Quiz Question

In González Montaño 2023 et al., on traumatic pulmonary pseudocysts (TPP), which management strategy was used in the majority of TPP cases?

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Correct. Most (7/10) cases were managed conservatively with full recovery.
Incorrect. The correct answer is Conservative management with monitoring.
Most (7/10) cases were managed conservatively with full recovery.

🔍 Key Findings

  • Traumatic pulmonary pseudocysts (TPP) were diagnosed in 11 patients (9 dogs, 2 cats) using CT after blunt trauma.
  • TPPs were identified on radiographs in 64% of cases that were CT-confirmed, highlighting the superior sensitivity of CT.
  • Most cases (7/10) were managed conservatively, with complete recovery and no TPP-related mortality.
  • Thoracic surgery (lung lobectomy) was performed in 3 dogs, due to persistent pneumothorax or large TPP with perceived risk of complications.
  • All pneumothorax cases were managed with thoracostomy tubes, and chest drains were used in 73% of cases.
  • Pneumothorax was present in 100% of patients, often bilateral, and pulmonary contusions were reported in 73%.
  • One cat was euthanized due to unrelated maxillofacial trauma; no deaths were attributed to TPP itself.
  • Long-term follow-up (median 768 days) revealed only 1 case with possible TPP-related pneumonia; others had no complications.

González Montaño

Veterinary Surgery

4

2023

Traumatic pulmonary pseudocysts in nine dogs and two cats

2023-4-VS-gonzalezmontano-3

Article Title: Traumatic pulmonary pseudocysts in nine dogs and two cats

Journal: Veterinary Surgery

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In Loh 2024 et al., on treatment outcomes for CvHL in dogs, which nonsurgical method had the highest success rate?

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Correct. Hobbles achieved a 61.8% success rate, the highest among nonsurgical treatments.
Incorrect. The correct answer is Hobbles.
Hobbles achieved a 61.8% success rate, the highest among nonsurgical treatments.

🔍 Key Findings

  • Low-trauma events caused 82.9% of CvHL cases; Poodles and poodle-crosses represented 49.4% of cases.
  • Success rate of hobbles (61.8%) was significantly higher than closed reduction alone (10.3%) or Ehmer sling (18.5%).
  • Multivariate analysis found hobbles 7.62x more likely to succeed vs. closed reduction (p = .001).
  • Specialist surgeons had higher success with nonsurgical management (OR: 2.68; p = .047).
  • Older age associated with better outcomes (OR: 1.15 per year; p < .0005).
  • Ehmer sling is not recommended due to high failure and complication rates (60.6%).
  • Toggle rod stabilization had a high surgical success rate (88.2%) with low complication.
  • No link was found between CvHL and hip dysplasia or OA in most cases (only 2/108 showed OA).

Loh

Veterinary Surgery

4

2024

Caudoventral hip luxation in 160 dogs (2003–2023): A multicenter retrospective case series

2024-4-VS-loh-1

Article Title: Caudoventral hip luxation in 160 dogs (2003–2023): A multicenter retrospective case series

Journal: Veterinary Surgery

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In Antonakakis 2022 et al., on telovelar tumor resection, how long did the dog remain neurologically normal after surgery?

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Correct. The dog remained neurologically normal 28 months after surgery with no recurrence.
Incorrect. The correct answer is 28 months.
The dog remained neurologically normal 28 months after surgery with no recurrence.

🔍 Key Findings

  • Telovelar approach enabled complete resection of a fourth ventricle choroid plexus tumor in a dog without postoperative complications.
  • Postoperative MRI confirmed gross total tumor removal, and the dog remained neurologically normal 28 months post-surgery.
  • The tela choroidea was used as a surgical landmark and incised to allow atraumatic access to the tumor.
  • Cerebellum was spared using this technique, minimizing risk of cerebellar injury (e.g., cerebellar mutism).
  • No hemorrhagic complications were noted during surgery due to dissection through avascular planes.
  • Histopathology favored choroid plexus carcinoma based on mitotic index (9/10 HPFs), though definitive diagnosis remained pending.
  • The case highlights the utility of telovelar over transvermian approach, given its minimally traumatic nature and improved exposure.
  • Survival beyond 2 years without adjunctive therapy suggests surgical excision alone may be curative in select cases.

Antonakakis

Veterinary Surgery

8

2022

Use of a telovelar approach for complete resection of a choroid plexus tumor in a dog

2022-8-VS-antonakakis-5

Article Title: Use of a telovelar approach for complete resection of a choroid plexus tumor in a dog

Journal: Veterinary Surgery

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In de Moya 2023 et al., on FGPP of femoral capital physeal/neck fractures, what was the most common preoperative fracture displacement classification?

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Correct. 10 of 13 fractures were mildly displaced preoperatively, making them good candidates for FGPP.
Incorrect. The correct answer is Mild in majority of cases.
10 of 13 fractures were mildly displaced preoperatively, making them good candidates for FGPP.

🔍 Key Findings

  • 11 dogs, 13 fractures (mostly Salter-Harris type I) were repaired with FGPP using Kirschner wires.
  • 10/13 fractures achieved satisfactory healing with good limb function at ~43 days median follow-up.
  • Major complications occurred in 5 dogs: intra-articular pin placement, implant migration (2), implant failure with nonunion, and malunion.
  • 2 dogs presenting >15 days post-injury with radiographic remodeling were poor candidates → higher risk of nonunion/malunion.
  • Preoperative displacement was mostly mild (10/13 fractures); these had better outcomes than chronic or severely displaced cases.
  • Median surgical time: 60 minutes (range 45–75), all performed percutaneously without conversion to open.
  • Elective pin removal was performed in 5 cases; migration occurred with both short and long cut wires.
  • Femoral neck resorption (“apple-coring”) was rare (2/10 healed cases) and thought to be less frequent than after ORIF due to reduced vascular disruption.

de Moya

Veterinary Surgery

7

2023

Closed reduction and fluoroscopic-guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

2023-7-VS-demoya-3

Article Title: Closed reduction and fluoroscopic-guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

Journal: Veterinary Surgery

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In Davies 2024 et al., on lymphaticovenous anastomosis, what is the proposed advantage of creating a TD to AV anastomosis over traditional TD ligation and cisterna chyli ablation?

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Correct. TD to AV connection reduces stimulus for collateral formation and may prevent leakage.
Incorrect. The correct answer is Direct lymphatic drainage to central veins.
TD to AV connection reduces stimulus for collateral formation and may prevent leakage.

🔍 Key Findings

  • Lymphaticovenous anastomosis (TD to AV) was successfully performed in all 8 feline cadavers using a microvascular anastomotic coupler (MAC).
  • Anastomotic patency was confirmed intraoperatively and postoperatively in 7/8 cats via contrast lymphography or retrograde venography.
  • Dissection and anastomosis took a median of 120 minutes, with minimal technical complications.
  • A 1.5 mm MAC was used in 6 cats, and a 2.0 mm in 2 cats; TD diameter ranged 1.0–1.5 mm, AV up to 2.25 mm.
  • Challenges included vessel twisting and luminal patency issues, resolved intraoperatively with minor adjustments (e.g., repeat pinning, tacking suture).
  • MAC use eliminated need for hand-suturing, lowering skill demands but requiring precise alignment.
  • Technique provides direct lymphatic-to-venous drainage, potentially reducing the stimulus for collateral vessel formation.
  • May serve as a future treatment option for feline idiopathic chylothorax, warranting further in vivo studies.

Davies

Veterinary Surgery

7

2024

Lymphaticovenous anastomosis of the caudal thoracic duct to the azygous vein: A feline cadaver study

2024-7-VS-davies-5

Article Title: Lymphaticovenous anastomosis of the caudal thoracic duct to the azygous vein: A feline cadaver study

Journal: Veterinary Surgery

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In Marti 2024 et al., on surgical outcomes in feline sialoceles, what conclusion was drawn about marsupialization alone as a treatment?

