Your Custom Quiz

In Kang 2023 et al., on 3DEP accuracy, what was a key advantage of the 3DEP design for fluid and debris management during surgery?

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Correct. The 3DEP design helped prevent fluid and debris from spreading into the surgical field by sealing against bone.
Incorrect. The correct answer is It compressed against bone, containing fluids.
The 3DEP design helped prevent fluid and debris from spreading into the surgical field by sealing against bone.

2023-8-VS-kang-5

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In Petazzoni 2026 et al., on tibial detorsional osteotomy, why did the authors recommend locking implants for fixation of the proximal tibial osteotomy?

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Correct. PTDO produces mismatch between the proximal and distal tibial fragments, limiting cortical compression and bone contact. The authors therefore recommend rigid locking fixation with accurate plate contouring.
Incorrect. The correct answer is They provide rigid fixation despite cortical mismatch and limited bone contact after detorsion.
PTDO produces mismatch between the proximal and distal tibial fragments, limiting cortical compression and bone contact. The authors therefore recommend rigid locking fixation with accurate plate contouring.

🔍 Key Findings

  • PTDO restored normal patellar tracking in 96% (51/53) of stifles, supporting its use for PL associated with abnormal tibial torsion.
  • Clinical function was full in 72% and acceptable in 24%, giving a combined full/acceptable outcome in 96% of cases.
  • External tibial torsion predominated in MPL: CT demonstrated a mean tibial torsion angle of 8.8° ± 4.7°, with external torsion identified in 22/23 CT-assessed MPL limbs.
  • CT helps distinguish true tibial torsion from tibial tuberosity displacement: despite apparent medial tibial tuberosity positioning on caudocranial radiographs, mean CT tibial tuberosity location was central.
  • PTDO corrects torsion by rotating the distal tibial fragment opposite the deformity; for external torsion, the distal fragment was internally rotated until appropriate pes–tibial tuberosity alignment was achieved.
  • Radiographic union occurred at a mean of 2.7 ± 0.5 months, with relatively few bone-healing complications despite the unstable nature of the osteotomy.
  • Overall complications occurred in 33% (18/53), including 11% major and 22% minor complications; PTDO failure, persistent PL, and DFO failure accounted for the major events.
  • Rigid locking fixation is clinically important because detorsion creates cortical mismatch and poor bone-to-bone contact; the authors emphasize locking implants and accurate plate contouring for construct stability.

Petazzoni

Veterinary Surgery

6

2026

Clinical outcomes and complications after proximal tibial detorsional osteotomy for patellar luxation in dogs: A multicenter retrospective study

2026-6-vs-petazzoni-5

Article Title: Clinical outcomes and complications after proximal tibial detorsional osteotomy for patellar luxation in dogs: A multicenter retrospective study

Journal: Veterinary Surgery

In Niida 2024 et al., on surgical residents and TPLO time, which surgical phase improved most as residents progressed in training?

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Correct. Decreased tibial osteotomy duration accounted for most surgical time improvement across years.
Incorrect. The correct answer is Tibial osteotomy.
Decreased tibial osteotomy duration accounted for most surgical time improvement across years.

🔍 Key Findings

  • Resident involvement significantly increased TPLO surgery duration compared to cases performed by faculty surgeons (FS)-only. Residents required 54% more surgery time (GLSM, 153 min) than FS-only cases (GLSM, 99 min), representing a 1.54-fold increase.
  • The study did not report on short-term complication rates. No conclusions can be drawn from this source regarding complications between resident and faculty groups.
  • Bone plate contouring was not evaluated. The source does not provide data regarding contouring frequency or its comparison between groups.
  • Surgery duration significantly decreased after the first year of residency, but remained stable between second- and third-year residents. This was largely due to shorter tibial osteotomy durations, while arthroscopy times remained unchanged across residency years.
  • Meniscal treatment was performed in 80% of cases, and it was associated with increased surgical duration, but the study did not compare the frequency of medial meniscal release between resident and faculty cases.
  • The study did not evaluate osteotomy healing or revision surgery. Cases requiring immediate reoperation were excluded.
  • Bone union outcomes were not assessed at 8 weeks or any other time point.
  • The study concludes that resident participation significantly prolongs surgical time, but no data are provided regarding the effect on short-term clinical outcomes.

