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In Araos 2024 et al., on helmet CPAP in brachycephalic postoperative dogs, what future direction did the authors recommend regarding helmet CPAP use?

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Correct. Authors recommended further studies specifically in dogs with brachycephalic obstructive airway syndrome (BOAS).
Incorrect. The correct answer is Focus on dogs with BOAS.
Authors recommended further studies specifically in dogs with brachycephalic obstructive airway syndrome (BOAS).

🔍 Key Findings

  • CPAP at 5 cmH₂O via helmet significantly improved PaO₂/FiO₂ ratio in the early postoperative period of brachycephalic dogs, supporting enhanced pulmonary oxygen exchange (p = .04).
  • CPAP had no significant effect on SpO₂ (p = .9), PaCO₂ (p = .18), or rectal temperature (p = .5).
  • Helmet tolerance decreased over time, with 13 dogs withdrawn for intolerance (9 CPAP, 4 control) and 6 dogs withdrawn for airway compromise (5 control, 1 CPAP).
  • CPAP group maintained PaO₂/FiO₂ ratios near or above 400 mmHg, while control dogs showed consistently lower values.
  • Authors suggest PaO₂/FiO₂ is a more reliable oxygenation measure than SpO₂ for evaluating postoperative lung function.
  • The study found no cases of hyperthermia; temperatures normalized over time in both groups.
  • Arterial catheterization failed in several dogs, limiting blood gas analysis to a subset of the population.
  • Authors recommend further studies focused on BOAS patients and exploring longer-duration CPAP use to assess impact on critical outcomes like tracheostomy rates or hospitalization.

Araos

Veterinary Surgery

5

2024

Effect of continuous positive airway pressure helmet on respiratory function following laparoscopic surgery in healthy dogs

2024-5-VS-araos-5

Article Title: Effect of continuous positive airway pressure helmet on respiratory function following laparoscopic surgery in healthy dogs

Journal: Veterinary Surgery

In Oramas 2025 et al., on laparoscopic liver lobectomy, what factor was strongly correlated with increased lobectomy time?

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Correct. A strong positive correlation was found between lobectomy time and liver lobe weight (r = .73, p = .004).
Incorrect. The correct answer is Weight of the liver lobe.
A strong positive correlation was found between lobectomy time and liver lobe weight (r = .73, p = .004).

🔍 Key Findings

  • 13 cadaver dogs underwent laparoscopic right lateral liver lobectomy in sternal recumbency using a transdiaphragmatic intrathoracic trocar (ITT).
  • All lobectomies were successful, regardless of dog size.
  • Median total surgical time: 35.5 min; median lobectomy time: 18.5 min.
  • ITT port enhanced visualization and access to hilus.
  • No correlation between body weight and hilus access (p = .78).
  • Stronger correlation between liver lobe weight and lobectomy time (r = .73, p = .004).
  • Complication in 3/13 cases: Loss of insufflation due to balloon-tip port failure and pneumothorax.
  • Recommendation: Use a new balloon trocar per case in clinical applications to prevent failure.

Oramas

Veterinary Surgery

4

2025

Evaluation of sternal recumbency for laparoscopic right lateral liver lobectomy through a transdiaphragmatic port in a canine cadaveric population

2025-4-VS-oramas-2

Article Title: Evaluation of sternal recumbency for laparoscopic right lateral liver lobectomy through a transdiaphragmatic port in a canine cadaveric population

Journal: Veterinary Surgery

In Ferreira 2025 et al., on tibial torsion measurement, which of the following best describes the intraobserver agreement of the new method?

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Correct. The new method demonstrated excellent intraobserver repeatability with ICC = 0.99.
Incorrect. The correct answer is Excellent agreement.
The new method demonstrated excellent intraobserver repeatability with ICC = 0.99.

🔍 Key Findings

Objective: Validate a new 3D CT-based method for measuring tibial torsion in dogs with MPL, comparing it to a traditional method.

Sample: 40 tibiae from client-owned dogs with MPL (primarily small-breed).

Repeatability (intraobserver):

  • New method: ICC = 0.99 → excellent agreement

Reproducibility (interobserver):

  • New method: ICC = 0.83 → high agreement
  • Traditional method: ICC = 0.52 → moderate agreement

Torsion angle measurements:

  • New method avg: 16.00° ± 8.77
  • Traditional method avg: 8.76° ± 4.92

Conclusion: The new method is more repeatable, reproducible, and provides higher torsion values than the traditional Aper method, especially reliable for small-breed dogs.

Ferreira

Veterinary Surgery

3

2025

Repeatability and reproducibility of a tomographic method for measuring tibial torsion in dogs with medial patellar luxation

2025-3-VS-ferreira-2

Article Title: Repeatability and reproducibility of a tomographic method for measuring tibial torsion in dogs with medial patellar luxation

Journal: Veterinary Surgery

In Dekerle 2022 et al., on ectopic ureter correction, which surgical technique was associated with the **lowest rate of minor complications**?

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Correct. CLA had a 13% minor complication rate compared to 100% with neoureterostomy.
Incorrect. The correct answer is Cystoscopic-guided laser ablation (CLA).
CLA had a 13% minor complication rate compared to 100% with neoureterostomy.

🔍 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-1

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

Journal: Veterinary Surgery

In Gollnick 2024 et al., on TCTF risk with Arthrex STS in TPLO, what strategy is recommended to reduce risk of TCTF with angled STS screws?

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Correct. Using a tap before placing STS (especially when angulation is required) may reduce TCTF development.
Incorrect. The correct answer is Use of a tap before screw insertion.
Using a tap before placing STS (especially when angulation is required) may reduce TCTF development.

🔍 Key Findings

  • 42% of dogs (33/78) treated with Arthrex 3.5 mm STS during TPLO developed radiographic TCTF
  • TCTFs occurred exclusively distal to the osteotomy
  • 14% of screws (36/250) distal to the osteotomy were associated with TCTFs
  • 6% of dogs with TCTFs developed major complications (e.g., complete tibial fracture requiring surgical revision)
  • Angulation of cortical STS screws, especially in the distal plate holes, was a key contributor to complications
  • Locking screws were also involved, but cortical screws angled improperly were overrepresented in serious outcomes
  • Revision recommendations included preemptive fixation for large TCTFs or angulated screw placements
  • Use of non-self-tapping screws (NSTS) previously showed a <1% TCTF rate, supporting higher risk with STS

Gollnick

Veterinary Surgery

6

2024

Tibial fracture associated with use of Arthrex self‐tapping screws during tibial plateau leveling osteotomy in dogs and development of transcortical tibial fracture

2024-6-VS-gollnick-5

Article Title: Tibial fracture associated with use of Arthrex self‐tapping screws during tibial plateau leveling osteotomy in dogs and development of transcortical tibial fracture

Journal: Veterinary Surgery

In Mihara 2024 et al., on mitral valve repair in dogs, which technique was used during MVP?

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Correct. Cleft closure and leaflet suturing were not used; artificial chordae and annuloplasty were.
Incorrect. The correct answer is Artificial chordae and annuloplasty.
Cleft closure and leaflet suturing were not used; artificial chordae and annuloplasty were.

🔍 Key Findings

  • Mitral valve plasty (MVP) in dogs with MMVD significantly reduced regurgitant volume and fraction, and normalized LA:Ao ratio, indicating reversal of volume overload.
  • MVP altered mitral valve geometry, with reduced annular dimensions and increased coaptation length, enhancing valve competence.
  • Postoperative LA:Ao ratio dropped from 2.2 to 1.2, consistent with improved left atrial pressure and size.
  • Forward stroke volume index and cardiac index increased at 3 months, reflecting improved hemodynamic function despite reduced fractional shortening.
  • Three dogs (3.9%) died postoperatively, highlighting a 96.1% survival rate within 3 months.
  • The repair technique involved artificial chordal replacement and annuloplasty; no cleft closure or leaflet suturing was used.
  • Color Doppler echocardiography confirmed substantial reduction in mitral regurgitation postoperatively in most dogs.

Mihara

Veterinary Surgery

3

2024

Effects of mitral valve repair on valvular geometry and hemodynamics in dogs with myxomatous mitral valve disease

2024-3-VS-mihara-3

Article Title: Effects of mitral valve repair on valvular geometry and hemodynamics in dogs with myxomatous mitral valve disease

Journal: Veterinary Surgery

In Matz 2022 et al., on stapler size comparison, which of the following factors was NOT significantly associated with ILP?

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Correct. No significant correlation was found between ILP and any of these variables (P > .05).
Incorrect. The correct answer is All of the above.
No significant correlation was found between ILP and any of these variables (P > .05).

🔍 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.

Matz

Veterinary Surgery

4

2022

Ex vivo comparison of different thoracoabdominal stapler sizes for typhlectomy in canine cadavers

2022-4-VS-matz-3

Article Title: Ex vivo comparison of different thoracoabdominal stapler sizes for typhlectomy in canine cadavers

Journal: Veterinary Surgery

In Glenn 2024 et al., on infection timing, what was the most common time frame for diagnosed SSIs?

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Correct. Most SSIs were identified within 15–30 days of surgery, consistent with CDC surveillance periods.
Incorrect. The correct answer is 15–30 days post-op.
Most SSIs were identified within 15–30 days of surgery, consistent with CDC surveillance periods.

🔍 Key Findings Summary

  • Population: 754 soft tissue or orthopedic procedures in dogs and cats
  • SSI Rate: 62/754 (8.2%)
  • Algorithms Evaluated:
    • Algorithm 1: Highest sensitivity (87.1%) → best for "rule-out"
    • Algorithm 2: Highest specificity (97.9%) → best for "rule-in"
    • Algorithm 3: Highest overall accuracy (95.5%)
  • Active vs. Passive Surveillance:
    • Active surveillance detected 12 additional SSIs (19.4%) missed by passive
    • Active surveillance increased detection rate by 24%
  • Timing: Most SSIs occurred within 30 days; late infections (after 90 days) were rare and implant-related
  • Conclusion: Client questionnaires are a valid and scalable tool for SSI detection; active surveillance improves outcomes

Glenn

Veterinary Surgery

1

2024

Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system

2024-1-VS-glenn-5

Article Title: Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system

Journal: Veterinary Surgery

In Lemmon 2025 et al., on synovitis severity scoring, what was concluded about the impact of bucket handle meniscal tears on synovitis severity?

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Correct. Meniscal tears were not significantly associated with synovitis grade.
Incorrect. The correct answer is They had no significant effect.
Meniscal tears were not significantly associated with synovitis grade.

🔍 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-4

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

Journal: Veterinary Surgery

In Anderson 2024 et al., what radiographic feature was common among all cases of fibular nerve injury post-TPLO?

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Correct. In all 3 cases, either a radiolucent drill hole or a screw was present at the caudal cortex distal to the TPLO osteotomy:contentReference[oaicite:0]{index=0}
Incorrect. The correct answer is Drill hole or screw at caudal tibial cortex.
In all 3 cases, either a radiolucent drill hole or a screw was present at the caudal cortex distal to the TPLO osteotomy:contentReference[oaicite:0]{index=0}

🔍 Key Findings Summary

  • 3 dogs developed permanent fibular nerve dysfunction following TPLO
  • Common findings:
    • Drill hole or screw in caudal tibial cortex just distal to osteotomy
    • Caudal malpositioning of TPLO plate (esp. right limb of case 3)
    • Post-op signs: cranial tibial atrophy, knuckling, exaggerated gait, no hock flexion
  • One case had confirmed deep/superficial fibular neuropathy via electrodiagnostics
  • Recommended prevention: avoid overly caudal drill paths; careful gait assessment at follow-up is key

Anderson

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Permanent Iatrogenic Fibular Nerve Injury following Tibial Plateau Levelling Osteotomy

2024-3-VCOT-anderson-1

Article Title: Permanent Iatrogenic Fibular Nerve Injury following Tibial Plateau Levelling Osteotomy

Journal: Veterinary and Comparative Orthopedics and Traumatology

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