Your Custom Quiz

In Young 2023 et al., on minimally invasive parathyroidectomy, what was the short-term resolution rate of hypercalcemia following surgery?

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Correct. Short-term resolution of hypercalcemia occurred in 44 of 45 dogs (97.8%) following surgery.
Incorrect. The correct answer is 97.8%.
Short-term resolution of hypercalcemia occurred in 44 of 45 dogs (97.8%) following surgery.

🔍 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.

Young

Veterinary Surgery

1

2023

Surgical description and outcome of ultrasound‐guided minimally invasive parathyroidectomy in 50 dogs with primary hyperparathyroidism

2023-1-VS-young-2

Article Title: Surgical description and outcome of ultrasound‐guided minimally invasive parathyroidectomy in 50 dogs with primary hyperparathyroidism

Journal: Veterinary Surgery

In Duffy 2022 et al., on barbed suture oversew, how did **control jejunal segments** (no surgery) compare to oversewn FEESA constructs in terms of leakage pressure?

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Correct. Controls showed significantly higher resistance to leakage than all FEESA constructs.
Incorrect. The correct answer is 6.6x higher ILP and 5.1x higher MLP.
Controls showed significantly higher resistance to leakage than all FEESA constructs.

🔍 Key Findings

  • Oversewing the transverse staple line using barbed suture showed no difference in initial (ILP) or maximum leakage pressure (MLP) compared to monofilament suture (p = .439 and .644).
  • Barbed suture repairs were ~18% faster (25 seconds faster; p < .001) than monofilament suture.
  • No difference was found between unidirectional and bidirectional barbed sutures in leakage resistance or repair time (p = .697).
  • Mean ILP and MLP were significantly higher in control jejunal segments (6.6x and 5.1x greater respectively; p < .001).
  • Leakage consistently occurred at the crotch of the FEESA in all oversew groups (>80%), not the staple line.
  • All oversewn techniques leaked at supraphysiologic pressures, indicating clinical safety against in vivo leakage.
  • No leakage was observed from barbed suture holes, addressing concerns of tissue trauma due to barb design.
  • The study supports barbed suture as a viable alternative to conventional monofilament suture for FEESA oversew in dogs.

Duffy

Veterinary Surgery

5

2022

Influence of barbed suture oversew of the transverse staple line during functional end-to-end stapled anastomosis in a canine jejunal enterectomy model

2022-5-VS-duffy-5

Article Title: Influence of barbed suture oversew of the transverse staple line during functional end-to-end stapled anastomosis in a canine jejunal enterectomy model

Journal: Veterinary Surgery

In Wang 2025 et al., on TPLO osteotomy alignment, what conclusion was drawn about fluoroscopy's impact on surgical variability?

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Correct. Fluoroscopy led to a more consistent and narrow range of postoperative TPAs, reducing variability in surgical outcomes.
Incorrect. The correct answer is Fluoroscopy reduces variability in TPA outcomes.
Fluoroscopy led to a more consistent and narrow range of postoperative TPAs, reducing variability in surgical outcomes.

🔍 Key Findings

  • Fluoroscopy-guided osteotomy placement achieved a median postoperative TPA of (range: 0–4.5°), showing excellent accuracy.
  • The D1 measurement (from patellar ligament insertion to osteotomy exit) was more reproducible and accurate intraoperatively than D2.
  • Median R1 value (D1-based) matched the intended 21 mm radius with only 0.5 mm deviation, while R2 deviated by 2.5 mm.
  • Real-time fluoroscopy allowed dynamic limb positioning and reduced osteotomy placement variability.
  • Intraoperative fluoroscopy reduced reliance on preoperative planning, especially in cases with difficult anatomy or positioning.
  • Radiation exposure was minimal (avg. 3 images per case) and within safe limits using standard protection protocols.
  • Study standardized to 21 mm blades and excluded dogs with developmental orthopedic conditions to reduce confounders.
  • Targeting a lower postoperative TPA (3°) may reduce meniscal load and cranio-caudal instability, though long-term outcomes require further study.

Wang

Veterinary Surgery

7

2025

Accuracy of fluoroscopy-guided osteotomy placement in TPLO: Postoperative tibial plateau angle and preoperative planning evaluation

2025-7-VS-wang-5

Article Title: Accuracy of fluoroscopy-guided osteotomy placement in TPLO: Postoperative tibial plateau angle and preoperative planning evaluation

Journal: Veterinary Surgery

In Evers 2023 et al., on needle arthroscopy, what was the reported sensitivity for detecting medial meniscal tears?

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Correct. Needle arthroscopy had 95% sensitivity and 100% specificity using standard arthroscopy as the reference.
Incorrect. The correct answer is 95%.
Needle arthroscopy had 95% sensitivity and 100% specificity using standard arthroscopy as the reference.

