
Your Custom Quiz
In Hertel 2025 et al., on portal venotomy for insulinoma, what material and technique were used to close the venotomy site?
🔍 Key Findings
- Portal venotomy enabled successful en bloc resection of a pancreatic insulinoma and associated thrombus in the portal vein, a novel approach in veterinary literature.
- Temporary portal vein occlusion (15 min) was well tolerated, causing only transient small intestinal congestion without lasting hemodynamic compromise.
- No intraoperative hemorrhage occurred following vascular isolation and venotomy repair with 5–0 polypropylene in a simple continuous pattern.
- Postoperative complications were minimal, with only moderate pancreatitis managed medically and no portal hypertension observed on follow-up imaging.
- Histopathology confirmed insulinoma, with no initial metastasis; CT at 6 months revealed hepatic and peritoneal metastases but no local recurrence at the venotomy site.
- Portal vein luminal stenosis occurred post-repair but was clinically insignificant.
- Advanced CT imaging and 3D printed modeling significantly enhanced surgical planning and anatomical assessment.
- Surgical excision achieved good short-term outcomes, and the dog was alive and euglycemic one year later despite metastatic disease.
Veterinary Surgery
5
2025
Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog
2025-5-VS-hertel-4
In Aertsens 2025 et al., on thoracic lift technique, what was the major intraoperative benefit of chest wall lift in both cats?
🔍 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-4
In Low 2025 et al., on gonadectomy and CrCLD, what was the overall pooled odds ratio (OR) for cranial cruciate ligament disease in gonadectomized female dogs compared to intact females?
🔍 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-1
In Simpson 2022 et al., on feline cholecystectomy outcomes, which statement best reflects long-term prognosis?
🔍 Key Findings
- Cholelithiasis was the most common indication for cholecystectomy in cats.
- Perioperative complications were frequent, with intraoperative hypotension in all recorded cases and postoperative anemia in 14 cats.
- Perioperative mortality was 21.7%, lower than historical rates for feline biliary surgery.
- 78.3% of cats survived to discharge, and 83.3% of those lived >6 months; 44.4% survived >3 years.
- Vomiting was the most common short- and long-term complication, though most cats were medically managed.
- Concurrent EHBDO was not a contraindication provided CBD patency was restored.
- Positive bacterial cultures were found in 15 cats, with E. coli and Enterococcus faecalis most common.
- Owner-reported outcomes were excellent in all cats that survived long-term.
Veterinary Surgery
1
2022
Cholecystectomy in 23 cats (2005‐2021)
2022-1-VS-simpson-5
In Maeta 2022 et al., on total cystectomy in cats, how long did the cat survive postoperatively before death at home?
🔍 Key Findings
- First reported case of total cystectomy and bilateral cutaneous ureterostomy in a cat using a modified Toyoda technique.
- Histologically complete tumor resection was achieved, with tumor-free ureter and urethral margins >20 mm.
- The modified Toyoda technique involved shaping the ureter into a fish-mouth aperture and anastomosing it to a rectangular skin defect for stomal formation.
- Incontinence was managed using a diaper changed every 6–8 hours, with no dermatological complications.
- Obstruction of the right ureter occurred 14 months post-op, associated with a subcutaneous nodule at the anastomosis site.
- Despite incontinence, owner satisfaction and perceived quality of life were high, with the cat living ~16 months post-op.
- The stents were removed on days 7 (left) and 28 (right) postoperatively, with initial patency maintained until 14 months.
- This surgical approach may offer palliative or curative benefit for feline trigonal TCC where partial cystectomy is not feasible.
Veterinary Surgery
8
2022
Modified Toyoda technique for total cystectomy and cutaneous ureterostomy in a cat
2022-8-VS-maeta-2
In Simpson 2022 et al., on feline cholecystectomy outcomes, what was the most common surgical indication?
🔍 Key Findings
- Cholelithiasis was the most common indication for cholecystectomy in cats.
- Perioperative complications were frequent, with intraoperative hypotension in all recorded cases and postoperative anemia in 14 cats.
- Perioperative mortality was 21.7%, lower than historical rates for feline biliary surgery.
- 78.3% of cats survived to discharge, and 83.3% of those lived >6 months; 44.4% survived >3 years.
- Vomiting was the most common short- and long-term complication, though most cats were medically managed.
- Concurrent EHBDO was not a contraindication provided CBD patency was restored.
- Positive bacterial cultures were found in 15 cats, with E. coli and Enterococcus faecalis most common.
- Owner-reported outcomes were excellent in all cats that survived long-term.
