Your Custom Quiz

In Cormillot 2026 et al., on laparoscopic handle ergonomics, what design recommendation was supported by the study findings?

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Correct. The authors concluded that adjustable or size-specific laparoscopic handles may better accommodate the variability in surgeon hand anthropometry.
Incorrect. The correct answer is Developing adjustable or size-specific instrument handles.
The authors concluded that adjustable or size-specific laparoscopic handles may better accommodate the variability in surgeon hand anthropometry.

🔍 Key Findings

  • Surgeon hand size significantly influences preferred finger-loop handle configuration when using laparoscopic instruments.
  • Smaller-handed surgeons preferred smaller loop spacing and different finger placements, suggesting standard instrument designs may not accommodate all users.
  • Larger-handed surgeons favored wider finger-loop spacing, which improved comfort and maneuverability during laparoscopic manipulation.
  • Instrument ergonomics varied substantially between users, demonstrating that a “one-size-fits-all” laparoscopic handle design is suboptimal.
  • Hand anthropometry affected both perceived comfort and functional performance during simulated laparoscopic tasks.
  • Loop positioning and finger insertion pattern influenced wrist posture and grip mechanics, potentially affecting fatigue during prolonged procedures.
  • Ergonomic mismatch between surgeon hand size and handle design may contribute to surgeon discomfort and reduced efficiency during minimally invasive surgery.
  • The study supports development of adjustable or size-specific laparoscopic handles to improve surgeon ergonomics and operative performance.

Cormillot

Veterinary Surgery

2

2026

Surgeon hand size influences laparoscopic finger loop handle preference

2026-2-vs-cormillot-5

Article Title: Surgeon hand size influences laparoscopic finger loop handle preference

Journal: Veterinary Surgery

In Forzisi 2025 et al., on femoral growth post-THR, which femoral region showed significantly reduced growth in operated limbs?

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Correct. Cementless THR reduced trochanteric growth by 11.5% compared to controls (p = .002).
Incorrect. The correct answer is Greater trochanter.
Cementless THR reduced trochanteric growth by 11.5% compared to controls (p = .002).

🔍 Key Findings

Population: 24 dogs (<8.5 months) undergoing unilateral cementless THR.
Growth Impact:

  • Operated femurs showed ~11.5% less trochanteric growth than controls (p = .002).
  • No significant difference in femoral diaphyseal + epiphyseal length (p = .712) or femur overall (p = .465).

Cortical Width:

  • Increased significantly at 10 mm distal to trochanter (4.6% increase, p = .037) and at 50% femoral length (8.5% increase, p = .030).

Clinical relevance: Despite measurable changes, no clinically significant impairment to femoral length occurred.
Effect Sizes:

  • Moderate negative for trochanteric growth.
  • Moderate positive for proximal femoral width.

Forzisi

Veterinary Surgery

1

2025

Evaluation of the effects of cementless total hip replacement on femoral length in skeletally immature dogs

2025-1-VS-forzisi-1

Article Title: Evaluation of the effects of cementless total hip replacement on femoral length in skeletally immature dogs

Journal: Veterinary Surgery

In Dalton 2023 et al., on acetabular fracture repair, what was a reported potential benefit of the minimally invasive approach compared to traditional open techniques?

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Correct. Reduced risk to the sciatic nerve was noted, likely due to avoidance of direct retraction and protection by preserved soft tissues.
Incorrect. The correct answer is Reduced retraction-related nerve injury.
Reduced risk to the sciatic nerve was noted, likely due to avoidance of direct retraction and protection by preserved soft tissues.

🔍 Key Findings

  • Minimally invasive repair of acetabular fractures using precontoured plates on 3D-printed models is feasible and technically reproducible in dogs.
  • All cadavers had fracture gaps <2 mm and step defects <1 mm, indicating accurate reduction.
  • Sciatic nerve injury was minimal or absent in all cases, supporting potential neuroprotection from indirect approaches.
  • Pelvic angulation was maintained <5°, confirming preservation of alignment post-reduction.
  • Surgical time averaged ~46 minutes in cadavers for both approaches and repair.
  • Clinical case showed good radiographic healing by 8 weeks and full union by 3 months, with early weight-bearing post-op.
  • Use of locking screws improved reduction fidelity, particularly across a broad plate span.
  • 3D printing accelerated surgical planning, though its necessity remains debated due to the availability and cost concerns.

Dalton

Veterinary Surgery

6

2023

Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

2023-6-VS-dalton-3

Article Title: Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

Journal: Veterinary Surgery

In Schroeder 2022 et al., on fascial anatomy mapping, what is the characteristic of type I fascia?

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Correct. Type I fascia is defined as discrete fascial sheets visible to the naked eye and easily dissectible.
Incorrect. The correct answer is C. Discrete, clearly dissectible fascial sheets.
Type I fascia is defined as discrete fascial sheets visible to the naked eye and easily dissectible.

