
Quiz Question
In Case 2024 et al., on feline pancreatectomy, which complication occurred postoperatively in one cat?
🔍 Key Findings Summary
- Success rate: All 9 cats underwent successful laparoscopic partial pancreatectomy.
- Complications:
- 1 minor intraoperative hemorrhage (Grade 1)
- 1 sterile peritonitis (Grade 2) post-op, resolved conservatively
- Pancreatic function:
- fTLI decreased by 37% (p = .03), but stayed within normal limits
- fPLI and A1C were unchanged
- Resection details:
- Mean weight: 3.0 ± 1.4 g
- Mean surgical time: 59.7 ± 16.2 min
- Follow-up: 250–446 days — all cats remained clinically healthy
- Conclusion: Ultrasonic LPP is safe and effective in healthy cats, preserving endocrine/exocrine function
Veterinary Surgery
2
2024
Laparoscopic partial pancreatectomy of the left limb using a harmonic scalpel in nine cats
2024-2-VS-case-2
In Billas 2022 et al., on SSI risk after limb amputation, what was concluded regarding use of electrosurgery for muscle transection?
🔍 Key Findings
- 12.5% overall incidence of SSI after limb amputation, and 10.9% for clean procedures.
- Bipolar vessel sealing device use for muscle transection significantly increased SSI risk (OR 2.5; P = .023).
- Monopolar electrosurgery and sharp transection were not associated with increased SSI risk.
- Non-clean wound classification increased SSI odds (OR 8.2; P = .003).
- Amputation for infection (OR 5.7) or trauma (OR 4.5) significantly increased SSI risk compared to neoplasia.
- Preoperative infections at distant sites did not significantly increase SSI risk.
- Neither surgery/anesthesia duration, hypothermia, hypotension, nor skin closure method significantly affected SSI risk.
- Study supports avoiding bipolar sealing devices for muscle transection in limb amputations to reduce SSI risk.
Veterinary Surgery
3
2022
Incidence of and risk factors for surgical site infection following canine limb amputation
2022-3-VS-billas-5
In Latifi 2022 et al., on forelimb fascial mapping, what surgical strategy may be required for wide tumor excision over the triceps tendon region?
🔍 Key Findings
- Fascia was present over most of the canine forelimb, but key areas like the elbow, carpus, and manus lacked robust fascial planes for wide resection.
- Type I fascia (discrete sheet) was primarily found in the antebrachium, with type IV (periosteal) fascia located at the olecranon, scapular spine, and accessory carpal bone.
- Distal antebrachial fascia was thin and adherent, often blending with carpal structures and lacking reliable surgical planes.
- Partial tenectomy or joint capsule resection was often required for wide excision in the distal limb, especially over the triceps tendon and carpus.
- Nerve transections (e.g., superficial radial or ulnar branches) were commonly needed to maintain fascial margins, though often with minimal functional loss due to overlapping innervation.
- Digital and metacarpal pads lacked clear deep fascial borders, making digit amputation necessary for oncologic margins in distal tumors.
- Dissections revealed fascial junctions as either Type A (easily separable) or Type B (risk of disruption), guiding resection plane selection.
- Findings provide a surgical map to guide preoperative planning for superficial tumor excision on the forelimb.
Veterinary Surgery
1
2022
Fascial plane mapping for superficial tumor resection in dogs. Part II: Forelimb
2022-1-VS-latifi-3
In Swieton 2025 et al., on portocaval shunts, which postoperative complication occurred most frequently?
🔍 Key Findings
Study population: 21 dogs with portocaval extrahepatic portosystemic shunts (EHPSS)
Surgical approach: 67% (14/21) underwent ameroid constrictor placement
Perioperative complications: 4 dogs (19%), including seizures (n = 2), vomiting, and abdominal effusion
Perioperative mortality: 1 dog (5%)
Postoperative clinical outcome:
- Good to excellent outcome: 81% (17/21)
- Median follow-up: 6 months (range 3–43)
Persistence of shunting (CT or US): 56% (9/16 evaluated)
Dogs with persistent shunting: 67% still had good to excellent clinical outcome
Congenital portocaval shunts may have more favorable outcomes than previously reported
Veterinary Surgery
2
2025
Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt
2025-2-VS-swieton-3
In Alvarez-Sanchez 2023 et al., on SLN mapping in canine MCT, what was the histologic metastasis rate (HN2 or HN3) in excised lymph nodes?
🔍 Key Findings
- Combined ICTL and NIRF detected the same SLN in 80% of cases; each method alone missed sentinel lymph nodes in some dogs.
- ICLT failed in 5% of dogs, while NIRF failed in 20%; combined use resulted in only 5% failure in SLN detection.
- Metastatic lymph nodes were detected in 95% of dogs, despite most tumors being low or intermediate grade (95%).
- 27 of 41 nodes (65.8%) were histologically metastatic (HN2 or HN3), many of which would have been missed using ALN alone.
- ALN matched the SLN in only 45% of cases with ICTL and 30% with NIRF, supporting the need for SLN mapping.
- ICLT and NIRF were complementary, often identifying different SLN, with some only fluorescent or enhanced in one modality.
- Subcutaneous MCT had higher metastatic rates (7/8 dogs) than previously reported, challenging older assumptions about benign behavior.
