
Your Custom Quiz
In Scheuermann 2024 et al., on 3D-printed reduction systems, what was the most significant intraoperative imaging difference between 3D-MIPO and c-MIPO groups?
🔍 Key Findings
- The study was a historic case-control trial comparing custom 3D-printed VSP-guided MIPO (3D-MIPO) to conventional MIPO (c-MIPO) in dogs with diaphyseal tibial fractures.
- Surgical time was significantly shorter in the 3D-MIPO group (117 min vs. 151 min; p = .014), and fluoroscopy use was dramatically reduced (11 vs. 37 images; p < .001).
- All 3D-MIPO reductions were acceptable or near-anatomic; 2 c-MIPO dogs had unacceptable reductions.
- Tibial length, frontal, and sagittal alignment post-op were similar between groups; no significant difference in anatomic restoration (p > .1).
- Radiographic union occurred in all dogs by 3 months. Time to union was similar between groups (3D-MIPO: 67 days vs. c-MIPO: 53 days; p = .207).
- Postoperative complication rate was higher in 3D-MIPO (27% vs. 14%), including 2 major infections requiring implant removal.
- 3D-MIPO required more pre-op time (~23 hours longer from presentation to surgery; p = .002), partly due to guide printing/sterilization.
- Improved surgical efficiency and more consistent reductions were noted in the 3D-MIPO group, supporting its clinical utility despite increased pre-op logistics.
Veterinary Surgery
6
2024
Virtual surgical planning and use of a 3D‐printed, patient‐specific reduction system for minimally invasive plate osteosynthesis of diaphyseal tibial fractures in dogs: A historic case control study
2024-6-VS-scheuermann2-2
In Stoneburner 2024 et al., on MIS survey results, what proportion of responding surgeons had performed basic laparoscopy in the previous year?
🔍 Key Findings
- The survey included 111 practicing surgeons and 28 residents from ACVS, ECVS, and ANZCVS. 98.2% had performed soft tissue minimally invasive surgery (MIS).
- In the past year, surgeons reported a median caseload of 90% basic laparoscopy, 0% advanced laparoscopy, and 10% thoracoscopy; for residents: 100% basic laparoscopy, 0% advanced, 0% thoracoscopy.
- Laparoscopic ovariectomy and OHE were the most commonly performed MIS procedures, with most respondents proficient in basic laparoscopy, but few performing advanced laparoscopy or thoracoscopy.
- Top barriers to MIS adoption were: lack of consistent caseload, lack of training, difficult learning curve, equipment limitations, and cost.
- 76.6% of surgeons and 92.9% of residents received MIS training during residency. Those trained had completed residency median 6 years ago, compared to 22 years ago for those without MIS training (p < .001). Perceived adequate training correlated with higher proficiency.
- MIS was recognized as having a steep learning curve, but patient benefits (mean score 4.0/5) were the top motivation — less pain, faster recovery, improved visualization.
- The authors conclude basic laparoscopy is widely adopted, but advanced and thoracoscopic MIS remain underutilized. Training and access are key to future growth.
- Expanded training and improved access to equipment are necessary to promote broader integration of MIS into veterinary soft-tissue surgery.
Veterinary Surgery
5
2024
Laparoscopy and thoracoscopy in small animal surgery: A 2020 survey of small animal surgical diplomates and residents
2024-5-VS-stoneburner-1
In Marchionatti 2022 et al., on antiseptic efficacy comparison, what issue may falsely elevate the observed efficacy of antiseptics in skin cultures?
🔍 Key Findings
- Chlorhexidine-based asepsis protocols were comparable to povidone-iodine for reducing surgical site infection (SSI) rates in veterinary surgery.
- No significant difference in skin bacterial colonization was observed between the two antiseptics, at both immediate and delayed timepoints.
- Chlorhexidine-alcohol protocols showed a non-significant trend toward improved bacterial reduction in some studies, though inconsistent across all studies.
- Use of neutralizing agents was inconsistent, which may have led to overestimation of antiseptic efficacy in several studies.
- Formulations and concentrations varied widely (e.g., chlorhexidine 0.5–4%, povidone-iodine 0.7–1%), contributing to heterogeneity and limiting definitive conclusions.
- Only a minority of studies reported using CDC criteria for SSI diagnosis, affecting the reliability of infection outcomes.
- Risk of bias was high or unclear in multiple domains across all included studies, limiting overall confidence in conclusions.
- Meta-analysis confirmed no statistically significant superiority of either protocol for SSI prevention or skin bacterial reduction.
Veterinary Surgery
5
2022
Preoperative skin asepsis protocols using chlorhexidine versus povidone‐iodine in veterinary surgery: A systematic review and meta-analysis
2022-5-VS-marchionatti-4
In Hertel 2025 et al., on portal venotomy for insulinoma, which postoperative complication was observed and medically managed?
🔍 Key Findings
- Portal venotomy enabled successful en bloc resection of a pancreatic insulinoma and associated thrombus in the portal vein, a novel approach in veterinary literature.
- Temporary portal vein occlusion (15 min) was well tolerated, causing only transient small intestinal congestion without lasting hemodynamic compromise.
- No intraoperative hemorrhage occurred following vascular isolation and venotomy repair with 5–0 polypropylene in a simple continuous pattern.
- Postoperative complications were minimal, with only moderate pancreatitis managed medically and no portal hypertension observed on follow-up imaging.
- Histopathology confirmed insulinoma, with no initial metastasis; CT at 6 months revealed hepatic and peritoneal metastases but no local recurrence at the venotomy site.
- Portal vein luminal stenosis occurred post-repair but was clinically insignificant.
- Advanced CT imaging and 3D printed modeling significantly enhanced surgical planning and anatomical assessment.
- Surgical excision achieved good short-term outcomes, and the dog was alive and euglycemic one year later despite metastatic disease.
Veterinary Surgery
5
2025
Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog
2025-5-VS-hertel-3
In Danielski 2025 et al., on PUO complication reduction, what was the **overall complication rate** reported with IM pin and rhBMP-2 use?
🔍 Key Findings
- Combined intramedullary (IM) pin and rhBMP-2 use resulted in a low complication rate (7.4%) after proximal ulnar osteotomy (PUO).
- Major complications occurred in 5.3% of cases (4 infections, 1 pin breakage with ulnar tilt requiring revision).
- Minor complications occurred in 2.1% of cases (seroma, delayed union).
- No cases of non-union were observed; 98.9% of limbs achieved radiographic healing by 6 weeks.
- IM pin breakage was noted in 11.8% of limbs but did not affect healing outcomes.
- Chondrodystrophic breeds made up 64.8% of the cohort and tolerated the procedure well.
- Compared to prior studies, complication rates were substantially reduced with this technique (prior major: 13.9%; this study: 5.3%).
- The use of rhBMP-2 likely enhanced early bone healing and provided biologic support, particularly important in breeds at higher risk of complications.
Veterinary Surgery
6
2025
Impact of intramedullary pinning and recombinant human bone morphogenetic protein‐2 on postoperative complications after proximal ulnar osteotomy in dogs
2025-6-VS-danielski-2
In Vandekerckhove 2024 et al., what force was required for 90% of hips to reach at least 90% of LImax?
🔍 Key Findings Summary
- Used VMBDmD to quantify hip laxity under increasing force in cadaveric dogs (n=34).
- 90% of hips reached ≥90% of LImax at 95.32 N, defining this force as sufficient for subluxation.
- LImax was not significantly influenced by osteoarthritis, weight, sex, or limb side.
- Position of device (lever length) influenced rate of laxity acquisition, not final LImax.
- LI curves were repeatable across 5 sessions, indicating elastic—not plastic—deformation.
Veterinary and Comparative Orthopedics and Traumatology
1
2024
Quantifying the Stress in Stress Radiographs to Determine Sufficient Laxity of the Coxofemoral Joint
2024-1-VCOT-vandekerckhove-1
In Kuvaldina 2023 et al., on endoscopic axillary lymphadenectomy, what was a key benefit of the minimally invasive approach compared to open surgery?
🔍 Key Findings
- Endoscopic excisional biopsy of axillary lymph nodes was successfully performed in cadavers and clinical dogs with minimal complications.
- The technique used a SILS port and CO₂ insufflation through a small incision between the latissimus dorsi and superficial pectorals.
- In 4 cadavers (6 limbs), mean time to remove axillary nodes was 33 minutes, and single nodes were found in 5/6 limbs.
- In 3 clinical dogs, the procedure was successful in 2 cases; 1 required conversion to open surgery due to difficulty manipulating the node.
- Accessory axillary nodes were successfully excised when present, located adherent to deep latissimus dorsi.
- No cases developed lymphedema, pneumothorax, or major complications postoperatively.
- Subjective benefits included better visualization, reduced dissection, and less postoperative morbidity than open techniques.
- Study suggests MIS lymphadenectomy may improve staging accuracy and reduce complications, though larger studies are needed.
Veterinary Surgery
6
2023
Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs
2023-6-VS-kuvaldina-1-2afd4
In Karydas 2025 et al., on follow-up radiography, which combination of clinical indicators most strongly predicted a need for plan adjustment?
🔍 Key Findings
139 immature dogs with humeral condylar fractures (HCF) reviewed retrospectively.
Postoperative plan changed in 17% (23/139) of cases.
Key risk factors for plan change:
- Owner concerns (OR: 7.6)
- Analgesic use at follow-up (OR: 7.9)
- Lameness (OR: 5.9)
- Abnormal clinical exam (OR: 44.8)
- Radiographic abnormalities (OR: 51.9)
No plan changes were based solely on radiographs when clinical signs were absent.
Supracondylar K-wire migration noted in 3.5% of dogs without affecting the clinical plan.
Authors conclude that routine follow-up radiographs offer limited value without concurrent clinical indicators.
Veterinary Surgery
2
2025
Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs
2025-2-VS-karydas-4
In Nagahiro 2023 et al., on quadriceps-femoral mismatch, what was the reference value for normal QML/FL derived from healthy beagles?
🔍 Key Findings
- Quadriceps muscle length/femoral length ratio (QML/FL) was significantly lower in dogs with grade IV MPL than grades I–III (p ≤ .002).
- Shortened QML was associated with increased femoral torsion angle (FTA) and increased aLDFA, indicating correlation with femoral deformity.
- QML/FL increased with age, possibly due to muscular development or reduced deformity in older dogs (p = .004).
- Grade IV MPL dogs had QML/FL < 0.87, the lower normal limit based on healthy beagles, suggesting clinically significant muscle shortening.
- PLL/PL ratio (used to diagnose patella alta) was not associated with QML/FL or MPL severity in small breeds.
- QML/FL can help preoperatively identify candidates for femoral shortening ostectomy, improving femoropatellar alignment.
- Multivariate regression model confirmed QML/FL is independently influenced by age, FTA, and aLDFA (R² = 0.45).
- CT-based 3D measurements enabled objective, noninvasive quantification of femoral and muscle alignment parameters.
Veterinary Surgery
4
2023
Evaluation of the quadriceps muscle length to femoral length ratio in small breed dogs with medial patellar luxation
2023-4-VS-nagahiro-5
In Anderson 2025 et al., on wound drain configurations, which anatomical location had the highest consistency in fluid retrieval?
🔍 Key Findings
- Study Design: Cadaveric model using four large-breed dogs with 10x10 cm full-thickness wounds at four locations (shoulder, thorax, flank, thigh).
- Configurations Tested: Diagonal, opposite, parallel, and perpendicular placements of wound infusion catheter and JP drain.
- Fluid Retrieval:
- No significant difference by configuration (p = .92) or location (p = .32).
- Perpendicular configuration had the highest mean retrieval (11.35 mL, 56.8% of instilled volume).
- Flank location had the lowest retrieval (7.2 mL, 35.9%).
- Surface Area Coverage:
- Parallel configuration achieved the highest SA coverage (83.4% ± 11.6%, p < .01).
- Perpendicular was lowest.
- Leakage:
- No difference in leakage between configurations (p = .74) or locations (p = .10).
- Leakage commonly occurred at drain or catheter entry points (93.8% of wounds).
- Conclusion: Parallel drain configuration optimized fluid dispersion. Infusion-retrieval systems may allow for topical therapy delivery in closed wounds.
Veterinary Surgery
2
2025
Application and influence of four drain configurations on fluid dispersal and retrieval in a cadaveric canine wound infusion-retrieval system model
2025-2-VS-anderson2-4
Quiz Results
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