🔍 Key Findings

  • Needle arthroscopy (NA) had 95% sensitivity and 100% specificity for detecting medial meniscal tears using standard arthroscopy (SA) as the reference.
  • NA correctly identified meniscal status in 25/26 dogs, missing only one stable nondisplaced tear.
  • NA took less time than SA: 8 ± 3 min vs. 15 ± 9 min (P = .0041).
  • Visibility scores were significantly lower with NA than SA for all meniscal horns (medial and lateral) .
  • Probing difficulty was greater with NA, especially for the lateral meniscus (P = .0017).
  • NA caused no measurable morbidity: lameness scores were unchanged before and after the procedure (P = .25).
  • NA was possible in sedated dogs, though 10/26 required additional anesthesia due to delays.
  • NA missed 1 lateral tear, likely due to reduced access and lack of shaving compared to SA.

Evers

Veterinary Surgery

7

2023

Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture

2023-7-VS-evers-1

Article Title: Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture

Journal: Veterinary Surgery

In Miyagi 2025 et al., on endoscopic laser sphincterotomy, what was the mean length of the intramural common bile duct (ICBD) identified in dogs?

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Correct. ICBD length ranged from 10 to 21 mm, with a mean of 15.8 mm.
Incorrect. The correct answer is 15.8 ± 3.0 mm.
ICBD length ranged from 10 to 21 mm, with a mean of 15.8 mm.

🔍 Key Findings

  • Endoscopic-assisted retrograde catheterization (EARC) and laser sphincterotomy were successful in 18/18 cadavers, demonstrating technical feasibility.
  • Intramural common bile duct (ICBD) length ranged from 10 to 21 mm (mean 15.8 mm), with no correlation to body weight (r = 0.06, p = .79).
  • Transition from ICBD to extramural duct was accurately identified endoscopically in 88% (16/18); transition was heralded by separation of the submucosal layer.
  • Partial lateral perforations occurred in 2/18 dogs, only during early learning phase; no leakage was found on open dissection.
  • Laser sphincterotomy preserved the pancreatic duct orifice, aided by protective catheter positioning.
  • Compared to open duodenotomy, this technique allows for a smaller incision and less manipulation of the pancreas, which may reduce morbidity.
  • No adverse events such as intra-abdominal saline egress or full-thickness perforation occurred, and the technique allowed safe access up to 10 mm from the MDP.
  • Cadaveric limitations included absence of biliary pathology and inability to evaluate live complications, but the technique shows promise for future live animal trials.

Miyagi

Veterinary Surgery

5

2025

Endoscopic‐assisted laser sphincterotomy of the intramural common bile duct: A cadaveric pilot study

2025-5-VS-miyagi-2

Article Title: Endoscopic‐assisted laser sphincterotomy of the intramural common bile duct: A cadaveric pilot study

Journal: Veterinary Surgery

In Morgera 2022 et al., on stifle surgery draping methods, what was the overall infection-inflammation rate reported across all dogs?

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Correct. 4.56% of dogs had infection-inflammation, with no difference between draping methods.
Incorrect. The correct answer is 4.6%.
4.56% of dogs had infection-inflammation, with no difference between draping methods.

🔍 Key Findings

  • No significant difference in infection-inflammation rates between single-layer Kraton drapes and traditional double-layer draping at both 21 days and 6 months postop.
  • Infection-inflammation occurred in 4.56% (36/789) of cases; equally distributed across draping techniques.
  • Tibial tuberosity advancement (TTA) was the most common procedure (61%).
  • Kraton drape features an elastic fenestration that seals without adhesives or towel clamps, offering ecological and workflow advantages.
  • Mean anesthesia duration was similar between groups (~73.8 min), suggesting draping method did not impact overall surgical time.
  • Culture confirmation of infection was low (14 dogs), showing reliance on clinical criteria for diagnosis.
  • Potential benefits of single-layer draping include reduced waste, no need for towel clamps, and ease of use without increased risk.
  • Limitations included subjective follow-up (nearly 30% indirect via phone/images) and antimicrobial usage in all cases.

Morgera

Veterinary Surgery

3

2022

Surgical site infection‐inflammation in dogs draped with a single‐layer Kraton elastic seal extremity drape for stifle surgery

2022-3-VS-morgera-1

Article Title: Surgical site infection‐inflammation in dogs draped with a single‐layer Kraton elastic seal extremity drape for stifle surgery

Journal: Veterinary Surgery

In Ferreira 2025 et al., on tibial torsion measurement, which population was primarily studied?

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Correct. The study focused on dogs with MPL, mostly from small breeds.
Incorrect. The correct answer is Small-breed dogs with MPL.
The study focused on dogs with MPL, mostly from small breeds.

🔍 Key Findings

Objective: Validate a new 3D CT-based method for measuring tibial torsion in dogs with MPL, comparing it to a traditional method.

Sample: 40 tibiae from client-owned dogs with MPL (primarily small-breed).

Repeatability (intraobserver):

  • New method: ICC = 0.99 → excellent agreement

Reproducibility (interobserver):

  • New method: ICC = 0.83 → high agreement
  • Traditional method: ICC = 0.52 → moderate agreement

Torsion angle measurements:

  • New method avg: 16.00° ± 8.77
  • Traditional method avg: 8.76° ± 4.92

Conclusion: The new method is more repeatable, reproducible, and provides higher torsion values than the traditional Aper method, especially reliable for small-breed dogs.

