Your Custom Quiz

In Griffin 2025 et al., on SLN mapping with ICG, which lymph node was identified as sentinel?

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Correct. NIR imaging localized the right tracheobronchial lymph node as sentinel after ICG injection.
Incorrect. The correct answer is Right tracheobronchial.
NIR imaging localized the right tracheobronchial lymph node as sentinel after ICG injection.

🔍 Key Findings

  • Case: 9-year-old Labrador with a right caudal pulmonary adenocarcinoma.
  • Technique: Peritumoral injection of indocyanine green (ICG) under VATS guidance, followed by near-infrared (NIR) imaging.
  • SLN identified: Right tracheobronchial lymph node fluoresced and was safely extirpated.
  • Histology: Grade 1 adenocarcinoma, pneumonia, reactive node.
  • Outcome: Patient deteriorated and died on postoperative day 3 due to systemic complications (not linked to surgical technique).
  • Clinical relevance: First clinical application of SLN mapping for canine pulmonary neoplasia; method feasible with open or minimally invasive approaches.

Griffin

Veterinary Surgery

1

2025

Intraoperative sentinel lymph node mapping with indocyanine green via video‐assisted thoracoscopic surgery for primary pulmonary neoplasia in a dog

2025-1-VS-griffin-1

Article Title: Intraoperative sentinel lymph node mapping with indocyanine green via video‐assisted thoracoscopic surgery for primary pulmonary neoplasia in a dog

Journal: Veterinary Surgery

In Beamon 2022 et al., on calcanean tunnel orientation, which construct demonstrated significantly higher yield load than modified tunnels?

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Correct. TT constructs showed a 25% higher yield load than MT (P = .027), indicating stronger early resistance to deformation.
Incorrect. The correct answer is Transverse tunnel (TT).
TT constructs showed a 25% higher yield load than MT (P = .027), indicating stronger early resistance to deformation.

🔍 Key Findings

  • No significant difference in peak load, failure load, stiffness, or 3 mm gap formation among bone tunnel types.
  • Transverse tunnel (TT) constructs had 25% higher yield load than modified tunnels (MT) (P = .027).
  • Most common failure mode was suture pull-through (67%), with no significant difference between groups.
  • Gap formation ≥3 mm occurred in ~90% of constructs; no significant difference in force needed for gap among groups.
  • All bone tunnel techniques (TT, VT, MT) are viable options for CCT reattachment in dogs.
  • The 3-loop pulley (3LP) pattern provided strong, uniform repair, with higher loads to failure than previously reported.
  • TT constructs showed more tendon distortion at the repair interface during loading.
  • Inclusion of accessory tendon may have improved repair strength compared to prior studies using GT alone.

Beamon

Veterinary Surgery

4

2022

Effect of calcanean bone‐tunnel orientation for teno‐osseous repair in a canine common calcanean tendon avulsion model

2022-4-VS-beamon-1

Article Title: Effect of calcanean bone‐tunnel orientation for teno‐osseous repair in a canine common calcanean tendon avulsion model

Journal: Veterinary Surgery

In Miller 2024 et al., on surgical comparison of staphylectomy vs. FFP, which outcome was significantly associated with folded flap palatoplasty?

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Correct. FFP was associated with significantly longer operative and anesthetic durations compared to staphylectomy.
Incorrect. The correct answer is Longer anesthesia and surgery times.
FFP was associated with significantly longer operative and anesthetic durations compared to staphylectomy.

🔍 Key Findings

  • FFP resulted in longer median surgery (75 min) and anesthesia (111 min) durations than S (51 min and 80 min, respectively).
  • No significant difference in anesthetic complications, regurgitation, aspiration pneumonia, or hospitalization time between S and FFP.
  • Major complications were rare (4%) and equally distributed between procedures; included tracheostomy and euthanasia due to severe airway disease.
  • Postoperative oxygen use was common (52% of dogs) but not significantly different between procedures.
  • FFP dogs more often had laryngeal collapse (especially Grade 1: 68% vs. 32% in S dogs).
  • Most dogs (85%) had concurrent nares surgery, with caudal wedge resection more frequent in FFP dogs.
  • Few dogs needed revision soft palate surgery (7/124 total); similar between groups.
  • Postoperative clinical signs improved across both procedures; regurgitation was the most persistent sign post-op.

Miller

Veterinary Surgery

8

2024

Complications and outcome following staphylectomy and folded flap palatoplasty in dogs with brachycephalic obstructive airway syndrome

2024-8-VS-miller-1

Article Title: Complications and outcome following staphylectomy and folded flap palatoplasty in dogs with brachycephalic obstructive airway syndrome

Journal: Veterinary Surgery

In Kwok 2023 et al., on BFX lateral bolt THR in dogs, which type of complication most often led to prosthesis explantation?

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Correct. 4 of 5 explants were due to acetabular cup issues, not femoral stem failure.
Incorrect. The correct answer is Acetabular cup complications.
4 of 5 explants were due to acetabular cup issues, not femoral stem failure.

🔍 Key Findings

  • 97.4% of dogs returned to normal function after total hip replacement using the BFX lateral bolt.
  • Mean femoral stem subsidence was 1.22 mm, with most occurring in the first month and minimal thereafter.
  • Postoperative complication rate was 13.6%, with 9.2% major and 4.4% minor complications.
  • Femoral fractures (3.6%) and coxofemoral luxations (3.6%) were the most common major complications.
  • Increased age and higher stem size were risk factors for postoperative femoral fractures; CFI >2.0 was also associated.
  • Medial calcar fractures were avoided, and fractures occurred distal to stem ingrowth zone, simplifying repairs.
  • Three cases underwent prophylactic plating, all with excellent outcomes and no complications.
  • Explant rate was 2.6% (5/195), with most failures involving acetabular cup rather than femoral stem.

Kwok

Veterinary Surgery

1

2023

Clinical outcomes of canine total hip replacement utilizing a BFX lateral bolt femoral stem: 195 consecutive cases (2013–2019)

2023-1-VS-kwok-5

Article Title: Clinical outcomes of canine total hip replacement utilizing a BFX lateral bolt femoral stem: 195 consecutive cases (2013–2019)

Journal: Veterinary Surgery

In Dekerle 2022 et al., on ectopic ureter correction, what **was the 1-month postoperative continence rate** in the studied female dogs?

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Correct. 80% of dogs were continent at 1 month postoperatively without medical therapy.
Incorrect. The correct answer is 80%.
80% of dogs were continent at 1 month postoperatively without medical therapy.

🔍 Key Findings

  • Cystoscopic-guided laser ablation (CLA) was associated with significantly fewer minor complications (13%) than neoureterostomy (100%) (P < .01)
  • CLA resulted in significantly fewer recurrences of incontinence compared to neoureterostomy (0/7 vs 5/12; P < .05)
  • 80% of dogs achieved continence within 1 month postoperatively, with a median continence score of 10
  • Long-term continence was achieved in 88% of dogs, with or without adjunctive treatment, over a median of 66 months
  • Major complications occurred in only 8% of dogs, and all were successfully managed with surgical revision
  • Persistent ureteral remnants were seen only in neoureterostomy dogs, potentially contributing to incontinence recurrence
  • All dogs with incontinence recurrence responded to medical treatment, while only 1/5 with persistent incontinence after surgery did
  • CLA is recommended over open surgery for iEU correction, due to lower complication and recurrence rates

Dekerle

Veterinary Surgery

4

2022

Outcomes of 25 female dogs treated for ectopic ureters by open surgery or cystoscopic-guided laser ablation

2022-4-VS-dekerle-2

Article Title: Outcomes of 25 female dogs treated for ectopic ureters by open surgery or cystoscopic-guided laser ablation

Journal: Veterinary Surgery

In Cherzan 2023 et al., on subcutaneous mast cell tumors, which histologic feature was most strongly associated with shorter disease-free interval and survival time?