Niida

Veterinary Surgery

5

2024

The impact of surgery resident training on the duration of tibial plateau leveling osteotomy and outcomes in dogs

2024-5-VS-niida-2

Article Title: The impact of surgery resident training on the duration of tibial plateau leveling osteotomy and outcomes in dogs

Journal: Veterinary Surgery

In Antonakakis 2022 et al., on telovelar tumor resection, what postoperative imaging finding confirmed complete resection of the tumor?

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Correct. Postoperative MRI showed the fourth ventricle was filled with fluid and no residual mass.
Incorrect. The correct answer is MRI showing fluid-filled fourth ventricle.
Postoperative MRI showed the fourth ventricle was filled with fluid and no residual mass.

🔍 Key Findings

  • Telovelar approach enabled complete resection of a fourth ventricle choroid plexus tumor in a dog without postoperative complications.
  • Postoperative MRI confirmed gross total tumor removal, and the dog remained neurologically normal 28 months post-surgery.
  • The tela choroidea was used as a surgical landmark and incised to allow atraumatic access to the tumor.
  • Cerebellum was spared using this technique, minimizing risk of cerebellar injury (e.g., cerebellar mutism).
  • No hemorrhagic complications were noted during surgery due to dissection through avascular planes.
  • Histopathology favored choroid plexus carcinoma based on mitotic index (9/10 HPFs), though definitive diagnosis remained pending.
  • The case highlights the utility of telovelar over transvermian approach, given its minimally traumatic nature and improved exposure.
  • Survival beyond 2 years without adjunctive therapy suggests surgical excision alone may be curative in select cases.

Antonakakis

Veterinary Surgery

8

2022

Use of a telovelar approach for complete resection of a choroid plexus tumor in a dog

2022-8-VS-antonakakis-2

Article Title: Use of a telovelar approach for complete resection of a choroid plexus tumor in a dog

Journal: Veterinary Surgery

In Toth 2026 et al., on GIFB ultrasound accuracy, which factor was identified as most influential in determining success of laparoscopic-assisted intestinal surgery?

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Correct. The authors concluded that foreign body location and intestinal adhesions were the key determinants of laparoscopic success or need for open conversion.
Incorrect. The correct answer is Foreign body location and presence of adhesions.
The authors concluded that foreign body location and intestinal adhesions were the key determinants of laparoscopic success or need for open conversion.

🔍 Key Findings

  • Abdominal ultrasonography accurately identified foreign body type (96.8%) and shape (93.5%), demonstrating strong diagnostic agreement with surgical findings.
  • Localization accuracy for foreign bodies was lower (77.4%), indicating moderate reliability for determining exact GI segment involvement.
  • Ultrasound consistently underestimated foreign body size, meaning surgical planning should account for potential larger true dimensions.
  • Overall success of laparoscopic-assisted intestinal surgery (LAIS) was 53.3% (16/30 dogs), with the remainder requiring conversion to open laparotomy.
  • Non-linear foreign bodies were more successfully removed laparoscopically (60.9%) than linear foreign bodies (28.6%).
  • Foreign bodies located at the caudal duodenal flexure were not successfully removed via LAIS (0%), representing a key anatomic limitation.
  • Ultrasound detected intestinal adhesions with ~80% accuracy, although sensitivity was lower (66.7%), meaning some adhesions were missed preoperatively.
  • Foreign body location and presence of adhesions were the most important predictors of LAIS success, making preoperative ultrasound valuable for surgical decision-making.

Toth

Veterinary Surgery

2

2026

Diagnostic accuracy of ultrasonographic evaluation prior to laparoscopic-assisted gastrointestinal foreign body removal in 30 dogs

2026-2-vs-toth-5

Article Title: Diagnostic accuracy of ultrasonographic evaluation prior to laparoscopic-assisted gastrointestinal foreign body removal in 30 dogs

Journal: Veterinary Surgery

In Scheuermann 2023 et al., on canine femoral MIPO, what was the most significant drawback observed with the use of the FRS?

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Correct. FRS procedures had a significantly longer surgical time than IMP (43 vs 29 minutes; P = .011).
Incorrect. The correct answer is Longer surgical time.
FRS procedures had a significantly longer surgical time than IMP (43 vs 29 minutes; P = .011).

🔍 Key Findings

  • Precontoured plates using 3D-printed femoral models achieved near-anatomic alignment in all cadaver limbs.
  • Fracture reduction system (FRS) required significantly fewer fluoroscopy images than intramedullary pin (IMP) methods (7 vs 26, P = .001).
  • Despite longer surgical time (43 vs 29 minutes, P = .011), FRS showed equally accurate or better alignment compared to IMP.
  • Femoral length, frontal, sagittal, and axial alignment were all within near-anatomic thresholds (<10 mm or <5° deviation) in both groups.
  • FRS was associated with more consistent length maintenance, with IMP showing a median shortening of 2.3 mm (P = .03).
  • Axial plane deviation was statistically different in the FRS group (P = .04), but still clinically acceptable.
  • Study highlights potential for custom 3D-printed guides to reduce radiation exposure and improve precision in MIPO procedures.
  • Authors caution that FRS was time-consuming and cumbersome, suggesting design refinements needed for clinical use.

Scheuermann

Veterinary Surgery

6

2023

Minimally invasive plate osteosynthesis of femoral fractures with 3D‐printed bone models and custom surgical guides: A cadaveric study in dogs

2023-6-VS-scheuermann-2

Article Title: Minimally invasive plate osteosynthesis of femoral fractures with 3D‐printed bone models and custom surgical guides: A cadaveric study in dogs

Journal: Veterinary Surgery

In Aertsens 2025 et al., on thoracic lift technique, what outcome was reported for device-related complications in both feline cases?

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Correct. Both cases tolerated the lift technique without any observed complications from the devices.
Incorrect. The correct answer is No device-related complications.
Both cases tolerated the lift technique without any observed complications from the devices.

🔍 Key Findings

Case 1: Chest wall lift improved oxygenation (PaO₂ increased from 179.4 to 306.3 mmHg) and enabled thoracoscopic-assisted lobectomy in a cat with pleural effusion and pulmonary carcinoma.
Case 2: Chest wall lift using a Steinmann pin allowed 3-port thoracoscopic lobectomy for a bronchial foreign body; no complications observed.
Both cats: Lift increased working space and eliminated need for thoracotomy; no device-related complications.
Pretied ligating loops (PLL) were effective for hilar vessel ligation—preferred over staplers or self-locking ligatures in feline thorax.
Conclusion: Thoracic lift is a novel, minimally invasive method enhancing thoracoscopic procedures in small patients, particularly cats.

Aertsens

Veterinary Surgery

4

2025

Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats

2025-4-VS-aertsens-5

Article Title: Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats

Journal: Veterinary Surgery

In Azuma 2024 et al., on 3D vs 2D laparoscopy, what was the median length of cystic duct stump left distal to the first endoclip?

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Correct. Both groups had a median stump length of 2.5 mm, consistent with human surgery recommendations.
Incorrect. The correct answer is 2.5 mm.
Both groups had a median stump length of 2.5 mm, consistent with human surgery recommendations.

🔍 Key Findings

  • 3D laparoscopy significantly reduced time to first endoclip placement compared to 2D (median 76 vs. 238 seconds, p = .016).
  • Total surgical time was not significantly different between 3D and 2D groups.
  • No differences were observed in intraoperative complications such as cystic duct injury, clip dislodgment, or gallbladder perforation.
  • Cystic duct stump length was comparable between groups (median 2.5 mm).
  • Liver parenchyma attachment severity did not differ significantly between 2D and 3D groups.
  • All procedures were performed by an experienced surgeon, potentially reducing the benefit seen with 3D visualization.
  • No conversions to open surgery occurred, and no intraoperative complications were reported.
  • The study suggests 3D laparoscopy may aid less experienced surgeons due to enhanced depth perception.

Azuma

Veterinary Surgery

4

2024

Three-dimensional versus two-dimensional laparoscopy for cholecystectomy in a canine cadaveric study

2024-4-VS-azuma-4

Article Title: Three-dimensional versus two-dimensional laparoscopy for cholecystectomy in a canine cadaveric study

Journal: Veterinary Surgery

In Araos 2024 et al., on helmet CPAP in brachycephalic postoperative dogs, what future direction did the authors recommend regarding helmet CPAP use?

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Correct. Authors recommended further studies specifically in dogs with brachycephalic obstructive airway syndrome (BOAS).
Incorrect. The correct answer is Focus on dogs with BOAS.
Authors recommended further studies specifically in dogs with brachycephalic obstructive airway syndrome (BOAS).

🔍 Key Findings

  • CPAP at 5 cmH₂O via helmet significantly improved PaO₂/FiO₂ ratio in the early postoperative period of brachycephalic dogs, supporting enhanced pulmonary oxygen exchange (p = .04).
  • CPAP had no significant effect on SpO₂ (p = .9), PaCO₂ (p = .18), or rectal temperature (p = .5).
  • Helmet tolerance decreased over time, with 13 dogs withdrawn for intolerance (9 CPAP, 4 control) and 6 dogs withdrawn for airway compromise (5 control, 1 CPAP).
  • CPAP group maintained PaO₂/FiO₂ ratios near or above 400 mmHg, while control dogs showed consistently lower values.
  • Authors suggest PaO₂/FiO₂ is a more reliable oxygenation measure than SpO₂ for evaluating postoperative lung function.
  • The study found no cases of hyperthermia; temperatures normalized over time in both groups.
  • Arterial catheterization failed in several dogs, limiting blood gas analysis to a subset of the population.
  • Authors recommend further studies focused on BOAS patients and exploring longer-duration CPAP use to assess impact on critical outcomes like tracheostomy rates or hospitalization.

Araos

Veterinary Surgery

5

2024

Effect of continuous positive airway pressure helmet on respiratory function following laparoscopic surgery in healthy dogs

2024-5-VS-araos-5

Article Title: Effect of continuous positive airway pressure helmet on respiratory function following laparoscopic surgery in healthy dogs

Journal: Veterinary Surgery

In Sandoval 2024 et al., on lung lobectomy technique outcomes, which factor was NOT statistically associated with the type of lung lobectomy performed?

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Correct. None of these outcomes were statistically different between SLL and TA stapler groups (p > .05 for all).
Incorrect. The correct answer is All of the above.
None of these outcomes were statistically different between SLL and TA stapler groups (p > .05 for all).

🔍 Key Findings

  • Intra- and postoperative complications occurred only in stapled lobectomies, but the difference was not statistically significant (intra: p = .069, post: p = .112).
  • Intraoperative hemorrhage was the most common complication (11.8%), followed by air leakage (2%).
  • All self-ligating loop (SLL) lobectomies had zero complications (n=18), though the sample was small.
  • Postoperative complications included 4 catastrophic events (cardiopulmonary arrest), all in stapled cases.
  • Lung lobectomy technique was not associated with duration of chest tube use, hospitalization, or survival (p > .05).
  • 94.3% of patients survived to discharge (82/87).
  • SLLs are lower-cost and may be more feasible for thoracoscopic/minimally invasive approaches due to smaller port size (5mm vs. 12mm for staplers).
  • A future superiority study would need ≥103 lobectomies per group to assess differences in complication rates.

Sandoval

Veterinary Surgery

7

2024

Short‐term outcomes of dogs and cats undergoing lung lobectomy using either a self-ligating loop or a thoracoabdominal stapler

2024-7-VS-sandoval-3

Article Title: Short‐term outcomes of dogs and cats undergoing lung lobectomy using either a self-ligating loop or a thoracoabdominal stapler

Journal: Veterinary Surgery

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