Your Custom Quiz
In You 2025 et al., on barbed sutures for lung lobectomy, how did the leakage pressure of barbed sutures compare with other techniques?
🔍 Key Findings
- Barbed sutures showed comparable leakage pressure to traditional sutures and stapling devices (p = .36).
- No bronchial leaks occurred at physiological pressure (<20 cmH₂O) in any group.
- Leakage at supraphysiologic pressure (20–80 cmH₂O) occurred in 90% of stapler, 80% of traditional, and 60% of barbed suture closures.
- Barbed sutures reduced ligation time significantly compared to traditional sutures (10.7 vs. 14.1 minutes, p < .01).
- Staplers remained fastest, with mean ligation time of 2.4 minutes.
- No knot failure or suture breakage was observed in barbed or traditional suture groups.
- Leakage in barbed sutures occurred mostly at the loop effector zone, but remained within acceptable limits.
- Barbed sutures may offer an effective alternative when staplers are unavailable, impractical, or cost-prohibitive.
Veterinary Surgery
7
2025
Evaluation of a knotless barbed suture for canine total lung lobectomy: An ex vivo study
2025-7-VS-you-4
In Bondonny 2024 et al., what factor contributed to a case of medial patellar luxation at follow-up?
🔍 Key Findings Summary
- Retrospective study of 33 fractures in 31 cats with Salter–Harris I or II distal femoral fractures
- Used 1 intramedullary Steinmann pin + 1 laterally placed antirotational pin
- 96.9% achieved full functional outcome at mid-term follow-up
- No implant migration or removal required
- Minor complications: 2 seromas; Major: 3 (patellar luxation [2], osteomyelitis [1])
- Growth plate remained open in 27.3% of cases at 6–8 weeks post-op
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Use of a Modified Intramedullary Pinning Technique for Distal Femoral Physeal Salter–Harris Type I and II Fracture Management
2024-2-VCOT-bondonny-3
In Scheuermann 2023 et al., on femoral MIPO alignment, which statement about fluoroscopy use is most accurate?
🔍 Key Findings
- Precontoured plates using 3D-printed femoral models achieved near-anatomic alignment in all cadaver limbs.
- Fracture reduction system (FRS) required significantly fewer fluoroscopy images than intramedullary pin (IMP) methods (7 vs 26, P = .001).
- Despite longer surgical time (43 vs 29 minutes, P = .011), FRS showed equally accurate or better alignment compared to IMP.
- Femoral length, frontal, sagittal, and axial alignment were all within near-anatomic thresholds (<10 mm or <5° deviation) in both groups.
- FRS was associated with more consistent length maintenance, with IMP showing a median shortening of 2.3 mm (P = .03).
- Axial plane deviation was statistically different in the FRS group (P = .04), but still clinically acceptable.
- Study highlights potential for custom 3D-printed guides to reduce radiation exposure and improve precision in MIPO procedures.
- Authors caution that FRS was time-consuming and cumbersome, suggesting design refinements needed for clinical use.
Veterinary Surgery
6
2023
Minimally invasive plate osteosynthesis of femoral fractures with 3D‐printed bone models and custom surgical guides: A cadaveric study in dogs
2023-6-VS-scheuermann-1
In Kurogochi 2025 et al., on cardioplegia in mitral repair, what was the effect of mDN solution on sinus rhythm recovery?
🔍 Key Findings
- No significant difference in cardiac troponin I levels 12h post-op between mDN and St. Thomas cardioplegia groups (p = 0.478)
- Sinus rhythm returned faster in the mDN group after aortic cross-clamp removal (median 60s vs 362s, p = 0.027)
- Lower serum potassium at cross-clamp removal in the mDN group (median 4.5 mEq/L vs 5.4, p = 0.005)
- Fewer doses needed in the mDN group (median 2.5 vs 4.0, p = 0.040)
- Higher total crystalloid volume used in mDN group (23.6 vs 12.6 mL/kg, p < 0.001)
- No difference in survival (700-day survival 90% in both groups, p = 0.958)
- No difference in hospitalization duration (median 6 days for both, p = 0.789)
- Echocardiographic remodeling similar between groups at 24h post-op
Veterinary Surgery
7
2025
Saline‐based modified del Nido cardioplegia versus multidose St. Thomas cardioplegia in canine mitral valve repair: A randomized controlled trial
2025-7-VS-kurogochi-1
In Simpson 2022 et al., on feline cholecystectomy outcomes, which postoperative complication was most common?
🔍 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-3
In Gibson 2024 et al., on mediastinoscopy in dogs, what was the **overall complication rate** observed during the cadaveric procedures?
🔍 Key Findings
- Mediastinoscopy was technically feasible in large-breed canine cadavers using a SILS port and standard laparoscopic instruments.
- The left tracheobronchial lymph node (LTBLN) was successfully retrieved in all cadavers (7/7), while cranial mediastinal lymph nodes were retrieved in only 1/7.
- Postprocedural pleural gas was observed in 4/7 cadavers, likely due to CO₂ insufflation.
- Instrument limitations with a human-designed mediastinoscope led to preference for laparoscopic instruments and SILS port for improved access and visualization.
- Complication rates were low, with only two minor (Grade 1) adverse events (pleural tear and LN rupture).
- Obesity and mediastinal fat were cited as potential challenges to visualization and node retrieval.