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Correct. No recurrence was reported in cats treated with marsupialization alone, although long-term follow-up was limited.
Incorrect. The correct answer is May be a viable first-line approach.
No recurrence was reported in cats treated with marsupialization alone, although long-term follow-up was limited.

🔍 Key Findings

  • Mandibular and sublingual glands were the most commonly involved salivary glands in feline sialoceles.
  • Left-sided lesions were more prevalent (71%) among affected cats.
  • Ranulae were present in over half (57%) of cases, highlighting the importance of thorough oral exams.
  • Surgical approaches included lateral, ventral, intraoral, or combinations thereof, with no recurrences reported.
  • Marsupialization alone (without gland removal) resolved clinical signs in 4/21 cats, with no short-term recurrence noted.
  • Complications occurred in 5/21 cats (24%), including incisional swelling and one case of feline oral pain syndrome.
  • One cat experienced iatrogenic injury from misidentification of the mandibular lymph node as the gland.
  • Median follow-up time beyond 30 days was 822 days (range: 90–1205), with no long-term recurrences or contralateral lesions observed.

Marti

Veterinary Surgery

7

2024

Outcomes of surgically treated sialoceles in 21 cats: A multi‐institutional retrospective study (2010–2021)

2024-7-VS-marti-5

Article Title: Outcomes of surgically treated sialoceles in 21 cats: A multi‐institutional retrospective study (2010–2021)

Journal: Veterinary Surgery

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In Healy 2025 et al., on incidental PBBs, what recommendation is made regarding prophylactic lung resection?

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Correct. With no SP observed, authors do not recommend prophylactic lung removal for incidental PBBs.
Incorrect. The correct answer is Not justified based on study data.
With no SP observed, authors do not recommend prophylactic lung removal for incidental PBBs.

🔍 Key Findings

Population: 2,178 canine CTs reviewed retrospectively.
Prevalence: Incidental PBBs found in 1.37% (30/2178).
Outcome: None of the dogs with incidental PBBs developed clinical spontaneous pneumothorax (SP) over a median follow-up of 1255 days.
Significant Associations:

  • Age: Dogs with PBBs were significantly older (median 10.5 yrs vs. 8.2 yrs, p = .001).
  • CT indication: PBBs more likely during neoplastic staging (p = .006).

PBB Characteristics:

  • Total = 60 PBBs (median 1/dog; range 1–7).
  • Location: 35% in left caudal, 31.6% right caudal, only 13.3% in right cranial lobe.
  • Size-based: 25 bullae (>10 mm), 35 blebs (≤10 mm).

Conclusion: Prophylactic resection of incidental PBBs not justified given no observed SP risk in this population.

Healy

Veterinary Surgery

1

2025

Significance of incidentally identified bullae and blebs on thoracic computed tomography and prevalence of subsequent pneumothorax in dogs

2025-1-VS-healy-3

Article Title: Significance of incidentally identified bullae and blebs on thoracic computed tomography and prevalence of subsequent pneumothorax in dogs

Journal: Veterinary Surgery

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In Korchek 2025 et al., on fracture gap risk, how did absence of external coaptation affect implant failure risk?

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Correct. Absence of external coaptation was significantly associated with implant failure (OR = 10.1, p = .04).
Incorrect. The correct answer is It increased the risk of implant failure.
Absence of external coaptation was significantly associated with implant failure (OR = 10.1, p = .04).

🔍 Key Findings

80 toy breed dogs with surgically repaired transverse radius/ulna fractures were analyzed.
Fracture gap in the caudal cortex was present in 46% of cases.
Implant failure rate:

  • 27% in cases with fracture gap
  • 2% in cases without fracture gap

Fracture gap significantly associated with implant failure:

  • OR = 23.0, 95% CI: 2.7–197.9, p = 0.004

Absence of external coaptation also associated with increased implant failure risk:

  • OR = 10.1, 95% CI: 1.1–89.6, p = 0.04

Prolonged external coaptation (>1 week) linked to non-implant complications (skin wounds, osteopenia, osteomyelitis):

  • OR = 5.4, p = 0.04

Plate thickness, type, open screw holes, and working length were not statistically significant predictors of implant failure after multivariable analysis.

Korchek

Veterinary Surgery

2

2025

Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs—A multicenter retrospective cohort study

2025-2-VS-korchek-4

Article Title: Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs—A multicenter retrospective cohort study

Journal: Veterinary Surgery

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In Lhuillery 2022 et al., on GDV stabilization timing, which preoperative intervention was key to enabling delayed surgery without compromising outcomes?

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Correct. These methods effectively decompressed the stomach and prevented redilatation during delay.
Incorrect. The correct answer is Trocarization and nasogastric tube placement.
These methods effectively decompressed the stomach and prevented redilatation during delay.

🔍 Key Findings

  • Survival rates did not differ between immediate (90 min) and delayed (≥5 h) surgical stabilization groups at discharge or 1-month post-op (approx. 80% survival in both).
  • Hyperlactatemia at 24 hours post-fluid therapy was significantly associated with in-hospital and 1-month mortality (P = .01 and P = .02).
  • Persistent tachycardia during hospitalization was linked to increased 1-month mortality (P = .015).
  • Partial gastrectomy was required in ~6–10% of cases, with high associated mortality.
  • Preoperative stabilization protocols (trocarization, nasogastric tube) allowed safe surgical delays up to 13.7 hours without impacting survival.
  • Degree of gastric torsion differed between groups; more 0° torsions in delayed cases, potentially due to decompression-induced derotation.
  • No difference in post-op complications such as arrhythmias, hypotension, or AKI between groups.
  • More intra-anesthetic deaths occurred in immediate surgery group, highlighting importance of adequate pre-op stabilization.

Lhuillery

Veterinary Surgery

5

2022

Outcomes of dogs undergoing surgery for gastric dilatation volvulus after rapid versus prolonged medical stabilization

2022-5-VS-lhuillery-3

Article Title: Outcomes of dogs undergoing surgery for gastric dilatation volvulus after rapid versus prolonged medical stabilization

Journal: Veterinary Surgery

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In Low 2025 et al., on gonadectomy and CrCLD, which subgroup comparison showed no significant increase in CrCLD risk?

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Correct. Subgroup analysis showed no significant increase in CrCLD odds in dogs neutered after 1 year of age compared to intact dogs.
Incorrect. The correct answer is Dogs gonadectomized >1 year vs entire dogs.
Subgroup analysis showed no significant increase in CrCLD odds in dogs neutered after 1 year of age compared to intact dogs.

🔍 Key Findings

Increased risk with gonadectomy:

  • Pooled OR for CrCLD:
    • Females: 2.29 (95% CI: 1.77–2.95)
    • Males: 2.12 (95% CI: 1.67–2.69)

Early gonadectomy (≤1 year) further increased risk:

  • OR vs >1 year:
    • Females: 3.39
    • Males: 3.13

Late gonadectomy (>1 year) had no significant difference vs intact dogs.

Breed-specific findings:

  • Female Labradors: No increased CrCLD risk from gonadectomy (OR = 1.19; 95% CI: 0.54–2.64)
  • Male Labradors: Increased risk persisted (OR = 2.13; 95% CI: 1.53–2.98)

Study type: Systematic review + meta-analysis of 24 observational studies (n = 1.85 million dogs)

Low

Veterinary Surgery

2

2025

The association between gonadectomy and timing of gonadectomy, and the risk of canine cranial cruciate ligament disease: A systematic review and meta-analysis

2025-2-VS-low-5

Article Title: The association between gonadectomy and timing of gonadectomy, and the risk of canine cranial cruciate ligament disease: A systematic review and meta-analysis

Journal: Veterinary Surgery

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Quiz Results

Topic: Conservative vs Surgical
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