Your Custom Quiz

In Stoneburner 2024 et al., on MIS survey results, what was the most cited reason for performing MIS techniques?

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Correct. Respondents ranked reduced pain and faster recovery as top motivators (mean 4.0/5).
Incorrect. The correct answer is Patient benefit.
Respondents ranked reduced pain and faster recovery as top motivators (mean 4.0/5).

🔍 Key Findings

  • The survey included 111 practicing surgeons and 28 residents from ACVS, ECVS, and ANZCVS. 98.2% had performed soft tissue minimally invasive surgery (MIS).
  • In the past year, surgeons reported a median caseload of 90% basic laparoscopy, 0% advanced laparoscopy, and 10% thoracoscopy; for residents: 100% basic laparoscopy, 0% advanced, 0% thoracoscopy.
  • Laparoscopic ovariectomy and OHE were the most commonly performed MIS procedures, with most respondents proficient in basic laparoscopy, but few performing advanced laparoscopy or thoracoscopy.
  • Top barriers to MIS adoption were: lack of consistent caseload, lack of training, difficult learning curve, equipment limitations, and cost.
  • 76.6% of surgeons and 92.9% of residents received MIS training during residency. Those trained had completed residency median 6 years ago, compared to 22 years ago for those without MIS training (p < .001). Perceived adequate training correlated with higher proficiency.
  • MIS was recognized as having a steep learning curve, but patient benefits (mean score 4.0/5) were the top motivation — less pain, faster recovery, improved visualization.
  • The authors conclude basic laparoscopy is widely adopted, but advanced and thoracoscopic MIS remain underutilized. Training and access are key to future growth.
  • Expanded training and improved access to equipment are necessary to promote broader integration of MIS into veterinary soft-tissue surgery.

Stoneburner

Veterinary Surgery

5

2024

Laparoscopy and thoracoscopy in small animal surgery: A 2020 survey of small animal surgical diplomates and residents

2024-5-VS-stoneburner-5

Article Title: Laparoscopy and thoracoscopy in small animal surgery: A 2020 survey of small animal surgical diplomates and residents

Journal: Veterinary Surgery

In Miller 2025 et al., on spinal drill guide accuracy, what was a reported technical benefit of the SOP plate when used with the 3D-printed guides?

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Correct. The plate helped realign vertebrae during screw placement, effectively serving as a reduction aid.
Incorrect. The correct answer is Acted as a reduction guide.
The plate helped realign vertebrae during screw placement, effectively serving as a reduction aid.

🔍 Key Findings

  • 3D-printed, SOP plate-specific guides enabled safe screw placement from T12–L5 in canine cadavers and models.
  • All 140 screw trajectories were classified as Zdichavski Grade 1, indicating optimal placement without vertebral canal breach.
  • Screw angles (cranial-caudal and transverse) matched preoperative planning, with no significant deviation.
  • Entry/exit point deviations were <1 mm on average, deemed clinically negligible.
  • Drill guides were quick to place (<30 sec per vertebra) and improved ease of surgery.
  • Plates acted as effective reduction tools, guiding alignment during screw placement in mobile spines.
  • Minor technical challenges arose from cadaveric spine mobility, mitigated by sequential screw insertion.
  • Technique may enable future use in fracture/luxation reduction, pending further cadaveric and clinical trials.

Miller

Veterinary Surgery

6

2025

Development and testing of an animal-specific and string-of-pearls (SOP) plate specific, three-dimensionally (3D) printed drilling guide: A proof of concept study for canine thoracolumbar spinal stabilization

2025-6-VS-miller-3

Article Title: Development and testing of an animal-specific and string-of-pearls (SOP) plate specific, three-dimensionally (3D) printed drilling guide: A proof of concept study for canine thoracolumbar spinal stabilization

Journal: Veterinary Surgery

In Buote 2023 et al., on laparoscopic gastrectomy in cats, what complication was **not** observed in either live patient after surgery?

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Correct. No intra- or postoperative complications were reported in the two live cats, including absence of leak, GI signs, or pain.
Incorrect. The correct answer is All of the above.
No intra- or postoperative complications were reported in the two live cats, including absence of leak, GI signs, or pain.

🔍 Key Findings

  • LVSG was feasible in 9/10 feline cadavers with successful stapled gastrectomy and minimal technical complications.
  • Stenosis at the incisura angularis occurred in 2/10 cadavers, associated with staple placement too close to the lesser curvature.
  • Leak testing was negative in 8 cadavers and both live cats, indicating effective staple sealing.
  • Mean stomach resection was ~28%, though less than human standards (~75–80%) for metabolic effects.
  • Surgery was performed safely in two live feline subjects, with no intraoperative or postoperative complications over a 6-month follow-up.
  • Technique refinements included orogastric tube placement and custom 3D-printed cannulas to improve staple line accuracy and avoid stenosis.
  • Tri-Staple purple cartridges provided graduated compression suited for feline gastric tissue thickness (~2.5 mm).
  • No need for staple line oversew in live cats; staple-only closure proved safe in this short-term study.

Buote

Veterinary Surgery

6

2023

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

2023-6-buote2-3

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

Journal: Veterinary Surgery

In Canever 2022 et al., on labial flap vascular anatomy, what postoperative complication occurred in Case 1 that required management?

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Correct. Case 1 experienced dislodgement of the esophagostomy tube but the flap healed fully.
Incorrect. The correct answer is Esophagostomy tube dislodgement.
Case 1 experienced dislodgement of the esophagostomy tube but the flap healed fully.

🔍 Key Findings

  • Superior and inferior labial arteries in cats perfuse robust angiosomes, which support musculomucosal axial pattern flaps.
  • Cadaver angiography confirmed vascular anatomy, with consistent patterns between sides and among specimens.
  • The vascular supply is located primarily in the musculomucosal layer, not the skin, critical for flap viability.
  • Flap harvest requires inclusion of the orbicularis oris (± buccinator) muscle to ensure vascular integrity and flap survival.
  • Two clinical cases demonstrated successful use of superior and inferior labial musculomucosal flaps for palatal reconstruction with complete flap survival and resolution of clinical signs.
  • Intraoperative transillumination aided vessel localization, facilitating surgical planning and flap design.
  • No cases of distal flap necrosis or dehiscence occurred, although mild donor site morbidity (lip retraction, mucosal denuding) was noted.
  • These flaps offer a valuable option when local tissues are compromised, especially after failed previous repairs or radiation therapy.

Canever

Veterinary Surgery

4

2022

Evaluation of the superior and inferior labial musculomucosal flaps in cats: An angiographic study and case series

2022-4-VS-canever-4

Article Title: Evaluation of the superior and inferior labial musculomucosal flaps in cats: An angiographic study and case series

Journal: Veterinary Surgery

In Davies 2024 et al., on lymphaticovenous anastomosis, what was the main technical issue encountered during pinning to the MAC?

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Correct. Poor luminal visibility required repeat pinning in one cat to ensure flow through the TD.
Incorrect. The correct answer is Luminal patency difficulty during vessel pinning.
Poor luminal visibility required repeat pinning in one cat to ensure flow through the TD.

🔍 Key Findings

  • Lymphaticovenous anastomosis (TD to AV) was successfully performed in all 8 feline cadavers using a microvascular anastomotic coupler (MAC).
  • Anastomotic patency was confirmed intraoperatively and postoperatively in 7/8 cats via contrast lymphography or retrograde venography.
  • Dissection and anastomosis took a median of 120 minutes, with minimal technical complications.
  • A 1.5 mm MAC was used in 6 cats, and a 2.0 mm in 2 cats; TD diameter ranged 1.0–1.5 mm, AV up to 2.25 mm.
  • Challenges included vessel twisting and luminal patency issues, resolved intraoperatively with minor adjustments (e.g., repeat pinning, tacking suture).
  • MAC use eliminated need for hand-suturing, lowering skill demands but requiring precise alignment.
  • Technique provides direct lymphatic-to-venous drainage, potentially reducing the stimulus for collateral vessel formation.
  • May serve as a future treatment option for feline idiopathic chylothorax, warranting further in vivo studies.

