
Your Custom Quiz
In Walter de Bruyn 2024 et al., what mechanical property was completely normalized across all working lengths after orthogonal plate application?
🔍 Key Findings Summary
- Primary 3.5-mm LCP used with short (SWL), medium (MWL), and long (LWL) working lengths
- Addition of orthogonal 2.7-mm LCP resulted in:
- Significantly higher bending stiffness for SWL, MWL, and LWL (p < 0.0001)
- Higher torsional stiffness for MWL and LWL (not for SWL)
- Significantly lower strain across all working lengths in bending (p < 0.01)
- Working length inversely related to construct stiffness and directly to plate strain
- Orthogonal plates eliminated stiffness differences across working lengths in bending
- Suggests orthogonal plates can improve implant fatigue life and allow compensation when short working lengths are unachievable
Veterinary and Comparative Orthopedics and Traumatology
4
2024
Effect of an Orthogonal Locking Plate and Primary Plate Working Length on Construct Stiffness and Plate Strain in an In vitro Fracture-Gap Model
2024-4-VCOT-walterdebruyn-4
In Low 2025 et al., on machine-learning outcomes in IVDE, what was the most important predictor of outcome according to SHAP value analysis?
🔍 Key Findings
The study included 162 deep-pain-negative dogs undergoing decompressive surgery (hemilaminectomy) for acute thoracolumbar intervertebral disc extrusion (IVDE).
Ambulatory recovery occurred in 53.1% of dogs (86/162).
The best performing machine-learning model was XGBoost, with an AUC of 0.9502 and accuracy of 89.1%, outperforming Ridge, AdaBoost, and Naive Bayes models.
Preoperative-only XGBoost models were less accurate, with AUC dropping to 0.8271 and accuracy to 71.9%.
Top predictive features (by SHAP analysis) included:
- T2-weighted to L2 spinal cord signal ratio (lower values predicted better outcome)
- Use of fenestration (presence associated with better recovery)
- Hospitalization duration
- Imaging modality used
- Duration of nonambulatory status
Machine learning provided better insight into prognostic factors than traditional statistical methods.
Veterinary Surgery
4
2025
Machine-learning-based prediction of functional recovery in deep-pain-negative dogs after decompressive thoracolumbar hemilaminectomy for acute intervertebral disc extrusion
2025-4-VS-low-3
In Poggi 2025 et al., on laparoscopic cholecystectomy in cats, what was the median operating time for the procedure alone?
🔍 Key Findings
- Laparoscopic cholecystectomy (LC) was successfully performed in all 22 cats without conversion to open surgery.
- Complication rate was low: 3 cats had postoperative complications (1 seroma, 1 vomiting, 1 EHBDO and death).
- Median operating time was 41 minutes; median hospitalization was 3 days.
- No cases required conversion to open laparotomy, even in cats as small as 2.5 kg.
- Common devices used: Hemoclips or Hem-o-lok for cystic duct ligation; Ligasure, harmonic scalpel, or j-hook for dissection.
- Most common indications: cholelithiasis (9/22) and cholecystitis (10/22), with one biliary mucocele and one adenoma.
- Histopathology confirmed diagnosis in all cases; concurrent liver or intestinal biopsies were performed in some cats.
- Postoperative AUS and bloodwork were routine and important for detecting early signs of EHBDO.
Veterinary Surgery
5
2025
Laparoscopic cholecystectomy in 22 cats (2018–2024)
2025-5-VS-poggi-3
In Oramas 2025 et al., on laparoscopic liver lobectomy, how many right lateral liver lobectomies were successfully performed?
🔍 Key Findings
- 13 cadaver dogs underwent laparoscopic right lateral liver lobectomy in sternal recumbency using a transdiaphragmatic intrathoracic trocar (ITT).
- All lobectomies were successful, regardless of dog size.
- Median total surgical time: 35.5 min; median lobectomy time: 18.5 min.
- ITT port enhanced visualization and access to hilus.
- No correlation between body weight and hilus access (p = .78).
- Stronger correlation between liver lobe weight and lobectomy time (r = .73, p = .004).
- Complication in 3/13 cases: Loss of insufflation due to balloon-tip port failure and pneumothorax.
- Recommendation: Use a new balloon trocar per case in clinical applications to prevent failure.
Veterinary Surgery
4
2025
Evaluation of sternal recumbency for laparoscopic right lateral liver lobectomy through a transdiaphragmatic port in a canine cadaveric population
2025-4-VS-oramas-4
In Condon 2024 et al., which statement best describes the impact of fixation method on complication risk?
