Quiz Question

In Miller 2024 et al., on intestinal obstruction and catheter technique in cats, what was the reported survival to discharge for cats with linear foreign bodies?

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Correct. The survival rate for cats with LFBOs was 98.2%, similar to DFBOs at 97%.
Incorrect. The correct answer is 98.2%.
The survival rate for cats with LFBOs was 98.2%, similar to DFBOs at 97%.

🔍 Key Findings

  • Cats with linear (LFBO) and discrete (DFBO) small intestinal obstructions had similar survival (98.2% vs. 97%, p = 1.0).
  • Postoperative complications were not significantly different between LFBO and DFBO cases (p = .1386).
  • Intestinal dehiscence was rare (only 2 cats), both in DFBOs, with no statistical difference between groups.
  • Red rubber catheter technique (RRCT) successfully removed LFBOs in 83% (20/24) of attempts.
  • All failed RRCTs occurred in cats with perforations or tissue nonviability.
  • Cats with failed RRCTs had longer clinical signs pre-surgery (median 6.5 vs. 2.0 days).
  • Surgical time was longer in LFBO cats (median 77 min vs. 58 min, p = .0018).
  • Preoperative septic peritonitis was rare (4/169 cats), but occurred only in linear or mixed FBO cases.

Miller

Veterinary Surgery

7

2024

Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats

2024-7-VS-miller-5

Article Title: Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats

Journal: Veterinary Surgery

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In Duffy 2022 et al., on crotch suture techniques, why are two simple interrupted sutures (TCS) or SCCS considered superior to a single suture (SICS)?

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Correct. TCS and SCCS better distribute tension at the crotch, reducing leakage risk.
Incorrect. The correct answer is They improve tension distribution at the crotch.
TCS and SCCS better distribute tension at the crotch, reducing leakage risk.

🔍 Key Findings

  • Augmenting FEESA with two simple interrupted crotch sutures (TCS) or simple continuous crotch suture (SCCS) significantly increased initial leakage pressure (ILP) compared to no suture or a single suture (NCS, SICS).
  • SCCS had the highest ILP (47.6 mm Hg), followed by TCS (37.8 mm Hg), SICS (33.0 mm Hg), and NCS (27.1 mm Hg).
  • All crotch suture types increased maximal leakage pressure (MLP) compared to no crotch suture.
  • Leakage from the crotch occurred most commonly in NCS (67%) and SICS (50%), but only 8% with TCS and 0% with SCCS.
  • SCCS was the only technique where leakage never occurred at the crotch site.
  • SCCS had the highest MLP (100.6 mm Hg), supporting its use in clinical settings with high-risk patients.
  • Intraluminal pressures during leakage in NCS constructs were sometimes below normal physiologic pressures, emphasizing risk of leakage without crotch suture.
  • The transverse staple line never leaked in any group, indicating the crotch is the primary weak point.

Duffy

Veterinary Surgery

4

2022

Influence of crotch suture augmentation on leakage pressure and leakage location during functional end-to-end stapled anastomoses in dogs

2022-4-VS-duffy-5

Article Title: Influence of crotch suture augmentation on leakage pressure and leakage location during functional end-to-end stapled anastomoses in dogs

Journal: Veterinary Surgery

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In Bush 2023 et al., on canine salivary gland carcinoma, which complication was most commonly associated with parotid gland excision?

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Correct. Facial nerve injury was exclusive to parotid sialoadenectomy cases in the study.
Incorrect. The correct answer is Facial nerve injury.
Facial nerve injury was exclusive to parotid sialoadenectomy cases in the study.

🔍 Key Findings

Source: Bush et al., 2023, Veterinary Surgery

  • Median survival time (MST) after surgery was 1886 days, which is significantly longer than previously reported.
  • Lymph node metastasis at surgery was a negative prognostic factor, reducing MST to 248 days (vs. 2340 days without nodal involvement).
  • Local recurrence occurred in 42% of dogs, with a median disease-free interval (DFI) of 191 days.
  • Metastatic disease occurred in 32% of dogs, most commonly to the lungs, with a median DFI of 299 days.
  • Histologic features (e.g., margin status, capsular, lymphatic, or vascular invasion) were not significantly correlated with recurrence or metastasis.
  • Facial nerve injury occurred in 9.7% perioperatively, especially after parotidectomy; intraoperative facial nerve transection led to long-term deficits.
  • Adjuvant therapies (chemotherapy, radiation, NSAIDs) did not significantly affect survival time.
  • Incisional biopsy was only 38% concordant with final excisional histology, suggesting limited reliability for definitive diagnosis.

Bush

Veterinary Surgery

3

2023

Outcomes and clinical features associated with surgically excised canine salivary gland carcinoma: A multi-institutional, retrospective, Veterinary Society of Surgical Oncology study

2023-3-VS-bush-4

Article Title: Outcomes and clinical features associated with surgically excised canine salivary gland carcinoma: A multi-institutional, retrospective, Veterinary Society of Surgical Oncology study

Journal: Veterinary Surgery

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In Maeta 2022 et al., on total cystectomy in cats, which surgical method was used to prevent ureteral bending and misalignment during cutaneous ureterostomy?

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Correct. The modified Toyoda technique minimized ureteral misalignment by creating a rectangular ureteral stoma and aligning it precisely with the abdominal wall and skin incisions.
Incorrect. The correct answer is Modified Toyoda technique.
The modified Toyoda technique minimized ureteral misalignment by creating a rectangular ureteral stoma and aligning it precisely with the abdominal wall and skin incisions.

🔍 Key Findings

  • First reported case of total cystectomy and bilateral cutaneous ureterostomy in a cat using a modified Toyoda technique.
  • Histologically complete tumor resection was achieved, with tumor-free ureter and urethral margins >20 mm.
  • The modified Toyoda technique involved shaping the ureter into a fish-mouth aperture and anastomosing it to a rectangular skin defect for stomal formation.
  • Incontinence was managed using a diaper changed every 6–8 hours, with no dermatological complications.
  • Obstruction of the right ureter occurred 14 months post-op, associated with a subcutaneous nodule at the anastomosis site.
  • Despite incontinence, owner satisfaction and perceived quality of life were high, with the cat living ~16 months post-op.
  • The stents were removed on days 7 (left) and 28 (right) postoperatively, with initial patency maintained until 14 months.
  • This surgical approach may offer palliative or curative benefit for feline trigonal TCC where partial cystectomy is not feasible.

Maeta

Veterinary Surgery

8

2022

Modified Toyoda technique for total cystectomy and cutaneous ureterostomy in a cat

2022-8-VS-maeta-1

Article Title: Modified Toyoda technique for total cystectomy and cutaneous ureterostomy in a cat

Journal: Veterinary Surgery

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In Beamon 2022 et al., on calcanean tunnel orientation, which failure mode was most commonly observed across all groups?

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Correct. Suture pull-through occurred in 67% of cases, with no statistical difference among groups.
Incorrect. The correct answer is Suture pull-through.
Suture pull-through occurred in 67% of cases, with no statistical difference among groups.

🔍 Key Findings

  • No significant difference in peak load, failure load, stiffness, or 3 mm gap formation among bone tunnel types.
  • Transverse tunnel (TT) constructs had 25% higher yield load than modified tunnels (MT) (P = .027).
  • Most common failure mode was suture pull-through (67%), with no significant difference between groups.
  • Gap formation ≥3 mm occurred in ~90% of constructs; no significant difference in force needed for gap among groups.
  • All bone tunnel techniques (TT, VT, MT) are viable options for CCT reattachment in dogs.
  • The 3-loop pulley (3LP) pattern provided strong, uniform repair, with higher loads to failure than previously reported.
  • TT constructs showed more tendon distortion at the repair interface during loading.
  • Inclusion of accessory tendon may have improved repair strength compared to prior studies using GT alone.

Beamon

Veterinary Surgery

4

2022

Effect of calcanean bone‐tunnel orientation for teno‐osseous repair in a canine common calcanean tendon avulsion model

2022-4-VS-beamon-2

Article Title: Effect of calcanean bone‐tunnel orientation for teno‐osseous repair in a canine common calcanean tendon avulsion model

Journal: Veterinary Surgery

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In Peng 2025 et al., on topical amikacin gel, what maximum topical dose per kg was administered?

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Correct. The highest dose applied to any dog was 24.9 mg/kg, nearing the systemic recommended maximum【90†Veterinary Surgery†L1-L20】
Incorrect. The correct answer is 24.9 mg/kg.
The highest dose applied to any dog was 24.9 mg/kg, nearing the systemic recommended maximum【90†Veterinary Surgery†L1-L20】

🔍 Key Findings

Objective: Determine if topical 45 mg/mL amikacin in CMC gel leads to systemic absorption in dogs with wounds.

Dogs enrolled: 11 client-owned dogs, with 31 applications of the gel.

Serum findings:

  • Only 5 of 153 samples were above the 2.5 µg/mL quantification limit
  • All values remained <5 µg/mL, the presumed toxicity threshold
  • No correlation was found between dose-related parameters (mg, mg/kg, mg/cm²) and serum amikacin levels

Peak concentrations were observed at ~2 hours post-application, declining rapidly thereafter

No nephrotoxicity observed, and most values were below detection

Conclusion: Topical amikacin gel appears safe at doses up to 24.9 mg/kg, with minimal systemic absorption

Peng

Veterinary Surgery

3

2025

Serum amikacin concentrations in dogs with naturally occurring open wounds treated with topical amikacin in carboxymethylcellulose hydrogel

2025-3-VS-peng2-4

Article Title: Serum amikacin concentrations in dogs with naturally occurring open wounds treated with topical amikacin in carboxymethylcellulose hydrogel

Journal: Veterinary Surgery

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In Fracka 2024 et al., on perioperative risk factors, which surgical technique was associated with a significantly higher odds of complicated recovery?

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Correct. Staphylectomy was associated with a 59-fold increased risk of complications compared to FFP (p = .0002).
Incorrect. The correct answer is Staphylectomy.
Staphylectomy was associated with a 59-fold increased risk of complications compared to FFP (p = .0002).

🔍 Key Findings

  • Staphylectomy was linked to higher risk of complicated recovery than folded flap palatoplasty (OR = 59.29, p = .0002).
  • Laryngeal collapse > Grade 2 was strongly associated with poor recovery (OR = 97.13, p < .0001).
  • Longer general anesthesia duration increased the risk of complications (OR = 1.01 per min, p = .0051).
  • Increasing age significantly raised the odds of perioperative complication (OR = 1.04 per month, p = .0113).
  • History of aspiration pneumonia was only found in dogs with complications, though not in final model due to instability.
  • Complicated recovery included >12 h O₂ therapy, tracheostomy, or death.
  • FFP may reduce pharyngeal-laryngeal edema, possibly improving immediate outcomes.
  • Bulldogs comprised 80% of population, with French Bulldogs most common (63%).

Fracka

Veterinary Surgery

4

2024

Risk factors for complicated perioperative recovery in dogs undergoing staphylectomy or folded flap palatoplasty: Seventy-six cases (2018–2022)

2024-4-VS-fracka-1

Article Title: Risk factors for complicated perioperative recovery in dogs undergoing staphylectomy or folded flap palatoplasty: Seventy-six cases (2018–2022)

Journal: Veterinary Surgery

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In Lomas 2025 et al., on hybrid THR in cats, what technique was used intraoperatively to correct medial patellar luxation seen after implant reduction?

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Correct. This technique resolved intraoperative patellar luxation in 3 cats and has not been previously reported.
Incorrect. The correct answer is Partial tenotomy of rectus femoris origin.
This technique resolved intraoperative patellar luxation in 3 cats and has not been previously reported.

🔍 Key Findings

  • Hybrid THR in cats showed no major complications across 17 hips in 15 cats, including 2 bilateral cases.
  • Postoperative radiographs confirmed stable implant positioning with no loosening, migration, or dislocation in follow-up imaging.
  • Mean owner satisfaction was high, with a mean short-form feline musculoskeletal pain index (sf-FMPI) score of 2/36 at a mean follow-up of 438 days.
  • SCFE (slipped capital femoral epiphysis) was the most common indication, seen in 13/17 hips.
  • Partial tenotomy of rectus femoris origin resolved intraoperative medial patella luxation in 3 cases—no cats required surgical correction later.
  • A micro BFX cup allowed for increased acetabular offset, possibly reducing luxation risk even when using a +0 femoral head offset.
  • Hybrid THR was successfully used as a revision for failed CFX THR due to recurrent luxation—implants remained stable post-revision.
  • Use of oversized cups (12 mm) with shallow seating or medial breach still resulted in stable outcomes, suggesting good implant fixation even with reduced bone stock.

Lomas

Veterinary Surgery

6

2025

Medium‐term outcomes of hybrid total hip arthroplasty in cats: Cemented femoral stem and cementless acetabular cup in 17 hips (2020–2023)

2025-6-VS-lomas-2

Article Title: Medium‐term outcomes of hybrid total hip arthroplasty in cats: Cemented femoral stem and cementless acetabular cup in 17 hips (2020–2023)

Journal: Veterinary Surgery

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In Canever 2022 et al., on labial flap vascular anatomy, which tissue layer was most critical to include to ensure arterial perfusion of the flap?

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Correct. The musculomucosal layer housed the key vascular network needed for flap survival.
Incorrect. The correct answer is Musculomucosal layer including orbicularis oris.
The musculomucosal layer housed the key vascular network needed for flap survival.

🔍 Key Findings

  • Superior and inferior labial arteries in cats perfuse robust angiosomes, which support musculomucosal axial pattern flaps.
  • Cadaver angiography confirmed vascular anatomy, with consistent patterns between sides and among specimens.
  • The vascular supply is located primarily in the musculomucosal layer, not the skin, critical for flap viability.
  • Flap harvest requires inclusion of the orbicularis oris (± buccinator) muscle to ensure vascular integrity and flap survival.
  • Two clinical cases demonstrated successful use of superior and inferior labial musculomucosal flaps for palatal reconstruction with complete flap survival and resolution of clinical signs.
  • Intraoperative transillumination aided vessel localization, facilitating surgical planning and flap design.
  • No cases of distal flap necrosis or dehiscence occurred, although mild donor site morbidity (lip retraction, mucosal denuding) was noted.
  • These flaps offer a valuable option when local tissues are compromised, especially after failed previous repairs or radiation therapy.

Canever

Veterinary Surgery

4

2022

Evaluation of the superior and inferior labial musculomucosal flaps in cats: An angiographic study and case series

2022-4-VS-canever-3

Article Title: Evaluation of the superior and inferior labial musculomucosal flaps in cats: An angiographic study and case series

Journal: Veterinary Surgery

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In Miller 2024 et al., on intestinal obstruction and catheter technique in cats, what was the overall success rate of the red rubber catheter technique (RRCT) for removing linear foreign bodies?

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Correct. The RRCT successfully removed LFBOs in 20 out of 24 cases, representing 83% success.
Incorrect. The correct answer is 83%.
The RRCT successfully removed LFBOs in 20 out of 24 cases, representing 83% success.

🔍 Key Findings

  • Cats with linear (LFBO) and discrete (DFBO) small intestinal obstructions had similar survival (98.2% vs. 97%, p = 1.0).
  • Postoperative complications were not significantly different between LFBO and DFBO cases (p = .1386).
  • Intestinal dehiscence was rare (only 2 cats), both in DFBOs, with no statistical difference between groups.
  • Red rubber catheter technique (RRCT) successfully removed LFBOs in 83% (20/24) of attempts.
  • All failed RRCTs occurred in cats with perforations or tissue nonviability.
  • Cats with failed RRCTs had longer clinical signs pre-surgery (median 6.5 vs. 2.0 days).
  • Surgical time was longer in LFBO cats (median 77 min vs. 58 min, p = .0018).
  • Preoperative septic peritonitis was rare (4/169 cats), but occurred only in linear or mixed FBO cases.

Miller

Veterinary Surgery

7

2024

Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats

2024-7-VS-miller-1

Article Title: Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats

Journal: Veterinary Surgery

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Quiz Results

Topic: Suture & Soft Tissue Techniques
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