Your Custom Quiz

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 Lee 2022 et al., on TPLO accuracy, which deformity was significantly reduced in cadaver limbs with 3D-guided TPLO?

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Correct. The study found angular deformity was significantly reduced in cadavers using the 3D-printed guide (P < .001).
Incorrect. The correct answer is Angular deformity.
The study found angular deformity was significantly reduced in cadavers using the 3D-printed guide (P < .001).

🔍 Key Findings

  • 3D-printed TPLO guides significantly reduced osteotomy inclination angle in both bone models and cadaver limbs compared to jig alone (P < .001).
  • Torsional deformities were lower when the 3D-printed guide was used in bone models (P < .001), but not significantly different in cadavers.
  • Angular deformities were significantly reduced in cadavers using 3D-printed guides (P < .001).
  • Proximal jig pin angulation was more accurate with the guide in cadavers (P < .001); not significant in bone models.
  • Medial cortex damage was substantially reduced in bone models when the 3D-printed guide was used (P < .001).
  • Postoperative tibial plateau angle (TPA) did not differ significantly between groups, suggesting that clinical alignment can still be achieved without the guide.
  • Clinical significance of improved metrics is uncertain, but improved precision may reduce surgical complications.
  • 3D guide design allowed direct placement of jig and bone plate, potentially improving workflow and safety.

Lee

Veterinary Surgery

6

2022

Evaluation of a customized 3D‐printed saw guide for tibial plateau leveling osteotomy: An ex vivo study

2022-6-VS-lee-2

Article Title: Evaluation of a customized 3D‐printed saw guide for tibial plateau leveling osteotomy: An ex vivo study

Journal: Veterinary Surgery

In Hernon 2023 et al., on flushing the CBD, what was the observed survival to discharge rate across both study groups?

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Correct. 28 out of 31 dogs survived to discharge, yielding a survival rate of 90.3%.
Incorrect. The correct answer is 90.3%.
28 out of 31 dogs survived to discharge, yielding a survival rate of 90.3%.

🔍 Key Findings

  • Flushing the common bile duct (CBD) during cholecystectomy did not result in improved hepatobiliary markers compared to no flushing.
  • Cholecystectomy alone significantly reduced ALP, ALT, GGT, bilirubin, and cholesterol 3 days postoperatively (p < .05 for all).
  • Survival to discharge was 90.3%, with no survival difference between flushed and non-flushed groups.
  • Postoperative pancreatitis occurred in 12.9% of dogs, evenly distributed between groups, suggesting flushing did not increase risk.
  • Most common complication was regurgitation (29%), not significantly different between groups.
  • Free abdominal fluid had low sensitivity (29%) but moderate specificity (73%) for gallbladder rupture.
  • No difference in duration of hospitalization or postoperative complications between groups.
  • Gallbladder rupture rate was 12.9%, lower than previously reported in literature.

Hernon

Veterinary Surgery

5

2023

The effect of flushing of the common bile duct on hepatobiliary markers and short‐term outcomes in dogs undergoing cholecystectomy for the management of gall bladder mucocele: A randomized controlled prospective study

2023-5-VS-hernon-2

Article Title: The effect of flushing of the common bile duct on hepatobiliary markers and short‐term outcomes in dogs undergoing cholecystectomy for the management of gall bladder mucocele: A randomized controlled prospective study

Journal: Veterinary Surgery

In Mihara 2024 et al., on mitral valve repair in dogs, which technique was used during MVP?

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Correct. Cleft closure and leaflet suturing were not used; artificial chordae and annuloplasty were.
Incorrect. The correct answer is Artificial chordae and annuloplasty.
Cleft closure and leaflet suturing were not used; artificial chordae and annuloplasty were.

🔍 Key Findings

  • Mitral valve plasty (MVP) in dogs with MMVD significantly reduced regurgitant volume and fraction, and normalized LA:Ao ratio, indicating reversal of volume overload.
  • MVP altered mitral valve geometry, with reduced annular dimensions and increased coaptation length, enhancing valve competence.
  • Postoperative LA:Ao ratio dropped from 2.2 to 1.2, consistent with improved left atrial pressure and size.
  • Forward stroke volume index and cardiac index increased at 3 months, reflecting improved hemodynamic function despite reduced fractional shortening.
  • Three dogs (3.9%) died postoperatively, highlighting a 96.1% survival rate within 3 months.
  • The repair technique involved artificial chordal replacement and annuloplasty; no cleft closure or leaflet suturing was used.
  • Color Doppler echocardiography confirmed substantial reduction in mitral regurgitation postoperatively in most dogs.

Mihara

Veterinary Surgery

3

2024

Effects of mitral valve repair on valvular geometry and hemodynamics in dogs with myxomatous mitral valve disease

2024-3-VS-mihara-3

Article Title: Effects of mitral valve repair on valvular geometry and hemodynamics in dogs with myxomatous mitral valve disease

Journal: Veterinary Surgery

In Jones 2024 et al., on elbow OA cysts, what factor was associated with **larger** SBCs?

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Correct. Older dogs had significantly larger SBCs than young dogs (OR = 1.054, p = .013).
Incorrect. The correct answer is Older age.
Older dogs had significantly larger SBCs than young dogs (OR = 1.054, p = .013).

🔍 Key Findings Summary

  • Sample: 38 Labrador Retrievers (76 elbows)
  • SBCs (subchondral bone cysts):
    • Not found in elbows without OA
  • Increased number and size with OA severity:
    • Grade 1: median 3 SBCs
    • Grade 2: 9 SBCs
    • Grade 3: 20 SBCs (p < .001)
    • Larger SBCs in more severe OA (OR = 1.056, p = .012)
  • Locations: 62% humerus, 28% ulna, 10% radius
  • Sex and Age Effects:
    • Older dogs had larger SBCs (p = .013)
    • Female dogs had smaller SBCs (p = .002)
    • SBC number unrelated to age or sex

Jones

Veterinary Surgery

2

2024

Evaluation of subchondral bone cysts in canine elbows with radiographic osteoarthritis secondary to elbow dysplasia

2024-2-VS-jones-4

Article Title: Evaluation of subchondral bone cysts in canine elbows with radiographic osteoarthritis secondary to elbow dysplasia

Journal: Veterinary Surgery

In Kuvaldina 2023 et al., on endoscopic axillary lymphadenectomy, what was a key benefit of the minimally invasive approach compared to open surgery?

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Correct. The study highlighted better identification of vessels and nerves using endoscopy, enhancing safety.
Incorrect. The correct answer is Improved visualization of surgical landmarks and vascular structures.
The study highlighted better identification of vessels and nerves using endoscopy, enhancing safety.

🔍 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.

Kuvaldina

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

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

Journal: Veterinary Surgery

In Buote 2023 et al., on laparoscopic sleeve gastrectomy in cats, what technique helped avoid staple line misplacement near the lesser curvature?

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Correct. Orogastric tube helped ensure appropriate spacing from the lesser curvature during stapling.
Incorrect. The correct answer is Orogastric tube placement.
Orogastric tube helped ensure appropriate spacing from the lesser curvature during stapling.

🔍 Key Findings

  • LVSG was feasible in 9/10 feline cadavers and both live cats, with no intra- or postoperative complications in live cases.
  • Two cadavers developed suspected stenosis due to staple lines too close to the lesser curvature; avoided with orogastric tube placement in later cases.
  • No evidence of gastric leakage in any cadavers (8/10 tested) or live patients after methylene blue leak tests.
  • Mean surgical time was ~110 min cadavers / 115 min live, and 27.6% of stomach mass was resected.
  • Both live cats recovered uneventfully, lost 21–24% body weight over 3 months, and had no GI complications at 6-month follow-up.
  • Orogastric tube and tension on the greater curvature were critical to avoid staple line misplacement or stenosis.
  • No oversew of the staple line was needed, and unreinforced staples showed no leakage in live patients.
  • Future studies needed to assess metabolic outcomes and ideal staple sizing and closure techniques.

Buote

Veterinary Surgery

6

2023

Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats

2023-6-VS-buote2-4

Article Title: Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats

Journal: Veterinary Surgery

In Deveci 2025 et al., on 3D drill guides, how many screws breached the sacral canal contents?

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Correct. None of the 20 screws breached the canal contents, despite 19 breaching the canal wall (≤ grade 2).
Incorrect. The correct answer is 0.
None of the 20 screws breached the canal contents, despite 19 breaching the canal wall (≤ grade 2).

🔍 Key Findings

  • Objective: Evaluate feasibility and accuracy of 3D-printed patient-specific drill guides for iliosacral screw placement in cadaver dogs.
  • N = 10 canine cadavers (20 hemipelves); screw placement done using fluoroscopic-assisted patient-specific guides (PSG).
  • Median cortical breach grade: 0 (IQR 0–1) for all screws.
    19/20 screws breached sacral canal wall (all ≤ grade 2), but no screws breached canal contents (grade 3).
  • Median trajectory deviation: 0.88° transverse, 0.72° dorsal.
  • Procedure time: Median 7.2 minutes for guide placement and drilling.
  • Conclusions: PSG-assisted screw placement was safe, accurate, and fast, offering clinical potential in pelvic trauma.

Deveci

Veterinary Surgery

2

2025

Evaluation of 3D‐printed patient‐specific guides to facilitate fluoroscopic‐assisted iliosacral screw placement in dogs

2025-2-VS-deveci-2

Article Title: Evaluation of 3D‐printed patient‐specific guides to facilitate fluoroscopic‐assisted iliosacral screw placement in dogs

Journal: Veterinary Surgery

In Simpson 2022 et al., on feline cholecystectomy outcomes, which statement best reflects long-term prognosis?

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Correct. Over 44% survived >3 years, and owner-reported outcomes were excellent in most cases.
Incorrect. The correct answer is Long-term survival is common with good quality of life.
Over 44% survived >3 years, and owner-reported outcomes were excellent in most cases.

🔍 Key Findings

  • Cholelithiasis was the most common indication for cholecystectomy in cats.
  • Perioperative complications were frequent, with intraoperative hypotension in all recorded cases and postoperative anemia in 14 cats.
  • Perioperative mortality was 21.7%, lower than historical rates for feline biliary surgery.
  • 78.3% of cats survived to discharge, and 83.3% of those lived >6 months; 44.4% survived >3 years.
  • Vomiting was the most common short- and long-term complication, though most cats were medically managed.
  • Concurrent EHBDO was not a contraindication provided CBD patency was restored.
  • Positive bacterial cultures were found in 15 cats, with E. coli and Enterococcus faecalis most common.
  • Owner-reported outcomes were excellent in all cats that survived long-term.

Simpson

Veterinary Surgery

1

2022

Cholecystectomy in 23 cats (2005‐2021)

2022-1-VS-simpson-5

Article Title: Cholecystectomy in 23 cats (2005‐2021)

Journal: Veterinary Surgery

In Anderson 2023 et al., on French Bulldogs with humeral condylar fractures, which fixation method was associated with **no** cases of transcondylar screw (TCS) migration?

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Correct. No migration was observed in the TCS + plate group.
Incorrect. The correct answer is TCS + plate.
No migration was observed in the TCS + plate group.

🔍 Key Findings

  • Lateral humeral condylar fractures (LHCF) were most common, comprising 63.6% of cases.
  • Transcondylar screw (TCS) + K-wire(s) fixation had a 7.62x higher risk of major complications compared to other methods (p = .009).
  • All cases of TCS migration occurred in the TCS + K-wire group; none occurred with plate fixation.
  • Overall complication rate was 40.9%, with 29.5% being major and requiring intervention.
  • Contralateral humeral intracondylar fissures (HIF) were found in 58.1% of French Bulldogs with CT data.
  • No significant association between age and presence of HIF, but fissure length increased with age (R = 0.47, p = .048).
  • Younger, lighter dogs had higher complication and screw migration rates, possibly due to softer bone and smaller condyles.
  • TCS + plate fixation had the lowest complication rate, suggesting biomechanical superiority.

Anderson

Veterinary Surgery

1

2023

Humeral condylar fractures and fissures in the French bulldog

2023-1-VS-anderson-3

Article Title: Humeral condylar fractures and fissures in the French bulldog

Journal: Veterinary Surgery

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