🔍 Key Findings Summary
- Lateral humeral condylar fractures = 69.8% of cases; medial = 16.2%; Y/T = 14.0%
- Falls/stairs were the inciting trauma in 45.6% of cases; significantly younger dogs were more likely to fracture after major trauma (p = 0.01)
- Complication rate = 22% (10 major, 20 minor); implant migration and seroma most common
- Fixation method had no significant impact on complication rates (p = 0.87)
- Epicondylar comminution was significantly associated with complications (p = 0.02, OR = 3.27)
- Contralateral intracondylar fissure found in 9.8%, none progressed to fracture during study
- Wide inter-center variation in complication rate (5–62%, p = 0.002)
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Humeral Condylar Fractures in French Bulldogs—Inciting Cause and Factors Influencing Complications of Internal Fixation in 136 Dogs
2024-2-VCOT-condon-5
In Scott 2023 et al., on thoracoscopic-assisted lung lobectomy, what proportion of dogs **required conversion to open thoracotomy** during surgery?
🔍 Key Findings
- TA lung lobectomy was feasible in dogs ≥3 kg, including those with lesions up to 10 cm.
- 12 intraoperative complications (40%) occurred, with 6 dogs (20%) converted to open thoracotomy, mainly due to adhesions or inability to isolate lobes.
- Postoperative complications occurred in 8 dogs (27%), most were mild (63%), and only 1 death (3%) was reported.
- Median hospitalization was 47 hours; 29/30 dogs were discharged successfully.
- One-lung ventilation (OLV) was attempted in 7 dogs but successfully maintained in only 4.
- Linear staplers had shorter surgery times (median 57.5 min) than endoscopic staplers (80 min).
- Histopathology confirmed neoplasia in 77% of cases, most commonly papillary and bronchioalveolar carcinoma.
- TA lobectomy allows MIS in smaller dogs or with large lesions, avoiding need for full thoracotomy or complex anesthesia/stapling.
Veterinary Surgery
1
2023
Complications and outcomes of thoracoscopic-assisted lung lobectomy in dogs
2023-1-VS-scott-2
In Nicetto 2024 et al., how much of the patellar craniocaudal thickness does the TRP extraosseous component aim to cover in the sagittal plane?
🔍 Key Findings Summary
- 48 dogs (60 stifles) underwent custom 3D-printed TRP implantation for patellar luxation
- 24 treated with TRP alone; 36 with additional procedures (e.g., DFO, TTT)
- Success rate: 59/60 corrected patellar tracking
- Functional outcome: 57/60 full function, 2 acceptable, 1 unacceptable
- Complication rate: 3 total (2 minor, 1 major recurrence)
- TRP spares cartilage unlike trochleoplasty, offering implant-based ridge augmentation
- No implant loosening or infection observed
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Trochlear Ridge Prostheses for Reshaping Femoral Trochlear Ridges in Dogs with Patellar Luxation
2024-2-VCOT-nicetto-4
In Renaud 2025 et al., on biliary peritonitis surgery, what procedure was performed in 94% of dogs?
🔍 Key Findings
Mortality rate: 36% (12/33)
Cholecystectomy performed: 94% of dogs (31/33)
New significant prognostic factors for survival:
- Hyperbilirubinemia (p = .049) — threshold = 60.5 μmol/L
- Use of vasopressors (p = .002)
- Renal dysfunction postoperatively (p = .008)
- Number of postoperative complications (p = .005)
Multivariate model: Total bilirubin and number of complications best predicted survival
Septic vs nonseptic effusion: No significant difference in survival
Diagnostic imaging: Ultrasound sensitivity for extrahepatic biliary rupture = 38%
Most cultured pathogen: E. coli (80% of septic cases)
Veterinary Surgery
2
2025
Clinical findings and prognostic factors for immediate survival in 33 dogs undergoing surgery for biliary peritonitis
2025-2-VS-renaud-5
In Burkhardt 2024 et al., on coagulation testing in liver lobectomy, what did the authors recommend regarding preoperative PT and aPTT testing?
🔍 Key Findings
- 20.6% of dogs had a preoperative prolongation in PT or aPTT, but only 5.6% had both prolonged.
- Hemangiosarcoma was the only tumor type significantly associated with both PT and aPTT prolongation (37.5% of hemangiosarcoma cases, p < .001).
- Dogs with both PT and aPTT prolongations were 6.5× more likely to have emergency surgery (p < .001) and 2.5× more likely to have hemoabdomen (p = .0022).
- 60% of dogs with both PT and aPTT prolongation required blood transfusion (p < .001).
- Only 1.9% of all dogs had both PT and aPTT prolonged by >25%, suggesting limited clinical utility of routine PT/aPTT testing.
- Platelet count <50,000/μL was rare (1.5%) and not associated with PT/aPTT changes or transfusions.
- Routine PT/aPTT testing offers low diagnostic yield in elective liver lobectomy cases.
- Authors recommend case-by-case PT/aPTT screening, especially when hemangiosarcoma or bleeding tendencies are suspected.
Veterinary Surgery
7
2024
Evaluating preoperative coagulation panels in dogs undergoing liver lobectomy for primary liver tumors: A multi-institutional retrospective study
2024-7-VS-burkhardt-4
In Cruciani 2022 et al., on feline pancreaticoduodenostomy, what was the final histopathologic diagnosis following euthanasia?
🔍 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.
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-3
Quiz Results
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