
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?
🔍 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.
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
In Hawker 2024 et al., on checklist attitudes, what was true regarding SSC exposure during 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.
Veterinary Surgery
5
2024
Attitudes towards surgical safety checklists among American College of Veterinary Surgeons diplomates
2024-5-VS-hawker-5
In Woelfel 2022 et al., on cervical locked facets, what was the most consistent outcome in dogs with follow-up?
🔍 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.
Veterinary Surgery
1
2022
Subaxial cervical articular process subluxation and dislocation: Cervical locked facet injuries in dogs
2022-1-VS-woelfel-5
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?
🔍 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.
Veterinary Surgery
8
2024
Predicting tibial plateau angles following four different types of cranial closing wedge ostectomy
2024-8-VS-moreira-1
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?
🔍 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.
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
In Jenkins 2022 et al., on medial epicondylar fissure fracture, what was the most common postoperative complication reported?
🔍 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.
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
In Jones 2024 et al., on elbow OA cysts, what factor was associated with **larger** SBCs?
🔍 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
Veterinary Surgery
2
2024
Evaluation of subchondral bone cysts in canine elbows with radiographic osteoarthritis secondary to elbow dysplasia
2024-2-VS-jones-4
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?
🔍 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.
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
In Buote 2023 et al., on 3D printed cannulas, what was the primary benefit observed in cadaver surgeries when using 3D printed cannulas (3DPCs)?
🔍 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.
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
In Israel 2023 et al., on povidone-iodine lavage, what was the calculated break-even cost for the PrePIL protocol?
🔍 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.
Veterinary Surgery
1
2023
Preclosure povidone‐iodine lavage in total hip replacement surgery: Infection outcomes and cost–benefit analysis
2023-1-VS-israel-2
Quiz Results
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