Your Custom Quiz
In Young 2023 et al., on minimally invasive parathyroidectomy, what was the most common histopathologic diagnosis in excised parathyroid glands?
🔍 Key Findings
- Short-term resolution of hypercalcemia occurred in 97.8% (44/45) of dogs.
- Long-term cure rate was 93.3%, comparable to traditional bilateral neck exploration.
- Postoperative hypocalcemia was observed in only 15.6%, which is lower than traditional approaches (36–63.8%).
- Permanent hypocalcemia occurred in 4.4%, requiring lifelong calcitriol supplementation.
- Minimally invasive approach had median surgical times of 26 min (unilateral) and 45.5 min (bilateral).
- Most lesions were adenomas (54.8%), followed by hyperplasia (27.4%) and carcinomas (3.2%).
- Ultrasound identified 98.4% (61/62) of abnormal glands, supporting it as the preferred imaging modality.
- One death due to non-compliance with calcitriol, emphasizing importance of postoperative management.
Veterinary Surgery
1
2023
Surgical description and outcome of ultrasound‐guided minimally invasive parathyroidectomy in 50 dogs with primary hyperparathyroidism
2023-1-VS-young-1
In Wylie 2025 et al., on femoral implant accuracy, what was the overall effect of internal brace augmentation on pivot shift grades at 6 weeks?
🔍 Key Findings
- Accurate femoral isometric placement was achieved in 63% of cases, significantly more with SwiveLock (78.6%) than FASTak (38.9%).
- Inaccurate placement was associated with increased internal tibial rotation at follow-up (p = .009), suggesting potential implant failure.
- Pivot shift grade improved in 90.9% of stifles postoperatively, regardless of implant positioning accuracy.
- SwiveLock implants had a faster learning curve and higher placement accuracy than FASTak.
- Higher patient weight was linked to more accurate implant placement (p = .012), likely due to easier anatomical landmark identification.
- No correlation found between implant type or positioning accuracy and final pivot shift grade at 6 weeks.
- Minor and major complications were low and not significantly different between implant types.
- A simplified 2-grade pivot shift system was proposed for clinical use (Grade 1: glide, Grade 2: clunk), aiding intraoperative decision-making.
Veterinary Surgery
7
2025
Evaluation of femoral isometric placement accuracy of internal brace implants and its impact on stifle stability in the management of pivot shift phenomenon following TPLO
2025-7-VS-wylie-3
In Yu 2026 et al., on elbow OA surgery outcomes, evaluating harm via number needed to harm (NNH), which procedure had the best safety profile?
🔍 Key Findings
- Canine unicompartmental elbow (CUE) had the highest reported success (91–98%) and the second-best safety profile (NNH = 7.6).
- Sliding humeral osteotomy (SHO) showed moderate success (43–82%) but had the best safety profile (NNH = 9.5).
- Overall evidence quality was low, with no Level I studies and only five Level II (prospective) studies.
- Success measures were inconsistent, often based on subjective outcomes (e.g., owner satisfaction), limiting comparability.
- Adverse events were common, with high complication rates in arthrodesis and total elbow arthroplasty (TEA).
- One study using objective outcome (PVF) showed only 43% long-term success for SHO, suggesting possible overestimation of success in subjective studies.
- The review highlights the need for validated, standardized outcome tools in elbow OA surgery trials.
- Number needed to harm (NNH) emerged as a more consistent and informative safety metric than success percentages.
Veterinary Surgery
1
2026
Systematic review of surgical treatment for severe elbow osteoarthritis in dogs
2026-1-VS-yu-2
In Katz 2022 et al., on meniscal flounce sign, what was the diagnostic accuracy of the sign for indicating an intact or torn meniscus during stifle arthroscopy?
🔍 Key Findings
- A positive meniscal flounce sign was associated with normal menisci in 95.5% of cases, demonstrating strong predictive value.
- Absence of the meniscal flounce sign was associated with meniscal tears in 92.7% of cases.
- Overall diagnostic accuracy of the flounce sign was 94.6%, with 96.6% sensitivity and 90.5% specificity.
- Most tears in flounce-negative stifles were bucket-handle tears (73.8%), while radial tears were present in some flounce-positive stifles.
- Radial tears did not consistently eliminate the flounce sign, suggesting they may not disrupt meniscal fiber tension sufficiently.
- All procedures were arthroscopically performed, with probing and visualization of the medial meniscus' caudal pole.
- Flounce sign should complement, not replace, probing—especially as some tear types (e.g., radial) may not abolish the sign.
- Limb positioning and joint distraction may affect flounce visibility, introducing minor observer variability.
Veterinary Surgery
2
2022
The significance of the meniscal flounce sign in canine stifle arthroscopy
2022-2-VS-katz-1
In Logothetou 2024 et al., on SPF complications, which anatomic site for SPF reconstruction was associated with the fewest complications?
🔍 Key Findings
- Complication rate for subdermal plexus flaps (SPFs) in dogs was 53.6%.
- Skin staples had a numerically higher complication rate (72.2%) than sutures (49.3%), but not statistically significant due to small sample size.
- Most common complication was wound dehiscence (35%), followed by seroma (14%) and wound discharge (14%).
- Increased body weight was significantly associated with higher complication risk (OR = 1.056 per kg; p = .029).
- Advancement flaps were associated with a lower incidence of complications on univariable analysis (p < .001).
- Head region flap closures had fewer complications, while proximal pelvic limb closures had the highest complication rate.
- Age was a risk factor—each additional year increased odds of complications (OR = 1.019; p = .004).
- Closure technique did not significantly influence complication severity, though staple use was numerically worse.
Veterinary Surgery
3
2024
Complications and influence of cutaneous closure technique on subdermal plexus flaps in 97 dogs (2006–2022)
2024-3-VS-logothetou-3
In Brincin 2023 et al., on radiographic follow-up post-MPL surgery, what did the authors conclude regarding the value of routine radiographs in clinically normal dogs post-MPL surgery?
🔍 Key Findings
- Routine follow-up radiographs after MPL surgery influenced management in only 3% of asymptomatic cases.
- Isolated radiographic abnormalities were rare (3.3%) and even less likely to alter treatment unless accompanied by clinical concerns.
- Dogs with both radiographic changes and clinical/owner concerns had 32× higher odds of a management change (OR 32.16, P < .001).
- Lameness, NSAID use, or prior unplanned visits significantly increased the odds of altered post-op plans.
- Owner-reported concerns alone led to a change in only 1.6% of cases without corroborating clinical findings.
- Radiographic follow-up was deemed unnecessary in dogs without owner concerns or abnormal physical findings.
- Hands-on clinical exam remains critical, though video-based rechecks may aid triage in uncomplicated cases.
- The study supports selective radiographic follow-up, reducing unnecessary imaging, stress, and clinician workload.
Veterinary Surgery
3
2023
The value of routine radiographic follow up in the postoperative management of canine medial patellar luxation
2023-3-VS-brincin-3
In Monnet 2023 et al., on barbed vs conventional suture in vesicourethral anastomosis (VUA), what was the median suturing time for the unidirectional barbed suture group (UBS)?
🔍 Key Findings
- Leakage pressure was not significantly different between unidirectional barbed suture (UBS) and conventional (C) suture groups (p = .236).
- UBS group had a 28% lower median leakage pressure than the C group (8.6 mmHg vs. 11.7 mmHg), suggesting higher biological risk of leakage.
- UBS significantly reduced suturing time (median 12.7 vs. 17.3 minutes; p < .0002).
- Fewer suture bites were needed in the UBS group (median 14 vs. 19; p = .012).
- No suture breakage or urethral narrowing occurred in either group.
- Leakage site distribution (ventral vs lateral) was similar between groups; no dorsal leaks noted.
- Leakage occurred as low as 5 mmHg in UBS group, indicating potential for postoperative extravasation.
- UBS may aid intracorporeal suturing in minimally invasive prostatectomy, but catheterization remains necessary postoperatively.
Veterinary Surgery
5
2023
Influence of conventional versus unidirectional barbed suture on leakage pressures in canine vesicourethral anastomosis: An ex-vivo study
2023-5-VS-monnet-2
In Marturello 2023 et al., on 3D-printed humeral models, what clinical application is most **justified by this study’s findings**?
🔍 Key Findings
- 3D-printed models using desktop printers (FDM, LFS) showed submillimetric accuracy, comparable to or better than industrial-grade PJP printers.
- Bone size had a greater effect on print accuracy than printer type, especially in proximal humerus regions.
- The humeral condyle region showed the greatest model accuracy, with mean differences under 0.5 mm, regardless of printer.
- Models tended to be slightly smaller than cadaveric bones, potentially due to systematic underestimation during printing.
- FDM printer provided the highest accuracy at the humeral condyle in medium-sized bones (+0.09 mm).
- LFS printer produced prints faster and more reliably than FDM, although both had comparable dimensional accuracy.
- Statistically significant differences existed, but all were submillimetric and unlikely to impact surgical outcomes.
- Desktop printers are suitable for surgical planning, including plate pre-contouring and patient-specific instrumentation.
Veterinary Surgery
1
2023
Accuracy of anatomic 3‐dimensionally printed canine humeral models
2023-1-VS-marturello-5
In Brockman 2025 et al., on canine mitral valve repair outcomes, which factor was significantly associated with improved survival?
🔍 Key Findings
- Overall survival to discharge: 107 of 132 dogs (81%)
- Quartile improvement: Survival increased steadily from 67% in Q1 to 91% in Q4
- Q1: 22/33 survived
- Q2: 27/33
- Q3: 28/33
- Q4: 30/33
- Statistical significance: Higher operative rank significantly associated with improved survival (p < .05)
- Median cross clamp time (XCT): 73 min (range 40–165), but increased again in Q4
- Fatalities (n=25) were often due to:
- Failure to wean from CPB
- Intracranial vascular events (stroke)
- Intrathoracic hemorrhage
- Breed representation: CKCS (23.5%), Chihuahua (22%), Crossbreeds (21%)
- Stages of MMVD: Stage C (67%), Stage D (27%), Stage B2 (6%)
- Emphasis on deliberate multidisciplinary teamwork for outcome improvement
- Highlights importance of technical and non-technical team skills, procedural standardization, and consistent personnel
Veterinary Surgery
4
2025
Improvement in short‐term outcome over time, in a single center embarking on a canine mitral valve repair program using a structured multidisciplinary approach
2025-4-VS-brockman-3
In Smith 2024 et al., on ergonomics and preferences in veterinary laparoscopy, which laparoscopic instrument was reported as the most difficult to use overall?
🔍 Key Findings
- Surgeons with smaller glove sizes experienced more difficulty using laparoscopic instruments, especially endoscopic staplers, cup biopsy forceps, and vessel sealing devices.
- Endoscopic stapler was rated the most difficult instrument, with a median difficulty score of 4/10 and 25% usage difficulty.
- Female surgeons reported significantly more difficulty with several instruments due to smaller glove size.
- Reusable instruments were preferred over disposable ones for all tasks.
- Pistol grips were preferred for grasping/retracting and fine dissection, while axial grips were preferred for suturing/knot tying.
- Articulating handles were consistently associated with increased reported difficulty, especially with scissors and cup biopsy forceps.
- Left-handed surgeons had more difficulty operating endoscopic staplers, suggesting limited design inclusivity.
- Surgeons in academic settings reported more difficulty with laparoscopic maneuvers than those in private practice.
Veterinary Surgery
3
2024
Variables affecting surgeons’ use of, and preferences for, instrumentation in veterinary laparoscopy
2024-3-VS-smith-1
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings