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In Lhuillery 2022 et al., on GDV stabilization timing, which intraoperative finding had a high mortality rate regardless of timing group?

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Correct. Partial gastrectomy was associated with poor outcomes in both immediate and delayed groups.
Incorrect. The correct answer is Gastric wall necrosis requiring partial gastrectomy.
Partial gastrectomy was associated with poor outcomes in both immediate and delayed groups.

🔍 Key Findings

  • Survival rates did not differ between immediate (90 min) and delayed (≥5 h) surgical stabilization groups at discharge or 1-month post-op (approx. 80% survival in both).
  • Hyperlactatemia at 24 hours post-fluid therapy was significantly associated with in-hospital and 1-month mortality (P = .01 and P = .02).
  • Persistent tachycardia during hospitalization was linked to increased 1-month mortality (P = .015).
  • Partial gastrectomy was required in ~6–10% of cases, with high associated mortality.
  • Preoperative stabilization protocols (trocarization, nasogastric tube) allowed safe surgical delays up to 13.7 hours without impacting survival.
  • Degree of gastric torsion differed between groups; more 0° torsions in delayed cases, potentially due to decompression-induced derotation.
  • No difference in post-op complications such as arrhythmias, hypotension, or AKI between groups.
  • More intra-anesthetic deaths occurred in immediate surgery group, highlighting importance of adequate pre-op stabilization.

Lhuillery

Veterinary Surgery

5

2022

Outcomes of dogs undergoing surgery for gastric dilatation volvulus after rapid versus prolonged medical stabilization

2022-5-VS-lhuillery-5

Article Title: Outcomes of dogs undergoing surgery for gastric dilatation volvulus after rapid versus prolonged medical stabilization

Journal: Veterinary Surgery

In Larose 2024 et al., on fluorescence cholangiography, what is the recommended clinical protocol for ICG in urgent laparoscopic procedures?

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Correct. If 3–5 h delay isn’t possible, dosing at premed is still effective and recommended.
Incorrect. The correct answer is 0.05 mg/kg with premedication.
If 3–5 h delay isn’t possible, dosing at premed is still effective and recommended.

🔍 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-larose2-5

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

Journal: Veterinary Surgery

In Zweig 2025 et al., on healed tibial tuberosity avulsion fractures, which radiographic change was associated with surgical management?

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Correct. Surgical fixation resulted in increased axial (distal) tibial tuberosity position compared with normal stifles.
Incorrect. The correct answer is Increased axial tibial tuberosity position.
Surgical fixation resulted in increased axial (distal) tibial tuberosity position compared with normal stifles.

🔍 Key Findings

  • Surgically managed TTAF resulted in excellent clinical outcomes at skeletal maturity, with all dogs having normal limb function and no stifle instability.
  • Surgical treatment significantly altered proximal tibial morphology, including decreased tibial plateau angle (TPA) and increased patellar position (PP) compared with the contralateral limb.
  • Axial tibial tuberosity position (TTP-A) increased and transverse position (TTP-T) decreased in surgically treated stifles, indicating distal and caudal tuberosity migration.
  • Non-surgically managed TTAF did not significantly alter tibial morphology or PP, but outcomes were more variable.
  • Medial patellar luxation developed in 2/6 non-surgically treated dogs, whereas none occurred in surgically managed cases.
  • Pins-only and pin–tension band constructs produced similar radiographic changes and outcomes.
  • Despite morphologic changes, no dogs developed cruciate ligament instability at follow-up.
  • Non-surgical management yielded good to excellent owner-reported outcomes, but carried a potential increased risk of patellar luxation.

Zweig

Veterinary and Comparative Orthopaedics and Traumatology

6

2025

Treatment outcome and radiographic appearance of healed tibial tuberosity avulsion fractures in skeletally mature dogs: 21 cases (2016–2023)

2025-6-VCOT-zweig-4

Article Title: Treatment outcome and radiographic appearance of healed tibial tuberosity avulsion fractures in skeletally mature dogs: 21 cases (2016–2023)

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Morgera 2022 et al., on stifle surgery draping methods, what was the overall infection-inflammation rate reported across all dogs?

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Correct. 4.56% of dogs had infection-inflammation, with no difference between draping methods.
Incorrect. The correct answer is 4.6%.
4.56% of dogs had infection-inflammation, with no difference between draping methods.

🔍 Key Findings

  • No significant difference in infection-inflammation rates between single-layer Kraton drapes and traditional double-layer draping at both 21 days and 6 months postop.
  • Infection-inflammation occurred in 4.56% (36/789) of cases; equally distributed across draping techniques.
  • Tibial tuberosity advancement (TTA) was the most common procedure (61%).
  • Kraton drape features an elastic fenestration that seals without adhesives or towel clamps, offering ecological and workflow advantages.
  • Mean anesthesia duration was similar between groups (~73.8 min), suggesting draping method did not impact overall surgical time.
  • Culture confirmation of infection was low (14 dogs), showing reliance on clinical criteria for diagnosis.
  • Potential benefits of single-layer draping include reduced waste, no need for towel clamps, and ease of use without increased risk.
  • Limitations included subjective follow-up (nearly 30% indirect via phone/images) and antimicrobial usage in all cases.

Morgera

Veterinary Surgery

3

2022

Surgical site infection‐inflammation in dogs draped with a single‐layer Kraton elastic seal extremity drape for stifle surgery

2022-3-VS-morgera-1

Article Title: Surgical site infection‐inflammation in dogs draped with a single‐layer Kraton elastic seal extremity drape for stifle surgery

Journal: Veterinary Surgery

In Healy 2025 et al., on incidental PBBs, which lung lobe was most frequently affected?

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Correct. 35% of the PBBs were located in the left caudal lung lobe.
Incorrect. The correct answer is Left caudal lobe.
35% of the PBBs were located in the left caudal lung lobe.

🔍 Key Findings

Population: 2,178 canine CTs reviewed retrospectively.
Prevalence: Incidental PBBs found in 1.37% (30/2178).
Outcome: None of the dogs with incidental PBBs developed clinical spontaneous pneumothorax (SP) over a median follow-up of 1255 days.
Significant Associations:

  • Age: Dogs with PBBs were significantly older (median 10.5 yrs vs. 8.2 yrs, p = .001).
  • CT indication: PBBs more likely during neoplastic staging (p = .006).

PBB Characteristics:

  • Total = 60 PBBs (median 1/dog; range 1–7).
  • Location: 35% in left caudal, 31.6% right caudal, only 13.3% in right cranial lobe.
  • Size-based: 25 bullae (>10 mm), 35 blebs (≤10 mm).

Conclusion: Prophylactic resection of incidental PBBs not justified given no observed SP risk in this population.

Healy

Veterinary Surgery

1

2025

Significance of incidentally identified bullae and blebs on thoracic computed tomography and prevalence of subsequent pneumothorax in dogs

2025-1-VS-healy-5

Article Title: Significance of incidentally identified bullae and blebs on thoracic computed tomography and prevalence of subsequent pneumothorax in dogs

Journal: Veterinary Surgery

In Hawker 2024 et al., on checklist attitudes, what proportion of ACVS diplomates reported using a surgical safety checklist (SSC)?

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Correct. Survey data indicated 67.9% of respondents used an SSC at their practice.
Incorrect. The correct answer is 67.9%.
Survey data indicated 67.9% of respondents used an SSC at their practice.

🔍 Key Findings

  • 67.9% of respondents reported using SSCs, with most indicating frequent use (64% used in every surgery).
  • 78.7% agreed SSCs reduce complications, and 89.6% believed SSCs improve communication.
  • Respondents not using SSCs were more likely to view them as a waste of time (p < .001).
  • Forgetfulness (39.6%) and time constraints (36.5%) were leading reasons for checklist noncompletion.
  • Only 23.3% had SSC training during surgical residency, with newer diplomates more likely to have had exposure (p < .001).
  • Key strategies to improve uptake included: staff feedback modifications (67.9%), formal designation of initiator (48.6%), and training (52.2%).
  • Surgeons and OR staff were most commonly identified as noncompliant team members.
  • SSC use was more frequent in small animal practices, and mandating SSCs by management was favored but not always effective alone.

Hawker

Veterinary Surgery

5

2024

Attitudes towards surgical safety checklists among American College of Veterinary Surgeons diplomates

2024-5-VS-hawker-1

Article Title: Attitudes towards surgical safety checklists among American College of Veterinary Surgeons diplomates

Journal: Veterinary Surgery

In Beamon 2022 et al., on calcanean tunnel orientation, what was the finding regarding formation of a 3 mm teno-osseous gap?

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Correct. All bone tunnel types showed similar resistance to 3 mm gap formation (P = .347).
Incorrect. The correct answer is No difference among groups.
All bone tunnel types showed similar resistance to 3 mm gap formation (P = .347).

🔍 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-3

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

Journal: Veterinary Surgery

In Adams 2022 et al., on C-section survival rates, which factor was most strongly associated with improved neonatal survival?

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Correct. Survival was significantly higher in elective (99.2%) vs emergency (87.1%) C-sections; this was the strongest predictor in multivariable analysis.
Incorrect. The correct answer is Elective vs emergency C-section.
Survival was significantly higher in elective (99.2%) vs emergency (87.1%) C-sections; this was the strongest predictor in multivariable analysis.

🔍 Key Findings

  • Neonatal survival to discharge was 93.1% overall, with no significant difference between brachycephalic (94.8%) and nonbrachycephalic (91.8%) breeds.
  • Elective C-section significantly improved neonatal survival (99.2%) compared to emergency C-section (87.1%) (p < .001).
  • Larger C-section litter size was positively associated with survival (p = .004; OR 1.57), whereas total litter size had no effect.
  • Maternal heart rate and stage of labor were associated with neonatal mortality in univariable analysis, but not multivariable.
  • Brachycephalism alone was not a risk factor for neonatal mortality (p = .221) in multivariable analysis.
  • Emergency C-section was the strongest predictor of neonatal mortality (OR 4.75), regardless of breed.
  • Multidisciplinary team approach likely contributed to high survival rates, emphasizing importance of coordinated care.
  • Historical factors such as primiparity and maternal age were not associated with mortality in this cohort.

Adams

Veterinary Surgery

7

2022

Risk factors for neonatal mortality prior to hospital discharge in brachycephalic and nonbrachycephalic dogs undergoing cesarean section

2022-7-VS-adams-2

Article Title: Risk factors for neonatal mortality prior to hospital discharge in brachycephalic and nonbrachycephalic dogs undergoing cesarean section

Journal: Veterinary Surgery

In Miller 2025 et al., on spinal drill guide accuracy, what was the reported mean deviation between planned and actual screw entry/exit points?

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Correct. The mean deviation was less than 1 mm across all entry and exit points, supporting guide accuracy.
Incorrect. The correct answer is Less than 2 mm.
The mean deviation was less than 1 mm across all entry and exit points, supporting guide accuracy.

🔍 Key Findings

  • 3D-printed, SOP plate-specific guides enabled safe screw placement from T12–L5 in canine cadavers and models.
  • All 140 screw trajectories were classified as Zdichavski Grade 1, indicating optimal placement without vertebral canal breach.
  • Screw angles (cranial-caudal and transverse) matched preoperative planning, with no significant deviation.
  • Entry/exit point deviations were <1 mm on average, deemed clinically negligible.
  • Drill guides were quick to place (<30 sec per vertebra) and improved ease of surgery.
  • Plates acted as effective reduction tools, guiding alignment during screw placement in mobile spines.
  • Minor technical challenges arose from cadaveric spine mobility, mitigated by sequential screw insertion.
  • Technique may enable future use in fracture/luxation reduction, pending further cadaveric and clinical trials.

Miller

Veterinary Surgery

6

2025

Development and testing of an animal-specific and string-of-pearls (SOP) plate specific, three-dimensionally (3D) printed drilling guide: A proof of concept study for canine thoracolumbar spinal stabilization

2025-6-VS-miller-1

Article Title: Development and testing of an animal-specific and string-of-pearls (SOP) plate specific, three-dimensionally (3D) printed drilling guide: A proof of concept study for canine thoracolumbar spinal stabilization

Journal: Veterinary Surgery

In Vodnarek 2024 et al., on nasopharyngeal fluoroscopy, which method showed the **highest intraobserver agreement** for ΔL?

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Correct. The functional method yielded the highest intraobserver ICC (0.751) for ΔL.
Incorrect. The correct answer is Functional method.
The functional method yielded the highest intraobserver ICC (0.751) for ΔL.

🔍 Key Findings

  • Study population: 36 brachycephalic dogs (20 French bulldogs, 16 pugs).
  • Objective: Compare intra- and interobserver reliability for fluoroscopic measurement of nasopharyngeal collapse using two methods:
    • Functional method
    • Anatomically adjusted method
  • Key measurements: Minimum (LMin), maximum (LMax) dorsoventral height, and dynamic change ratio (ΔL).
  • Outcomes:
    • Intraobserver agreement for ΔL was higher with the functional method (ICC 0.751 vs. 0.576).
    • Observer 1 (radiologist) showed excellent repeatability (>0.9 ICC).
    • Agreement for grading collapse was only moderate (κ ~0.49–0.53), worse than ΔL-based agreement.
    • ΔL ≥ 0.5 to <1 = partial collapse; ΔL = 1 = complete collapse.

Vodnarek

Veterinary Surgery

1

2024

Reliability of fluoroscopic examination of nasopharyngeal dorsoventral dimension change in pugs and French bulldogs

2024-1-VS-vodnarek-2

Article Title: Reliability of fluoroscopic examination of nasopharyngeal dorsoventral dimension change in pugs and French bulldogs

Journal: Veterinary Surgery

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