in dogs

Journal: Veterinary Surgery

In Brisimi 2022 et al., on tracheal anastomosis tension, what limitation of the annular ligament-cartilage technique was observed?

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Correct. Overlapping/overriding of tracheal ends was seen in 50% of specimens, impairing apposition.
Incorrect. The correct answer is Tissue overlap in 50% of cases.
Overlapping/overriding of tracheal ends was seen in 50% of specimens, impairing apposition.

🔍 Key Findings

  • Tracheal anastomoses in immature dogs failed at significantly lower distraction forces (44.91 ± 59.03 N) than in adults (149.31 ± 45.36 N; _P_ = .007).
  • Immature tracheae tolerated significantly more elongation before failure (39.75 ± 5.45%) than adult tracheae (30.57 ± 7.19%; _P_ = .0012).
  • All constructs failed by suture tearing through the annular ligament, primarily near the dorsal tracheal ring.
  • Overlapping of tracheal ends was seen in 50% of specimens across both age groups, suggesting limitations in tissue apposition with the chosen technique.
  • Simple continuous pattern using 2-0 polypropylene was used; this pattern provides superior tensile strength compared to simple interrupted, but apposition may be suboptimal.
  • Tracheal elasticity in immature dogs may allow longer resections, but the lower tensile strength necessitates reinforcement.
  • Annular ligament-cartilage technique with 4-mm suture spacing showed variable results; smaller bites and nylon suture may improve outcomes.
  • Ex vivo setup using frozen-thawed tracheae is a limitation, but prior studies support comparability with fresh tissue.

Brisimi

Veterinary Surgery

5

2022

Influence of age on resistance to distraction after tracheal anastomoses in dogs: An ex vivo study

2022-5-VS-brisimi-4

Article Title: Influence of age on resistance to distraction after tracheal anastomoses in dogs: An ex vivo study

Journal: Veterinary Surgery

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