Quiz Question

In Case 2024 et al., on feline pancreatectomy, which complication occurred postoperatively in one cat?

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Correct. One cat developed a localized sterile peritonitis near the pancreatic angle; it resolved with conservative treatment.
Incorrect. The correct answer is Sterile peritonitis.
One cat developed a localized sterile peritonitis near the pancreatic angle; it resolved with conservative treatment.

🔍 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

Case

Veterinary Surgery

2

2024

Laparoscopic partial pancreatectomy of the left limb using a harmonic scalpel in nine cats

2024-2-VS-case-2

Article Title: Laparoscopic partial pancreatectomy of the left limb using a harmonic scalpel in nine cats

Journal: Veterinary Surgery

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In Billas 2022 et al., on SSI risk after limb amputation, what was concluded regarding use of electrosurgery for muscle transection?

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Correct. Monopolar electrosurgery was not associated with increased SSI risk (*P* > .05).
Incorrect. The correct answer is It had no association with SSI.
Monopolar electrosurgery was not associated with increased SSI risk (*P* > .05).

🔍 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.

Billas

Veterinary Surgery

3

2022

Incidence of and risk factors for surgical site infection following canine limb amputation

2022-3-VS-billas-5

Article Title: Incidence of and risk factors for surgical site infection following canine limb amputation

Journal: Veterinary Surgery

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In Latifi 2022 et al., on forelimb fascial mapping, what surgical strategy may be required for wide tumor excision over the triceps tendon region?

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Correct. The triceps tendon lacks a distinct fascia, so partial tenectomy may be needed to obtain surgical margins.
Incorrect. The correct answer is Partial triceps tenectomy.
The triceps tendon lacks a distinct fascia, so partial tenectomy may be needed to obtain surgical margins.

🔍 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.

Latifi

Veterinary Surgery

1

2022

Fascial plane mapping for superficial tumor resection in dogs. Part II: Forelimb

2022-1-VS-latifi-3

Article Title: Fascial plane mapping for superficial tumor resection in dogs. Part II: Forelimb

Journal: Veterinary Surgery

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In Swieton 2025 et al., on portocaval shunts, which postoperative complication occurred most frequently?

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Correct. Seizures occurred in 2 of the 4 dogs with postoperative complications, making them the most common complication reported.
Incorrect. The correct answer is Seizures.
Seizures occurred in 2 of the 4 dogs with postoperative complications, making them the most common complication reported.

🔍 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

Swieton

Veterinary Surgery

2

2025

Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt

2025-2-VS-swieton-3

Article Title: Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt

Journal: Veterinary Surgery

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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?

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Correct. 27 of 41 excised lymph nodes were histologically metastatic, a high rate even though most tumors were low-to-intermediate grade.
Incorrect. The correct answer is 65.8%.
27 of 41 excised lymph nodes were histologically metastatic, a high rate even though most tumors were low-to-intermediate grade.

🔍 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.

Alvarez-Sanchez

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

Article Title: Comparison of indirect computed tomographic lymphography and near-infrared fluorescence sentinel lymph node mapping for integumentary canine mast cell tumors

Journal: Veterinary Surgery

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In Jones 2024 et al., on LEAP plate use, what was the most common type of complication reported postoperatively?

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Correct. Seromas were the most frequently reported minor complication across both fracture types.
Incorrect. The correct answer is Seroma.
Seromas were the most frequently reported minor complication across both fracture types.

🔍 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

Jones

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

Article Title: Clinical Assessment of a Lateral Epicondylar Anatomical Plate for the Stabilization of Humeral Condylar Fractures in Dogs

Journal: Veterinary Surgery

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In Thompson 2024 et al., on cyanoacrylate enterotomy sealants, what is the suggested clinical implication of adding cyanoacrylate to a handsewn enterotomy repair?

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Correct. The addition of CE significantly increased ILP and reduced leak rate, supporting its potential use adjunctively.
Incorrect. The correct answer is Reduces enterotomy leakage by enhancing sealing.
The addition of CE significantly increased ILP and reduced leak rate, supporting its potential use adjunctively.

🔍 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.

Thompson

Veterinary Surgery

2

2024

Effects of cyanoacrylate on leakage pressures of cooled canine cadaveric jejunal enterotomies

2024-2-VS-thompson-5

Article Title: Effects of cyanoacrylate on leakage pressures of cooled canine cadaveric jejunal enterotomies

Journal: Veterinary Surgery

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In Larose 2024 et al., on fluorescence cholangiography, which statement best describes ICG safety profile in this study?

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Correct. Both low- and high-dose ICG were well tolerated with no adverse effects observed.
Incorrect. The correct answer is No cardiovascular or hypersensitivity reactions occurred.
Both low- and high-dose ICG were well tolerated with no adverse effects observed.

🔍 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.

Larose

Veterinary Surgery

4

2024

Near-infrared fluorescence cholangiography in dogs: A pilot study

2024-4-VS-larose2-2

Article Title: Near-infrared fluorescence cholangiography in dogs: A pilot study

Journal: Veterinary Surgery

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In Veytsman 2023 et al., on feline insulinoma outcomes, which of the following was NOT a negative prognostic factor?

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Correct. Method of surgical excision was not associated with outcome.
Incorrect. The correct answer is Method of surgical resection.
Method of surgical excision was not associated with outcome.

🔍 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.

Veytsman

Veterinary Surgery

1

2023

Retrospective study of 20 cats surgically treated for insulinoma

2023-1-VS-veytsman-2

Article Title: Retrospective study of 20 cats surgically treated for insulinoma

Journal: Veterinary Surgery

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In Davey 2024 et al., on modified closed anal sacculectomy, how was AGASACA most frequently diagnosed in asymptomatic dogs?

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Correct. 57.4% of dogs had no signs, and AGASACA was identified on digital rectal examination.
Incorrect. The correct answer is Palpation during routine rectal exam.
57.4% of dogs had no signs, and AGASACA was identified on digital rectal examination.

🔍 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.

Davey

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

Article Title: Outcomes of dogs with apocrine gland anal sac adenocarcinoma treated via modified closed anal sacculectomy (2015–2022)

Journal: Veterinary Surgery

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Topic: Infection
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