
Your Custom Quiz
In Parlier 2024 et al., on insufflation effects on portal pressure in dogs, what was the average portal pressure increase per mmHg insufflation pressure?
🔍 Key Findings
- Portal pressure increased proportionally with insufflation pressure: 38% at 6 mmHg, 95% at 10 mmHg, and 175% at 14 mmHg.
- Exponential model: average increase of 7.45% per mmHg of insufflation pressure (CI: 4.7–10.2%).
- No systemic hemodynamic adverse effects were observed; MAP remained >60 mmHg throughout.
- Portal hypertension threshold (15 mmHg) predicted at ~6.4 mmHg insufflation pressure.
- No statistical impact from patient weight, pressure-to-weight ratio, or order of insufflation rounds.
- Measurement technique was feasible and safe, with only minor challenges (e.g., catheter kinking).
- The study supports use of the lowest insufflation pressure needed for visualization to avoid portal hypertension.
- Baseline portal pressures returned after desufflation, supporting comparison pre- and post-attenuation.
Veterinary Surgery
4
2024
Prospective, randomized, clinical trial on the effects of laparoscopic insufflation pressures on portal pressures in dogs
2024-4-VS-parlier-1
In Mattioli 2025 et al., on lymphadenectomy complications, which lymph node sites were associated with a higher complication rate when surgery exceeded 21.5 minutes?
🔍 Key Findings
Sample: 201 lymphadenectomies in 163 dogs.
Intraoperative techniques:
- Unassisted: 36%
- Methylene blue (MB): 24%
- Gamma probe + MB (γ-MB): 40%
Complication rate: 7.5% overall (93% uncomplicated)
- 80% were mild, 20% moderate; no severe complications
- Most common = seroma (2.5%), lymphoedema (1.5%)
Risk factors (via decision tree model):
- Surgical time > 21.5 min
- Lymph node site = mandibular or retropharyngeal
No significant difference in complication rate based on:
- Guidance technique (p = .255)
- LN palpability, number removed, or LN size
Clinical implication: Peripheral SLN excision is safe regardless of intraoperative technique; certain sites and durations carry slightly higher risk.
Veterinary Surgery
4
2025
Peripheral sentinel lymphadenectomy in 163 dogs: Postoperative surgical complications and comparison between intraoperative dissection techniques
2025-4-VS-mattioli-3
In Murphy 2024 et al., which factor was associated with decreased odds of contralateral CCLR per month?
🔍 Key Findings Summary
- Prevalence of contralateral CCLR in dogs ≥8 years and ≥15kg was 19.1%, notably lower than previous studies (33–50%).
- Median time to contralateral CCLR was 12.9 months.
- Older age reduced risk — 2% decrease per month of age (p=0.003).
- Golden Retrievers and Labradors had significantly lower risk (p=0.028 and p=0.007, respectively).
- No effect found from TPA, meniscal injury, or comorbidities (e.g., hip dysplasia, hypothyroidism).
Veterinary and Comparative Orthopedics and Traumatology
1
2024
The Prevalence and Risk Factors of Contralateral Cranial Cruciate Ligament Rupture in Medium-to-Large (≥15kg) Breed Dogs 8 Years of Age or Older
2024-1-VCOT-murphy-3
In Sadowitz 2023 et al., on screw angle & speed, what was the transcortical fracture (TCF) rate when screws were inserted at a 10° angle at 1350 rpm?
2023-8-VS-sadowitz-1
In Adrian 2024 et al., on feline pelvic fracture stabilization, what was the most commonly reported outcome according to the FMPI?
🔍 Key Findings
- 20 cats with pelvic fractures treated with SOP plates and cortical screws
- Full function reported in all patients per FMPI follow-up
- Screw loosening in 3/20 SOP cases; implant removal in 3 cats
- Median sacral index decrease at follow-up: 5.7%; mostly mild narrowing
- Complications: 5 major (3 SOP removals, 2 trochanter osteotomy issues); 20 minor
- SOP plate shown feasible even in challenging configurations; good functional outcomes
Veterinary and Comparative Orthopedics and Traumatology
1
2024
Use of Locking Plates Fixed with Cortical Screws for Pelvic Fracture Repair in 20 Cats
2024-1-VCOT-adrian-1
In Neal 2023 et al., on transcondylar screw placement, which technique had more drill/pin attempts, increasing risk of glove puncture and contamination?
🔍 Key Findings
- Aiming device provided comparable trajectory accuracy to fluoroscopy, especially in right limbs (1.9° vs. 3.4°, p = .0128).
- Eccentricity (deviation from condylar center) was lower with fluoroscopy (3.1 mm vs 4.2 mm, p = .0017), making fluoroscopy more precise.
- Odds of joint infringement were 8× higher with the aiming device, though not statistically significant (p = .0575).
- Residents had greater screw trajectory deviation than diplomates (p = .0366), highlighting impact of experience.
- Aiming device procedures took less time than fluoroscopy in some scenarios, particularly for right limbs with right-handed surgeons.
