Your Custom Quiz

In Ferreira 2025 et al., on heated pneumoperitoneum in dogs, what best describes the clinical outcome of all patients in the study?

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Correct. All 15 dogs recovered uneventfully and were discharged on the day of surgery.
Incorrect. The correct answer is All animals recovered and were discharged same day.
All 15 dogs recovered uneventfully and were discharged on the day of surgery.

🔍 Key Findings

  • Heated CO₂ insufflation reduced perioperative hypothermia during laparoscopic ovariectomy compared to nonheated CO₂.
  • Final body temperature was significantly higher in the heated group (36.03°C) than in the nonheated group (34.93°C).
  • Temperature reduction correlated with surgical duration only in the nonheated group (p < .05).
  • Heated CO₂ delayed temperature drop, occurring after 20 minutes vs. 5 minutes in nonheated cases.
  • No significant differences between groups in anesthetic, surgical, or insufflation times.
  • All dogs recovered uneventfully and were discharged the same day.
  • Heated CO₂ may offer greater benefit in longer procedures or in small-sized dogs prone to hypothermia.
  • No adverse effects were attributed to heated gas use in this clinical trial.

Ferreira

Veterinary Surgery

5

2025

Effect of heated pneumoperitoneum on body temperature in dogs undergoing laparoscopic ovariectomy—A randomized controlled trial

2025-5-VS-ferreira-5

Article Title: Effect of heated pneumoperitoneum on body temperature in dogs undergoing laparoscopic ovariectomy—A randomized controlled trial

Journal: Veterinary Surgery

In Cruciani 2022 et al., on feline pancreaticoduodenostomy, what surgical technique was used to restore pancreaticoduodenal continuity after resection?

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Correct. The authors performed an end-to-side anastomosis between the left pancreatic duct and the duodenum.
Incorrect. The correct answer is End-to-side pancreaticoduodenostomy.
The authors performed an end-to-side anastomosis between the left pancreatic duct and the duodenum.

🔍 Key Findings

  • Left pancreaticoduodenostomy successfully restored digestive continuity after right lobe and body pancreatectomy in a cat.
  • No clinical signs of exocrine or endocrine insufficiency were observed postoperatively up to 225 days.
  • Histopathology confirmed chronic pancreatitis with abscess formation and reactive lymphadenopathy.
  • No postoperative pancreatitis developed, based on imaging and normal feline pancreatic lipase levels.
  • Progressive focal ampulla-like dilation of the pancreatic duct occurred near the anastomosis without clinical signs.
  • The cat maintained weight and improved clinically for several months post-op, indicating satisfactory outcomes.
  • Surgical technique involved end-to-side anastomosis between the left pancreatic duct and duodenum.
  • Ultimately, the cat was euthanized due to disseminated carcinoma, presumed unrelated to the pancreatic surgery.

Cruciani

Veterinary Surgery

8

2022

Left pancreaticoduodenostomy after removal of the right lobe and the head of the pancreas in a cat

2022-8-VS-cruciani-1

Article Title: Left pancreaticoduodenostomy after removal of the right lobe and the head of the pancreas in a cat

Journal: Veterinary Surgery

In Low 2025 et al., on gonadectomy and CrCLD, which timing of gonadectomy was associated with the highest relative risk for cruciate disease?

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Correct. The subgroup analysis showed that dogs neutered at ≤1 year had significantly increased odds (OR: ~3.4) of developing CrCLD compared to those neutered later.
Incorrect. The correct answer is Gonadectomy at or before 1 year of age.
The subgroup analysis showed that dogs neutered at ≤1 year had significantly increased odds (OR: ~3.4) of developing CrCLD compared to those neutered later.

🔍 Key Findings

Increased risk with gonadectomy:

  • Pooled OR for CrCLD:
    • Females: 2.29 (95% CI: 1.77–2.95)
    • Males: 2.12 (95% CI: 1.67–2.69)

Early gonadectomy (≤1 year) further increased risk:

  • OR vs >1 year:
    • Females: 3.39
    • Males: 3.13

Late gonadectomy (>1 year) had no significant difference vs intact dogs.

Breed-specific findings:

  • Female Labradors: No increased CrCLD risk from gonadectomy (OR = 1.19; 95% CI: 0.54–2.64)
  • Male Labradors: Increased risk persisted (OR = 2.13; 95% CI: 1.53–2.98)

Study type: Systematic review + meta-analysis of 24 observational studies (n = 1.85 million dogs)

Low

Veterinary Surgery

2

2025

The association between gonadectomy and timing of gonadectomy, and the risk of canine cranial cruciate ligament disease: A systematic review and meta-analysis

2025-2-VS-low-2

Article Title: The association between gonadectomy and timing of gonadectomy, and the risk of canine cranial cruciate ligament disease: A systematic review and meta-analysis

Journal: Veterinary Surgery

In Smith 2024 et al., on ergonomics and preferences in veterinary laparoscopy, what type of instrument handles were most associated with increased difficulty in laparoscopic procedures?

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Correct. Articulating handles were linked to more difficulty, especially with scissors and biopsy tools.
Incorrect. The correct answer is Articulating.
Articulating handles were linked to more difficulty, especially with scissors and biopsy tools.

🔍 Key Findings

  • Surgeons with smaller glove sizes experienced more difficulty using laparoscopic instruments, especially endoscopic staplers, cup biopsy forceps, and vessel sealing devices.
  • Endoscopic stapler was rated the most difficult instrument, with a median difficulty score of 4/10 and 25% usage difficulty.
  • Female surgeons reported significantly more difficulty with several instruments due to smaller glove size.
  • Reusable instruments were preferred over disposable ones for all tasks.
  • Pistol grips were preferred for grasping/retracting and fine dissection, while axial grips were preferred for suturing/knot tying.
  • Articulating handles were consistently associated with increased reported difficulty, especially with scissors and cup biopsy forceps.
  • Left-handed surgeons had more difficulty operating endoscopic staplers, suggesting limited design inclusivity.
  • Surgeons in academic settings reported more difficulty with laparoscopic maneuvers than those in private practice.

Smith

Veterinary Surgery

3

2024

Variables affecting surgeons’ use of, and preferences for, instrumentation in veterinary laparoscopy

2024-3-VS-smith-4

Article Title: Variables affecting surgeons’ use of, and preferences for, instrumentation in veterinary laparoscopy

Journal: Veterinary Surgery

In Mazdarani 2022 et al., on CBLO and stifle biomechanics, what was the **mean postoperative tibial plateau angle (TPA)** achieved after CORA-based leveling osteotomy (CBLO)?

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Correct. CBLO reduced the mean TPA from 28.1° to 9.7°, consistent with the surgical goal of flattening the tibial slope.
Incorrect. The correct answer is 9.7°.
CBLO reduced the mean TPA from 28.1° to 9.7°, consistent with the surgical goal of flattening the tibial slope.

🔍 Key Findings

  • CBLO reduced tibial plateau angle (TPA) from a mean of 28.1° to 9.7°, aligning with its goal of flattening the tibial slope.
  • CBLO eliminated cranial tibial translation (CTT) following CCL transection and meniscal release at all angles except 140° without hamstring load.
  • Hamstring loading (20% quadriceps load) significantly reduced or delayed the onset of CTT, improving stifle stability.
  • Medial meniscus was confirmed as a secondary stabilizer; its release (MMR) caused more CTT than CCLx alone.
  • PTA (patellar tendon angle) increased with joint extension; CBLO shifted the PTA curve lower and parallel to intact values, suggesting effective flexion of the joint.
  • Combined CBLO and hamstring loading resulted in the most stable joints, especially from 50° to 135° joint angles.
  • Residual CTT occurred in CBLO-only limbs at higher extension angles (e.g., 140°), but hamstring load mitigated this.
  • Stifle stability post-CBLO is multifactorial, depending on joint angle, meniscal integrity, and hamstring activation.

Mazdarani

Veterinary Surgery

6

2022

Effect of center of rotation of angulation‐based leveling osteotomy on ex vivo stifle joint stability following cranial cruciate ligament transection and medial meniscal release with and without a hamstring load

2022-6-VS-mazdarani-1

Article Title: Effect of center of rotation of angulation‐based leveling osteotomy on ex vivo stifle joint stability following cranial cruciate ligament transection and medial meniscal release with and without a hamstring load

Journal: Veterinary Surgery

In Sisk 2024 et al., which nail design feature may reduce infection risk?

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Correct. Solid IMNs showed two-fold reduced infection rates vs. slotted or cannulated nails in rabbit studies:contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is Solid nail design.
Solid IMNs showed two-fold reduced infection rates vs. slotted or cannulated nails in rabbit studies:contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • IMN provides relative stability, resists bending/torsion due to central axis alignment
  • Larger diameter nails = exponentially greater stiffness (∝ D⁴)
  • Trade-off: Larger interlocking holes weaken fatigue strength of the nail
  • Reaming increases contact/stability but has pros/cons:
    • Improves outcomes in closed fractures
    • May reduce endosteal blood flow in thin-walled bones (e.g., cats)
  • Design advances:
    • Angle-stable IMN reduce rotational slack
    • Expandable nails simplify insertion but may compromise removal or compressive load resistance
    • Precontoured nails match bone curvature but lack consistent clinical superiority
  • Material debates continue (e.g., titanium vs. stainless steel vs. magnesium)

Sisk

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Biomechanical Principles of Intramedullary Nails in Veterinary and Human Medicine

2024-6-VCOT-sisk-2

Article Title: Biomechanical Principles of Intramedullary Nails in Veterinary and Human Medicine

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Alvarez-Sanchez 2023 et al., on SLN mapping in canine MCT, which SLN detection method had the higher failure rate?

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Correct. NIRF failed in 20% of dogs, while ICTL failed in only 5%, making NIRF the less sensitive method individually.
Incorrect. The correct answer is Near-infrared fluorescence (NIRF).
NIRF failed in 20% of dogs, while ICTL failed in only 5%, making NIRF the less sensitive method individually.

🔍 Key Findings

  • Combined ICTL and NIRF detected the same SLN in 80% of cases; each method alone missed sentinel lymph nodes in some dogs.
  • ICLT failed in 5% of dogs, while NIRF failed in 20%; combined use resulted in only 5% failure in SLN detection.
  • Metastatic lymph nodes were detected in 95% of dogs, despite most tumors being low or intermediate grade (95%).
  • 27 of 41 nodes (65.8%) were histologically metastatic (HN2 or HN3), many of which would have been missed using ALN alone.
  • ALN matched the SLN in only 45% of cases with ICTL and 30% with NIRF, supporting the need for SLN mapping.
  • ICLT and NIRF were complementary, often identifying different SLN, with some only fluorescent or enhanced in one modality.
  • Subcutaneous MCT had higher metastatic rates (7/8 dogs) than previously reported, challenging older assumptions about benign behavior.
  • Removing both ALN and SLN (from both methods) improved detection of metastasis to 85–95%, reducing risk of understaging.

Alvarez-Sanchez

Veterinary Surgery

3

2023

Comparison of indirect computed tomographic lymphography and near-infrared fluorescence sentinel lymph node mapping for integumentary canine mast cell tumors

2023-3-VS-alvarez-sanchez-2

Article Title: Comparison of indirect computed tomographic lymphography and near-infrared fluorescence sentinel lymph node mapping for integumentary canine mast cell tumors

Journal: Veterinary Surgery

In Anderson 2025 et al., on wound drain configurations, what was the rate of leakage observed across all wounds?

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Correct. Leakage occurred in 93.8% of wounds, mostly at entry sites for the drain system.
Incorrect. The correct answer is 93.8%.
Leakage occurred in 93.8% of wounds, mostly at entry sites for the drain system.

🔍 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.

