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In Davis 2025 et al., on modified anal sacculectomy, which feature differentiates the technique from prior closed methods?

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Correct. The technique involves tracking the duct for immediate sac identification, avoiding the need for packing or fundus dissection.
Incorrect. The correct answer is Following duct path to sac.
The technique involves tracking the duct for immediate sac identification, avoiding the need for packing or fundus dissection.

🔍 Key Findings

50 dogs underwent bilateral anal sacculectomy using a modified closed technique.
Intraoperative anal sac perforation occurred in 5 dogs (10%), with no postoperative complications in those dogs.
Postoperative complications (43 dogs with follow-up):

  • Grade 1 (e.g., scooting, inappropriate defecation): 14/43 (32%)
  • Grade 2 (medical treatment needed): 2/43 (5%)
  • Grade 3B (revision surgery): 2/43 (5%)

93% of grade 1 and 100% of grade 2–3B complications resolved by two weeks postop.
Technique highlights: direct duct tracking, no anal sac packing, minimal dissection.

Davis

Veterinary Surgery

2

2025

Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease

2025-2-VS-davis-4

Article Title: Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease

Journal: Veterinary Surgery

In Spies 2024 et al., on EHPSS in large dogs, what percentage of surgically treated dogs died from shunt-related complications?

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Correct. Three of 45 dogs treated surgically (6.7%) died due to shunt-related complications.
Incorrect. The correct answer is 6.7%.
Three of 45 dogs treated surgically (6.7%) died due to shunt-related complications.

🔍 Key Findings

  • 63 dogs ≥15 kg with single EHPSS were reviewed.
  • Most common breeds: Golden Retriever (28.6%), mixed breed (20.6%).
  • Most common shunt types: splenocaval (25.4%) and portocaval (25.4%).
  • 45 dogs received surgical attenuation; 18 were medically managed.
  • 6.7% (3/45) of surgically treated dogs died due to shunt-related complications; 22.2% (4/18) of medically managed dogs died.
  • Hypoplastic portal vein was noted in 52.9% of dogs where portal anatomy was described.
  • 37.5% of surviving attenuated dogs were weaned off all medical management.
  • Attenuated dogs had higher 1-, 2-, and 5-year survival rates (89%, 77%, 77%) than nonattenuated dogs (82%, 49%, 24%).

Spies

Veterinary Surgery

2

2024

Clinical presentation and short‐term outcomes of dogs ≥15 kg with extrahepatic portosystemic shunts

2024-2-VS-spies-2

Article Title: Clinical presentation and short‐term outcomes of dogs ≥15 kg with extrahepatic portosystemic shunts

Journal: Veterinary Surgery

In Kalmukov 2022 et al., on cell salvage efficacy, what was a noted potential **benefit** of cell salvage over allogeneic transfusion in dogs?

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Correct. Cell salvage removes leukocytes, potentially reducing transfusion reactions.
Incorrect. The correct answer is Removal of leukocytes, reducing cytokine-mediated effects.
Cell salvage removes leukocytes, potentially reducing transfusion reactions.

🔍 Key Findings

  • Direct suction salvaged more red blood cell mass (rbcM) than swab washing: 88.43% vs 84.74% (p = .015)
  • Swab washing still achieved high recovery (84.74%), making it a viable adjunct when suction is not possible
  • No significant difference in post-salvage PCV between methods (~34% for Su and ~33.9% for Sw)
  • Total salvaged blood volume was significantly higher using direct suction (143 mL vs 139.8 mL; p < .001)
  • Leukocytes are removed during salvage, potentially lowering risk of cytokine-mediated transfusion reactions
  • Expired pRBCs were used, but device still achieved high RBC recovery, supporting clinical utility
  • Swab washing via manual agitation may cause more RBC destruction than direct suction
  • Cell salvage may avoid complications of allogeneic transfusions, like storage lesions and immunologic reactions

Kalmukov

Veterinary Surgery

8

2022

Ex vivo evaluation of a novel cell salvage device to recover canine erythrocytes

2022-8-VS-kalmukov-5

Article Title: Ex vivo evaluation of a novel cell salvage device to recover canine erythrocytes

Journal: Veterinary Surgery

In Mazdarani 2022 et al., on CBLO and stifle biomechanics, what was the effect of adding **hamstring loading (29 N)** in CCLx or MMR limbs?