Ferreira

Veterinary Surgery

3

2025

Repeatability and reproducibility of a tomographic method for measuring tibial torsion in dogs with medial patellar luxation

2025-3-VS-ferreira-5

Article Title: Repeatability and reproducibility of a tomographic method for measuring tibial torsion in dogs with medial patellar luxation

Journal: Veterinary Surgery

In Poggi 2025 et al., on laparoscopic cholecystectomy in cats, which of the following was a reported postoperative complication leading to death?

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Correct. EHBDO developed postoperatively in one cat with cholelithiasis and led to death within 3 days.
Incorrect. The correct answer is Extrahepatic biliary duct obstruction.
EHBDO developed postoperatively in one cat with cholelithiasis and led to death within 3 days.

🔍 Key Findings

  • Laparoscopic cholecystectomy (LC) was successfully performed in all 22 cats without conversion to open surgery.
  • Complication rate was low: 3 cats had postoperative complications (1 seroma, 1 vomiting, 1 EHBDO and death).
  • Median operating time was 41 minutes; median hospitalization was 3 days.
  • No cases required conversion to open laparotomy, even in cats as small as 2.5 kg.
  • Common devices used: Hemoclips or Hem-o-lok for cystic duct ligation; Ligasure, harmonic scalpel, or j-hook for dissection.
  • Most common indications: cholelithiasis (9/22) and cholecystitis (10/22), with one biliary mucocele and one adenoma.
  • Histopathology confirmed diagnosis in all cases; concurrent liver or intestinal biopsies were performed in some cats.
  • Postoperative AUS and bloodwork were routine and important for detecting early signs of EHBDO.

Poggi

Veterinary Surgery

5

2025

Laparoscopic cholecystectomy in 22 cats (2018–2024)

2025-5-VS-poggi-2

Article Title: Laparoscopic cholecystectomy in 22 cats (2018–2024)

Journal: Veterinary Surgery

In Wilson 2025 et al., on acetabular measurement accuracy, which pair of measurement methods showed the least bias in predicting final cup size?

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Correct. These methods had a mean prediction bias within ±0.5 mm of final cup size.
Incorrect. The correct answer is ACVD and ALVD.
These methods had a mean prediction bias within ±0.5 mm of final cup size.

🔍 Key Findings

Study population: 73 hips from 60 dogs undergoing cementless THR.
Methods evaluated:

  • ACVD/ACOLL (acetabular circle on VD or OLL view)
  • ALVD/ALOLL (acetabular line)
  • FHCVD/FHCOLL/FHCCCHB (femoral head circle)
Findings:
  • Intraobserver repeatability and interobserver consistency were excellent for ACVD and ACOLL.
  • FHC methods consistently underestimated actual cup size by 2.4–3.6 mm.
  • AC and AL methods had low bias (±0.5 mm) and better predictive value.
  • OA severity negatively affected the accuracy of all measurements (p < .05).
  • Highest predictive accuracy was ~49% using ACVD with rounding down protocol.

Wilson

Veterinary Surgery

1

2025

Evaluation of three acetabular measurement methods for total hip replacement in dogs

2025-1-VS-wilson-5

Article Title: Evaluation of three acetabular measurement methods for total hip replacement in dogs

Journal: Veterinary Surgery

In Marchionatti 2022 et al., on antiseptic efficacy comparison, what issue may falsely elevate the observed efficacy of antiseptics in skin cultures?

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Correct. Residual activity of antiseptics without neutralizers can persist after sampling, skewing results:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is Lack of neutralizing agents during sampling.
Residual activity of antiseptics without neutralizers can persist after sampling, skewing results:contentReference[oaicite:3]{index=3}

🔍 Key Findings

  • Chlorhexidine-based asepsis protocols were comparable to povidone-iodine for reducing surgical site infection (SSI) rates in veterinary surgery.
  • No significant difference in skin bacterial colonization was observed between the two antiseptics, at both immediate and delayed timepoints.
  • Chlorhexidine-alcohol protocols showed a non-significant trend toward improved bacterial reduction in some studies, though inconsistent across all studies.
  • Use of neutralizing agents was inconsistent, which may have led to overestimation of antiseptic efficacy in several studies.
  • Formulations and concentrations varied widely (e.g., chlorhexidine 0.5–4%, povidone-iodine 0.7–1%), contributing to heterogeneity and limiting definitive conclusions.
  • Only a minority of studies reported using CDC criteria for SSI diagnosis, affecting the reliability of infection outcomes.
  • Risk of bias was high or unclear in multiple domains across all included studies, limiting overall confidence in conclusions.
  • Meta-analysis confirmed no statistically significant superiority of either protocol for SSI prevention or skin bacterial reduction.

Marchionatti

Veterinary Surgery

5

2022

Preoperative skin asepsis protocols using chlorhexidine versus povidone‐iodine in veterinary surgery: A systematic review and meta-analysis

2022-5-VS-marchionatti-4

Article Title: Preoperative skin asepsis protocols using chlorhexidine versus povidone‐iodine in veterinary surgery: A systematic review and meta-analysis

Journal: Veterinary Surgery

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