- Removing both ALN and SLN (from both methods) improved detection of metastasis to 85–95%, reducing risk of understaging.
Veterinary Surgery
3
2023
Comparison of indirect computed tomographic lymphography and near-infrared fluorescence sentinel lymph node mapping for integumentary canine mast cell tumors
2023-3-VS-alvarez-sanchez-4
In Jones 2024 et al., on LEAP plate use, what was the most common type of complication reported postoperatively?
🔍 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-2
In Thompson 2024 et al., on cyanoacrylate enterotomy sealants, what is the suggested clinical implication of adding cyanoacrylate to a handsewn enterotomy repair?
🔍 Key Findings
- Highest initial leak pressure (ILP) observed in the handsewn + cyanoacrylate (HS + CE) group: 83.3 ± 4.6 mmHg (p < .001 vs. others).
- Lowest ILP: cyanoacrylate-only group (CE): 18.6 ± 3.5 mmHg.
- No significant MIP difference between handsewn (HSE) and HS + CE groups (p = .19); CE had significantly lower MIP (22.7 mmHg).
- Leak location:
- HSE: 60% from suture holes
- CE: 100% from incisional line
- HS + CE: 60% from incisional line, 40% from suture holes
- Authors conclude cyanoacrylate augmentation significantly increases ILP and could reduce enterotomy leakage risk.
Veterinary Surgery
2
2024
Effects of cyanoacrylate on leakage pressures of cooled canine cadaveric jejunal enterotomies
2024-2-VS-thompson-5
In Larose 2024 et al., on fluorescence cholangiography, which statement best describes ICG safety profile in this study?
🔍 Key Findings
- Near-infrared fluorescence cholangiography (NIRFC) was feasible and safe in all healthy dogs studied, with no major adverse effects noted.
- Low-dose ICG (0.05 mg/kg) at 3 h pre-op achieved the highest target-to-background (cystic duct-to-liver) contrast ratio, reaching nearly 4:1 at 280 minutes.
- Early imaging (time 0) favored low-dose ICG for optimal cystic duct visualization; high-dose ICG led to excessive liver fluorescence and reduced contrast.
- Visualization of biliary tree occurred within 10–20 min post-injection regardless of dose, but longer delays improved background clearance and contrast.
- No significant cardiovascular or histamine-related side effects were observed with either dose of ICG.
- Repeated ICG injections showed minimal residual fluorescence when using a >72 h washout period; shorter intervals caused mild carryover in high-dose groups.
- Surgeon scoring matched contrast ratios, confirming clinical relevance of imaging outcomes.
- Recommended dose for laparoscopic imaging: 0.05 mg/kg ICG given 3–5 h before surgery, or at premedication for urgent cases.
Veterinary Surgery
4
2024
Near-infrared fluorescence cholangiography in dogs: A pilot study
2024-4-VS-larose2-2
In Veytsman 2023 et al., on feline insulinoma outcomes, which of the following was NOT a negative prognostic factor?
🔍 Key Findings
- Surgical excision of insulinomas resulted in euglycemia or hyperglycemia in 90% of cats immediately post-op.
- 18/20 cats (90%) survived to hospital discharge, with a median survival time of 863 days.
- Younger age, metastasis at surgery, tumor invasion, and lower glucose levels were negative prognostic factors.
- Two cats had stage III disease with metastasis; one lived 413 days post-op, suggesting some benefit to surgery even in advanced disease.
- Postoperative hypoglycemia and seizure activity were associated with poorer outcomes; one cat euthanized due to seizures despite euglycemia.
- Median disease-free interval (DFI) was 1052 days; for cats with metastasis, DFI dropped to 93 days.
- Partial pancreatectomy was performed in 11 cats, nodulectomy in 10, and enucleation in 1; method of resection not linked to outcome.
- Postoperative complications occurred in 25% of cats; most were manageable with supportive care.
Veterinary Surgery
1
2023
Retrospective study of 20 cats surgically treated for insulinoma
2023-1-VS-veytsman-2
In Davey 2024 et al., on modified closed anal sacculectomy, how was AGASACA most frequently diagnosed in asymptomatic dogs?
🔍 Key Findings
- Modified closed anal sacculectomy resulted in a local recurrence rate of only 2.2%, substantially lower than prior reports (18–50%).
- Postoperative complications occurred in 31.9% of dogs; most (93%) were minor, with dehiscence being the most common.
- Mean survival time in deceased dogs was 521 days; median was 388 days.
- Surgical technique included complete en bloc excision of the sac and duct with sphincter reconstruction, aiming to reduce seeding risk.
- Only one major complication resulted in euthanasia due to infection and dehiscence.
- Histologic margins were complete in 44.7% of dogs; lymphatic invasion was present in 31.9%, and vascular in 8.5%.
- Adjunctive chemotherapy was administered in 34% of dogs (mostly carboplatin); not standardized due to retrospective design.
- Routine rectal exam was key to diagnosis in 57.4% of dogs with no clinical signs, underscoring the importance of screening.
Veterinary Surgery
6
2024
Outcomes of dogs with apocrine gland anal sac adenocarcinoma treated via modified closed anal sacculectomy (2015–2022)
2024-6-VS-davey-5
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