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Correct. Mitotic index >7 was associated with higher recurrence, shorter DFI, and shorter survival.
Incorrect. The correct answer is Mitotic index >7.
Mitotic index >7 was associated with higher recurrence, shorter DFI, and shorter survival.

🔍 Key Findings

  • Local recurrence occurred in 17.8% of dogs, and was associated with significantly decreased survival (551 vs 1722 days, p = .0038).
  • Lymph node metastasis occurred in 26.7% of dogs and was significantly associated with shorter disease-free interval (194 vs not reached, p = .0012) and lower survival (551 vs 1722 days, p = .043).
  • Mitotic index >7 was significantly associated with higher recurrence (80% vs 22.5%, p = .02), shorter DFI (139 vs not reached days, p < .001), and shorter survival (247 vs 1722 days, p = .05).
  • Infiltrative growth pattern was associated with shorter DFI (268 vs 1864 days, p = .011), but not with survival or recurrence.
  • Incomplete margins (≤1 mm) were not significantly associated with recurrence (p = .085), but did correlate with shorter DFI (p = .043).
  • Chemotherapy or radiation therapy was associated with shorter DFI and survival, likely due to selection bias for more aggressive disease.
  • Tumor size >3 cm was associated with decreased survival (p = .031), but not with recurrence or DFI.
  • Multinucleation and necrosis were not associated with prognosis outcomes.

Cherzan

Veterinary Surgery

4

2023

Factors affecting prognosis in canine subcutaneous mast cell tumors: 45 cases

2023-4-VS-cherzan-1

Article Title: Factors affecting prognosis in canine subcutaneous mast cell tumors: 45 cases

Journal: Veterinary Surgery

In Lopez Barroso 2026 et al., on sacroiliac screw accuracy, which component allowed the screw and washer to be delivered through the guide system?

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Correct. The sleeve served as a retractor and allowed passage of screw and washer through the guide.
Incorrect. The correct answer is Device sleeve.
The sleeve served as a retractor and allowed passage of screw and washer through the guide.

🔍 Key Findings

  • Mean SI joint reduction was 94.25%, exceeding the 90% target considered important to reduce screw loosening
  • Mean sacral width purchase was 82.52%, with all screws achieving >60%—a threshold for reducing implant loosening risk
  • All 20 screws were accurately placed within the sacral body, confirmed via CT or radiographs
  • A 3D-printed drill guide and table-bound system facilitated consistent screw placement via minimally invasive technique
  • Craniocaudal and dorsoventral angles were well controlled (mean CCA = –1.22°, DVA = 0.71°), demonstrating accurate trajectory
  • No intraoperative complications were reported; all pilot holes drilled on first attempt
  • Use of fluoroscopy and orthogonal imaging enhanced surgical accuracy and reduced malposition risk
  • The system permitted screw placement through a sleeve that doubled as a muscle retractor, allowing implant delivery without disruption

Lopez Barroso

Veterinary Surgery

1

2026

Accuracy of a table‐bound reduction and drill guide system for minimally invasive sacroiliac screw placement in cats

2026-1-VS-lopezbarroso-2

Article Title: Accuracy of a table‐bound reduction and drill guide system for minimally invasive sacroiliac screw placement in cats

Journal: Veterinary Surgery

In Viljoen 2022 et al., on surgical hand prep protocols, why must the CHX results be interpreted cautiously?

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Correct. CHX results may be skewed due to unvalidated neutralizing agents, which can continue antibacterial action post-sample.
Incorrect. The correct answer is Neutralizer validation was not performed.
CHX results may be skewed due to unvalidated neutralizing agents, which can continue antibacterial action post-sample.

🔍 Key Findings

  • Pre-ABHR hand preparation lowered CFUs at 120 minutes post-gloving compared to ABHR alone (P = .001)
  • pH-neutral soap followed by ABHR outperformed ABHR alone despite being nonmedicated (P = .001)
  • CHX and BAC prewashes showed better immediate CFU reduction post-preparation than pHN (P = .012)
  • No significant difference in total log10 CFU reduction across all four groups over the full surgical period (P = .362)
  • Glove perforation in the thumb was a significant contamination factor (P = .036)
  • All dogs recovered without surgical site infections, though SSI incidence was not a primary outcome
  • Neutralizer validation lacking, so CHX results interpreted cautiously
  • Study supports a 1-minute hand wash with pH-neutral soap prior to ABHR as effective and safe

Viljoen

Veterinary Surgery

3

2022

Comparative antimicrobial efficacy of 4 surgical hand‐preparation procedures prior to application of an alcohol-based hand rub in veterinary students

2022-3-VS-viljoen-4

Article Title: Comparative antimicrobial efficacy of 4 surgical hand‐preparation procedures prior to application of an alcohol-based hand rub in veterinary students

Journal: Veterinary Surgery

In Danielski 2025 et al., on PUO complication reduction, how did **IM pin breakage** affect clinical outcomes?

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Correct. Although breakage occurred in 11.8% of cases, no healing delays were observed.
Incorrect. The correct answer is It had no effect on bone healing.
Although breakage occurred in 11.8% of cases, no healing delays were observed.

🔍 Key Findings

  • Combined intramedullary (IM) pin and rhBMP-2 use resulted in a low complication rate (7.4%) after proximal ulnar osteotomy (PUO).
  • Major complications occurred in 5.3% of cases (4 infections, 1 pin breakage with ulnar tilt requiring revision).
  • Minor complications occurred in 2.1% of cases (seroma, delayed union).
  • No cases of non-union were observed; 98.9% of limbs achieved radiographic healing by 6 weeks.
  • IM pin breakage was noted in 11.8% of limbs but did not affect healing outcomes.
  • Chondrodystrophic breeds made up 64.8% of the cohort and tolerated the procedure well.
  • Compared to prior studies, complication rates were substantially reduced with this technique (prior major: 13.9%; this study: 5.3%).
  • The use of rhBMP-2 likely enhanced early bone healing and provided biologic support, particularly important in breeds at higher risk of complications.

Danielski

Veterinary Surgery

6

2025

Impact of intramedullary pinning and recombinant human bone morphogenetic protein‐2 on postoperative complications after proximal ulnar osteotomy in dogs

2025-6-VS-danielski-4

Article Title: Impact of intramedullary pinning and recombinant human bone morphogenetic protein‐2 on postoperative complications after proximal ulnar osteotomy in dogs

Journal: Veterinary Surgery

In Griffin 2025 et al., on sentinel lymph mapping, how many dogs had histologically confirmed lymph node metastasis?

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Correct. Two dogs had metastatic carcinoma in sentinel nodes confirmed by histopathology.
Incorrect. The correct answer is 2 of 6.
Two dogs had metastatic carcinoma in sentinel nodes confirmed by histopathology.

🔍 Key Findings

  • Six dogs with thyroid carcinoma underwent preoperative CT lymphography (CTL) and intraoperative sentinel lymph node (SLN) mapping using methylene blue (MB) and indocyanine green (ICG) with near-infrared (NIR) imaging.
  • SLNs were successfully identified in all dogs (6/6).
  • SLNs included medial retropharyngeal, cranial deep cervical, and superficial cervical nodes.
  • Metastatic carcinoma was found in 3/12 SLNs, in 2/6 dogs.
  • Some discordance occurred between CTL and intraoperative SLN findings (partial match in 3/6).
  • Protocol modifications (e.g., reduced dye volume, post-exposure injection) improved localization and minimized dye diffusion.
  • No intraoperative complications or adverse events occurred.
  • Study supports further investigation of combined SLN mapping techniques in canine thyroid cancer.

Griffin

Veterinary Surgery

4

2025

A combination of pre‐ and intraoperative techniques identifies sentinel lymph nodes in dogs with thyroid carcinoma: A pilot study

2025-4-VS-griffin-3

Article Title: A combination of pre‐ and intraoperative techniques identifies sentinel lymph nodes in dogs with thyroid carcinoma: A pilot study

Journal: Veterinary Surgery

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