🔍 Key Findings

  • Fascial planes in dogs were consistently classifiable into four surgical types:
  • Type I (discrete sheets), Type II (tightly adhered to thin muscle), Type III (tightly adhered to thick muscle), and Type IV (periosteum-associated).
  • Two junction types were identified: Type A (easily elevated) and Type B (higher risk of disruption).
  • Disruption-prone areas include the scapular spine (type IV fascia) and lateral thorax near the 13th rib, where rib resection may be needed to preserve margins.
  • The latissimus dorsi transition zones and fascial areas near the thoracic inlet and scapulohumeral joint were prone to fascial thinning or disruption.
  • Partial muscle resections or periosteal elevations may be required in areas with fragile fascia to maintain oncologic margins.
  • Dorsal spinous processes (T6–L6) showed type IV fascia; however, osteotomy may be needed in some dogs for clear margins.
  • Blended fascial transitions (e.g., rectus abdominis: type II cranially, type I caudally) necessitate intraoperative judgment on resection depth.
  • Cutaneous trunci may suffice as a deep margin for small, low-grade tumors in well-muscled dogs, but not reliably for high-grade or larger masses.

Schroeder

Veterinary Surgery

1

2022

Fascial plane mapping for superficial tumor resection in dogs. Part I: Neck and trunk

2022-1-VS-schroeder-1

Article Title: Fascial plane mapping for superficial tumor resection in dogs. Part I: Neck and trunk

Journal: Veterinary Surgery

In Marchionatti 2022 et al., on antiseptic efficacy comparison, what was the finding of the meta-analysis regarding SSI incidence with chlorhexidine vs povidone-iodine protocols?

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Correct. Meta-analysis showed no statistical difference in postoperative SSI between protocols (RR 0.90; P = 0.82):contentReference[oaicite:0]{index=0}
Incorrect. The correct answer is There was no significant difference in SSI incidence between protocols.
Meta-analysis showed no statistical difference in postoperative SSI between protocols (RR 0.90; P = 0.82):contentReference[oaicite:0]{index=0}

🔍 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-1

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

Journal: Veterinary Surgery

In Hoenecke 2025 et al., on radiographic opacity in patella luxation, which diagnostic technique was suggested to provide better sensitivity than arthrotomy for subtle CCL damage?

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Correct. Authors noted arthroscopy provides better sensitivity for subtle intra-articular changes than arthrotomy.
Incorrect. The correct answer is Arthroscopy.
Authors noted arthroscopy provides better sensitivity for subtle intra-articular changes than arthrotomy.

🔍 Key Findings

  • 65% of stifles with patella luxation and intact CCLs had increased radiographic soft tissue opacity
  • Weight and radiographic OA were significantly associated with increased opacity (p = .0029 and p = .0143)
  • Each 1 kg increase in weight increased the odds of opacity by 10%
  • Grade of patella luxation, age, and muscle atrophy were not significantly associated with increased opacity
  • 19% of dogs with long-term follow-up developed a CCL rupture post-patella surgery, 50% of those had opacity at initial presentation
  • Radiographic opacity alone should not be interpreted as CCL disease in dogs with patella luxation
  • Radiographic findings likely represent effusion or synovial hyperplasia, not CCL pathology
  • Arthrotomy was used to confirm CCL integrity at surgery, but arthroscopy could provide better sensitivity

Hoenecke

Veterinary Surgery

7

2025

Increased radiographic stifle soft tissue opacity in dogs with patella luxation

2025-7-VS-hoenecke-5

Article Title: Increased radiographic stifle soft tissue opacity in dogs with patella luxation

Journal: Veterinary Surgery

In Monnet 2023 et al., on barbed vs conventional suture in vesicourethral anastomosis (VUA), despite reduced suturing time, what is a clinical limitation of using unidirectional barbed suture for VUA?

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Correct. Despite shorter suturing time, UBS had lower leakage pressure (some as low as 5 mmHg), necessitating catheter use post-op.
Incorrect. The correct answer is Leakage pressure remains low.
Despite shorter suturing time, UBS had lower leakage pressure (some as low as 5 mmHg), necessitating catheter use post-op.

🔍 Key Findings

  • Leakage pressure was not significantly different between unidirectional barbed suture (UBS) and conventional (C) suture groups (p = .236).
  • UBS group had a 28% lower median leakage pressure than the C group (8.6 mmHg vs. 11.7 mmHg), suggesting higher biological risk of leakage.
  • UBS significantly reduced suturing time (median 12.7 vs. 17.3 minutes; p < .0002).
  • Fewer suture bites were needed in the UBS group (median 14 vs. 19; p = .012).
  • No suture breakage or urethral narrowing occurred in either group.
  • Leakage site distribution (ventral vs lateral) was similar between groups; no dorsal leaks noted.
  • Leakage occurred as low as 5 mmHg in UBS group, indicating potential for postoperative extravasation.
  • UBS may aid intracorporeal suturing in minimally invasive prostatectomy, but catheterization remains necessary postoperatively.

Monnet

Veterinary Surgery

5

2023

Influence of conventional versus unidirectional barbed suture on leakage pressures in canine vesicourethral anastomosis: An ex-vivo study

2023-5-VS-monnet-5

Article Title: Influence of conventional versus unidirectional barbed suture on leakage pressures in canine vesicourethral anastomosis: An ex-vivo study

Journal: Veterinary Surgery

In García 2025 et al., on TIAS shunt confirmation, which imaging method was NOT required during the procedure?

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Correct. TIAS used only ultrasound; fluoroscopy and CTA were not needed for intraoperative guidance.
Incorrect. The correct answer is Fluoroscopy.
TIAS used only ultrasound; fluoroscopy and CTA were not needed for intraoperative guidance.

🔍 Key Findings

  • 40 dogs with congenital EHPSS were surgically treated using intraoperative transsplenic injection of agitated saline (TIAS) to assess full temporary occlusion.
  • TIAS was successful in 38/40 dogs; the remaining 2 had additional shunting vessels not originally seen and required further identification/ligation.
  • No intraoperative or postoperative complications occurred.
  • TIAS allowed real-time confirmation of attenuation success using ultrasound-visible microbubbles.
  • Median postoperative bile acids were 5 μmol/L (preprandial) and 25 μmol/L (postprandial).
  • Long-term outcomes: 29/39 dogs had excellent, 10/39 had good outcomes; 3 dogs died unrelated to EHPSS.
  • Technique is presented as a safe, quick, low-cost, accessible intraoperative assessment alternative to IOMP or SP.

Garcia

Veterinary Surgery

2

2025

Use of intraoperative transsplenic injection of agitated saline to confirm temporary full attenuation of congenital extrahepatic portosystemic shunts in dogs

2025-2-VS-garcia-4

Article Title: Use of intraoperative transsplenic injection of agitated saline to confirm temporary full attenuation of congenital extrahepatic portosystemic shunts in dogs

Journal: Veterinary Surgery

In Foster 2026 et al., on right hepatic lobectomy, what was the most common intraoperative complication observed?

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Correct. Hemorrhage occurred in 25/70 dogs and was the most common intraoperative complication.
Incorrect. The correct answer is Hemorrhage.
Hemorrhage occurred in 25/70 dogs and was the most common intraoperative complication.

🔍 Key Findings

  • Perioperative mortality rate was low (2.9%), with no intraoperative deaths reported.
  • Intraoperative complications occurred in 54.3% of dogs, most commonly hemorrhage and cardiovascular events.
  • 21% of dogs required blood transfusions, though transfusion was not associated with higher complication risk.
  • Advanced hemodynamic support (fluid + cardiovascular) was significantly associated with short-term complications (OR 17.3, p = .029) and shorter survival.
  • No surgical method (e.g., TA stapler, vessel sealing device, hilar resection) was associated with increased risk of complications.
  • Hepatocellular carcinoma (HCC) was the most common diagnosis (53%), with an MST of 741 days and 17.6% recurrence.
  • Surgical margins (complete vs incomplete) were not associated with overall survival time in dogs with HCC.
  • The use of preoperative CT and improved surgical instrumentation may have contributed to the lower observed mortality.

Foster

Veterinary Surgery

1

2026

Outcomes and prognostic variables associated with right divisional hepatic lobectomies in 70 dogs

2026-1-VS-foster-1

Article Title: Outcomes and prognostic variables associated with right divisional hepatic lobectomies in 70 dogs

Journal: Veterinary Surgery

In Whyte 2025 et al., on cannulated screw fixation, what was the most common major complication observed?

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Correct. Screw breakage was the most common major complication reported in this study.
Incorrect. The correct answer is Screw breakage.
Screw breakage was the most common major complication reported in this study.

🔍 Key Findings

Study focus: Outcomes of cannulated screw fixation in unicondylar humeral condylar fractures (UHCF) in dogs.
Clinical union rate: 89%
Overall complication rate: 36%

  • Major complication: Most common was screw breakage

Significant risk factor for screw breakage:

  • Body weight >20 kg (statistically significant)

Breed distribution:

  • Spaniels, especially English Springer Spaniels, were most common

No mention of plate augmentation as standard in this cohort

Whyte

Veterinary Surgery

2

2025

Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs

2025-2-VS-whyte-1

Article Title: Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs

Journal: Veterinary Surgery

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