Quiz Question

In Galliano 2022 et al., on vascular access ports, what was the reported functionality rate of ports placed in the femoral/external iliac vein (fSVAP)?

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Correct. All 4 dogs with fSVAP had fully functional ports during follow-up.
Incorrect. The correct answer is 100%.
All 4 dogs with fSVAP had fully functional ports during follow-up.

🔍 Key Findings

  • SVAPs placed in axillary (aSVAP) or femoral/external iliac veins (fSVAP) during limb amputation remained functional in 92.3% and 100% of cases, respectively.
  • Complication rates were lower in aSVAP (23.1%) and fSVAP (0%) compared to jSVAP (47.4%), although not statistically significant (P = .12).
  • No catastrophic complications occurred with aSVAP or fSVAP; 2 deaths occurred with jSVAP due to port-related issues.
  • Infection-related port removal was needed in 1 aSVAP (7.7%) and 2 jSVAPs (10.5%) — no removals were required in fSVAPs.
  • Tip placement of the catheter (e.g., right atrium vs. vena cava) did not correlate with complications (P = .66).
  • Shorter surgical time likely with aSVAP/fSVAP as they use the same surgical field as the limb amputation.
  • Survival time median was similar across groups (jSVAP: 177 days, aSVAP: 125 days, fSVAP: 122 days).
  • SVAP implantation during limb amputation offers a practical and safe alternative to separate jugular placement.

Galliano

Veterinary Surgery

7

2022

Subcutaneous vascular access port implantation in the axillary or femoral/external iliac vein at the time of full limb amputation in dogs

2022-7-VS-galliano-1

Article Title: Subcutaneous vascular access port implantation in the axillary or femoral/external iliac vein at the time of full limb amputation in dogs

Journal: Veterinary Surgery

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In Story 2024 et al., on eTPA osteotomy comparison, what was the **minimum acceptable TPA** post-correction reported to yield good outcomes in dogs?

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Correct. A TPA ≤14° is cited as associated with superior outcomes in dogs with eTPA postoperatively.
Incorrect. The correct answer is ≤14°.
A TPA ≤14° is cited as associated with superior outcomes in dogs with eTPA postoperatively.

🔍 Key Findings

  • Population: 16 dogs (27 tibias), TPA >34°
  • Techniques analyzed:
    • Group A: CBLO + CCWO
    • Group B: TPLO + CCWO
    • Group C: mCCWO
    • Group D: PTNWO
  • Outcomes:
    • All groups achieved post-correction TPA < 14°.
    • Group A: Slight over-correction (mean TPA 10.47°); greatest mechanical axis shift.
    • Group B: Tibial shortening (~0.58%); least mechanical axis shift.
    • Group C: Lowest post-correction TPA (mean 4.76°); under-correction.
    • Group D: High accuracy, minimal shortening (mean 7.09° post).
  • Statistical Significance:
    • Significant differences in tibial length change and mCrDTA (mechanical axis shift) between groups (p <.05).
    • TPA correction accuracy: Group A (1.02), B (0.95), C (0.89), D (0.98).

Story

Veterinary Surgery

1

2024

Morphologic impact of four surgical techniques to correct excessive tibial plateau angle in dogs: A theoretical radiographic analysis

2024-1-VS-story-5

Article Title: Morphologic impact of four surgical techniques to correct excessive tibial plateau angle in dogs: A theoretical radiographic analysis

Journal: Veterinary Surgery

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In Tani 2022 et al., on FCU tendon reconstruction, what was the long-term outcome for both dogs?

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Correct. At 36-month follow-up, both dogs had full function with no recurrence of hyperextension.
Incorrect. The correct answer is Normal gait and joint motion.
At 36-month follow-up, both dogs had full function with no recurrence of hyperextension.

