Your Custom Quiz
In Bresciani 2022 et al., on modified urethrostomy outcomes, what was the reported outcome for voluntary urination post-surgery?
🔍 Key Findings
- Modified prepubic urethrostomy (mPPU) was effective for managing proximal urethral obstructions in male cats.
- All 8 cats regained voluntary urination within 24 hours postoperatively.
- Early urinary incontinence and peristomal dermatitis occurred in all cats but were self-limiting.
- Two cats (25%) required surgical revision due to stomal obstruction from weight gain and abdominal fat.
- No intraoperative complications were reported in any of the 8 cats.
- Follow-up (13–84 months) showed sustained urinary continence and owner satisfaction in all cases.
- The rectus abdominis muscle tunnel likely increased outflow resistance, minimizing persistent incontinence.
- Recurrent hematuria and dysuria occurred in 3 cats but were managed conservatively.
Veterinary Surgery
2
2022
Modified prepubic urethrostomy with body wall tunneling: Description of technique and long-term outcome in eight male cats
2022-2-VS-bresciani-3
In You 2025 et al., on barbed sutures for lung lobectomy, what was the main advantage of barbed sutures compared to traditional sutures?
🔍 Key Findings
- Barbed sutures showed comparable leakage pressure to traditional sutures and stapling devices (p = .36).
- No bronchial leaks occurred at physiological pressure (<20 cmH₂O) in any group.
- Leakage at supraphysiologic pressure (20–80 cmH₂O) occurred in 90% of stapler, 80% of traditional, and 60% of barbed suture closures.
- Barbed sutures reduced ligation time significantly compared to traditional sutures (10.7 vs. 14.1 minutes, p < .01).
- Staplers remained fastest, with mean ligation time of 2.4 minutes.
- No knot failure or suture breakage was observed in barbed or traditional suture groups.
- Leakage in barbed sutures occurred mostly at the loop effector zone, but remained within acceptable limits.
- Barbed sutures may offer an effective alternative when staplers are unavailable, impractical, or cost-prohibitive.
Veterinary Surgery
7
2025
Evaluation of a knotless barbed suture for canine total lung lobectomy: An ex vivo study
2025-7-VS-you-2
In Azuma 2024 et al., on 3D vs 2D laparoscopy, what was the incidence of intraoperative complications in both 2D and 3D groups?
🔍 Key Findings
- 3D laparoscopy significantly reduced time to first endoclip placement compared to 2D (median 76 vs. 238 seconds, p = .016).
- Total surgical time was not significantly different between 3D and 2D groups.
- No differences were observed in intraoperative complications such as cystic duct injury, clip dislodgment, or gallbladder perforation.
- Cystic duct stump length was comparable between groups (median 2.5 mm).
- Liver parenchyma attachment severity did not differ significantly between 2D and 3D groups.
- All procedures were performed by an experienced surgeon, potentially reducing the benefit seen with 3D visualization.
- No conversions to open surgery occurred, and no intraoperative complications were reported.
- The study suggests 3D laparoscopy may aid less experienced surgeons due to enhanced depth perception.
Veterinary Surgery
4
2024
Three-dimensional versus two-dimensional laparoscopy for cholecystectomy in a canine cadaveric study
2024-4-VS-azuma-3
In Parlier 2024 et al., on insufflation effects on portal pressure in dogs, what clinical recommendation did the authors make regarding insufflation pressure?
🔍 Key Findings
- Portal pressure increased proportionally with insufflation pressure: 38% at 6 mmHg, 95% at 10 mmHg, and 175% at 14 mmHg.
- Exponential model: average increase of 7.45% per mmHg of insufflation pressure (CI: 4.7–10.2%).
- No systemic hemodynamic adverse effects were observed; MAP remained >60 mmHg throughout.
- Portal hypertension threshold (15 mmHg) predicted at ~6.4 mmHg insufflation pressure.
- No statistical impact from patient weight, pressure-to-weight ratio, or order of insufflation rounds.
- Measurement technique was feasible and safe, with only minor challenges (e.g., catheter kinking).
- The study supports use of the lowest insufflation pressure needed for visualization to avoid portal hypertension.
- Baseline portal pressures returned after desufflation, supporting comparison pre- and post-attenuation.
Veterinary Surgery
4
2024
Prospective, randomized, clinical trial on the effects of laparoscopic insufflation pressures on portal pressures in dogs
2024-4-VS-parlier-5
In Townsend 2024 et al., on 3D osteotomy accuracy, what was the mean angular deviation using patient-specific guides?
🔍 Key Findings:
- Design: Ex vivo study with 24 paired limbs from normal beagle dogs.
- Osteotomy types (3 groups):
- 30° uniplanar frontal wedge
- Oblique (30° frontal, 15° sagittal)
- Single oblique (30° frontal, 15° sagittal, 30° external rotation)
- Comparison: 3D PSG vs Freehand (FH)
- Main Outcomes:
- PSG accuracy: Mean angular deviation = 2.8° vs 6.4° in FH (p < .001).
- 84% of PSG osteotomies were within 5° of target vs 50% of FH.
- Significant improvements with PSG in:
- Group 1 (uniplanar frontal) proximal and distal frontal planes (p < .001, .006)
- Group 3 (SOO) frontal and sagittal planes (p = .002, .043)
- Time: PSG faster in complex SOO group (84s vs 162s, p < .001); no difference in others.
