
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?
🔍 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.
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
In Cruciani 2022 et al., on feline pancreaticoduodenostomy, what surgical technique was used to restore pancreaticoduodenal continuity after resection?
🔍 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.
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
In Low 2025 et al., on gonadectomy and CrCLD, which timing of gonadectomy was associated with the highest relative risk for cruciate disease?
🔍 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)
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
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?
🔍 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.
Veterinary Surgery
3
2024
Variables affecting surgeons’ use of, and preferences for, instrumentation in veterinary laparoscopy
2024-3-VS-smith-4
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)?
🔍 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.
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
In Sisk 2024 et al., which nail design feature may reduce infection risk?
🔍 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)
Veterinary and Comparative Orthopedics and Traumatology
6
2024
Biomechanical Principles of Intramedullary Nails in Veterinary and Human Medicine
2024-6-VCOT-sisk-2
In Alvarez-Sanchez 2023 et al., on SLN mapping in canine MCT, which SLN detection method had the higher failure rate?
🔍 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.
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
In Anderson 2025 et al., on wound drain configurations, what was the rate of leakage observed across all wounds?
🔍 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-anderson2-3
In Danielski 2022 et al., on humero-anconeal incongruity, what was the location of the novel cartilage lesion consistently observed in elbows with HIF?
🔍 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.
Veterinary Surgery
1
2022
Humero-anconeal elbow incongruity in spaniel breed dogs with humeral intracondylar fissure: Arthroscopic findings
2022-1-VS-danielski2-1
In Alvarez-Sanchez 2023 et al., on SLN mapping in canine MCT, which tumor type showed unexpectedly high rates of lymph node metastasis?
🔍 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.
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
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