- NASA-TLX workload scores were lowest for tracheobronchial nodes, indicating these were the easiest to access.
- The authors concluded this approach may facilitate minimally invasive biopsy or resection of cranial mediastinal masses in live dogs, but clinical trials are needed to validate safety and efficacy.
Veterinary Surgery
5
2024
Evaluation of mediastinoscopy for cranial mediastinal and tracheobronchial lymphadenectomy in canine cadavers
2024-5-VS-gibson-4
In Drudi 2022 et al., on CAL vs TAL outcomes, which group demonstrated a significant reduction in glottic area between immediate and 15-day post-op periods?
🔍 Key Findings
- Cricoarytenoid lateralization (CAL) resulted in a significantly greater increase in rima glottidis area at both immediate (205%) and 15-day (199%) time points compared to thyroarytenoid lateralization (TAL) (152% and 127%, respectively).
- TAL group showed a significant reduction in rima glottidis area between immediate and 15-day postoperative measurements (P < .05), while CAL group had no significant reduction over time.
- No dogs in either group showed postoperative complications, including aspiration pneumonia, at the 15-day follow-up.
- All dogs showed improved clinical signs, including decreased stridor and increased exercise tolerance by day 15.
- CAL produced more stable postoperative glottic area, potentially due to preserved anatomical tension, whereas TAL might experience tension loss due to thyroid cartilage repositioning.
- Both procedures were technically effective and performed under the same protocol by a single board-certified surgeon.
- Endoscopic image analysis was used to quantify rima glottidis area, demonstrating a reliable objective method for surgical outcome assessment.
- Clinical outcome did not differ between groups, despite CAL showing a larger rima glottidis area.
Veterinary Surgery
3
2022
Comparison of immediate and short‐term outcomes of cricoarytenoid and thyroarytenoid lateralization in dogs with idiopathic laryngeal paralysis
2022-3-VS-drudi-3
In Butare-Smith 2022 et al., on cerclage knot biomechanics, what was the peak load resisted by double-loop cerclage in single-load testing?
🔍 Key Findings
- Double-loop cerclage resisted the highest peak load (805 N) and maintained tension longer than twist (488 N) and single-loop (397 N) configurations.
- Double-loop cerclage sustained 500,000 cycles at 60–80% of peak load in some cases without loosening, outperforming other types.
- Twist knots loosened rapidly, often within 10 cycles even at low loads (100–390 N).
- Single-loop knots performed better than twist, with partial resistance up to 100,000 cycles at 160 N, but showed wide variability.
- All loosening occurred before wire breakage, indicating clinical failure would happen from slack, not fracture.
- Double-loop cerclage had highest initial tension (323 N) compared to single-loop (124 N) and twist (69 N).
- Fatigue limit was not identified for twist, since they all loosened early at even 20% of peak load.
- Clinical recommendation: double-loop cerclage is best for resisting repeated subfailure loading, ideal for fissure prevention or fragment stabilization.
Veterinary Surgery
2
2022
Double-loop cerclage resists greater loads for more cycles than twist and single-loop cerclage
2022-2-VS-butare-smith-4
In Lomas 2025 et al., on hybrid THR in cats, what was the most common indication for total hip replacement (THR) in this cohort?
🔍 Key Findings
- Hybrid THR in cats showed no major complications across 17 hips in 15 cats, including 2 bilateral cases.
- Postoperative radiographs confirmed stable implant positioning with no loosening, migration, or dislocation in follow-up imaging.
- Mean owner satisfaction was high, with a mean short-form feline musculoskeletal pain index (sf-FMPI) score of 2/36 at a mean follow-up of 438 days.
- SCFE (slipped capital femoral epiphysis) was the most common indication, seen in 13/17 hips.
- Partial tenotomy of rectus femoris origin resolved intraoperative medial patella luxation in 3 cases—no cats required surgical correction later.
- A micro BFX cup allowed for increased acetabular offset, possibly reducing luxation risk even when using a +0 femoral head offset.
- Hybrid THR was successfully used as a revision for failed CFX THR due to recurrent luxation—implants remained stable post-revision.
- Use of oversized cups (12 mm) with shallow seating or medial breach still resulted in stable outcomes, suggesting good implant fixation even with reduced bone stock.
Veterinary Surgery
6
2025
Medium‐term outcomes of hybrid total hip arthroplasty in cats: Cemented femoral stem and cementless acetabular cup in 17 hips (2020–2023)
2025-6-VS-lomas-1
In Gant 2025 et al., on skin prep and SSI, which finding was reported?
🔍 Key Findings
- No statistically significant difference in overall SSI rates: 9.2% (chlorhexidine) vs. 7.38% (iodophor) (p = .25).
- Significant drape lift occurred in 13.2% of cases; those with lift had 2.72× increased risk of SSI (p = .026).
- Increased body weight was a statistically significant risk factor for SSI (p = .008): each 1 kg increased SSI risk by 3%.
- Use of glutaraldehyde was associated with a 2.38× increased risk of SSI (p = .055, approaching significance).
- No difference in SSI rates based on surgeon training level or surgical classification (clean, clean-contaminated, contaminated).
Veterinary Surgery
3
2025
Influence of skin preparation on surgical site infection and lift of adhesive surgical drapes
2025-3-VS-gant-5
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings