Your Custom Quiz

In Kuvaldina 2023 et al., in Minimally invasive axillary lymphadenectomy in dogs, what was the most common reason for conversion from endoscopic to open axillary lymph node excision?

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Correct. One clinical case required conversion due to inability to elevate the axillary node into the dissection field.
Incorrect. The correct answer is Lymph node immobility preventing elevation.
One clinical case required conversion due to inability to elevate the axillary node into the dissection field.

🔍 Key Findings

  • A minimally invasive endoscopic technique was successfully developed for excisional biopsy of axillary lymph nodes in dogs.
  • The procedure was performed on 4 cadavers (6 limbs) and 3 clinical patients, with no major complications reported.
  • Mean cadaveric time: accessory axillary node 5.1 min; axillary node 33 min. One limb had a double axillary node.
  • In clinical cases, 2/3 were completed endoscopically; one required conversion to open due to node elevation difficulty.
  • Surgical times in clinical cases ranged from 35 to 58 minutes, depending on node accessibility and number.
  • Postoperative morbidity was minimal: no lymphedema, minor seroma or lameness resolved quickly.
  • The SILS port approach enabled effective access, though precise placement was critical to visualization.
  • This is the first reported veterinary endoscopic technique for axillary lymphadenectomy; potential for improved staging and reduced morbidity.

Kuvaldina

Veterinary Surgery

7

2023

Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

2023-7-VS-kuvaldina-1

Article Title: Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

Journal: Veterinary Surgery

In De Moya 2023 et al., on femoral pinning outcomes, which finding was associated with reduced success of FGPP?

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Correct. Fractures with mild displacement had better outcomes and higher success with closed reduction.
Incorrect. The correct answer is Moderate to severe fracture displacement.
Fractures with mild displacement had better outcomes and higher success with closed reduction.

🔍 Key Findings

  • FGPP (fluoroscopic-guided percutaneous pinning) resulted in successful healing in 10/13 fractures, with good limb function.
  • Complications occurred in 5 of 11 cases, including intra-articular implants, malunion, implant failure/nonunion, and implant migration.
  • Cases with delayed surgery (>15 days) or radiographic remodeling were more likely to experience major complications.
  • Most fractures (10/13) were classified as Salter-Harris type I with mild displacement.
  • Median surgical time was 60 minutes, and no conversions to open surgery were needed.
  • Postoperative femoral neck resorption was minimal, suggesting possible benefits of the minimally invasive approach for preserving vascular supply.
  • One intra-articular pin led to progressive joint disease and required femoral head ostectomy.
  • FGPP appears best suited for acute, minimally displaced fractures in young dogs (<8 months) with planned elective explant to avoid growth disturbance.

De Moya

Veterinary Surgery

6

2023

Closed reduction and fluoroscopic‐guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

2023-6-VS-demoya-3-f5012

Article Title: Closed reduction and fluoroscopic‐guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

Journal: Veterinary Surgery

In Dickson 2024 et al., on VATS for feline chylothorax, what percentage of cats required conversion to open surgery?

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Correct. Conversion was required in 3 of 15 cases (20%) due to bleeding or poor visualization.
Incorrect. The correct answer is 20%.
Conversion was required in 3 of 15 cases (20%) due to bleeding or poor visualization.

🔍 Key Findings

  • Objective: To evaluate outcomes and complications of video-assisted thoracoscopic surgery (VATS) for idiopathic chylothorax in 15 cats.
  • All 15 cats underwent thoracoscopic thoracic duct ligation (TDL); 13 also had simultaneous pericardectomy, 2 had VATS TDL + laparoscopic cisterna chyli ablation (CCA), and 1 cat had an open CCA.
  • Median surgical time was 152.5 minutes (range 60–255).
  • Contrast was used intraoperatively in 13 cats; 11 received methylene blue, and 2 received indocyanine green (ICG).
  • One intraoperative complication (6%) occurred — a minor intercostal artery laceration. Conversion to open surgery occurred in 3 cases (20%) due to visualization issues or bleeding.
  • Postoperative complications occurred in 8 cats (53%), with persistent pleural effusion in 5 cats (33%) being the most common.
  • Mortality was high: 4 cats (27%) died or were euthanized before discharge. Only 7 of 11 cats discharged had resolution of effusion, and recurrence occurred in 1.
  • Authors concluded that while VATS is technically feasible in cats, it did not improve clinical outcomes compared to open surgery, and feline idiopathic chylothorax continues to have a high mortality rate.

Dickson

Veterinary Surgery

5

2024

Outcome of video-assisted thoracoscopic treatment of idiopathic chylothorax in 15 cats

2024-5-VS-dickson-2

Article Title: Outcome of video-assisted thoracoscopic treatment of idiopathic chylothorax in 15 cats

Journal: Veterinary Surgery

In Enright 2022 et al., on adrenalectomy outcomes, which postoperative complication occurred in dogs and may support use of anticoagulants in hypertensive cases?

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Correct. Thromboembolic events were suspected in 3 of the 9 dogs that died postoperatively, particularly in those with difficult-to-control hypertension.
Incorrect. The correct answer is Thromboembolic events.
Thromboembolic events were suspected in 3 of the 9 dogs that died postoperatively, particularly in those with difficult-to-control hypertension.

🔍 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-5

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

Journal: Veterinary Surgery

In Clarke 2022 et al., on nasopharyngeal collapse severity, what explanation was proposed for lack of improvement in some dogs after surgery?

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Correct. Neuromuscular dysfunction was suggested as a possible reason why some dogs did not show improved nasopharyngeal patency post-op.
Incorrect. The correct answer is Inadequate airway dilator muscle function.
Neuromuscular dysfunction was suggested as a possible reason why some dogs did not show improved nasopharyngeal patency post-op.

🔍 Key Findings

  • Nasopharyngeal collapse was significantly more severe in brachycephalic dogs (median 65%) than in nonbrachycephalic controls (median 10%) (p = .0001).
  • Postoperative fluoroscopy showed no significant improvement in nasopharyngeal collapse (p = .0505), despite reported clinical improvement.
  • 70% of brachycephalic dogs had ≥50% collapse; 26% had 100% collapse preoperatively.
  • All owners of surgical cases reported clinical improvement, including reduced respiratory noise and improved exercise tolerance.
  • Surgical techniques used included combinations of alaplasty, staphylectomy, sacculectomy, and tonsillectomy.
  • Improvement in nasopharyngeal dimensions was variable, with some dogs improving ≥45%, some worsening, and one dog showing a 100% increase post-op.
  • Pharyngeal collapse may not be solely anatomical; neuromuscular dysfunction (e.g., reduced pharyngeal dilator muscle function) may contribute.
  • Current surgical techniques may not address functional airway abnormalities, suggesting a need for multimodal or targeted interventions.

Clarke

Veterinary Surgery

6

2022

Severity of nasopharyngeal collapse before and after corrective upper airway surgery in brachycephalic dogs

2022-6-VS-clarke-5

Article Title: Severity of nasopharyngeal collapse before and after corrective upper airway surgery in brachycephalic dogs

Journal: Veterinary Surgery

In Poggi 2024 et al., on laparoscopic resection of pancreatic masses in dogs, what postoperative complication occurred in one dog but resolved without intervention?

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Correct. One dog experienced transient hyperglycemia post-op, which resolved in 24 hours.
Incorrect. The correct answer is Hyperglycemia.
One dog experienced transient hyperglycemia post-op, which resolved in 24 hours.

🔍 Key Findings

  • Laparoscopic pancreatic mass resection (LPMR) was successfully performed in all 12 dogs, with no conversion to open laparotomy required.
  • Median operative time was 69 minutes (range 35–100 min); 11/12 dogs were discharged within 48 hours, and one was discharged after 7 days.
  • No major intraoperative complications occurred; minor complications included mild bleeding (2/12) and cannula malfunction (1/12).
  • All dogs survived the procedure and were discharged.
  • Histopathology confirmed neoplasia in all dogs: 9 insulinomas and 3 pancreatic carcinomas; all tumors were completely excised with clear margins.
  • No recurrences were reported; 3 dogs died of unrelated causes, and 9 were still alive at the time of reporting.
  • No postoperative hypoglycemia was observed; 1 dog had transient hyperglycemia, and minor complications included vomiting, idiopathic seizures, and pancreatitis, all of which resolved.
  • Authors concluded that LPMR is a safe, effective, and minimally invasive alternative to open surgery for selected distal pancreatic masses in dogs.

Poggi

Veterinary Surgery

5

2024

Laparoscopic resection of pancreatic masses in 12 dogs

2024-5-VS-poggi-4

Article Title: Laparoscopic resection of pancreatic masses in 12 dogs

Journal: Veterinary Surgery

In Huerta 2025 et al., on leakage in canine lung lobectomy, how did PL-60 perform compared to PL-30 in terms of leakage pressure?

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Correct. PL-60 group had significantly higher median leakage pressure than PL-30 (18 vs 10 cm H₂O, p = .006).
Incorrect. The correct answer is PL-60 had higher pressure resistance.
PL-60 group had significantly higher median leakage pressure than PL-30 (18 vs 10 cm H₂O, p = .006).

🔍 Key Findings

PL-30 group (partial, TA30-V3 wedge):

  • 100% leaked
  • Median leakage pressure: 10 cm H₂O
  • Most failures from periphery of staple line

PL-60 group (partial, TA60-3.5):

  • 100% leaked
  • Median leakage pressure: 18 cm H₂O
  • Better than PL-30 (p = .006)

TL-30 group (total, TA30-V3):

  • Only 1 of 11 leaked (at 22 cm H₂O)
  • All others resisted pressures >50–65 cm H₂O
  • Significantly higher leakage pressure than both PL groups (p < .001)

Odds ratios (leakage vs TL-30):

  • PL-30: OR 437 at both 20 and 30 cm H₂O (p = .003)
  • PL-60: OR 437 at 20 cm H₂O and 133 at 30 cm H₂O (p = .003)

Recommendation: Prefer TL-30 when possible. If partial needed, PL-60 superior to PL-30, but all partials leaked at physiologic pressures.

Huerta

Veterinary Surgery

4

2025

Leakage pressures of partial and total lung lobectomies performed with thoracoabdominal staplers in cadaveric dogs

2025-4-VS-huerta-4

Article Title: Leakage pressures of partial and total lung lobectomies performed with thoracoabdominal staplers in cadaveric dogs

Journal: Veterinary Surgery

In Caiazzo 2025 et al., on suture material comparison, which variable was also significantly associated with incisional dehiscence?

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Correct. Signs of inflammation at the incision site were strongly associated with dehiscence (p < .001).
Incorrect. The correct answer is Signs of inflammation.
Signs of inflammation at the incision site were strongly associated with dehiscence (p < .001).

🔍 Key Findings

  • No significant difference in non-infected incisional dehiscence rates among groups using PDS vs. Monocryl for subcutaneous and skin closure.
  • Overall dehiscence rate: 9.48% (22/232 dogs).
  • Postoperative antibiotic use and signs of inflammation were significantly associated with dehiscence (p = .023 and p < .001, respectively).
  • Dogs not receiving postoperative antibiotics had a higher dehiscence rate (14.74%) than those that did (5.84%).
  • Most dehiscence cases were superficial (85.7%), and the average length of dehiscence was 1.71 cm.
  • No statistically significant impact of weight, BCS, incision length, procedure type, surgeon experience, closure direction, or barrier use on dehiscence rate.

Caiazzo

Veterinary Surgery

3

2025

Impact of suture materials polydioxanone and poliglecaprone 25 on non-infected clean orthopedic stifle procedure incisional dehiscence rates

2025-3-VS-caiazzo-4

Article Title: Impact of suture materials polydioxanone and poliglecaprone 25 on non-infected clean orthopedic stifle procedure incisional dehiscence rates

Journal: Veterinary Surgery

In Fracka 2025 et al., on cementless knee replacement, what did histology confirm about the implant-bone interface?

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Correct. Histology revealed robust osseointegration and new bone growth into porous surfaces of both components【57†Veterinary Surgery†L1-L20】
Incorrect. The correct answer is Extensive osseointegration with new bone formation.
Histology revealed robust osseointegration and new bone growth into porous surfaces of both components【57†Veterinary Surgery†L1-L20】

🔍 Key Findings

Subject: 7-year-old Labrador underwent cementless total knee replacement (TKR) due to severe stifle OA.

Clinical function:

  • Improved ROM from 90° pre-op to 120° post-op.
  • Weight-bearing increased from toe-touching to 70% bodyweight by 6 weeks post-op.
  • No visible lameness by 14 weeks.

Implant performance:

  • No complications at any follow-up points.
  • No osteolysis, loosening, or metallosis at 6-year necropsy.

Wear evaluation:

  • Mild UHMWPE insert wear, localized to caudal edges.

Histologic findings:

  • Robust osseointegration at implant-bone interface.
  • Fibrous tissue only in areas lacking porous coating.

Conclusion:

  • Cementless TKR demonstrated excellent 6-year survival and functional outcomes.
  • Support for considering early surgical intervention in severe stifle OA.

Fracka

Veterinary Surgery

3

2025

Long‐term clinical outcomes and retrieval analysis of a cementless total knee replacement in a dog

2025-3-VS-fracka-4

Article Title: Long‐term clinical outcomes and retrieval analysis of a cementless total knee replacement in a dog

Journal: Veterinary Surgery

In Berthomé 2025 et al., on prophylactic fenestration in cervical IVDE, which statement best describes complication rates between PF and non-PF groups?

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Correct. There was no statistically significant difference in complication rates (p = .838).
Incorrect. The correct answer is Both groups had similar complication rates.
There was no statistically significant difference in complication rates (p = .838).

🔍 Key Findings

  • Prophylactic fenestration (PF) significantly reduced recurrence of cervical intervertebral disc extrusion (0% vs. 37.8%, p < .001).
  • Surgery time was longer with PF (median 182 vs. 110 min, p = .017), but no difference in perioperative complication rates (PF 16.7%, non-PF 18.9%; p = .838).
  • 25% overall recurrence rate, but all recurrences occurred in the non-PF group.
  • Medical management was effective in 92.9% of recurrence cases.
  • Most PF sites targeted adjacent discs; 88.9% were at adjacent levels, which are common recurrence sites.
  • Neurologic outcomes were similar between PF and non-PF dogs post-surgery and at follow-up.
  • Fenestration technique (blade vs. burr) not shown to affect outcome but contributed to extended surgical time.
  • No major complications or deaths linked directly to PF in initial surgeries.

Berthomé

Veterinary Surgery

6

2025

Recurrence of cervical intervertebral disc extrusion in 55 dogs after surgical decompression with or without prophylactic fenestration

2025-6-VS-berthome-4

Article Title: Recurrence of cervical intervertebral disc extrusion in 55 dogs after surgical decompression with or without prophylactic fenestration

Journal: Veterinary Surgery

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