Davies

Veterinary Surgery

7

2024

Lymphaticovenous anastomosis of the caudal thoracic duct to the azygous vein: A feline cadaver study

2024-7-VS-davies-2

Article Title: Lymphaticovenous anastomosis of the caudal thoracic duct to the azygous vein: A feline cadaver study

Journal: Veterinary Surgery

In Jeong 2025 et al., on contoured saw guide vs jig, what was the effect of each on *postoperative tibial plateau angle (TPA)*?

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Correct. Despite improved cutting accuracy, TPA outcomes were statistically similar between techniques (p = .15).
Incorrect. The correct answer is TPA was equivalent across both groups (~6–7.6°)..
Despite improved cutting accuracy, TPA outcomes were statistically similar between techniques (p = .15).

🔍 Key Findings

  • TPLO with the contoured saw guide achieved more accurate osteotomy angles for both inclination and torsion in bone models and cadaveric limbs (p < .05).
  • Medial cortical damage was significantly lower with the contoured guide (247 vs. 1866 pixels in bone models; p < .001).
  • No significant difference in eccentricity (distance between actual and intended osteotomy center) was found between groups.
  • Postoperative tibial plateau angle (TPA) was similar between groups (6.4° vs. 7.6°; p = .15), though both were slightly higher than the target of 6°.
  • Deviation in medial mechanical proximal tibial angle (mMPTA) showed no significant group difference; valgus deformity occurred in both.
  • Osteotomy and device application times were similar between the contoured guide and jig-assisted TPLO.
  • The contoured guide eliminated the need for proximal jig pin, potentially reducing intra-articular pin risk.
  • The guide's multiple pin fixation system improved stability and alignment, supporting safer osteotomy on curved tibial surfaces.

Jeong

Veterinary Surgery

7

2025

Evaluation of a contoured saw guide for tibial plateau leveling osteotomy in dogs

2025-7-VS-jeong-3

Article Title: Evaluation of a contoured saw guide for tibial plateau leveling osteotomy in dogs

Journal: Veterinary Surgery

In Mattioli 2025 et al., on lymphadenectomy complications, what was the most common postoperative complication observed?

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Correct. Seroma was the most frequently observed postoperative complication, occurring in 2.5% of cases.
Incorrect. The correct answer is Seroma.
Seroma was the most frequently observed postoperative complication, occurring in 2.5% of cases.

🔍 Key Findings

Sample: 201 lymphadenectomies in 163 dogs.
Intraoperative techniques:

  • Unassisted: 36%
  • Methylene blue (MB): 24%
  • Gamma probe + MB (γ-MB): 40%

Complication rate: 7.5% overall (93% uncomplicated)

  • 80% were mild, 20% moderate; no severe complications
  • Most common = seroma (2.5%), lymphoedema (1.5%)

Risk factors (via decision tree model):

  • Surgical time > 21.5 min
  • Lymph node site = mandibular or retropharyngeal

No significant difference in complication rate based on:

  • Guidance technique (p = .255)
  • LN palpability, number removed, or LN size

Clinical implication: Peripheral SLN excision is safe regardless of intraoperative technique; certain sites and durations carry slightly higher risk.

Mattioli

Veterinary Surgery

4

2025

Peripheral sentinel lymphadenectomy in 163 dogs: Postoperative surgical complications and comparison between intraoperative dissection techniques

2025-4-VS-mattioli-4

Article Title: Peripheral sentinel lymphadenectomy in 163 dogs: Postoperative surgical complications and comparison between intraoperative dissection techniques

Journal: Veterinary Surgery

In Pfund 2025 et al., on femoral cortical thickness, what was the key preoperative radiographic predictor of femoral fissure or fracture in dogs undergoing THR?

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Correct. CTI was the only statistically significant risk factor associated with perioperative fractures.
Incorrect. The correct answer is Femoral cortical thickness index.
CTI was the only statistically significant risk factor associated with perioperative fractures.