🔍 Key Findings

  • Fascia lata autograft reconstruction of the FCU tendon successfully treated carpal hyperextension in both dogs.
  • Primary repair was not possible in one dog due to complete rupture; a fascia lata graft bridged the tendon gap.
  • In the second case, elongated tendon was corrected and reinforced with fascia lata to prevent recurrence.
  • Type I external skeletal fixation was used for 6 weeks to support tendon healing in both dogs.
  • Postoperative gait and range of motion returned to normal, with no recurrence at 36-month follow-up.
  • Ultrasonography aided diagnosis, revealing thinning and echogenic changes in the FCU tendon.
  • Histologic findings showed mild, nonspecific muscle changes, suggesting injury rather than a systemic disease.
  • No complications occurred, and fascia lata showed potential for biological integration and remodeling into tendon-like structure.

Tani

Veterinary Surgery

8

2022

Reconstruction of the flexor carpi ulnaris tendon with a fascia lata autograft in two dogs with carpal hyperextension

2022-8-VS-tani-4

Article Title: Reconstruction of the flexor carpi ulnaris tendon with a fascia lata autograft in two dogs with carpal hyperextension

Journal: Veterinary Surgery

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In Gleason 2023 et al., on ala vestibuloplasty in cats, what significant change occurred in activity-related dyspnea following ala vestibuloplasty?

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Correct. Activity tolerance improved postoperatively with less dyspnea and increased onset time.
Incorrect. The correct answer is Improved tolerance and longer time to dyspnea.
Activity tolerance improved postoperatively with less dyspnea and increased onset time.

🔍 Key Findings

  • Ala vestibuloplasty significantly reduced normalized pulmonary transit time (nPTT) (mean 5.43 → 3.89 sec; p <.001), suggesting improved cardiopulmonary function.
  • Clinical respiratory signs improved, including reduced snoring, sneezing, nasal discharge, and open-mouth breathing (all p <.01).
  • Activity tolerance increased, with less dyspnea during activity and longer time to onset of dyspnea (p <.005).
  • Paradoxical sternal motion resolved in all affected cats after surgery.
  • Hiatal hernias resolved in 75% of affected cats on follow-up CT.
  • No serious complications occurred, with only mild, self-limiting epistaxis and hypersalivation in a few cases.
  • Aberrant turbinates were detected on CT in all cats, though only 1 showed obstructive CATs endoscopically.
  • Total clinical severity scores improved significantly postoperatively (median reduction of 30 points; p <.001).

Gleason

Veterinary Surgery

4

2023

Ala vestibuloplasty improves cardiopulmonary and activity‐related parameters in brachycephalic cats

2023-4-VS-gleason-5

Article Title: Ala vestibuloplasty improves cardiopulmonary and activity‐related parameters in brachycephalic cats

Journal: Veterinary Surgery

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In Rocheleau 2023 et al., on shoulder stabilization, which stabilization technique showed a statistically significant reduction in abduction angle postoperatively?

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Correct. Postoperative abduction angles were slightly lower than baseline in the suture-toggle group, suggesting some overtightening.
Incorrect. The correct answer is Suture-toggle.
Postoperative abduction angles were slightly lower than baseline in the suture-toggle group, suggesting some overtightening.

🔍 Key Findings

  • Arthroscopically assisted stabilization with an IAD was feasible in cadaveric canine shoulders using both bone anchor and suture-toggle techniques.
  • Suture-toggle repair was successfully performed in all specimens, while bone anchors could not be deployed in 3/10 shoulders, indicating lower feasibility.
  • Median surgical time was shorter for the suture-toggle group (25.5 min) compared to the anchor group (37.3 min).
  • Postoperative abduction angles returned to baseline in the anchor group, while the suture-toggle group had slightly reduced angles, suggesting possible overtightening.
  • Violation of the articular surface occurred in 2 anchor specimens and 1 suture-toggle specimen, but none were considered likely to be clinically significant.
  • Overall targeting accuracy using the IAD was 88%, supporting its utility in guiding tunnel/anchor placement.
  • CT measurements showed acceptable bone stock and insertion angles, but anchor insertion angles were lower than optimal for mechanical pullout strength.
  • Suture-toggle technique was considered simpler and more consistent, with fewer complications and faster execution than anchor placement.

Rocheleau

Veterinary Surgery

4

2023

Ex vivo evaluation of arthroscopically assisted shoulder stabilization in dogs using an intra-articular aiming device

2023-4-VS-rocheleau-3

Article Title: Ex vivo evaluation of arthroscopically assisted shoulder stabilization in dogs using an intra-articular aiming device

Journal: Veterinary Surgery

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In Scharpf 2024 et al., on arthroscopic MCD treatment, which ground reaction force parameter did **not** normalize by 26 weeks?

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Correct. Braking force (FY+) and related impulses remained subnormal at 26 weeks, despite improvement in other GRF metrics:contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is Braking force (FY+).
Braking force (FY+) and related impulses remained subnormal at 26 weeks, despite improvement in other GRF metrics:contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • Subtotal coronoidectomy improved vertical and propulsive forces, but braking forces remained subnormal at 26 weeks.
  • No significant benefit was seen from ACP vs placebo at any timepoint across all force parameters or lameness scores.
  • Force plate analysis was more sensitive than visual lameness scoring.
  • Braking force (%FY+) was best at detecting persistent lameness, and SI < 0.9 persisted in most dogs at 26 weeks.
  • Outcome less favorable than historically reported — challenges status of subtotal coronoidectomy as “gold standard” for MCD.

Scharpf

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Assessment of Arthroscopic Subtotal Coronoidectomy in Treating Medial Coronoid Disease and Effect of Concurrent Autologous Conditioned Plasma in Dogs Using Force Plate Analysis

2024-2-VCOT-scharpf-1

Article Title: Assessment of Arthroscopic Subtotal Coronoidectomy in Treating Medial Coronoid Disease and Effect of Concurrent Autologous Conditioned Plasma in Dogs Using Force Plate Analysis

Journal: Veterinary and Comparative Orthopedics and Traumatology

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In Walker 2025 et al., on ventral slot guides, what was observed regarding surgical time between freehand and guided slots?

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Correct. Surgical time was similar between groups (p = .071).
Incorrect. The correct answer is No significant difference in time.
Surgical time was similar between groups (p = .071).

🔍 Key Findings

Design: Ex vivo cadaver study (n=8 dogs, 24 sites)
Comparison: Freehand vs. 3D-printed drill guide-assisted ventral slot (GAVS vs FHVS)
Findings:

  • GAVS produced slots not significantly different from planned dimensions (p = .722–.875)
  • FHVS produced significantly shorter slots than intended (p < .01)
  • No difference in surgical time (p = .071)
  • Shape ratio and slot divergence from midline were similar between groups (p > .4)
  • Use of guide significantly reduced variability in slot position (63% → 29%), shape (65% → 24%), and divergence (54% → 50%)

Conclusion: 3D-printed guides improved accuracy and consistency of ventral slot creation by novice surgeons; supports future evaluation in live dogs and small breeds

Walker

Veterinary Surgery

3

2025

Evaluation of a patient‐specific 3D‐printed guide for ventral slot surgery in dogs: An ex vivo study

2025-3-VS-walker-4

Article Title: Evaluation of a patient‐specific 3D‐printed guide for ventral slot surgery in dogs: An ex vivo study

Journal: Veterinary Surgery

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In Cruciani 2022 et al., on feline pancreaticoduodenostomy, what complication did *not* occur during the follow-up period?

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Correct. The cat showed no signs of pancreatitis or pancreatic insufficiency; weight gain was observed.
Incorrect. The correct answer is All of the above.
The cat showed no signs of pancreatitis or pancreatic insufficiency; weight gain was observed.

🔍 Key Findings

  • Left pancreaticoduodenostomy successfully restored digestive continuity after right lobe and body pancreatectomy in a cat.
  • No clinical signs of exocrine or endocrine insufficiency were observed postoperatively up to 225 days.
  • Histopathology confirmed chronic pancreatitis with abscess formation and reactive lymphadenopathy.
  • No postoperative pancreatitis developed, based on imaging and normal feline pancreatic lipase levels.
  • Progressive focal ampulla-like dilation of the pancreatic duct occurred near the anastomosis without clinical signs.
  • The cat maintained weight and improved clinically for several months post-op, indicating satisfactory outcomes.
  • Surgical technique involved end-to-side anastomosis between the left pancreatic duct and duodenum.
  • Ultimately, the cat was euthanized due to disseminated carcinoma, presumed unrelated to the pancreatic surgery.

Cruciani

Veterinary Surgery

8

2022

Left pancreaticoduodenostomy after removal of the right lobe and the head of the pancreas in a cat

2022-8-VS-cruciani-4

Article Title: Left pancreaticoduodenostomy after removal of the right lobe and the head of the pancreas in a cat

Journal: Veterinary Surgery

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In Williams 2024 et al., on adrenaline use in maxillary nerve blocks, what was the observed reduction in median intraoperative hemorrhage in the adrenaline group compared to the no-adrenaline group?

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Correct. Adrenaline reduced median hemorrhage from 7.95 g to 1.82 g, a 77.1% reduction.
Incorrect. The correct answer is 77.1%.
Adrenaline reduced median hemorrhage from 7.95 g to 1.82 g, a 77.1% reduction.

🔍 Key Findings

  • The addition of adrenaline (0.00198%) to bilateral maxillary nerve blocks significantly reduced intraoperative hemorrhage in dogs undergoing sharp staphylectomy (median reduction: 77.1%).
  • Normalized hemorrhage (g/kg) and total hemorrhage (g) were significantly lower in the adrenaline group (p = .021 and p = .013, respectively).
  • Surgeon-assessed hemorrhage scores were also significantly lower in the adrenaline group (median 2 vs. 3; p = .029), indicating improved surgical visibility.
  • No adverse effects (e.g. tachycardia, arrhythmia, or hypertension) were observed with adrenaline administration.
  • A standardized intraoral approach to the maxillary nerve block was used with 0.5 mL per side regardless of dog size.
  • Breed effect observed: English Bulldogs had higher normalized hemorrhage, possibly due to anatomical variation or underdosing relative to size.
  • Adrenaline may also prolong local anesthetic action and reduce blood aspiration risks, though this was not directly measured.
  • The study supports the routine inclusion of adrenaline in maxillary nerve blocks for staphylectomy in BOAS patients to improve surgical field and reduce bleeding.

Williams

Veterinary Surgery

8

2024

Evaluation of the addition of adrenaline in a bilateral maxillary nerve block to reduce hemorrhage in dogs undergoing sharp staphylectomy for brachycephalic obstructive airway syndrome. A prospective, randomized study

2024-8-VS-williams-1

Article Title: Evaluation of the addition of adrenaline in a bilateral maxillary nerve block to reduce hemorrhage in dogs undergoing sharp staphylectomy for brachycephalic obstructive airway syndrome. A prospective, randomized study

Journal: Veterinary Surgery

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In Logothetou 2024 et al., on SPF complications, which patient factor was independently associated with increased complication risk on multivariable analysis?

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Correct. Higher bodyweight significantly increased the odds of complications (OR = 1.056 per kg; p = .029).
Incorrect. The correct answer is Bodyweight.
Higher bodyweight significantly increased the odds of complications (OR = 1.056 per kg; p = .029).

🔍 Key Findings

  • Complication rate for subdermal plexus flaps (SPFs) in dogs was 53.6%.
  • Skin staples had a numerically higher complication rate (72.2%) than sutures (49.3%), but not statistically significant due to small sample size.
  • Most common complication was wound dehiscence (35%), followed by seroma (14%) and wound discharge (14%).
  • Increased body weight was significantly associated with higher complication risk (OR = 1.056 per kg; p = .029).
  • Advancement flaps were associated with a lower incidence of complications on univariable analysis (p < .001).
  • Head region flap closures had fewer complications, while proximal pelvic limb closures had the highest complication rate.
  • Age was a risk factor—each additional year increased odds of complications (OR = 1.019; p = .004).
  • Closure technique did not significantly influence complication severity, though staple use was numerically worse.

Logothetou

Veterinary Surgery

3

2024

Complications and influence of cutaneous closure technique on subdermal plexus flaps in 97 dogs (2006–2022)

2024-3-VS-logothetou-2

Article Title: Complications and influence of cutaneous closure technique on subdermal plexus flaps in 97 dogs (2006–2022)

Journal: Veterinary Surgery

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Quiz Results

Topic: Postoperative Care & Outcomes
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