Your Custom Quiz

In Pilot 2022 et al., on closure methods in sternotomy, what was concluded regarding closure technique choice in large dogs?

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Correct. Dog size increased risk of complications, but closure method did not alter this risk.
Incorrect. The correct answer is Closure material choice does not affect risk in large dogs.
Dog size increased risk of complications, but closure method did not alter this risk.

🔍 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.

Pilot

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

Article Title: Comparison of median sternotomy closure‐related complication rates using orthopedic wire or suture in dogs: A multi-institutional observational treatment effect analysis

Journal: Veterinary Surgery

In Johnson 2026 et al., on long-term respiratory outcomes, which statement best describes the observed change in Respiratory Functional Grades (RFGs) after surgery?

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Correct. In 81% of dogs, RFGs improved after surgery and remained stable in the long term, with no significant decline.
Incorrect. The correct answer is Grades improved and remained stable in most dogs.
In 81% of dogs, RFGs improved after surgery and remained stable in the long term, with no significant decline.

🔍 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.

Johnson

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

Article Title: Comparison of short- and long-term objective respiratory outcomes after surgery for brachycephalic obstructive airway syndrome

Journal: Veterinary Surgery

In Griffin 2025 et al., on sentinel lymph mapping, which method provided surgical planning advantages before dissection?

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Correct. CTL allowed for non-invasive identification of SLNs and their location relative to vital structures.
Incorrect. The correct answer is Preoperative indirect CT-lymphography (CTL).
CTL allowed for non-invasive identification of SLNs and their location relative to vital structures.

🔍 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.

Griffin

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

Article Title: A combination of pre‐ and intraoperative techniques identifies sentinel lymph nodes in dogs with thyroid carcinoma: A pilot study

Journal: Veterinary Surgery

In Forzisi 2025 et al., on femoral growth post-THR, which femoral region showed significantly reduced growth in operated limbs?

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Correct. Cementless THR reduced trochanteric growth by 11.5% compared to controls (p = .002).
Incorrect. The correct answer is Greater trochanter.
Cementless THR reduced trochanteric growth by 11.5% compared to controls (p = .002).

🔍 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.

Forzisi

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

Article Title: Evaluation of the effects of cementless total hip replacement on femoral length in skeletally immature dogs

Journal: Veterinary Surgery

In Enright 2022 et al., on adrenalectomy outcomes, what was the median survival time of dogs that survived to discharge?

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Correct. Dogs surviving to discharge had a median survival time of 1169 days (3.2 years).
Incorrect. The correct answer is 1169 days.
Dogs surviving to discharge had a median survival time of 1169 days (3.2 years).

🔍 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.

Enright

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

Article Title: Short‐ and long‐term survival after adrenalectomy in 53 dogs with pheochromocytomas with or without alpha‐blocker therapy

Journal: Veterinary Surgery

In Banks 2023 et al., on TECA-LBO in brachycephalic dogs, how did the surgical time compare between EBBs and other breeds?

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Correct. Median surgical time was significantly longer in EBBs (115 min) than in OBs (95 min) (p = .011).
Incorrect. The correct answer is EBBs had significantly longer times.
Median surgical time was significantly longer in EBBs (115 min) than in OBs (95 min) (p = .011).

🔍 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.

Banks

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

Article Title: Influence of extreme brachycephalic conformation on perioperative complications associated with total ear canal ablation and lateral bulla osteotomy in 242 dogs (2010–2020)

Journal: Veterinary Surgery

In Nash 2024 et al., on esophageal pH monitoring, what percentage of dogs experienced proximal GER events during the recording period?

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Correct. Only 12 of 31 dogs with dual sensors had proximal GER, corresponding to 39%.
Incorrect. The correct answer is 39%.
Only 12 of 31 dogs with dual sensors had proximal GER, corresponding to 39%.

🔍 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.

Nash

Veterinary Surgery

8

2024

Esophageal pH‐monitoring in nonbrachycephalic dogs: A reference

2024-8-VS-nash-4

Article Title: Esophageal pH‐monitoring in nonbrachycephalic dogs: A reference

Journal: Veterinary Surgery

In Lhuillery 2022 et al., on GDV stabilization timing, what was the observed difference in survival between immediate and delayed surgical groups?

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Correct. Survival outcomes were similar between groups, with approx. 80% survival in both.
Incorrect. The correct answer is There was no significant difference in survival between groups.
Survival outcomes were similar between groups, with approx. 80% survival in both.

🔍 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-1

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

Journal: Veterinary Surgery

In Thomsen 2024 et al., on CT accuracy for liver tumors, which anatomical level had the highest accuracy?

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Correct. Accuracy was 88% when localizing by division, compared to 74.3% at the lobe level.
Incorrect. The correct answer is Liver division.
Accuracy was 88% when localizing by division, compared to 74.3% at the lobe level.

🔍 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

Thomsen

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

Article Title: Computed tomography scan accuracy for the prediction of lobe and division of liver tumors by four board-certified radiologists

Journal: Veterinary Surgery

In Peng 2025 et al., on grading reliability, … what was the overall interobserver reliability among expert remote graders?

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Correct. This value reflects moderate agreement among expert graders using remote recordings.
Incorrect. The correct answer is Fleiss’ kappa = 0.59.
This value reflects moderate agreement among expert graders using remote recordings.

🔍 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.

Peng

Veterinary Surgery

3

2025

Comparison of remote and in-person respiratory function grading of brachycephalic dogs

2025-3-VS-peng1-1

Article Title: Comparison of remote and in-person respiratory function grading of brachycephalic dogs

Journal: Veterinary Surgery

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