Your Custom Quiz
In Matz 2022 et al., on stapler size comparison, what did the authors conclude about the clinical use of the evaluated staplers?
🔍 Key Findings
- No significant difference in initial leak pressure (ILP) among TA 30 V3 2.5 mm, TA 60 3.5 mm, and TA 60 4.8 mm stapler sizes (P = .78).
- All stapler types exceeded the physiological intraluminal pressure threshold (~25 mmHg), suggesting acceptable leak resistance.
- Mean ILPs: TA 30 V3 (181.5 mmHg), TA 60 3.5 mm (112 mmHg), TA 60 4.8 mm (77.2 mmHg).
- Leakage occurred at the staple line in 23 of 24 specimens; only one had ileal wall rupture.
- No correlation found between ILP and cadaver weight, cecal wall thickness, or cecal length.
- Cecal wall thickness averaged 4.9 mm, yet staple heights ranged only from 1.0–2.0 mm.
- One specimen in each TA 60 group leaked near or below physiologic pressures, suggesting rare outliers.
- Study supports clinical viability of all tested stapler sizes for canine typhlectomy, but highlights need for in vivo data on healing and complications.
Veterinary Surgery
4
2022
Ex vivo comparison of different thoracoabdominal stapler sizes for typhlectomy in canine cadavers
2022-4-VS-matz-5
In Guénégo 2025 et al., on AMA-based CCWO, what proportion of dogs had contralateral CCLR after initial AMA-based CCWO?
🔍 Key Findings
- AMA-based CCWO realigned the anatomical and mechanical axes in 82% of dogs >50 kg, with postoperative AMA angle of 0° in most cases.
- Surgical site infection (SSI) rate was only 0.5%, markedly lower than TPLO-reported rates in similar populations (up to 37.5%).
- All osteotomies achieved Grade 4 healing by 8 weeks, with no implant failures.
- AMA-based planning based on preoperative AMA and TPA allowed for better correction of proximal tibial angulation compared to TPLO in large dogs.
- Use of a double locking plate (DLP) fixation and Robert Jones bandage (RJB) contributed to improved mechanical stability and infection prevention.
- Dogs with AMA angle >3.4° (hyper-CCAPT) were 38% of the cohort, supporting AMA as a critical metric in planning.
- Postoperative alignment of the AA and MA was more consistently achieved when preoperative AMA was >2.4°, confirming suitability of AMA-based CCWO for severe angulation.
- Most infections in TPLOs occur within 15 days, but RJB plus antibiotics in this study appeared protective, suggesting benefit for early-phase SSI prevention.
Veterinary and Comparative Orthopaedics and Traumatology
3
2025
Modified Cranial Closing Wedge Osteotomy (AMA-Based CCWO) to Treat Cranial Cruciate Ligament Deficient Stifle in 204 Dogs Over 50 Kg
2025-3-VCOT-guenego-4
In Jourdain 2024 et al., on fluoroscopic fixation of feline SIL, what tool enabled accurate screw guidance during surgery?
🔍 Key Findings
- Minimally invasive fluoroscopic technique yielded median reduction of 94.1% immediately postoperative.
- Screw purchase ≥60% in sacral body achieved in 82% of cases, with median purchase of 73.3%.
- One screw exited caudally; no dorsal, ventral, or cranial exits reported.
- At 7-week follow-up, reduction and purchase slightly declined but remained effective (p = .008 and p = .013).
- No screw loosening observed, even in suboptimal reductions or purchases.
- Pelvic canal width and symmetry (PCDR and HCWR) were restored and maintained.
- Excellent long-term function: FMPI ≥0.98 in 9 of 10 cats; owners reported 10/10 satisfaction.
- Fluoroscopy enabled accurate screw placement and minimized tissue trauma, contributing to rapid recovery.
Veterinary Surgery
4
2024
Fluoroscopically-assisted closed reduction and percutaneous fixation of sacroiliac luxations in cats using 2.4 mm headless cannulated compression screws: Description, evaluation and clinical outcome
2024-4-VS-jourdain-4
In McCagherty 2025 et al., on WID detection accuracy, how did image-guided swabs compare to non-guided swabs in bacterial yield?
