
Your Custom Quiz
In Welker 2024 et al., on thoracic duct anastomosis with MAC device, which imaging technique confirmed postoperative flow?
🔍 Key Findings
- Anastomosis of the thoracic duct (TD) to the intercostal vein (ICV) using a microvascular anastomotic coupler (MAC) was feasible in all 6 healthy dogs
- Immediate postoperative patency was confirmed in all dogs, but only 4/6 had patent anastomoses at 30 days, with 2 failing due to ICV kinking
- Kinking of the ICV near the azygos vein insertion was the primary failure mechanism, likely from MAC malalignment
- No intraoperative or major postoperative complications occurred, though 2 dogs developed mild seromas
- Use of the MAC device simplified microsurgical anastomosis versus hand suturing, especially in the deep thoracic cavity
- Contrast lymphangiography showed faster clearance from the cisterna chyli postoperatively, suggesting effective flow redirection
- Persistent branches of the thoracic duct may impact outcomes, and should be ligated during surgery
- This technique may be a potential novel treatment for idiopathic chylothorax, improving outcomes by reducing collateral flow stimuli
Veterinary Surgery
7
2024
Anastomosis of the caudal thoracic duct and intercostal vein using a microvascular anastomotic coupler device: Experimental study in six dogs
2024-7-VS-welker-3
In Mullins 2023 et al., on thoracolumbar pin placement, which of the following best explains the design advantage of 3DPGs?
🔍 Key Findings
- Both free-hand probing (FHP) and 3D-printed guides (3DPG) enabled accurate spinal pin placement, with 87.5% vs 96.4% of pins graded as optimal (Grade I).
- 3DPGs had fewer intraoperative deviations (0/56 pins) compared to 6/56 with the FHP technique.
- No pins using either method fully breached the medial vertebral canal (Grade IIb) — a critical safety outcome.
- Pins placed using 3DPGs required less time overall (mean 2.6 min) than FHP (mean 4.5 min).
- FHP required specific experience and has a learning curve, whereas 3DPG use requires CAD software and 3D printing access.
- FHP had more lateral canal violations (Grade IIIa: 4/56 vs 0/56 for 3DPG), suggesting slightly less precision.
- Both techniques were safe, and all deviations were recognized and corrected intraoperatively.
- 3DPGs may offer practical advantages in clinical settings lacking surgical expertise, while FHP allows immediate intervention without 3D printing delay.
Veterinary Surgery
5
2023
Accuracy of pin placement in the canine thoracolumbar spine using a free-hand probing technique versus 3D-printed patient-specific drill guides: An ex-vivo study
2023-5-VS-mullins-5
In Payne 2024 et al., on HIF propagation pattern, which finding was significantly associated with higher %HIF?
🔍 Key Findings Summary
- HIF typically originates 57° caudal to the supratrochlear foramen and propagates cranially in a segmental pattern.
- %HIF correlated significantly with both fissure depth and length:
- %DHIF increased linearly (r = 0.989, p < 0.001)
- %LHIF followed a sigmoidal relationship with %HIF (p < 0.001)
- Higher %HIF was significantly associated with:
- Clinical lameness (p = 0.004)
- Distal shift in the fissure center (CHIF)
- Implant complications in 5/17 elbows treated with transcondylar screws
- Isthmus diameter increased with weight (p = 0.002), relevant for screw sizing
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Computed Tomography Topographical Analysis of Incomplete Humeral Intracondylar Fissures in English Springer Spaniel Dogs
2024-2-VCOT-payne-4
In Whyte 2025 et al., on cannulated screw fixation, what was the reported clinical union rate?
🔍 Key Findings
Study focus: Outcomes of cannulated screw fixation in unicondylar humeral condylar fractures (UHCF) in dogs.
Clinical union rate: 89%
Overall complication rate: 36%
- Major complication: Most common was screw breakage
Significant risk factor for screw breakage:
- Body weight >20 kg (statistically significant)
Breed distribution:
- Spaniels, especially English Springer Spaniels, were most common
No mention of plate augmentation as standard in this cohort
Veterinary Surgery
2
2025
Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs
2025-2-VS-whyte-2
In Pfeil 2024 et al., on fluoroscopic pinning, how many metabone fractures were treated across all animals?
🔍 Key Findings
- Fluoroscopically guided normograde metabone pinning (FGNMP) was used to treat 17 animals (15 dogs and 2 cats) with 57 metabone fractures, including various fracture configurations (short-oblique body, physeal, and comminuted).
- All 57 fractures were stabilized using intramedullary pins via FGNMP. The study exclusively focused on pin fixation and did not include screws or combined fixation techniques.
- Median surgical time was 54 minutes (range 26–99 min), indicating efficient procedural execution.
- Radiographic bone union was achieved in all fractures, with a median time to union of 6 weeks (range 4–12 weeks). Union was confirmed in all initially non-united fractures on follow-up.
- No major complications were reported. A single pressure sore at the olecranon resolved uneventfully, and no pin migration or osteomyelitis was observed.
- Pin extensions were noted radiographically (e.g., 42% distal subchondral overextension), but were not associated with clinical problems.
- Fluoroscopic guidance improved implant accuracy and preserved soft tissue, enabling effective fracture alignment and stabilization using this minimally invasive osteosynthesis (MIO) approach.
- The authors concluded that FGNMP is an effective, safe, and minimally invasive method for a variety of metabone fracture types, yielding quick recovery, fast healing, and good to excellent long-term functional outcomes in all 17 cases.
Veterinary Surgery
5
2024
Outcomes of 15 dogs and two cats with metabone fractures treated with fluoroscopically guided normograde metabone pinning
2024-5-VS-pfeil-1
In Aertsens 2025 et al., on thoracic lift technique, which device was used to create the chest wall lift in the second cat?
🔍 Key Findings
Case 1: Chest wall lift improved oxygenation (PaO₂ increased from 179.4 to 306.3 mmHg) and enabled thoracoscopic-assisted lobectomy in a cat with pleural effusion and pulmonary carcinoma.
Case 2: Chest wall lift using a Steinmann pin allowed 3-port thoracoscopic lobectomy for a bronchial foreign body; no complications observed.
Both cats: Lift increased working space and eliminated need for thoracotomy; no device-related complications.
Pretied ligating loops (PLL) were effective for hilar vessel ligation—preferred over staplers or self-locking ligatures in feline thorax.
Conclusion: Thoracic lift is a novel, minimally invasive method enhancing thoracoscopic procedures in small patients, particularly cats.
Veterinary Surgery
4
2025
Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats
2025-4-VS-aertsens-2
In Philips 2025 et al., on radiographic IAIP detection, how did implants placed 2 mm into the joint perform in terms of accurate classification?
🔍 Key Findings
Overall accuracy of radiography to detect IAIP: 77.9%
Sensitivity: 97.2%
Specificity: 67.6%
False positive rate: 32.4% of non-penetrating implants were misclassified as penetrating
Implants directed toward the lateral tibial condyle had higher misclassification (23.8%) than medial (8.3%)
Most accurate detection: Implants placed 2 mm into the joint (97.2% correct classification)
Least agreement: For implants placed at 0 mm (subchondral level), especially lateral (AC1 = 0.48)
No palpable abnormalities (e.g., crepitus) observed during ROM for any group
No significant difference in detection by specialty field or reviewer qualification
Suggests radiographic misclassification risk and supports considering CT/fluoroscopy in equivocal cases
Veterinary Surgery
3
2025
Detection of intra‐articular implant penetration of the canine stifle with radiography: A cadaveric study
2025-3-VS-philips-5
In Mullen 2024 et al., on NIRF for GDV, how did near-infrared imaging alter the surgical plan in affected dogs?
🔍 Key Findings
- NIRF altered surgical strategy in 3 of 20 GDV dogs, identifying necrosis not appreciated subjectively.
- Fundic fluorescence <10% indicated histologically confirmed gastric necrosis.
- In 1 dog, NIRF revealed nonviability despite the surgeon’s impression of viability.
- Staple line fluorescence resembled viable tissue in the only stapled gastrectomy, suggesting preservation of perfusion.
- GDV dogs (even “viable”) showed lower fluorescence vs. healthy controls, indicating subclinical vascular compromise.
- Histology confirmed full-thickness necrosis in all 4 dogs with NIRF-defined nonviability.
- Pre-op lactate was significantly higher in nonviable GDV dogs (8.55 vs 4.89 mmol/L, p=0.03).
- No complications were reported from ICG use; imaging was safe and repeatable.
Veterinary Surgery
4
2024
Use of real-time near-infrared fluorescence to assess gastric viability in dogs with gastric dilatation volvulus: A case-control study
2024-4-VS-mullen-2
In Kokkinos 2025 et al., on THR age effects, what age group had the highest overall complication rate following total hip replacement?
🔍 Key Findings
- Study population: 116 dogs underwent cementless THR; grouped by age:
- Group A: ≤6 months (n = 27)
- Group B: >6 to ≤12 months (n = 41)
- Group C: >12 months (n = 48)
- Overall perioperative complication rate: 31.9% (37/116)
- Group A: 22.2%
- Group B: 26.8%
- Group C: 41.7%
- No significant difference in total complication rate by age (p = .207), though older dogs (Group C) had numerically higher rates.
- Luxation was significantly more common in dogs >12 months:
- Group C: 14.6% vs. Group A (0%) and Group B (2.4%) → p = .049
- Most common complications: luxation (9.5%) and intraoperative fissure or fracture (9.5%)
- Time under anesthesia and surgery duration were not associated with complication risk (p = .297 and p = .781)
- No infections or aseptic loosening observed during the 8-week follow-up.
Veterinary Surgery
3
2025
The influence of age at total hip replacement on perioperative complications in dogs
2025-3-VS-kokkinos-1
In Mayhew 2023 et al., on BOAS surgery effects, what percentage of dogs were considered “non-responders” based on owner scoring?
🔍 Key Findings
- Owner-reported regurgitation improved after CMS, especially post-eating and during activity (P = .012 and P = .002)
- No significant improvement in VFSS measures of SHH or GER postoperatively (P > .05 for all comparisons)
- Laryngeal ventriculectomy and soft palate resection were performed in all dogs, alaplasty in 14/16
- Aspiration pneumonia occurred in 1 dog immediately post-op and resolved with treatment
- Post-op esophagoscopy results varied, with persistent esophagitis in some cases
- Clinical response was variable, with ~25–30% of dogs being “non-responders” based on owner scoring
- 13/16 dogs showed partial or full clinical improvement, despite no change in objective SHH/GER indicators
- Final follow-up at median 36.5 months showed some dogs still on medical therapy; one underwent further surgery
Veterinary Surgery
2
2023
Effect of conventional multilevel brachycephalic obstructive airway syndrome surgery on clinical and videofluoroscopic evidence of hiatal herniation and gastroesophageal reflux in dogs
2023-2-VS-mayhew-2
Quiz Results
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