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Correct. Hamstring load reduced or delayed onset of CTT, enhancing stifle stability, especially following MMR.
Incorrect. The correct answer is It delayed or prevented CTT, improving stability.
Hamstring load reduced or delayed onset of CTT, enhancing stifle stability, especially following MMR.

🔍 Key Findings

  • CBLO reduced tibial plateau angle (TPA) from a mean of 28.1° to 9.7°, aligning with its goal of flattening the tibial slope.
  • CBLO eliminated cranial tibial translation (CTT) following CCL transection and meniscal release at all angles except 140° without hamstring load.
  • Hamstring loading (20% quadriceps load) significantly reduced or delayed the onset of CTT, improving stifle stability.
  • Medial meniscus was confirmed as a secondary stabilizer; its release (MMR) caused more CTT than CCLx alone.
  • PTA (patellar tendon angle) increased with joint extension; CBLO shifted the PTA curve lower and parallel to intact values, suggesting effective flexion of the joint.
  • Combined CBLO and hamstring loading resulted in the most stable joints, especially from 50° to 135° joint angles.
  • Residual CTT occurred in CBLO-only limbs at higher extension angles (e.g., 140°), but hamstring load mitigated this.
  • Stifle stability post-CBLO is multifactorial, depending on joint angle, meniscal integrity, and hamstring activation.

Mazdarani

Veterinary Surgery

6

2022

Effect of center of rotation of angulation‐based leveling osteotomy on ex vivo stifle joint stability following cranial cruciate ligament transection and medial meniscal release with and without a hamstring load

2022-6-VS-mazdarani-3

Article Title: Effect of center of rotation of angulation‐based leveling osteotomy on ex vivo stifle joint stability following cranial cruciate ligament transection and medial meniscal release with and without a hamstring load

Journal: Veterinary Surgery

In Fink 2025 et al., on Roux-en-Y outcomes, which postoperative intervention was commonly used to manage nausea and vomiting due to ileus?

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Correct. G-tubes were used to decompress the stomach, and cisapride was used to stimulate motility.
Incorrect. The correct answer is Gastrostomy decompression and cisapride.
G-tubes were used to decompress the stomach, and cisapride was used to stimulate motility.

🔍 Key Findings

  • Roux-en-Y procedures were successfully completed in all 11 cases (6 dogs, 5 cats), despite case complexity and disease severity.
  • Median survival post-discharge was longer in cats (365 days) vs. dogs (82 days), with better outcomes in non-neoplastic vs. neoplastic disease (192 vs. 5 days).
  • Complication rate was high, with septic peritonitis, dehiscence, and cardiac arrest as leading causes of postoperative death; mortality rate = 36%.
  • Dehiscence rate was 8.6% (2 of 23 anastomoses), considered lower than typical rates for GI anastomoses in high-risk patients.
  • Feeding tubes (gastrostomy/jejunostomy) were used in all cases, enabling early nutritional support and stomach decompression.
  • Postoperative nausea and vomiting were common but mostly self-limiting; managed with metoclopramide, cisapride, and antiemetics.
  • Choledochojejunostomy was preferred when common bile duct was dilated, offering a favorable size match and potentially reducing bile leakage.
  • Roux-en-Y reduced typical Billroth II complications (e.g., bile reflux, afferent loop syndrome, dumping syndrome), with none observed in discharged patients.

Fink

Veterinary Surgery

5

2025

Roux‐en‐Y procedure to reconstruct the upper gastrointestinal tract in six dogs and five cats: A descriptive case series

2025-5-VS-fink-4

Article Title: Roux‐en‐Y procedure to reconstruct the upper gastrointestinal tract in six dogs and five cats: A descriptive case series

Journal: Veterinary Surgery

In Hoenecke 2025 et al., on radiographic opacity in patella luxation, what percentage of stifles in dogs with intact CCLs showed increased soft tissue opacity on radiographs?

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Correct. Opacity was present in 65% of stifles with patella luxation and no overt CCL disease.
Incorrect. The correct answer is 65%.
Opacity was present in 65% of stifles with patella luxation and no overt CCL disease.

🔍 Key Findings

  • 65% of stifles with patella luxation and intact CCLs had increased radiographic soft tissue opacity
  • Weight and radiographic OA were significantly associated with increased opacity (p = .0029 and p = .0143)
  • Each 1 kg increase in weight increased the odds of opacity by 10%
  • Grade of patella luxation, age, and muscle atrophy were not significantly associated with increased opacity
  • 19% of dogs with long-term follow-up developed a CCL rupture post-patella surgery, 50% of those had opacity at initial presentation
  • Radiographic opacity alone should not be interpreted as CCL disease in dogs with patella luxation
  • Radiographic findings likely represent effusion or synovial hyperplasia, not CCL pathology
  • Arthrotomy was used to confirm CCL integrity at surgery, but arthroscopy could provide better sensitivity

Hoenecke

Veterinary Surgery

7

2025

Increased radiographic stifle soft tissue opacity in dogs with patella luxation

2025-7-VS-hoenecke-2

Article Title: Increased radiographic stifle soft tissue opacity in dogs with patella luxation

Journal: Veterinary Surgery

In Dobberstein 2024 et al., on liver biopsy forceps, what was the mean number of hepatic lobules retrieved with 5 mm forceps?

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Correct. The mean number of lobules with 5 mm forceps was 12.4, significantly higher than 4.9 from 3 mm forceps.
Incorrect. The correct answer is 12.4.
The mean number of lobules with 5 mm forceps was 12.4, significantly higher than 4.9 from 3 mm forceps.

🔍 Key Findings Summary

  • Subjects: 12 healthy colony cats, 68 total liver samples collected via laparoscopy
  • Biopsy instruments: 3 mm vs 5 mm Storz Blakesley cup forceps
  • Techniques: Twist (T), Pull (P), Twist + Pull (TP)
  • Results:
    • 5 mm forceps yielded significantly more hepatic lobules (mean 12.4 vs 4.9), portal triads (29.6 vs 19.0), weight, and histologic area (p < .01)
    • T and P techniques yielded more portal triads and lobules than TP (p = .003 and p = .015)
    • TP technique resulted in greater tissue crush vs T (p = .01)
    • Good diagnostic agreement between 3 mm and 5 mm samples only with TP (κ = 0.75)
    • All samples were of sufficient diagnostic quality, despite size or technique
  • Clinical implication: Both 3 mm and 5 mm forceps are viable; further studies are needed to confirm diagnostic accuracy of 3 mm samples

Dobberstein

Veterinary Surgery

2

2024

Comparison of the diagnostic yield of 3 and 5 mm laparoscopic liver biopsy forceps in cats

2024-2-VS-dobberstein-4

Article Title: Comparison of the diagnostic yield of 3 and 5 mm laparoscopic liver biopsy forceps in cats

Journal: Veterinary Surgery

In Dickerson 2023 et al., on surgical outcomes in hepatic abscessation, which surgical intervention was most commonly performed?

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Correct. Liver lobectomy was the primary surgical approach, performed in 27 of 36 dogs.
Incorrect. The correct answer is Liver lobectomy.
Liver lobectomy was the primary surgical approach, performed in 27 of 36 dogs.

🔍 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-1

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

Journal: Veterinary Surgery

In Scott 2025 et al., on acetabular cup revision, what was the functional outcome in dogs that completed follow-up?

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Correct. All 6 dogs available for follow-up showed good to excellent clinical outcomes over 621 days.
Incorrect. The correct answer is Good to excellent.
All 6 dogs available for follow-up showed good to excellent clinical outcomes over 621 days.

🔍 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-5

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

Journal: Veterinary Surgery

In Alvarez 2024 et al., which quadrant consistently showed highest compression values when using pointed forceps alone?

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Correct. F alone produced strong craniolateral compression, with more even pressure distribution than Kern:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is Craniolateral.
F alone produced strong craniolateral compression, with more even pressure distribution than Kern:contentReference[oaicite:3]{index=3}

🔍 Key Findings Summary

  • F + P (forceps + plate compression) achieved the most uniform, high-pressure distribution across all quadrants.
  • Kern forceps alone concentrated force in craniomedial quadrant, reducing caudal compression.
  • Combining Kern + F improved craniolateral compression but did not restore caudal compression.
  • Plate compression alone yielded caudal bias, not uniform pressure.
  • Significant inter-method variation in quadrant-specific compression confirmed via ANOVA (p < 0.001 for all quadrants).

Alvarez

Veterinary and Comparative Orthopedics and Traumatology

2

2024

In Vitro Assessment of Compression Patterns Using Different Methods to Achieve Interfragmentary Compression during Tibial Plateau Levelling Osteotomy

2024-2-VCOT-alvarez-4

Article Title: In Vitro Assessment of Compression Patterns Using Different Methods to Achieve Interfragmentary Compression during Tibial Plateau Levelling Osteotomy

Journal: Veterinary and Comparative Orthopedics and Traumatology

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