- Fluoroscopic procedures had more pin/drill attempts, increasing risk of glove puncture and potential aseptic breaks.
- Mean deviation angles in both groups (<3.5°) were within acceptable range to avoid intracondylar fracture gap.
- Cadaver model used large-breed, healthy adult dogs, not small-breed immature dogs, limiting generalizability.
Veterinary Surgery
4
2023
The effect of an aiming device on the accuracy of humeral transcondylar screw placement
2023-4-VS-neal-5
In Davey 2024 et al., on modified closed anal sacculectomy, what percentage of dogs experienced postoperative complications, and how were most classified?
🔍 Key Findings
- Modified closed anal sacculectomy resulted in a local recurrence rate of only 2.2%, substantially lower than prior reports (18–50%).
- Postoperative complications occurred in 31.9% of dogs; most (93%) were minor, with dehiscence being the most common.
- Mean survival time in deceased dogs was 521 days; median was 388 days.
- Surgical technique included complete en bloc excision of the sac and duct with sphincter reconstruction, aiming to reduce seeding risk.
- Only one major complication resulted in euthanasia due to infection and dehiscence.
- Histologic margins were complete in 44.7% of dogs; lymphatic invasion was present in 31.9%, and vascular in 8.5%.
- Adjunctive chemotherapy was administered in 34% of dogs (mostly carboplatin); not standardized due to retrospective design.
- Routine rectal exam was key to diagnosis in 57.4% of dogs with no clinical signs, underscoring the importance of screening.
Veterinary Surgery
6
2024
Outcomes of dogs with apocrine gland anal sac adenocarcinoma treated via modified closed anal sacculectomy (2015–2022)
2024-6-VS-davey-4
In Smith 2024 et al., on ergonomics and preferences in veterinary laparoscopy, what type of instrument handles were most associated with increased difficulty in laparoscopic procedures?
🔍 Key Findings
- Surgeons with smaller glove sizes experienced more difficulty using laparoscopic instruments, especially endoscopic staplers, cup biopsy forceps, and vessel sealing devices.
- Endoscopic stapler was rated the most difficult instrument, with a median difficulty score of 4/10 and 25% usage difficulty.
- Female surgeons reported significantly more difficulty with several instruments due to smaller glove size.
- Reusable instruments were preferred over disposable ones for all tasks.
- Pistol grips were preferred for grasping/retracting and fine dissection, while axial grips were preferred for suturing/knot tying.
- Articulating handles were consistently associated with increased reported difficulty, especially with scissors and cup biopsy forceps.
- Left-handed surgeons had more difficulty operating endoscopic staplers, suggesting limited design inclusivity.
- Surgeons in academic settings reported more difficulty with laparoscopic maneuvers than those in private practice.
Veterinary Surgery
3
2024
Variables affecting surgeons’ use of, and preferences for, instrumentation in veterinary laparoscopy
2024-3-VS-smith-4
In İnal 2025 et al., on feline high-rise trauma, which factor was most predictive of nonsurvival?
🔍 Key Findings
Sample: 373 cats with high-rise syndrome (HRS) from 2017–2020.
ATTS was the only significant predictor of survival (p < 0.001); each point increase decreased survival odds (OR = 0.46).
AUC for ATTS ROC curve: 0.857 (95% CI: 0.788–0.926).
Floor height, lesion type, and ground surface were not significantly associated with survival.
Odds of injury were 7.98× higher when landing on hard vs. soft surface (p < 0.001).
16.96× increased injury risk from the fourth vs. third floor (p = 0.008).
Cats with ATTS ≥7 had 62% mortality; median ATTS increased with floor height (r = 0.244, p < 0.001).
Thoracic and vertebral trauma were most common causes of death.
Only 32% of cats had the “classic” HRS triad (pneumothorax, epistaxis, hard palate fracture).
Veterinary and Comparative Orthopedics and Traumatology
1
2025
Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats
2025-1-VC-inal-1
In Marturello 2023 et al., on 3D-printed humeral models, which desktop printer and region combination yielded **the most accurate measurement**?
🔍 Key Findings
- 3D-printed models using desktop printers (FDM, LFS) showed submillimetric accuracy, comparable to or better than industrial-grade PJP printers.
- Bone size had a greater effect on print accuracy than printer type, especially in proximal humerus regions.
- The humeral condyle region showed the greatest model accuracy, with mean differences under 0.5 mm, regardless of printer.
- Models tended to be slightly smaller than cadaveric bones, potentially due to systematic underestimation during printing.
- FDM printer provided the highest accuracy at the humeral condyle in medium-sized bones (+0.09 mm).
- LFS printer produced prints faster and more reliably than FDM, although both had comparable dimensional accuracy.
- Statistically significant differences existed, but all were submillimetric and unlikely to impact surgical outcomes.
- Desktop printers are suitable for surgical planning, including plate pre-contouring and patient-specific instrumentation.
Veterinary Surgery
1
2023
Accuracy of anatomic 3‐dimensionally printed canine humeral models
2023-1-VS-marturello-4
Quiz Results
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