Quiz Question

In Ibrahim 2022 et al., on scrotal arterial supply, what was concluded regarding the use of scrotal flaps in neutered dogs?

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Correct. Neutered or cryptorchid dogs may have insufficient scrotal tissue for reliable flap design.
Incorrect. The correct answer is Scrotum may be too small or absent.
Neutered or cryptorchid dogs may have insufficient scrotal tissue for reliable flap design.

🔍 Key Findings

  • Dorsal scrotal arteries, branching from the ventral perineal arteries, are the dominant arterial supply to the scrotum in dogs.
  • The ventral scrotal arteries, arising from the external pudendal arteries, perfused only the cranial scrotal border and were inconsistently present or absent in some dogs.
  • A scrotal flap based on the dorsal scrotal arteries showed strong perfusion and may be a viable axial pattern flap.
  • Perfusion was consistent across fresh and frozen cadavers, showing no difference due to preservation method.
  • Poor flap survival (27%) occurred when based on cranial supply alone (i.e., ventral scrotal arteries), confirming importance of preserving caudal supply.
  • There are anastomoses between dorsal and ventral scrotal arteries, offering collateral flow but insufficient alone for complete perfusion.
  • Scrotal flaps based on the caudal pedicle may be applicable for reconstruction of proximal medial/lateral thigh wounds.
  • Proposed flap requires careful preservation of ventral perineal arteries, ideally designed 2.5–3 cm lateral to midline in large dogs.

Ibrahim

Veterinary Surgery

4

2022

Arterial supply to the scrotum: A cadaveric angiographic study

2022-4-VS-ibrahim-4

Article Title: Arterial supply to the scrotum: A cadaveric angiographic study

Journal: Veterinary Surgery

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In Kalmukov 2022 et al., on cell salvage efficacy, what was the average red blood cell mass (rbcM) recovery percentage?

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Correct. Swab washing recovered an average of 84.74% of rbcM.
Incorrect. The correct answer is 84.7%.
Swab washing recovered an average of 84.74% of rbcM.

🔍 Key Findings

  • Direct suction salvaged more red blood cell mass (rbcM) than swab washing: 88.43% vs 84.74% (p = .015)
  • Swab washing still achieved high recovery (84.74%), making it a viable adjunct when suction is not possible
  • No significant difference in post-salvage PCV between methods (~34% for Su and ~33.9% for Sw)
  • Total salvaged blood volume was significantly higher using direct suction (143 mL vs 139.8 mL; p < .001)
  • Leukocytes are removed during salvage, potentially lowering risk of cytokine-mediated transfusion reactions
  • Expired pRBCs were used, but device still achieved high RBC recovery, supporting clinical utility
  • Swab washing via manual agitation may cause more RBC destruction than direct suction
  • Cell salvage may avoid complications of allogeneic transfusions, like storage lesions and immunologic reactions

Kalmukov

Veterinary Surgery

8

2022

Ex vivo evaluation of a novel cell salvage device to recover canine erythrocytes

2022-8-VS-kalmukov-2

Article Title: Ex vivo evaluation of a novel cell salvage device to recover canine erythrocytes

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 Clough 2022 et al., on CBLO-TTT construct testing, what is the clinical implication of combining CBLO and TTT?

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Correct. The study supports the feasibility of combined CBLO-TTT to address both stifle instability and patellar luxation.
Incorrect. The correct answer is It offers a viable option for concurrent MPL and CCL treatment..
The study supports the feasibility of combined CBLO-TTT to address both stifle instability and patellar luxation.

🔍 Key Findings

  • Combined CBLO-TTT did not reduce load to failure compared to CBLO or TTT alone (P = .81 and P = .12, respectively).
  • CBLO-TTT maintains construct strength without significant compromise compared to individual procedures.
  • Most common failure mode in CBLO-TTT was displacement of the tibial crest segment with k-wire pullout and tension band untwisting.
  • No fulcrum effect was seen in CBLO-TTT, unlike TPLO-TTT combinations, likely due to preservation of buttress effect.
  • Patellar ligament avulsion occurred in both CBLO and CBLO-TTT, but not as a clinical concern — possibly artifact from cadaver model.
  • Load-to-failure testing was static and unidirectional, not accounting for cyclic fatigue or in vivo healing.
  • Plate size and saw blade variation were based on clinical realism, introducing potential variability but not affecting outcomes.
  • Study suggests feasibility of simultaneous surgical correction of CCL rupture and MPL using CBLO-TTT in dogs.

Clough

Veterinary Surgery

3

2022

Combined center of rotation of angulation‐based leveling osteotomy and tibial tuberosity transposition: An ex vivo mechanical study

2022-3-VS-clough-5

Article Title: Combined center of rotation of angulation‐based leveling osteotomy and tibial tuberosity transposition: An ex vivo mechanical study

Journal: Veterinary Surgery

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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 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 Chik 2025 et al., on abdominal wall prestretching, what was the effect of prestretching on the need for increased insufflation or conversion to open surgery?

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Correct. All 50 dogs completed laparoscopic procedures at 6 mmHg after PS, without conversion or pressure increase.
Incorrect. The correct answer is No dogs required increased insufflation or conversion to open.
All 50 dogs completed laparoscopic procedures at 6 mmHg after PS, without conversion or pressure increase.

🔍 Key Findings

  • Prestretching (PS) at 10 mmHg for 3 minutes significantly increased working space at 6 mmHg IAP — IWL +4.4%, IWS +6.9%.
  • PS provided ≈63% of the IWL and ≈66% of the IWS gains achieved with sustained 10 mmHg IAP.
  • All laparoscopic procedures were completed at 6 mmHg after PS; no conversions or pressure increases were needed.
  • Working space benefits persisted throughout surgery — end-of-procedure measurements were unchanged from post-PS baseline.
  • Transverse expansion (RLAT/LLAT) was greater than sagittal (CRA/CAU), consistent with adult abdominal wall compliance.
  • No adverse anesthetic events occurred; mild complications (e.g., gas leakage) were easily managed.
  • Large breed dogs were overrepresented, but all dogs served as their own controls, normalizing size effects.
  • Prestretching is a simple, effective technique to maximize working space without increasing insufflation pressure.

Chik

Veterinary Surgery

5

2025

Prestretching increases working space at the same insufflation pressure in dogs undergoing laparoscopic procedures

2025-5-VS-chik-4

Article Title: Prestretching increases working space at the same insufflation pressure in dogs undergoing laparoscopic procedures

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 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 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
70%

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