Your Custom Quiz

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 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 Rocheleau 2024 et al., on arthroscopic meniscal suturing, what is a proposed benefit of meniscal preservation over meniscectomy?

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Correct. Meniscal preservation is linked to better long-term joint function and reduced OA.
Incorrect. The correct answer is Improved long-term outcomes.
Meniscal preservation is linked to better long-term joint function and reduced OA.

🔍 Key Findings

  • Arthroscopic meniscal suturing was performed in 43 client-owned dogs, involving 44 meniscal repairs (one dog was bilateral). All injuries involved the caudal horn of the medial meniscus and were associated with cranial cruciate ligament (CrCL) disease.
  • All dogs underwent simultaneous TPLO, with some also receiving an internal brace (IB). Most repairs used simple vertical mattress sutures.
  • The overall complication rate was 34.1% (15/44). Most complications were attributed to the TPLO/TPLO+IB and did not compromise the meniscal repair outcome.
  • No median time to “acceptable” or “full” function was reported, but most dogs showed improvement in lameness and LOAD scores (p < .001), indicating good to excellent outcomes.
  • Meniscal repair success rate was 88% (38/44), with TPLO + IB outperforming TPLO-only (93.3% vs 71.4%). Follow-up was performed at 8 weeks (40 dogs) and 6 months (16 dogs).
  • Six failures occurred, all managed with arthroscopic meniscectomy, leading to normal activity in those dogs. Two IB-associated failures led to CrCL instability.
  • The authors concluded the technique was safe, practical, and effective, with a reasonable complication rate.
  • The findings support arthroscopic suturing as a feasible alternative to meniscectomy or meniscal release, offering long-term benefits for preserving the meniscus.

Rocheleau

Veterinary Surgery

5

2024

Short‐term outcomes of 43 dogs treated with arthroscopic suturing for meniscal tears

2024-5-VS-rocheleau-5

Article Title: Short‐term outcomes of 43 dogs treated with arthroscopic suturing for meniscal tears

Journal: Veterinary Surgery

In Geier 2022 et al., on smoke evacuation in TPLO, what was the average reduction in ultrafine particle concentration with the use of a smoke-evacuation unit?

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Correct. Smoke-evacuation units reduced particle concentration by 56.4% during approach to the proximal tibia.
Incorrect. The correct answer is 56.4%.
Smoke-evacuation units reduced particle concentration by 56.4% during approach to the proximal tibia.

🔍 Key Findings

  • Use of smoke evacuators reduced ultrafine particle concentrations by 56.4% during approach to the proximal tibia for TPLO in dogs.
  • Mean intraoperative particle concentrations were significantly higher in surgeries without smoke evacuation (1352 ppc vs. 763 ppc, P < .0001).
  • Maximum particle concentrations were six times higher without smoke evacuation (62,450 ppc vs. 10,100 ppc, P < .0001).
  • Particle counts increased above baseline regardless of evacuator use, confirming electrosurgery contributes substantially to airborne particles.
  • Surgeons noted reduced odor and health concerns when using the smoke evacuator, despite initial visibility limitations due to pencil attachment.
  • Standard surgical masks do not protect against ultrafine particles, underscoring the importance of smoke mitigation systems.
  • The smoke-evacuation unit did not eliminate all ultrafine particles, suggesting optimization (e.g., higher power setting) may be beneficial.
  • This is the first clinical veterinary study to measure surgical smoke reduction using evacuators during TPLO.

Geier

Veterinary Surgery

5

2022

The effect of a smoke‐evacuation unit on ultrafine particle concentrations in the operating room during approach to the proximal tibia for tibial plateau-leveling osteotomy surgery in dogs

2022-5-VS-geier-1

Article Title: The effect of a smoke‐evacuation unit on ultrafine particle concentrations in the operating room during approach to the proximal tibia for tibial plateau-leveling osteotomy surgery in dogs

Journal: Veterinary Surgery

In You 2025 et al., on barbed sutures for lung lobectomy, what conclusion was made regarding their clinical use?

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Correct. The authors conclude that barbed sutures may offer a viable alternative to staplers when cost or anatomy limits stapler use.
Incorrect. The correct answer is They may be a practical alternative to staplers.
The authors conclude that barbed sutures may offer a viable alternative to staplers when cost or anatomy limits stapler use.

