Your Custom Quiz

In Kuvaldina 2023 et al., in Minimally invasive axillary lymphadenectomy in dogs, which technique was used for access in the minimally invasive procedure?

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Correct. A SILS port was used in all cadaveric and clinical endoscopic procedures to enable instrument triangulation.
Incorrect. The correct answer is Single-incision laparoscopic surgery (SILS) port.
A SILS port was used in all cadaveric and clinical endoscopic procedures to enable instrument triangulation.

🔍 Key Findings

  • A minimally invasive endoscopic technique was successfully developed for excisional biopsy of axillary lymph nodes in dogs.
  • The procedure was performed on 4 cadavers (6 limbs) and 3 clinical patients, with no major complications reported.
  • Mean cadaveric time: accessory axillary node 5.1 min; axillary node 33 min. One limb had a double axillary node.
  • In clinical cases, 2/3 were completed endoscopically; one required conversion to open due to node elevation difficulty.
  • Surgical times in clinical cases ranged from 35 to 58 minutes, depending on node accessibility and number.
  • Postoperative morbidity was minimal: no lymphedema, minor seroma or lameness resolved quickly.
  • The SILS port approach enabled effective access, though precise placement was critical to visualization.
  • This is the first reported veterinary endoscopic technique for axillary lymphadenectomy; potential for improved staging and reduced morbidity.

Kuvaldina

Veterinary Surgery

7

2023

Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

2023-7-VS-kuvaldina-2

Article Title: Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

Journal: Veterinary Surgery

In Hawker 2024 et al., on checklist attitudes, what was true regarding SSC exposure during training?

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Correct. Only 23.3% of respondents reported exposure to SSCs during their formal training.
Incorrect. The correct answer is Less than 25% had exposure during training.
Only 23.3% of respondents reported exposure to SSCs during their formal training.

🔍 Key Findings

  • 67.9% of respondents reported using SSCs, with most indicating frequent use (64% used in every surgery).
  • 78.7% agreed SSCs reduce complications, and 89.6% believed SSCs improve communication.
  • Respondents not using SSCs were more likely to view them as a waste of time (p < .001).
  • Forgetfulness (39.6%) and time constraints (36.5%) were leading reasons for checklist noncompletion.
  • Only 23.3% had SSC training during surgical residency, with newer diplomates more likely to have had exposure (p < .001).
  • Key strategies to improve uptake included: staff feedback modifications (67.9%), formal designation of initiator (48.6%), and training (52.2%).
  • Surgeons and OR staff were most commonly identified as noncompliant team members.
  • SSC use was more frequent in small animal practices, and mandating SSCs by management was favored but not always effective alone.

Hawker

Veterinary Surgery

5

2024

Attitudes towards surgical safety checklists among American College of Veterinary Surgeons diplomates

2024-5-VS-hawker-5

Article Title: Attitudes towards surgical safety checklists among American College of Veterinary Surgeons diplomates

Journal: Veterinary Surgery

In Woelfel 2022 et al., on cervical locked facets, what was the most consistent outcome in dogs with follow-up?

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Correct. 8/8 dogs with outcome data regained ambulation, whether treated surgically or medically.
Incorrect. The correct answer is Functional recovery in most dogs regardless of treatment.
8/8 dogs with outcome data regained ambulation, whether treated surgically or medically.

🔍 Key Findings

  • Locked facet injuries in dogs involved unilateral dorsal displacement of the cranial articular process of the caudal vertebra, most commonly at C5/6 or C6/7.
  • All affected dogs were small/toy breeds, typically following trauma (most often attacks by larger dogs).
  • Neurologic severity ranged from ambulatory tetraparesis to tetraplegia, often with thoracic limb deficits more severe than pelvic limbs — suggesting a central cord syndrome-like pattern.
  • CT and MRI revealed axial rotation, subluxation, and articular process displacement; MRI showed T2 hyperintensity, nerve root impingement, and soft tissue changes.
  • Surgical treatment included ventral fixation with screws, pins, and PMMA, and one case required dorsal facetectomy for reduction.
  • Medical management, including external coaptation or rest, also resulted in functional recovery in select cases.
  • All dogs with follow-up data (8/8) had functional recovery, with nonambulatory dogs regaining ambulation in a median of 4 weeks.
  • No consistent differences in outcome were observed between surgical and nonsurgical management, suggesting locked facets may be biomechanically stable.

Woelfel

Veterinary Surgery

1

2022

Subaxial cervical articular process subluxation and dislocation: Cervical locked facet injuries in dogs

2022-1-VS-woelfel-5

Article Title: Subaxial cervical articular process subluxation and dislocation: Cervical locked facet injuries in dogs

Journal: Veterinary Surgery

In Moreira 2024 et al., on predictive equations for TPA correction, what was the observed relationship between wedge angle and TPA correction across all four CCWO techniques?

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Correct. This allowed creation of reliable linear regression models across the techniques.
Incorrect. The correct answer is A linear relationship, regardless of tibial conformation.
This allowed creation of reliable linear regression models across the techniques.

🔍 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-1

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

Journal: Veterinary Surgery

In Smith 2025 et al., on bacterial cultures in TECA dehiscence, what percentage of dogs had the same single bacterial species cultured at both time points?

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Correct. Only 1 out of 12 dogs (8.3%) had the same single bacteria (Staph schleiferi) at both TECA and dehiscence.
Incorrect. The correct answer is 8.3%.
Only 1 out of 12 dogs (8.3%) had the same single bacteria (Staph schleiferi) at both TECA and dehiscence.

🔍 Key Findings

  • Only 1 of 12 dogs (8.3%) cultured the same single organism (Staphylococcus schleiferi) at TECA and dehiscence sites.
  • In 58.3% (7/12), none of the bacteria from TECA cultures were found at dehiscence.
  • Staphylococcus spp. were isolated in 83.3% of dehiscence samples.
  • Methicillin resistance was high among Staphylococcus isolates: 80% at dehiscence.
  • Antibiotic susceptibility differed in 57% (4/7) of cases where the same bacteria were cultured at both time points.
  • TECA cultures were not predictive of bacteria at incisional dehiscence.
  • 75% of dogs healed with either medical or surgical management.

Recommendation: Repeat cultures at dehiscence to guide antibiotic therapy.

Smith

Veterinary Surgery

3

2025

Comparison of bacteria cultured during a total ear canal ablation and subsequent incisional dehiscence in 12 dogs

2025-3-VS-smith-1

Article Title: Comparison of bacteria cultured during a total ear canal ablation and subsequent incisional dehiscence in 12 dogs

Journal: Veterinary Surgery

In Jenkins 2022 et al., on medial epicondylar fissure fracture, what was the most common postoperative complication reported?

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Correct. Screw loosening was the most common complication (11.2%), both with and without MEFF.
Incorrect. The correct answer is Screw loosening.
Screw loosening was the most common complication (11.2%), both with and without MEFF.

🔍 Key Findings

  • MEFF occurred in 11.4% (10/88 elbows) following medial-to-lateral transcondylar screw placement in dogs with HIF.
  • Screw size to condylar height ratio >41% significantly increased MEFF risk (P = .004, OR 1.52).
  • MEFF was not recognized intraoperatively in 60% of cases and was only seen on follow-up or retrospective imaging review.
  • Screw loosening was the most common complication (11.2%), observed both with and without MEFF.
  • MEFF tended to increase the risk of screw loosening (P = .06), but was not statistically significant.
  • Most MEFFs did not require treatment and healed radiographically by 14–17 weeks in monitored cases.
  • Shaft screws were used in all MEFF cases, but shaft vs cortical design was not significantly associated with MEFF.
  • The clinical impact of MEFF was minor in most cases, although long-term significance is unknown.

Jenkins

Veterinary Surgery

4

2022

Medial epicondylar fissure fracture as a complication of transcondylar screw placement for the treatment of humeral intracondylar fissure

2022-4-VS-jenkins-3

Article Title: Medial epicondylar fissure fracture as a complication of transcondylar screw placement for the treatment of humeral intracondylar fissure

Journal: Veterinary Surgery

In Jones 2024 et al., on elbow OA cysts, what factor was associated with **larger** SBCs?

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Correct. Older dogs had significantly larger SBCs than young dogs (OR = 1.054, p = .013).
Incorrect. The correct answer is Older age.
Older dogs had significantly larger SBCs than young dogs (OR = 1.054, p = .013).

🔍 Key Findings Summary

  • Sample: 38 Labrador Retrievers (76 elbows)
  • SBCs (subchondral bone cysts):
    • Not found in elbows without OA
  • Increased number and size with OA severity:
    • Grade 1: median 3 SBCs
    • Grade 2: 9 SBCs
    • Grade 3: 20 SBCs (p < .001)
    • Larger SBCs in more severe OA (OR = 1.056, p = .012)
  • Locations: 62% humerus, 28% ulna, 10% radius
  • Sex and Age Effects:
    • Older dogs had larger SBCs (p = .013)
    • Female dogs had smaller SBCs (p = .002)
    • SBC number unrelated to age or sex

Jones

Veterinary Surgery

2

2024

Evaluation of subchondral bone cysts in canine elbows with radiographic osteoarthritis secondary to elbow dysplasia

2024-2-VS-jones-4

Article Title: Evaluation of subchondral bone cysts in canine elbows with radiographic osteoarthritis secondary to elbow dysplasia

Journal: Veterinary Surgery

In Parker 2023 et al., on Locoregional analgesia in TPLO, what percentage of respondents reported that peripheral nerve blocks (PNB) were effective 81–100% of the time?

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Correct. Most respondents using PNB reported high confidence in its effectiveness (78% rated it 81–100% effective).
Incorrect. The correct answer is 78%.
Most respondents using PNB reported high confidence in its effectiveness (78% rated it 81–100% effective).

🔍 Key Findings

  • Peripheral nerve block (PNB) was preferred by 79% of anesthesiologists; lumbosacral epidural (LE) by 21%; PI <1%.
  • Time since board-certification significantly influenced preference: PNB favored by newer diplomates, LE favored by more senior ones (p < .001).
  • Employment sector mattered: PNB was preferred more in private practice, LE more in academia (p = .003).
  • PNB perceived as more effective, with 78% reporting 81–100% effectiveness; compared to 55% for LE.
  • PNB associated with fewer adverse effects (75%) than LE (4%) and PI (21%).
  • PNB required less rescue analgesia intraoperatively (57%) and postoperatively (54%) than LE or PI.
  • LE preferred for bilateral TPLOs and in smaller dogs; PNB for larger dogs, due to motor function preservation.
  • Dexmedetomidine was the most common additive to PNB; bupivacaine-only was most used for PNB.

Parker

Veterinary Surgery

4

2023

Pelvic limb anesthesia and analgesia in dogs undergoing tibial plateau leveling osteotomy (TPLO): A survey of board-certified anesthesiologists

2023-4-VS-parker-4

Article Title: Pelvic limb anesthesia and analgesia in dogs undergoing tibial plateau leveling osteotomy (TPLO): A survey of board-certified anesthesiologists

Journal: Veterinary Surgery

In Buote 2023 et al., on 3D printed cannulas, what was the primary benefit observed in cadaver surgeries when using 3D printed cannulas (3DPCs)?

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Correct. Use of 3DPCs significantly reduced surgical time, instrument collisions, and cannula complications in feline cadaver models.
Incorrect. The correct answer is Reduced surgical time and cannula complications.
Use of 3DPCs significantly reduced surgical time, instrument collisions, and cannula complications in feline cadaver models.

🔍 Key Findings

  • Customized 3D printed cannulas (3DPCs) significantly reduced surgical time in feline cadaver models (125.6 vs. 95.2 min, p = 0.03).
  • Use of 3DPCs resulted in a reduction in instrument collisions (6.8 vs. 2.6, p = 0.03).
  • Cannula pullout complications decreased with 3DPCs (10 vs. 2.2 per procedure, p = 0.03).
  • 3DPCs were designed at shorter lengths (3 cm), improving intra-abdominal working space in cats.
  • No incisional or postoperative complications occurred in the two live feline cases.
  • One 3DPC insufflation port broke intraoperatively; resolved by using a male luer lock connector in the next case.
  • CO₂ leakage occurred from re-used silicone valves in 2 ports; emphasizing the need for durable valve design.
  • Estimated cost per 3DPC was <$5.00, suggesting cost-effective customization for feline laparoscopy.

Buote

Veterinary Surgery

7

2023

3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series

2023-7-VS-buote-1

Article Title: 3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series

Journal: Veterinary Surgery

In Israel 2023 et al., on povidone-iodine lavage, what was the calculated break-even cost for the PrePIL protocol?

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Correct. The break-even cost for PrePIL use was calculated at $49.74, significantly higher than the actual $2.07 cost.
Incorrect. The correct answer is $49.74.
The break-even cost for PrePIL use was calculated at $49.74, significantly higher than the actual $2.07 cost.

🔍 Key Findings

  • No infections (0/102) occurred in cases where preclosure povidone-iodine lavage (PrePIL) was used, compared to 21/2111 (0.99%) with saline lavage.
  • Break-even cost for PrePIL was calculated at $49.74, while the actual cost was only $2.07, confirming strong cost-effectiveness.
  • No adverse reactions or healing complications were reported in the 102 PrePIL cases.
  • The PrePIL protocol used 0.35% povidone-iodine for 3 minutes before closure, followed by sterile saline lavage.
  • Majority of THRs (97%) used cementless fixation (BFX) in PrePIL group; only 3 cases used CFX components.
  • Surgeries followed consistent perioperative antibiotic protocols, making PrePIL the only major protocol variable.
  • Antibiotics were not added to lavage, aligning with WHO and CDC guidelines for antimicrobial stewardship.
  • The infection reduction with PrePIL supports routine use in total hip replacement to reduce periprosthetic joint infections.

Israel

Veterinary Surgery

1

2023

Preclosure povidone‐iodine lavage in total hip replacement surgery: Infection outcomes and cost–benefit analysis

2023-1-VS-israel-2

Article Title: Preclosure povidone‐iodine lavage in total hip replacement surgery: Infection outcomes and cost–benefit analysis

Journal: Veterinary Surgery

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