- No difference in osteotomy location (mm) between methods.
- Clinical relevance: PSG more consistent and accurate, especially for complex cuts.
Veterinary Surgery
2
2024
Comparison of three-dimensional printed patient-specific guides versus freehand approach for radial osteotomies in normal dogs: Ex vivo model
2024-2-VS-townsend-1
In Danielski 2024 et al., on PUO effect on HIF, which group showed the largest increase in HU at the fissure site postoperatively?
🔍 Key Findings Summary
- Sample: 51 elbows from 35 spaniel dogs
- Healing Rate: Subjective healing (complete or partial) in 80.3% of elbows; complete in 54.9%
- Objective HU analysis: Mean HU increased from 640 (pre-op) to 835 (follow-up) (p = .001)
- Age Effect: Dogs <14 months showed the greatest HU increase (+384 HU) and had wider fissures with less sclerosis
- Complications:
- Major: 5 dogs (6 limbs); 4 related to fissure healing (7.8%), 2 related to PUO healing (3.9%)
- Minor: 3 cases (5.8%) due to IM pin migration
- Sclerosis: Older dogs had more humeral condyle sclerosis, possibly limiting healing
- PUO Effectiveness: Confirmed cranio-proximal displacement of anconeal process; aimed to relieve humero-anconeal incongruity
- Control Comparison: Avoids complications associated with transcondylar screw (infection, breakage)
Veterinary Surgery
2
2024
Influence of oblique proximal ulnar osteotomy on humeral intracondylar fissures in 35 spaniel breed dogs
2024-2-VS-danielski-2
In Heald 2022 et al., on PED wound therapy, which bacterial species was isolated from the dog prior to treatment?
🔍 Key Findings
- Electroceutical dressing (PED) promoted complete healing of chronic wounds in both a dog and a cat previously unresponsive to standard therapies.
- Infection clearance occurred in both animals by the end of PED therapy, as shown by negative culture results.
- In the dog, wound area reduced by ~4.2× over 10 days; healing completed by day 67 with no further antibiotic therapy.
- In the cat, wound area reduced by ~2.5× over 17 days; healing completed by day 47 without systemic antibiotics.
- PEDs function via direct current (DC) stimulation, believed to generate hypochlorous acid (HOCl) with antibacterial properties.
- No side effects or adverse tissue reactions were observed in either case, supporting biocompatibility.
- Multidrug-resistant organisms (e.g., S. pseudintermedius, S. canis, S. epidermidis) were eradicated by PED treatment.
- PED therapy may reduce reliance on antibiotics and surgery, offering a novel adjunct for chronic, infected wounds.
Veterinary Surgery
3
2022
Electroceutical treatment of infected chronic wounds in a dog and a cat
2022-3-VS-heald-3
In Loh 2024 et al., on treatment outcomes for CvHL in dogs, which nonsurgical method had the highest success rate?
🔍 Key Findings
- Low-trauma events caused 82.9% of CvHL cases; Poodles and poodle-crosses represented 49.4% of cases.
- Success rate of hobbles (61.8%) was significantly higher than closed reduction alone (10.3%) or Ehmer sling (18.5%).
- Multivariate analysis found hobbles 7.62x more likely to succeed vs. closed reduction (p = .001).
- Specialist surgeons had higher success with nonsurgical management (OR: 2.68; p = .047).
- Older age associated with better outcomes (OR: 1.15 per year; p < .0005).
- Ehmer sling is not recommended due to high failure and complication rates (60.6%).
- Toggle rod stabilization had a high surgical success rate (88.2%) with low complication.
- No link was found between CvHL and hip dysplasia or OA in most cases (only 2/108 showed OA).
Veterinary Surgery
4
2024
Caudoventral hip luxation in 160 dogs (2003–2023): A multicenter retrospective case series
2024-4-VS-loh-1
In Poggi 2025 et al., on laparoscopic cholecystectomy in cats, what was the most commonly reported indication for surgery?
🔍 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-1
In Matz 2022 et al., on stapler size comparison, which stapler group had the highest mean initial leak pressure (ILP)?
🔍 Key Findings
- No significant difference in initial leak pressure (ILP) among TA 30 V3 2.5 mm, TA 60 3.5 mm, and TA 60 4.8 mm stapler sizes (P = .78).
- All stapler types exceeded the physiological intraluminal pressure threshold (~25 mmHg), suggesting acceptable leak resistance.
- Mean ILPs: TA 30 V3 (181.5 mmHg), TA 60 3.5 mm (112 mmHg), TA 60 4.8 mm (77.2 mmHg).
- Leakage occurred at the staple line in 23 of 24 specimens; only one had ileal wall rupture.
- No correlation found between ILP and cadaver weight, cecal wall thickness, or cecal length.
- Cecal wall thickness averaged 4.9 mm, yet staple heights ranged only from 1.0–2.0 mm.
- One specimen in each TA 60 group leaked near or below physiologic pressures, suggesting rare outliers.
- Study supports clinical viability of all tested stapler sizes for canine typhlectomy, but highlights need for in vivo data on healing and complications.
Veterinary Surgery
4
2022
Ex vivo comparison of different thoracoabdominal stapler sizes for typhlectomy in canine cadavers
2022-4-VS-matz-1
Quiz Results
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Key Findings