Anderson

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-anderson2-3

Article Title: Application and influence of four drain configurations on fluid dispersal and retrieval in a cadaveric canine wound infusion-retrieval system model

Journal: Veterinary Surgery

In Danielski 2022 et al., on humero-anconeal incongruity, what was the location of the novel cartilage lesion consistently observed in elbows with HIF?

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Correct. The lesion was always located on the caudal medial humeral condyle, just medial to the humeral condyle isthmus.
Incorrect. The correct answer is Caudal aspect of the medial humeral condyle.
The lesion was always located on the caudal medial humeral condyle, just medial to the humeral condyle isthmus.

🔍 Key Findings

  • A novel caudo-medial arthroscopic portal allowed visualization of previously undescribed cartilage lesions on the caudal medial humeral condyle.
  • A consistent focal cartilage lesion (HA lesion) was observed in 100% of elbows with HIF (21/21), but in none of the 31 elbows without HIF.
  • Lesions varied from indentations to full-thickness cartilage loss, typically elliptical and located just medial to the humeral condyle isthmus.
  • A clunk-like sensation and dynamic engagement of the anconeal process into the lesion were observed in 16/21 elbows with HIF during elbow manipulation.
  • In 5/21 elbows, engagement of the anconeal process led to observable widening of the HIF line, suggesting dynamic instability.
  • Findings support a novel concept of humero-anconeal incongruity as a contributor to the pathogenesis of HIF.
  • Spaniel breed was not a confounder—the lesion was only present in elbows with HIF, regardless of breed.
  • The study suggests potential for using arthroscopy as a screening tool for early detection of humero-anconeal incongruity and HIF risk.

Danielski

Veterinary Surgery

1

2022

Humero-anconeal elbow incongruity in spaniel breed dogs with humeral intracondylar fissure: Arthroscopic findings

2022-1-VS-danielski2-1

Article Title: Humero-anconeal elbow incongruity in spaniel breed dogs with humeral intracondylar fissure: Arthroscopic findings

Journal: Veterinary Surgery

In Alvarez-Sanchez 2023 et al., on SLN mapping in canine MCT, which tumor type showed unexpectedly high rates of lymph node metastasis?

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Oops! Something went wrong while submitting the form.
Correct. 7 of 8 dogs with subcutaneous MCT had metastatic nodes, challenging assumptions of benign behavior in this tumor subtype.
Incorrect. The correct answer is Subcutaneous mast cell tumor.
7 of 8 dogs with subcutaneous MCT had metastatic nodes, challenging assumptions of benign behavior in this tumor subtype.

🔍 Key Findings

  • Combined ICTL and NIRF detected the same SLN in 80% of cases; each method alone missed sentinel lymph nodes in some dogs.
  • ICLT failed in 5% of dogs, while NIRF failed in 20%; combined use resulted in only 5% failure in SLN detection.
  • Metastatic lymph nodes were detected in 95% of dogs, despite most tumors being low or intermediate grade (95%).
  • 27 of 41 nodes (65.8%) were histologically metastatic (HN2 or HN3), many of which would have been missed using ALN alone.
  • ALN matched the SLN in only 45% of cases with ICTL and 30% with NIRF, supporting the need for SLN mapping.
  • ICLT and NIRF were complementary, often identifying different SLN, with some only fluorescent or enhanced in one modality.
  • Subcutaneous MCT had higher metastatic rates (7/8 dogs) than previously reported, challenging older assumptions about benign behavior.
  • Removing both ALN and SLN (from both methods) improved detection of metastasis to 85–95%, reducing risk of understaging.

Alvarez-Sanchez

Veterinary Surgery

3

2023

Comparison of indirect computed tomographic lymphography and near-infrared fluorescence sentinel lymph node mapping for integumentary canine mast cell tumors

2023-3-VS-alvarez-sanchez-5

Article Title: Comparison of indirect computed tomographic lymphography and near-infrared fluorescence sentinel lymph node mapping for integumentary canine mast cell tumors

Journal: Veterinary Surgery

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