
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?
2023-8-VS-kang-5
In Petazzoni 2026 et al., on tibial detorsional osteotomy, why did the authors recommend locking implants for fixation of the proximal tibial osteotomy?
🔍 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.
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
In Niida 2024 et al., on surgical residents and TPLO time, which surgical phase improved most as residents progressed in training?
🔍 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.
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
In Antonakakis 2022 et al., on telovelar tumor resection, what postoperative imaging finding confirmed complete resection of the tumor?
🔍 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.
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
In Toth 2026 et al., on GIFB ultrasound accuracy, which factor was identified as most influential in determining success of laparoscopic-assisted intestinal surgery?
🔍 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.
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
In Scheuermann 2023 et al., on canine femoral MIPO, what was the most significant drawback observed with the use of the FRS?
🔍 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.
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
In Aertsens 2025 et al., on thoracic lift technique, what outcome was reported for device-related complications in both feline cases?
🔍 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.
Veterinary Surgery
4
2025
Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats
2025-4-VS-aertsens-5
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?
🔍 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.
Veterinary Surgery
4
2024
Three-dimensional versus two-dimensional laparoscopy for cholecystectomy in a canine cadaveric study
2024-4-VS-azuma-4
In Araos 2024 et al., on helmet CPAP in brachycephalic postoperative dogs, what future direction did the authors recommend regarding helmet CPAP use?
🔍 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.
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
In Sandoval 2024 et al., on lung lobectomy technique outcomes, which factor was NOT statistically associated with the type of lung lobectomy performed?
🔍 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.
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
Quiz Results
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Key Findings