Veterinary Surgery
1
2022
Cholecystectomy in 23 cats (2005‐2021)
2022-1-VS-simpson-1
In Downey 2023 et al., on thoracoscopic lobectomy, what factor was associated with conversion to open thoracotomy?
🔍 Key Findings
- Thoracoscopic (TL) or thoracoscopic-assisted (TAL) lobectomy was successfully performed in 12 dogs with non-neoplastic pulmonary consolidation (PC).
- 44% (4/9) of TL cases were converted to open thoracotomy due to adhesions or poor visualization—higher than rates for neoplastic lobectomies.
- OLV was successful in 7/9 TL dogs; unsuccessful attempts were managed with intermittent ventilation, mostly in brachycephalic breeds.
- Median hospital stay was 3 days; 91.7% (11/12) survived to discharge, and 100% of survivors showed no recurrence at median 24-month follow-up.
- Complications were mostly minor: pneumothorax (2), minor hemorrhage (3), dehiscence (1), and 1 fatality due to BOAS complications.
- Histopathology showed infectious pneumonia in 10 dogs, and in 4 cases, foreign body migration was suspected as the underlying cause.
- Median surgical time for TL was 90 minutes; conversion correlated with longer symptom duration (median 90 vs. 7 days).
- Postoperative recovery was excellent in all surviving dogs, with one case of persistent cough attributed to concurrent heart disease.
Veterinary Surgery
7
2023
Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs
2023-7-VS-downey-2
In Kwok 2023 et al. on BFX lateral bolt THR in dogs,what factor was most associated with postoperative femoral fractures?
🔍 Key Findings
- 97.4% of dogs returned to normal function after total hip replacement using the BFX lateral bolt.
- Mean femoral stem subsidence was 1.22 mm, with most occurring in the first month and minimal thereafter.
- Postoperative complication rate was 13.6%, with 9.2% major and 4.4% minor complications.
- Femoral fractures (3.6%) and coxofemoral luxations (3.6%) were the most common major complications.
- Increased age and higher stem size were risk factors for postoperative femoral fractures; CFI >2.0 was also associated.
- Medial calcar fractures were avoided, and fractures occurred distal to stem ingrowth zone, simplifying repairs.
- Three cases underwent prophylactic plating, all with excellent outcomes and no complications.
- Explant rate was 2.6% (5/195), with most failures involving acetabular cup rather than femoral stem.
Veterinary Surgery
1
2023
Clinical outcomes of canine total hip replacement utilizing a BFX lateral bolt femoral stem: 195 consecutive cases (2013–2019)
2023-1-VS-kwok-3
In Azuma 2024 et al., on 3D vs 2D laparoscopy, how did the total surgical times compare between 2D and 3D laparoscopic groups?
🔍 Key Findings
- 3D laparoscopy significantly reduced time to first endoclip placement compared to 2D (median 76 vs. 238 seconds, p = .016).
- Total surgical time was not significantly different between 3D and 2D groups.
- No differences were observed in intraoperative complications such as cystic duct injury, clip dislodgment, or gallbladder perforation.
- Cystic duct stump length was comparable between groups (median 2.5 mm).
- Liver parenchyma attachment severity did not differ significantly between 2D and 3D groups.
- All procedures were performed by an experienced surgeon, potentially reducing the benefit seen with 3D visualization.
- No conversions to open surgery occurred, and no intraoperative complications were reported.
- The study suggests 3D laparoscopy may aid less experienced surgeons due to enhanced depth perception.
Veterinary Surgery
4
2024
Three-dimensional versus two-dimensional laparoscopy for cholecystectomy in a canine cadaveric study
2024-4-VS-azuma-2
In Fracka 2024 et al., on perioperative risk factors, how did increasing age affect the likelihood of a complicated recovery?
🔍 Key Findings
- Staphylectomy was linked to higher risk of complicated recovery than folded flap palatoplasty (OR = 59.29, p = .0002).
- Laryngeal collapse > Grade 2 was strongly associated with poor recovery (OR = 97.13, p < .0001).
- Longer general anesthesia duration increased the risk of complications (OR = 1.01 per min, p = .0051).
- Increasing age significantly raised the odds of perioperative complication (OR = 1.04 per month, p = .0113).
- History of aspiration pneumonia was only found in dogs with complications, though not in final model due to instability.
- Complicated recovery included >12 h O₂ therapy, tracheostomy, or death.
- FFP may reduce pharyngeal-laryngeal edema, possibly improving immediate outcomes.
- Bulldogs comprised 80% of population, with French Bulldogs most common (63%).
Veterinary Surgery
4
2024
Risk factors for complicated perioperative recovery in dogs undergoing staphylectomy or folded flap palatoplasty: Seventy-six cases (2018–2022)
2024-4-VS-fracka-3
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