🔍 Key Findings
- Bacterial fluorescence was detected in all wounds (17 dogs, 4 cats) using the point-of-care wound imaging device (WID).
- The WID confirmed the presence of clinically relevant wound infection in all evaluated cases at the time of imaging.
- No significant difference was found in bacterial yield or burden between image-guided and non-guided swabs (QBC and PCR; p > 0.05).
- The WID helped guide wound debridement in some cases by localizing areas of fluorescence, especially in necrotic tissue.
- Most infections were polymicrobial and dominated by anaerobes, highlighting the need for anaerobic culture inclusion.
- PCR analysis showed low bacterial DNA yields, often complicated by host DNA contamination, limiting its utility.
- The study did not evaluate sensitivity/specificity of WID, as only fluorescence-positive wounds were included.
- Clinical utility of WID lies in immediate visual confirmation of infection, supporting timely antimicrobial treatment decisions.
Veterinary Surgery
6
2025
Diagnostic value of a point of care bacterial fluorescence imaging device for detecting wound infections in dogs and cats
2025-6-VS-mccagherty-2
In Tobias 2025 et al., on frontal sinus mucoceles, what was concluded about the role of guaifenesin in post-op management of mucoceles?
🔍 Key Findings
- Frontal sinus mucoceles occurred in young dogs, often linked to prior skull trauma by 10 months of age.
- All dogs presented with expansile, fluid-filled lesions causing facial swelling; CT showed multicentric bone erosion, including the frontal bone and cribriform plate.
- Surgical options included frontal sinusotomy with either sinus lining ablation or re-establishment of nasofrontal drainage, with or without stenting.
- Nasofrontal stenting led to long-term resolution in most dogs, although recurrence occurred in 4/8 dogs, requiring revision surgery in 3.
- Complications were minor and included swelling or nasal discharge; no intraoperative complications were reported.
- Histology confirmed sterile mucoceles with neutrophilic inflammation and mucin, and cultures were negative in all cases.
- Guaifenesin was used postoperatively in several cases to reduce mucus viscosity; its benefit is unproven in dogs but may support drainage.
Veterinary Surgery
6
2025
Clinical findings and outcomes of eight dogs with surgically treated frontal sinus mucoceles
2025-6-VS-tobias-5
In Jones 2024 et al., on LEAP plate use, what percentage of lateral epicondylar fractures showed radiographic evidence of healing at final follow-up?
🔍 Key Findings Summary
- 62 fractures in 61 dogs (44 lateral condylar, 18 intracondylar); mostly Spaniels
- LEAP plate used in all cases; minimal intraoperative contouring needed (1 French Bulldog)
- Overall complication rate: ~33%, mostly minor; 1 amputation due to catastrophic infection
- Radiographic healing:
- Lateral epicondylar part healed in 100%
- Condylar part healed in ~61.5% LCF and ~57.1% ICF
- Functional outcomes:
- 87% returned to full limb use
- Median LOAD score: 2 for LCF, 6.5 for ICF
- Design adjustments made post-study to strengthen weak zones around 3rd–4th screw holes
Veterinary Surgery
4
2024
Clinical Assessment of a Lateral Epicondylar Anatomical Plate for the Stabilization of Humeral Condylar Fractures in Dogs
2024-4-VS-jones-1
In Hertel 2025 et al., on portal venotomy for insulinoma, what material and technique were used to close the venotomy site?
🔍 Key Findings
- Portal venotomy enabled successful en bloc resection of a pancreatic insulinoma and associated thrombus in the portal vein, a novel approach in veterinary literature.
- Temporary portal vein occlusion (15 min) was well tolerated, causing only transient small intestinal congestion without lasting hemodynamic compromise.
- No intraoperative hemorrhage occurred following vascular isolation and venotomy repair with 5–0 polypropylene in a simple continuous pattern.
- Postoperative complications were minimal, with only moderate pancreatitis managed medically and no portal hypertension observed on follow-up imaging.
- Histopathology confirmed insulinoma, with no initial metastasis; CT at 6 months revealed hepatic and peritoneal metastases but no local recurrence at the venotomy site.
- Portal vein luminal stenosis occurred post-repair but was clinically insignificant.
- Advanced CT imaging and 3D printed modeling significantly enhanced surgical planning and anatomical assessment.
- Surgical excision achieved good short-term outcomes, and the dog was alive and euglycemic one year later despite metastatic disease.
Veterinary Surgery
5
2025
Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog
2025-5-VS-hertel-4
In Downey 2023 et al., on thoracoscopic lobectomy, what complication occurred in the dog that did not survive?
🔍 Key Findings
- Thoracoscopic (TL) or thoracoscopic-assisted (TAL) lobectomy was successfully performed in 12 dogs with non-neoplastic pulmonary consolidation (PC).
- 44% (4/9) of TL cases were converted to open thoracotomy due to adhesions or poor visualization—higher than rates for neoplastic lobectomies.
- OLV was successful in 7/9 TL dogs; unsuccessful attempts were managed with intermittent ventilation, mostly in brachycephalic breeds.
- Median hospital stay was 3 days; 91.7% (11/12) survived to discharge, and 100% of survivors showed no recurrence at median 24-month follow-up.
- Complications were mostly minor: pneumothorax (2), minor hemorrhage (3), dehiscence (1), and 1 fatality due to BOAS complications.
- Histopathology showed infectious pneumonia in 10 dogs, and in 4 cases, foreign body migration was suspected as the underlying cause.
- Median surgical time for TL was 90 minutes; conversion correlated with longer symptom duration (median 90 vs. 7 days).
- Postoperative recovery was excellent in all surviving dogs, with one case of persistent cough attributed to concurrent heart disease.
Veterinary Surgery
7
2023
Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs
2023-7-VS-downey-4
In Farrugia 2025 et al., on BODPUO location effects, what was the observed outcome when the osteotomy was placed at 26% of ulna length?
🔍 Key Findings
- Proximal BODPUOs (closer to 26–28% of ulna length) resulted in greater increases in proximal ulna tilt postoperatively (up to 18°).
- Distal osteotomies (closer to 48–49%) yielded minimal change in ulna angle.
- Strong linear relationship between osteotomy location and change in angle; correlation coefficient = 0.73.
- Initial proximal ulna angle (IPUA) influences results—angles closer to 90° yielded greater changes.
- Craniocaudal osteotomy angle had minimal impact on tilt change after adjusting for location.
- Osteotomy length had no significant effect on change in angle.
- Prediction intervals showed wide individual variation in outcomes, especially with more proximal osteotomies.
- No increase in complications was associated with more proximal osteotomies, contrary to past assumptions.
Veterinary Surgery
6
2025
Bi-oblique dynamic proximal ulna osteotomy: Effect of location on change in angle of the proximal ulna segment
2025-6-VS-farrugia-1
In Fidelis 2025 et al., on suture eyelet geometry, which anchor showed the **least reduction in suture strength** compared to a smooth eyebolt reference?
🔍 Key Findings
- Raised eyelets caused more suture mid-section failures than embedded eyelets, suggesting wear or cutting against the anchor.
- No significant effect of cyclic loading on failure load (Fmax) was found for any anchor group.
- Anika anchor showed the least reduction in suture strength relative to the reference (eyebolt screw), indicating a favorable design.
- All sutures failed via suture breakage, not anchor pullout, indicating suture fatigue was the primary failure mode.
- Sutures in raised eyelets more often failed at the mid-section, while those in embedded eyelets failed at the knot.
- IMEX and Jorvet anchors showed significantly reduced Fmax compared to eyebolt screws.
- Loading direction and anchor design likely affect wear and ultimate failure, particularly in dynamic in vivo conditions.
- Future designs should aim for embedded, smooth eyelets that can accommodate larger suture sizes without increasing wear.
Veterinary Surgery
6
2025
Effect of suture anchor type, eyelet configuration, and loading condition on suture failure: An in vitro study
2025-6-VS-fidelis-1
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings