
Your Custom Quiz
In Pilot 2022 et al., on closure methods in sternotomy, what was concluded regarding closure technique choice in large dogs?
🔍 Key Findings
- Overall closure-related complication rate was 14.1%, lower than previously reported (17–78%).
- No clinically meaningful difference in complication rate between orthopedic wire (17.4%) and suture (11.5%) closure methods.
- Dog size (≥20 kg) was the only significant risk factor associated with increased closure-related complications (p = .01).
- Type of closure (wire vs. suture) did not affect risk, even in larger dogs.
- Suture closure showed a non-significant trend toward fewer complications (mean reduction 2.3%, 95% CI: –9.1% to +4.5%).
- Most complications were mild (62%), with only 10 severe cases requiring surgical revision.
- Infection rate was low (2.7%), and not significantly different between wire and suture.
- Suture closure is a valid alternative to wire, including in large dogs, based on this large, multi-institutional study.
Veterinary Surgery
6
2022
Comparison of median sternotomy closure‐related complication rates using orthopedic wire or suture in dogs: A multi-institutional observational treatment effect analysis
2022-6-VS-pilot-5
In Johnson 2026 et al., on long-term respiratory outcomes, which statement best describes the observed change in Respiratory Functional Grades (RFGs) after surgery?
🔍 Key Findings
- Long-term respiratory outcomes after BOAS surgery remained improved vs. preoperative values, with no significant decline over time.
- Short-term and long-term Respiratory Functional Grades (RFGs) improved in 81% of dogs, with 34% improving by two grades.
- BOAS indices improved significantly in both short- and long-term follow-ups (mean decrease ~23–25%), supporting sustained benefit.
- No significant difference between short- and long-term BOAS indices (p = .623), indicating durability of surgical effects.
- Obesity impacted outcomes — dogs with increased RFG at long-term follow-up were more likely to have gained weight.
- Owner-reported outcomes poorly correlated with objective measures — some dogs classified as BOAS-affected were perceived by owners as “normal.”
- Multilevel surgery was common, with palatoplasty, tonsillectomy, sacculectomy, and ala-vestibuloplasty most frequently performed.
- Dogs undergoing revision airway surgery were excluded, possibly biasing long-term outcomes toward favorable results.
Veterinary Surgery
1
2026
Comparison of short- and long-term objective respiratory outcomes after surgery for brachycephalic obstructive airway syndrome
2026-1-VS-johnson-2
In Griffin 2025 et al., on sentinel lymph mapping, which method provided surgical planning advantages before dissection?
🔍 Key Findings
- Six dogs with thyroid carcinoma underwent preoperative CT lymphography (CTL) and intraoperative sentinel lymph node (SLN) mapping using methylene blue (MB) and indocyanine green (ICG) with near-infrared (NIR) imaging.
- SLNs were successfully identified in all dogs (6/6).
- SLNs included medial retropharyngeal, cranial deep cervical, and superficial cervical nodes.
- Metastatic carcinoma was found in 3/12 SLNs, in 2/6 dogs.
- Some discordance occurred between CTL and intraoperative SLN findings (partial match in 3/6).
- Protocol modifications (e.g., reduced dye volume, post-exposure injection) improved localization and minimized dye diffusion.
- No intraoperative complications or adverse events occurred.
- Study supports further investigation of combined SLN mapping techniques in canine thyroid cancer.
Veterinary Surgery
4
2025
A combination of pre‐ and intraoperative techniques identifies sentinel lymph nodes in dogs with thyroid carcinoma: A pilot study
2025-4-VS-griffin-5
In Forzisi 2025 et al., on femoral growth post-THR, which femoral region showed significantly reduced growth in operated limbs?
🔍 Key Findings
Population: 24 dogs (<8.5 months) undergoing unilateral cementless THR.
Growth Impact:
- Operated femurs showed ~11.5% less trochanteric growth than controls (p = .002).
- No significant difference in femoral diaphyseal + epiphyseal length (p = .712) or femur overall (p = .465).
Cortical Width:
- Increased significantly at 10 mm distal to trochanter (4.6% increase, p = .037) and at 50% femoral length (8.5% increase, p = .030).
Clinical relevance: Despite measurable changes, no clinically significant impairment to femoral length occurred.
Effect Sizes:
- Moderate negative for trochanteric growth.
- Moderate positive for proximal femoral width.
Veterinary Surgery
1
2025
Evaluation of the effects of cementless total hip replacement on femoral length in skeletally immature dogs
2025-1-VS-forzisi-1
In Enright 2022 et al., on adrenalectomy outcomes, what was the median survival time of dogs that survived to discharge?
🔍 Key Findings
- 83% of dogs survived to discharge after adrenalectomy for pheochromocytoma.
- Median survival time post-discharge was 1169 days (3.2 years).
- Preoperative alpha-blocker therapy (e.g., phenoxybenzamine) was not associated with improved survival.
- Dogs receiving alpha-blockers had higher intraoperative systolic BP, with median values 170 mmHg vs. 142 mmHg in non-treated dogs (P = .01).
- Intraoperative arrhythmias occurred in 30% of cases, with no difference between dogs receiving alpha-blockers and those not.
- Histologic vascular invasion occurred in ~70% of tumors.
- Tumor recurrence was suspected in 3 dogs, and metastasis in 8 dogs, though not histologically confirmed in most cases.
- Postoperative complications included refractory hypotension, acute kidney injury, and hypertension persisting >48 hours in 10 dogs.
Veterinary Surgery
3
2022
Short‐ and long‐term survival after adrenalectomy in 53 dogs with pheochromocytomas with or without alpha‐blocker therapy
2022-3-VS-enright-4
In Banks 2023 et al., on TECA-LBO in brachycephalic dogs, how did the surgical time compare between EBBs and other breeds?
🔍 Key Findings
- Extreme brachycephalic breeds (EBBs) presented more acutely and at younger ages, most often with neurological signs compared to other breeds.
- Preoperative signs such as facial nerve paresis, vestibular syndrome, and Horner’s syndrome were significantly more common in EBBs.
- EBBs showed more severe imaging findings, including higher rates of otitis interna (46.3% vs. 8.5%) and brainstem changes (17.5% vs. 3%).
- Intraoperative complications were more frequent in EBBs (11.1% vs. 5.3%), but this difference did not reach statistical significance (p = .078).
- Perioperative complication rates did not differ significantly between EBBs and other breeds (23.5% vs. 29.3%).
- Surgical time was significantly longer in EBBs (median 115 vs. 95 minutes; p = .011).
- MRI or combined CT/MRI were more frequently used in EBBs, likely due to the higher prevalence of neurological signs.
- Despite anatomical challenges, complication rates in EBBs were comparable, supporting TECA-LBO safety in these breeds.
Veterinary Surgery
5
2023
Influence of extreme brachycephalic conformation on perioperative complications associated with total ear canal ablation and lateral bulla osteotomy in 242 dogs (2010–2020)
2023-5-VS-banks-3
In Nash 2024 et al., on esophageal pH monitoring, what percentage of dogs experienced proximal GER events during the recording period?
🔍 Key Findings
- Esophageal pH-monitoring was well tolerated in all 35 nonbrachycephalic dogs, with no major adverse events reported.
- Distal GER occurred in 80% of dogs, but events were typically brief and non-productive; proximal GER occurred in only 39%.
- Upper reference limits for GER were 2.4 events/hour (distal) and 0.4 events/hour (proximal).
- Cumulative acid exposure was minimal: upper limits were 2.3% (distal) and 0% (proximal).
- Comparison with brachycephalic dogs shows significantly higher GER frequency and duration, validating the diagnostic utility of pH monitoring.
- Transnasal probe placement under light anesthesia was safe and less morbid compared to percutaneous or conscious techniques.
- No expelled or productive regurgitation occurred, despite some GER events, indicating efficient esophageal clearance in healthy dogs.
- Diet and fasting duration may affect GER, but these were not controlled variables in this study.
Veterinary Surgery
8
2024
Esophageal pH‐monitoring in nonbrachycephalic dogs: A reference
2024-8-VS-nash-4
In Lhuillery 2022 et al., on GDV stabilization timing, what was the observed difference in survival between immediate and delayed surgical 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.
Veterinary Surgery
5
2022
Outcomes of dogs undergoing surgery for gastric dilatation volvulus after rapid versus prolonged medical stabilization
2022-5-VS-lhuillery-1
In Thomsen 2024 et al., on CT accuracy for liver tumors, which anatomical level had the highest accuracy?
🔍 Key Findings
- CT localization of liver masses was more accurate by division (88%) than by lobe (74.3%)
- Inter-radiologist agreement was excellent for division (kappa up to 0.885) and only moderate–good for lobe
- Quadrate and right lateral lobes had significantly lower localization accuracy compared to left lateral or medial lobes
- CT localization of the left division was most accurate (90.1%) compared to central (77.1%) and right (88.3%)
- Portal and hepatic venous phases were equally helpful for localization (each ~30–38% usefulness)
- No significant associations found between histopathologic diagnosis and localization accuracy
- Lobe-level CT localization should be interpreted with caution, especially for the quadrate and right lateral lobes
- Radiologist experience likely influenced accuracy, with the most experienced radiologist performing best
Veterinary Surgery
7
2024
Computed tomography scan accuracy for the prediction of lobe and division of liver tumors by four board-certified radiologists
2024-7-VS-thomsen-1
In Peng 2025 et al., on grading reliability, … what was the overall interobserver reliability among expert remote graders?
🔍 Key Findings
- Remote respiratory function grading (RFG) had poor to moderate reliability compared to in-person assessment.
- Expert graders had higher agreement with in-person scores than novices (Cohen’s kappa 0.37–0.48 vs. 0.21–0.47).
- Interobserver agreement was moderate among experts (Fleiss’ kappa = 0.59) and poor among novices (Fleiss’ kappa = 0.39).
- Remote recordings suffered from background noise, short clip durations, and technical limitations of electronic stethoscope recordings.
- Final RFG scores were based on the highest grade across categories (respiratory noise, inspiratory effort, dyspnea/cyanosis/syncope).
- Clinical impact: Only in-person grading reliably supports decisions for surgical intervention or breeding restrictions.
Veterinary Surgery
3
2025
Comparison of remote and in-person respiratory function grading of brachycephalic dogs
2025-3-VS-peng1-1
Quiz Results
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Key Findings
