Your Custom Quiz
In Israel 2023 et al., on povidone-iodine lavage, why was antibiotic addition to the lavage not used or recommended?
🔍 Key Findings
- No infections (0/102) occurred in cases where preclosure povidone-iodine lavage (PrePIL) was used, compared to 21/2111 (0.99%) with saline lavage.
- Break-even cost for PrePIL was calculated at $49.74, while the actual cost was only $2.07, confirming strong cost-effectiveness.
- No adverse reactions or healing complications were reported in the 102 PrePIL cases.
- The PrePIL protocol used 0.35% povidone-iodine for 3 minutes before closure, followed by sterile saline lavage.
- Majority of THRs (97%) used cementless fixation (BFX) in PrePIL group; only 3 cases used CFX components.
- Surgeries followed consistent perioperative antibiotic protocols, making PrePIL the only major protocol variable.
- Antibiotics were not added to lavage, aligning with WHO and CDC guidelines for antimicrobial stewardship.
- The infection reduction with PrePIL supports routine use in total hip replacement to reduce periprosthetic joint infections.
Veterinary Surgery
1
2023
Preclosure povidone‐iodine lavage in total hip replacement surgery: Infection outcomes and cost–benefit analysis
2023-1-VS-israel-5
In Smith 2024 et al., on ergonomics and preferences in veterinary laparoscopy, which subgroup of surgeons experienced significantly greater difficulty with endoscopic staplers?
🔍 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-5
In Kimura 2025 et al., on mini-THA in <4 kg dogs, which intraoperative tool improved acetabular and femoral positioning?
🔍 Key Findings
- Zurich mini-cementless THA was successful in 9/10 hips in dogs <4 kg, with no lameness at 52 weeks in completed cases.
- Helsinki Chronic Pain Index significantly improved from a mean of 19.8 to 2.3 at 52 weeks (p = 0.0141).
- Fluoroscopy improved implant positioning, especially in LCPD and HD cases, aiding in accurate reaming and alignment.
- Intraoperative complications occurred in 2/10 cases, including acetabular fractures; one case required discontinuation.
- Prophylactic bicortical screws and reinforcement plates were used in cases with rotational instability or cortical compromise and were effective in preventing loosening/fractures.
- Medial patellar luxation improved postoperatively in one dog, though recurrence was noted later without surgical correction.
- No stem or implant loosening or fracture occurred over a mean follow-up of 24.4 months.
- CT is recommended in preoperative planning, particularly in luxoid hip dysplasia cases with uncertain bone stock.
Veterinary Surgery
6
2025
Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty
2025-6-VS-kimura-3
In Larose 2024 et al., on laparoscopic liver biopsies in dogs, what was the overall histologic diagnostic agreement between samples collected with 3 mm and 5 mm forceps?
🔍 Key Findings
- Histologic agreement between 3 mm and 5 mm biopsies was 90%, with a Gwet's AC1 of 0.81 (p < .0001).
- 5 mm biopsies yielded significantly more portal triads and lobules than 3 mm samples (p = .0003 and p < .0001).
- Crush artifacts were significantly higher in 3 mm samples (p = .035), though fragmentation scores were similar (p = .935).
- Both forceps produced adequate samples for histopathology, copper quantification, and bacterial culture.
- No hemorrhage requiring intervention occurred, and both sizes were deemed safe and minimally invasive.
- Surface area ≥40 mm² strongly predicted ≥11 portal triads, a desirable threshold for reliable histopathology.
- Use of 3 mm instruments was easier in small dogs (<12 kg), but more challenging in larger dogs due to shaft length.
- Clinical diagnoses were unaffected by forceps size, even in the one discordant histologic pair.
Veterinary Surgery
4
2024
Comparing 3 mm and 5 mm laparoscopic liver biopsy samples in dogs
2024-4-VS-larose1-1
In Cantatore 2022 et al., on transanal submucosal resection, what were the 5-year survival rates for dogs with rectal carcinoma treated by this method?
🔍 Key Findings
- Submucosal resection via a transanal approach was associated with a low rate (1.1%) of major complications and prolonged survival across benign and malignant rectal tumors.
- Overall recurrence rate was 21.5%, with higher recurrence in malignant tumors: 28.6% (carcinomas) and 30.4% (carcinoma in situ) vs. 13.6% (adenomas).
- Complications (P = .032) and incomplete margins (P = .023) were independently associated with increased recurrence risk.
- Recurrence was the only factor associated with increased risk of tumor-related death (P = .046).
- Repeat submucosal resection was successful in 60% of dogs with recurrence, indicating feasibility of this as a salvage approach.
- 1-, 2-, and 5-year survival rates for carcinomas were 95%, 89%, and 73%, though overall survival was significantly longer for benign tumors (P = .001).
- Preoperative diagnostics (FNA, biopsy) were often inconsistent with final histopathology – only 64.3% biopsy agreement.
- Presurgical imaging was not consistently performed, limiting accurate staging in many dogs.
Veterinary Surgery
3
2022
Submucosal resection via a transanal approach for treatment of epithelial rectal tumors – a multicenter study
2022-3-VS-cantatore-5
In Bilmont 2025 et al., on cup version comparison, why is truncated face version considered a poor surrogate for open face version?
🔍 Key Findings
- Open face version was significantly greater than truncated face version by 14°–22° (p <.001).
- Open face version increased linearly with inclination and pelvic extension, while truncated face version remained largely stable.
- Truncated face version is an unreliable surrogate for open face version.
- Accurate interpretation of cup version should include both truncated face version and inclination.
- Canine 3D pelvic model and CT-based simulation used for all measurements.
Veterinary Surgery
1
2025
Assessment of BFX cup version in a three-dimensional model simulating the ventrodorsal radiographic view
2025-1-VS-bilmont-5
In Kang 2024 et al., on sacroiliac fixation strength, which construct had significantly higher maximum failure load under rotational force testing?
🔍 Key Findings Summary
- 20 cats with pelvic fractures treated using locking plates with only cortical screws
- 28 fractures stabilized (ilium: 17, acetabulum: 6, ischium: 3, pubis: 2)
- Implants: Primarily 1.5/2.0 mm LCPs or String-of-Pearls plates
- Major complications in 2/20 cases (10%): sciatic entrapment, malunion requiring THA
- Minor complications in 2/20 cases (10%): plate impingement, transient lameness
- Clinical union in all cats by 8 weeks; all cats returned to full function
- Authors conclude cortical screws alone can provide adequate fixation in feline pelvic fractures if screw purchase and bone quality are sufficient
Veterinary and Comparative Orthopedics and Traumatology
1
2024
Biomechanical Comparison of Double 2.3-mm Headless Cannulated Self-Compression Screws and Single 3.5-mm Cortical Screw in Lag Fashion in a Canine Sacroiliac Luxation Model
2024-1-VCOT-kang-1
In Cantatore 2022 et al., on transanal submucosal resection, which of the following was independently associated with increased recurrence risk following surgery?
🔍 Key Findings
- Submucosal resection via a transanal approach was associated with a low rate (1.1%) of major complications and prolonged survival across benign and malignant rectal tumors.
- Overall recurrence rate was 21.5%, with higher recurrence in malignant tumors: 28.6% (carcinomas) and 30.4% (carcinoma in situ) vs. 13.6% (adenomas).
- Complications (P = .032) and incomplete margins (P = .023) were independently associated with increased recurrence risk.
- Recurrence was the only factor associated with increased risk of tumor-related death (P = .046).
- Repeat submucosal resection was successful in 60% of dogs with recurrence, indicating feasibility of this as a salvage approach.
- 1-, 2-, and 5-year survival rates for carcinomas were 95%, 89%, and 73%, though overall survival was significantly longer for benign tumors (P = .001).
- Preoperative diagnostics (FNA, biopsy) were often inconsistent with final histopathology – only 64.3% biopsy agreement.
- Presurgical imaging was not consistently performed, limiting accurate staging in many dogs.
Veterinary Surgery
3
2022
Submucosal resection via a transanal approach for treatment of epithelial rectal tumors – a multicenter study
2022-3-VS-cantatore-2
In Caiazzo 2025 et al., on suture material comparison, which factor was significantly associated with incisional dehiscence?
🔍 Key Findings
- No significant difference in non-infected incisional dehiscence rates among groups using PDS vs. Monocryl for subcutaneous and skin closure.
- Overall dehiscence rate: 9.48% (22/232 dogs).
- Postoperative antibiotic use and signs of inflammation were significantly associated with dehiscence (p = .023 and p < .001, respectively).
- Dogs not receiving postoperative antibiotics had a higher dehiscence rate (14.74%) than those that did (5.84%).
- Most dehiscence cases were superficial (85.7%), and the average length of dehiscence was 1.71 cm.
- No statistically significant impact of weight, BCS, incision length, procedure type, surgeon experience, closure direction, or barrier use on dehiscence rate.
Veterinary Surgery
3
2025
Impact of suture materials polydioxanone and poliglecaprone 25 on non-infected clean orthopedic stifle procedure incisional dehiscence rates
2025-3-VS-caiazzo-2
In Marti 2024 et al., on surgical outcomes in feline sialoceles, what was the reported recurrence rate after surgical treatment?
🔍 Key Findings
- Mandibular and sublingual glands were the most commonly involved salivary glands in feline sialoceles.
- Left-sided lesions were more prevalent (71%) among affected cats.
- Ranulae were present in over half (57%) of cases, highlighting the importance of thorough oral exams.
- Surgical approaches included lateral, ventral, intraoral, or combinations thereof, with no recurrences reported.
- Marsupialization alone (without gland removal) resolved clinical signs in 4/21 cats, with no short-term recurrence noted.
- Complications occurred in 5/21 cats (24%), including incisional swelling and one case of feline oral pain syndrome.
- One cat experienced iatrogenic injury from misidentification of the mandibular lymph node as the gland.
- Median follow-up time beyond 30 days was 822 days (range: 90–1205), with no long-term recurrences or contralateral lesions observed.
Veterinary Surgery
7
2024
Outcomes of surgically treated sialoceles in 21 cats: A multi‐institutional retrospective study (2010–2021)
2024-7-VS-marti-2
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings