Your Custom Quiz

In Kuvaldina 2023 et al., on axillary lymph node excision, what was the average surgical time to remove axillary lymph nodes using the minimally invasive technique in cadavers?

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Correct. The mean time reported for excision of axillary lymph nodes in cadaver specimens was 33 minutes.
Incorrect. The correct answer is 33 minutes.
The mean time reported for excision of axillary lymph nodes in cadaver specimens was 33 minutes.

🔍 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-2

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

Journal: Veterinary Surgery

In Kang 2023 et al., on 3DEP accuracy, which of the following statements best describes the effect of surgical experience on performance?

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Correct. Both experienced and inexperienced surgeons achieved comparable accuracy in screw placement and slot creation.
Incorrect. The correct answer is No significant differences were observed between surgeon experience.
Both experienced and inexperienced surgeons achieved comparable accuracy in screw placement and slot creation.

2023-8-VS-kang-4

Article Title:

Journal:

In Larose 2024 et al., on laparoscopic liver biopsies in dogs, how did the 3 mm biopsy cup perform in larger dogs compared to smaller dogs?

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Correct. 3 mm instruments were easier in small dogs but more difficult in large dogs due to shaft length.
Incorrect. The correct answer is It was harder to manipulate.
3 mm instruments were easier in small dogs but more difficult in large dogs due to shaft length.

🔍 Key Findings

  • Histologic agreement between 3 mm and 5 mm biopsies was 90%, with a Gwet's AC1 of 0.81 (p < .0001).
  • 5 mm biopsies yielded significantly more portal triads and lobules than 3 mm samples (p = .0003 and p < .0001).
  • Crush artifacts were significantly higher in 3 mm samples (p = .035), though fragmentation scores were similar (p = .935).
  • Both forceps produced adequate samples for histopathology, copper quantification, and bacterial culture.
  • No hemorrhage requiring intervention occurred, and both sizes were deemed safe and minimally invasive.
  • Surface area ≥40 mm² strongly predicted ≥11 portal triads, a desirable threshold for reliable histopathology.
  • Use of 3 mm instruments was easier in small dogs (<12 kg), but more challenging in larger dogs due to shaft length.
  • Clinical diagnoses were unaffected by forceps size, even in the one discordant histologic pair.

Larose

Veterinary Surgery

4

2024

Comparing 3 mm and 5 mm laparoscopic liver biopsy samples in dogs

2024-4-VS-larose1-5

Article Title: Comparing 3 mm and 5 mm laparoscopic liver biopsy samples in dogs

Journal: Veterinary Surgery

In Smith 2025 et al., on ergonomic injury risk, smaller glove size was significantly associated with which outcomes?

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Correct. Surgeons with smaller glove sizes were significantly more likely to report neck strain (p = .001) and shoulder tendonitis (p = .01).
Incorrect. The correct answer is Increased risk of neck strain and shoulder tendonitis.
Surgeons with smaller glove sizes were significantly more likely to report neck strain (p = .001) and shoulder tendonitis (p = .01).

🔍 Key Findings

140 laparoscopic surgeons surveyed; 37% reported at least one musculoskeletal disorder.
Women had significantly higher odds of reporting WRMD (OR = 2.59, p = .011).
Smaller glove size significantly associated with WRMD (p = .001), shoulder tendonitis (p = .01), and neck strain (p = .001).
Most common injuries: Neck strain (35%), shoulder tendonitis (31%).
WRMD was associated with greater difficulty using:

  • Rotating cup biopsy forceps (p < .001)
  • Vessel sealing device and endo stapler (especially in those with shoulder injuries)

No significant association with surgeon age, dominant hand, height, weight, or case volume.

Smith

Veterinary Surgery

2

2025

Variables associated with the prevalence of self-reported work-related musculoskeletal disorders in veterinary laparoscopic surgeons

2025-2-VS-smith-3

Article Title: Variables associated with the prevalence of self-reported work-related musculoskeletal disorders in veterinary laparoscopic surgeons

Journal: Veterinary Surgery

In Rocheleau 2024 et al., on arthroscopic meniscal suturing, which group had the highest meniscal repair success rate?

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Correct. TPLO + IB had a 93.3% success rate vs 71.4% for TPLO-only.
Incorrect. The correct answer is TPLO with internal brace.
TPLO + IB had a 93.3% success rate vs 71.4% for TPLO-only.

🔍 Key Findings

  • Arthroscopic meniscal suturing was performed in 43 client-owned dogs, involving 44 meniscal repairs (one dog was bilateral). All injuries involved the caudal horn of the medial meniscus and were associated with cranial cruciate ligament (CrCL) disease.
  • All dogs underwent simultaneous TPLO, with some also receiving an internal brace (IB). Most repairs used simple vertical mattress sutures.
  • The overall complication rate was 34.1% (15/44). Most complications were attributed to the TPLO/TPLO+IB and did not compromise the meniscal repair outcome.
  • No median time to “acceptable” or “full” function was reported, but most dogs showed improvement in lameness and LOAD scores (p < .001), indicating good to excellent outcomes.
  • Meniscal repair success rate was 88% (38/44), with TPLO + IB outperforming TPLO-only (93.3% vs 71.4%). Follow-up was performed at 8 weeks (40 dogs) and 6 months (16 dogs).
  • Six failures occurred, all managed with arthroscopic meniscectomy, leading to normal activity in those dogs. Two IB-associated failures led to CrCL instability.
  • The authors concluded the technique was safe, practical, and effective, with a reasonable complication rate.
  • The findings support arthroscopic suturing as a feasible alternative to meniscectomy or meniscal release, offering long-term benefits for preserving the meniscus.

Rocheleau

Veterinary Surgery

5

2024

Short‐term outcomes of 43 dogs treated with arthroscopic suturing for meniscal tears

2024-5-VS-rocheleau-3

Article Title: Short‐term outcomes of 43 dogs treated with arthroscopic suturing for meniscal tears

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 Cruciani 2025 et al., on portal placement, what was the most common complication following surgery?

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Correct. Synovial cysts occurred in 4 of 13 dogs with follow-up data; all were considered minor complications.
Incorrect. The correct answer is Synovial cyst formation.
Synovial cysts occurred in 4 of 13 dogs with follow-up data; all were considered minor complications.

🔍 Key Findings

  • Study Design: Retrospective case series of 15 dogs (19 tarsi) with talar OCD.
  • Technique: Modified arthroscopic approach with both scope and instrument portals on the same side as the lesion.
  • Outcomes:
    • Good to excellent mid-to-long-term outcomes in 11/14 dogs.
    • Statistically significant improvement in CBPI (p < .05) and VAS scores (p < .05).
    • Minor postoperative complications (synovial cysts) in 4/13 tarsi, all resolved spontaneously.
    • No major intraoperative complications; 1/19 required mini-arthrotomy due to fragment size.
  • Degenerative Joint Disease (DJD): Progression noted in 10/14 cases, despite good functional outcomes.
  • Fragment Characteristics: Multiple osteochondral fragments were present in most cases, with 17/19 lesions on the medial talar ridge.
  • Technical Advantage: Lower conversion rate to arthrotomy (1/19) compared to previous studies (Gielen et al. and Miller & Beale).

Cruciani

Veterinary Surgery

1

2025

A modified approach to portal placement for arthroscopic management of osteochondritis dissecans lesions of the tarsocrural joint in 15 dogs (19 tarsi)

2025-1-VS-cruciani-1

Article Title: A modified approach to portal placement for arthroscopic management of osteochondritis dissecans lesions of the tarsocrural joint in 15 dogs (19 tarsi)

Journal: Veterinary Surgery

In Radke 2022 et al., on outcome measure validation, which of the following instruments was noted to have **inconsistent factor analysis results** across validation studies?

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Correct. CBPI’s factor analysis yielded inconsistent structures across studies, questioning construct stability.
Incorrect. The correct answer is Canine Brief Pain Inventory (CBPI).
CBPI’s factor analysis yielded inconsistent structures across studies, questioning construct stability.

🔍 Key Findings

  • CBPI, COI, and LOAD are recommended for assessing canine osteoarthritis based on COSMIN criteria.
  • COI scored highest in development rigor and evidence quality among evaluated OROMs.
  • Internal consistency, reliability, and responsiveness were commonly validated, though no OROMs reported measurement error.
  • LOAD was considered formative, and internal consistency assessment was deemed unnecessary.
  • CBPI and COI showed sufficient internal consistency, but CBPI’s factor structure was inconsistent across studies.
  • All 6 evaluated OROMs (CBPI, COI, LOAD, BHSII, HCPI, HVAS) were quick to complete (under 5 min).
  • Three tools—BHSII, HCPI, HVAS—need more evidence before recommendation; only CBPI, COI, and LOAD are Category A (recommended).
  • Future studies should assess interpretability, including measurement error and clinically meaningful change scores (MIC, SDC).

Radke

Veterinary Surgery

2

2022

Evidence‐based evaluation of owner‐reported outcome measures for canine orthopedic care – a COSMIN evaluation of 6 instruments

2022-2-VS-radke-3

Article Title: Evidence‐based evaluation of owner‐reported outcome measures for canine orthopedic care – a COSMIN evaluation of 6 instruments

Journal: Veterinary Surgery

In Raleigh 2022 et al., on pericardiectomy complications, what was the approximate incidence of intraoperative ventricular fibrillation (VF)?

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Correct. An estimated 3% of pericardiectomy procedures resulted in intraoperative VF.
Incorrect. The correct answer is 3%.
An estimated 3% of pericardiectomy procedures resulted in intraoperative VF.

🔍 Key Findings

  • Ventricular fibrillation (VF) occurred in 3% of pericardiectomy cases across reporting institutions.
  • 14 of 16 dogs (88%) that developed intraoperative VF died, indicating high mortality.
  • Electrosurgical devices were used in 15/16 dogs; VF onset coincided with their use in 8 dogs, suggesting a potential but unproven association.
  • Preoperative arrhythmias were seen in 7 dogs (e.g., VPCs, VT, bradycardia), possibly serving as early warning signs.
  • Thoracoscopic approach was used in 75% of cases; however, conversion to open surgery was required in 9/13 thoracoscopic procedures after VF onset.
  • Defibrillation was attempted in 13 dogs, but only 3 converted to sinus rhythm, and only 2 survived postoperatively.
  • VF may result from stray current or cardiac manipulation; bipolar energy devices were implicated despite lower theoretical risk.
  • Preventative strategies include judicious electrosurgery use, close ECG monitoring, rapid CPR preparedness, and preop cardiac risk assessment.

Raleigh

Veterinary Surgery

4

2022

The development of ventricular fibrillation as a complication of pericardiectomy in 16 dogs

2022-4-VS-raleigh-1

Article Title: The development of ventricular fibrillation as a complication of pericardiectomy in 16 dogs

Journal: Veterinary Surgery

In Almeida 2025 et al., on TPLO and partial CCL rupture, what was the authors’ conclusion on CCL transection as a preventive for desmitis?

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Correct. Authors do not recommend routine CCL remnant transection to prevent patellar desmitis.
Incorrect. The correct answer is Not recommended.
Authors do not recommend routine CCL remnant transection to prevent patellar desmitis.

🔍 Key Findings

  • Transecting the CCL remnant during TPLO did not reduce patellar ligament thickening (PLT) at any measured point (proximal, mid, distal).
  • Transection also failed to reduce postoperative patellar ligament shortening (PLL) at 6 weeks.
  • Both groups (transected vs non-transected) showed significant thickening and shortening, with greatest PLT increase at the midpoint.
  • Increased PLT was positively correlated with tibial plateau rotation (p = 0.02) and postoperative TPA (p = 0.04).
  • No correlation between TT-O (tibial tuberosity width index) and PLT, suggesting narrow osteotomies did not influence PLT in this population.
  • Partial CCL rupture was not significantly protective; dogs with partial tears still developed ligament thickening.
  • Post-TPLO mid-patellar ligament thickening may relate to Gelpi retractor placement and osteotomy mechanics rather than CCL status.
  • Authors do not recommend CCL transection during TPLO to prevent desmitis, citing possible increased instability and degeneration.

Almeida

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Effect of Cranial Cruciate Ligament Transection during TPLO on Patellar Desmitis in Dogs with Partial Cranial Cruciate Ligament Rupture

2025-4-VCOT-almeida-4

Article Title: Effect of Cranial Cruciate Ligament Transection during TPLO on Patellar Desmitis in Dogs with Partial Cranial Cruciate Ligament Rupture

Journal: Veterinary and Comparative Orthopaedics and Traumatology

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