🔍 Key Findings

  • Lower CTI values were significantly associated with higher risk of both intraoperative and postoperative femoral fractures or fissures (p <.0001).
  • The mean CTI for all dogs was 0.285, whereas dogs with fissures/fractures had a mean CTI of 0.246.
  • For each 0.001 increase in CTI, odds of fissure/fracture decreased by 2–3% depending on perioperative timing.
  • High interobserver reliability (ICC = 0.984) and consistency between pre- and postoperative CTI measurements (ICC = 0.96).
  • CTI was the only significant risk factor identified; age, breed, bodyweight, BCS, CFI, or luxoid hips were not significant.
  • Prophylactic lateral plating in dogs with low CTI (mean 0.230) resulted in no postoperative fractures.
  • Postoperative fractures occurred in 8% of cases, and 93% of dogs returned to full function within one year.
  • CTI may be a useful radiographic screening tool, especially when advanced imaging (e.g., DEXA) is unavailable.

Pfund

Veterinary Surgery

6

2025

Femoral cortical thickness index in a population of dogs undergoing total hip replacement

2025-6-VS-pfund-1

Article Title: Femoral cortical thickness index in a population of dogs undergoing total hip replacement

Journal: Veterinary Surgery

In Vandekerckhove 2024 et al., what effect did lever arm length (device position) have on hip laxity measurement?

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Correct. Lever length (DH-VMBDmD/DCFJ-VMBDmD) affected how quickly LI% plateaued but not final LImax
Incorrect. The correct answer is Changed LI% slope but not LImax.
Lever length (DH-VMBDmD/DCFJ-VMBDmD) affected how quickly LI% plateaued but not final LImax

🔍 Key Findings Summary

  • Used VMBDmD to quantify hip laxity under increasing force in cadaveric dogs (n=34).
  • 90% of hips reached ≥90% of LImax at 95.32 N, defining this force as sufficient for subluxation.
  • LImax was not significantly influenced by osteoarthritis, weight, sex, or limb side.
  • Position of device (lever length) influenced rate of laxity acquisition, not final LImax.
  • LI curves were repeatable across 5 sessions, indicating elastic—not plastic—deformation.

Vandekerckhove

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Quantifying the Stress in Stress Radiographs to Determine Sufficient Laxity of the Coxofemoral Joint

2024-1-VCOT-vandekerckhove-4

Article Title: Quantifying the Stress in Stress Radiographs to Determine Sufficient Laxity of the Coxofemoral Joint

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Price 2024 et al., on left-sided TD ligation in dogs, how many clinical cases showed a single thoracic duct branch at the proposed surgical site?

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Correct. 10 of 13 clinical lymphangiograms showed a single branch at the fourth intercostal space.
Incorrect. The correct answer is 10 out of 13.
10 of 13 clinical lymphangiograms showed a single branch at the fourth intercostal space.

🔍 Key Findings

  • Left fourth intercostal thoracotomy allowed successful thoracic duct (TD) ligation in 9/10 canine cadavers.
  • 10/13 clinical cases had a single TD branch at the left fourth intercostal space, indicating lower anatomical complexity.
  • All TD branches at this site were lateral to the esophagus, simplifying surgical access.
  • Unilateral subphrenic pericardiectomy was successfully performed via the same incision in 10/10 cadavers.
  • Fewer TD branches at the fourth intercostal space than traditional caudal sites may reduce the risk of missed collaterals.
  • In contrast, traditional caudal TD ligation sites had up to 5 branches, requiring broader dissection.
  • No cadaver had right-sided TD branches, reducing surgical complexity at the studied location.
  • Contrast-confirmed ligation was effective in 90% (9/10) cadavers on CT imaging.

Price

Veterinary Surgery

3

2024

Evaluation of thoracic duct ligation and unilateral subphrenic pericardiectomy via a left fourth intercostal approach in normal canine cadavers

2024-3-VS-price-4

Article Title: Evaluation of thoracic duct ligation and unilateral subphrenic pericardiectomy via a left fourth intercostal approach in normal canine cadavers

Journal: Veterinary Surgery

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