Your Custom Quiz

In Hertel 2025 et al., on portal venotomy for insulinoma, what material and technique were used to close the venotomy site?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. This closure method minimized bleeding and supported vascular integrity.
Incorrect. The correct answer is 5–0 polypropylene in simple continuous pattern reinforced with tissue glue.
This closure method minimized bleeding and supported vascular integrity.

🔍 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.

Hertel

Veterinary Surgery

5

2025

Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog

2025-5-VS-hertel-4

Article Title: Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog

Journal: Veterinary Surgery

In Aertsens 2025 et al., on thoracic lift technique, what was the major intraoperative benefit of chest wall lift in both cats?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Chest wall lift significantly expanded the intrathoracic space, facilitating thoracoscopic procedures.
Incorrect. The correct answer is Improved thoracoscopic working space.
Chest wall lift significantly expanded the intrathoracic space, facilitating thoracoscopic procedures.

🔍 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.

Aertsens

Veterinary Surgery

4

2025

Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats

2025-4-VS-aertsens-4

Article Title: Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats

Journal: Veterinary Surgery

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?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The meta-analysis reported a pooled OR of 2.29 (95% CI: 1.77–2.95) indicating a significantly increased risk of CrCLD in gonadectomized females.
Incorrect. The correct answer is 2.29 (95% CI: 1.77–2.95).
The meta-analysis reported a pooled OR of 2.29 (95% CI: 1.77–2.95) indicating a significantly increased risk of CrCLD in gonadectomized 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)

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-1

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 Simpson 2022 et al., on feline cholecystectomy outcomes, which statement best reflects long-term prognosis?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Over 44% survived >3 years, and owner-reported outcomes were excellent in most cases.
Incorrect. The correct answer is Long-term survival is common with good quality of life.
Over 44% survived >3 years, and owner-reported outcomes were excellent in most cases.

🔍 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.

Simpson

Veterinary Surgery

1

2022

Cholecystectomy in 23 cats (2005‐2021)

2022-1-VS-simpson-5

Article Title: Cholecystectomy in 23 cats (2005‐2021)

Journal: Veterinary Surgery

In Maeta 2022 et al., on total cystectomy in cats, how long did the cat survive postoperatively before death at home?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The cat lived for approximately 16 months after surgery despite urinary incontinence and later complications.
Incorrect. The correct answer is 16 months.
The cat lived for approximately 16 months after surgery despite urinary incontinence and later complications.

🔍 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.

Maeta

Veterinary Surgery

8

2022

Modified Toyoda technique for total cystectomy and cutaneous ureterostomy in a cat

2022-8-VS-maeta-2

Article Title: Modified Toyoda technique for total cystectomy and cutaneous ureterostomy in a cat

Journal: Veterinary Surgery

In Simpson 2022 et al., on feline cholecystectomy outcomes, what was the most common surgical indication?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Cholelithiasis was identified in 17 of 23 cats and was the leading reason for surgery.
Incorrect. The correct answer is Cholelithiasis.
Cholelithiasis was identified in 17 of 23 cats and was the leading reason for surgery.

🔍 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.

Simpson

Veterinary Surgery

1

2022

Cholecystectomy in 23 cats (2005‐2021)

2022-1-VS-simpson-1

Article Title: Cholecystectomy in 23 cats (2005‐2021)

Journal: Veterinary Surgery

In Downey 2023 et al., on thoracoscopic lobectomy, what factor was associated with conversion to open thoracotomy?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Conversion was associated with median symptom duration of 90 vs. 7 days.
Incorrect. The correct answer is Longer duration of clinical signs.
Conversion was associated with median symptom duration of 90 vs. 7 days.

🔍 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.

Downey

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

Article Title: Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs

Journal: Veterinary Surgery

In Kwok 2023 et al. on BFX lateral bolt THR in dogs,what factor was most associated with postoperative femoral fractures?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Increased age was significantly associated with postoperative femoral fractures (p = .01).
Incorrect. The correct answer is Increased age.
Increased age was significantly associated with postoperative femoral fractures (p = .01).

🔍 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.

Kwok

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

Article Title: Clinical outcomes of canine total hip replacement utilizing a BFX lateral bolt femoral stem: 195 consecutive cases (2013–2019)

Journal: Veterinary Surgery

In Azuma 2024 et al., on 3D vs 2D laparoscopy, how did the total surgical times compare between 2D and 3D laparoscopic groups?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Although 3D improved one procedural step, the overall surgical time did not differ between groups.
Incorrect. The correct answer is No significant difference.
Although 3D improved one procedural step, the overall surgical time did not differ between 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.

Azuma

Veterinary Surgery

4

2024

Three-dimensional versus two-dimensional laparoscopy for cholecystectomy in a canine cadaveric study

2024-4-VS-azuma-2

Article Title: Three-dimensional versus two-dimensional laparoscopy for cholecystectomy in a canine cadaveric study

Journal: Veterinary Surgery

In Fracka 2024 et al., on perioperative risk factors, how did increasing age affect the likelihood of a complicated recovery?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Each month of age increased complication odds by 1.04× (OR = 1.04, p = .0113).
Incorrect. The correct answer is Increased odds by 4% per month.
Each month of age increased complication odds by 1.04× (OR = 1.04, p = .0113).

🔍 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%).

Fracka

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

Article Title: Risk factors for complicated perioperative recovery in dogs undergoing staphylectomy or folded flap palatoplasty: Seventy-six cases (2018–2022)

Journal: Veterinary Surgery

Quiz Results

Previously Missed Questions
70%

You answered 7 out of 10 questions correctly

Question 1:

❌ Incorrect. You answered: Answer

Correct answer:

Rationale

Question 1:

✅ Correct! You answered: Answer

Rationale

Author: Journal Name - 2025

Article Title

Key Findings

Something off with this question?
Tell us what needs fixing—drop your note below.

You’re flagging: [question text]

Thanks for your feedback!
We’ll review your comment as soon as possible.
Oops! Something went wrong while submitting the form.