🔍 Key Findings

  • Barbed sutures showed comparable leakage pressure to traditional sutures and stapling devices (p = .36).
  • No bronchial leaks occurred at physiological pressure (<20 cmH₂O) in any group.
  • Leakage at supraphysiologic pressure (20–80 cmH₂O) occurred in 90% of stapler, 80% of traditional, and 60% of barbed suture closures.
  • Barbed sutures reduced ligation time significantly compared to traditional sutures (10.7 vs. 14.1 minutes, p < .01).
  • Staplers remained fastest, with mean ligation time of 2.4 minutes.
  • No knot failure or suture breakage was observed in barbed or traditional suture groups.
  • Leakage in barbed sutures occurred mostly at the loop effector zone, but remained within acceptable limits.
  • Barbed sutures may offer an effective alternative when staplers are unavailable, impractical, or cost-prohibitive.

You

Veterinary Surgery

7

2025

Evaluation of a knotless barbed suture for canine total lung lobectomy: An ex vivo study

2025-7-VS-you-5

Article Title: Evaluation of a knotless barbed suture for canine total lung lobectomy: An ex vivo study

Journal: Veterinary Surgery

In Violini 2024 et al., on 3D-guided spinal stabilization in brachycephalic dogs, what clinical finding was reported in 7 of 10 mid-term cases despite all being ambulatory?

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Correct. Most owners reported residual abnormal gait (scuffing, wide stance) despite ambulatory status:contentReference[oaicite:3]{index=3}.
Incorrect. The correct answer is Abnormal gait.
Most owners reported residual abnormal gait (scuffing, wide stance) despite ambulatory status:contentReference[oaicite:3]{index=3}.

🔍 Key Findings

  • Spinal stabilization with 3D-printed patient-specific drill guides (3D-PSGs) was safe, with no immediate perioperative complications reported.
  • 84% of pedicle screws were optimally placed, and only 0.5% breached the spinal canal, reflecting high placement accuracy.
  • 80% of dogs experienced no neurologic deterioration postoperatively, indicating reliable short-term safety.
  • 3D-PSGs were accurate and reproducible, even across multiple institutions and surgeons.
  • Mid-term outcomes were favorable: all dogs were ambulatory, and 90% had static or improved neurologic signs.
  • 7 of 10 mid-term follow-ups showed abnormal gait, though owners rated lifestyle ≥3/5, suggesting acceptable function.
  • 3D-printed guides enabled precise pedicle screw placement in deformed vertebrae, expanding options in small breeds.
  • One dog suffered a T4 spinous process fracture due to overextension of PMMA cement, emphasizing the need for cement placement caution.

Violini

Veterinary Surgery

4

2024

Clinical outcomes of 20 brachycephalic dogs with thoracolumbar spinal deformities causing neurological signs treated with spinal stabilization using 3D-printed patient-specific drill guides

2024-4-VS-violini-4

Article Title: Clinical outcomes of 20 brachycephalic dogs with thoracolumbar spinal deformities causing neurological signs treated with spinal stabilization using 3D-printed patient-specific drill guides

Journal: Veterinary Surgery

In Kuvaldina 2023 et al., in Minimally invasive axillary lymphadenectomy in dogs, which of the following best describes postoperative morbidity in the 3 clinical patients?

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Correct. Postoperative morbidity was minimal; all clinical cases recovered uneventfully with no major complications.
Incorrect. The correct answer is Minor seroma or lameness resolved without intervention.
Postoperative morbidity was minimal; all clinical cases recovered uneventfully with no major complications.

🔍 Key Findings

  • A minimally invasive endoscopic technique was successfully developed for excisional biopsy of axillary lymph nodes in dogs.
  • The procedure was performed on 4 cadavers (6 limbs) and 3 clinical patients, with no major complications reported.
  • Mean cadaveric time: accessory axillary node 5.1 min; axillary node 33 min. One limb had a double axillary node.
  • In clinical cases, 2/3 were completed endoscopically; one required conversion to open due to node elevation difficulty.
  • Surgical times in clinical cases ranged from 35 to 58 minutes, depending on node accessibility and number.
  • Postoperative morbidity was minimal: no lymphedema, minor seroma or lameness resolved quickly.
  • The SILS port approach enabled effective access, though precise placement was critical to visualization.
  • This is the first reported veterinary endoscopic technique for axillary lymphadenectomy; potential for improved staging and reduced morbidity.

Kuvaldina

Veterinary Surgery

7

2023

Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

2023-7-VS-kuvaldina-4

Article Title: Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

Journal: Veterinary Surgery

In Sabol 2024 et al., what critical structure was sometimes <1 mm from the pedicle trajectory in large dogs?

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Correct. The azygos vein, lungs, and aorta were often <1 mm from implants, especially mid-thoracic:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is Azygos vein.
The azygos vein, lungs, and aorta were often <1 mm from implants, especially mid-thoracic:contentReference[oaicite:2]{index=2}

🔍 Key Findings Summary

  • Evaluated ideal dorsolateral implant trajectories in T1–T13 using CT in 30 dogs across five weight classes.
  • Corridor widths were narrowest in the mid-thoracic vertebrae (as little as 1.8 mm) and increased cranially and caudally.
  • Allowable deviation angles (ADA) were often very small (as little as ), indicating high risk for canal or thoracic structure breach.
  • Distances to critical structures (lungs, aorta, subclavian artery, azygos vein) were often <1 mm, even in large dogs.
  • Data suggest extreme caution and precision are needed for thoracic vertebral implant placement and support use of navigation or 3D-printed guides.

Sabol

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Implantation Corridors in Canine Thoracic Vertebrae: A Morphometric Study in Dogs of Varying Sizes

2024-2-VCOT-sabol-3

Article Title: Implantation Corridors in Canine Thoracic Vertebrae: A Morphometric Study in Dogs of Varying Sizes

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Lemmon 2025 et al., on synovitis severity scoring, what was the association between symptom duration and synovitis severity?

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Correct. Longer clinical signs were associated with higher synovitis scores (OR = 1.27 per month, p < .001).
Incorrect. The correct answer is Significant positive correlation.
Longer clinical signs were associated with higher synovitis scores (OR = 1.27 per month, p < .001).

🔍 Key Findings

Synovitis was present in 100% of canine stifles with CCL disease (n = 163).

The most frequent severity score was 3/5 (55.2%), followed by 4/5 (24.5%).

Higher synovitis scores were significantly associated with:

  • Higher median cartilage scores (p = .042, OR = 2.1 per unit increase)
  • Longer duration of clinical signs (p < .001, OR = 1.27 per month)

Bodyweight (p = .083) and sex (p = .17) were not statistically significant in multivariable analysis.

Bucket handle meniscal tears were not associated with synovitis severity.

Clinical implication: Earlier intervention may help reduce synovitis and slow OA progression.

Lemmon

Veterinary Surgery

3

2025

Arthroscopic synovitis severity scoring in canine stifles with cranial cruciate ligament disease

2025-3-VS-lemmon-3

Article Title: Arthroscopic synovitis severity scoring in canine stifles with cranial cruciate ligament disease

Journal: Veterinary Surgery

In Ferreira 2025 et al., on heated pneumoperitoneum in dogs, what was the primary finding comparing heated to nonheated CO₂?

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Correct. Dogs insufflated with heated CO₂ had significantly higher final temperatures than those receiving nonheated gas.
Incorrect. The correct answer is Heated CO₂ improved final body temperature.
Dogs insufflated with heated CO₂ had significantly higher final temperatures than those receiving nonheated gas.

🔍 Key Findings

  • Heated CO₂ insufflation reduced perioperative hypothermia during laparoscopic ovariectomy compared to nonheated CO₂.
  • Final body temperature was significantly higher in the heated group (36.03°C) than in the nonheated group (34.93°C).
  • Temperature reduction correlated with surgical duration only in the nonheated group (p < .05).
  • Heated CO₂ delayed temperature drop, occurring after 20 minutes vs. 5 minutes in nonheated cases.
  • No significant differences between groups in anesthetic, surgical, or insufflation times.
  • All dogs recovered uneventfully and were discharged the same day.
  • Heated CO₂ may offer greater benefit in longer procedures or in small-sized dogs prone to hypothermia.
  • No adverse effects were attributed to heated gas use in this clinical trial.

Ferreira

Veterinary Surgery

5

2025

Effect of heated pneumoperitoneum on body temperature in dogs undergoing laparoscopic ovariectomy—A randomized controlled trial

2025-5-VS-ferreira-1

Article Title: Effect of heated pneumoperitoneum on body temperature in dogs undergoing laparoscopic ovariectomy—A randomized controlled trial

Journal: Veterinary Surgery

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