
Your Custom Quiz
In Davies 2024 et al., on lymphaticovenous anastomosis, what was the main technical issue encountered during pinning to the MAC?
🔍 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.
Veterinary Surgery
7
2024
Lymphaticovenous anastomosis of the caudal thoracic duct to the azygous vein: A feline cadaver study
2024-7-VS-davies-2
In Mullen 2024 et al., on NIRF for GDV, which region showed significantly lower fluorescence intensity in nonviable gastric tissue?
🔍 Key Findings
- NIRF altered surgical strategy in 3 of 20 GDV dogs, identifying necrosis not appreciated subjectively.
- Fundic fluorescence <10% indicated histologically confirmed gastric necrosis.
- In 1 dog, NIRF revealed nonviability despite the surgeon’s impression of viability.
- Staple line fluorescence resembled viable tissue in the only stapled gastrectomy, suggesting preservation of perfusion.
- GDV dogs (even “viable”) showed lower fluorescence vs. healthy controls, indicating subclinical vascular compromise.
- Histology confirmed full-thickness necrosis in all 4 dogs with NIRF-defined nonviability.
- Pre-op lactate was significantly higher in nonviable GDV dogs (8.55 vs 4.89 mmol/L, p=0.03).
- No complications were reported from ICG use; imaging was safe and repeatable.
Veterinary Surgery
4
2024
Use of real-time near-infrared fluorescence to assess gastric viability in dogs with gastric dilatation volvulus: A case-control study
2024-4-VS-mullen-1
In Peycke 2022 et al., on CBLO in immature dogs, how many dogs developed **tibial recurvatum** due to over-rotation of the TPA during CBLO?
🔍 Key Findings
- CBLO was effective for stifle stabilization in skeletally immature dogs with CrCL injuries, avoiding disruption of proximal tibial growth plates.
- Radiographic union of the osteotomy occurred in a mean of 6 weeks (range: 4–8 weeks), indicating rapid bone healing.
- Full limb function was restored in all cases by long-term follow-up (mean 23 months), including dogs with initial complications.
- Two dogs developed 19° valgus deformities due to screw interference with the proximal tibial physis; both were corrected surgically with return to function.
- One dog developed 10° recurvatum due to over-rotation of the tibial plateau, but retained full function without revision.
- CCS (countersink compression screw) caused early apophyseal closure in older dogs but had no adverse clinical effects.
- In contrast, K-wire or plate-only fixation preserved open apophysis, suggesting implant choice may influence growth.
- No meniscal injuries were observed, and all CrCL injuries were managed arthroscopically — 6 complete, 6 partial, 4 avulsions.
Veterinary Surgery
3
2022
Center of rotation of angulation-based leveling osteotomy for stifle stabilization in skeletally immature dogs
2022-3-VS-peycke-5
In Pilot 2022 et al., on closure methods in sternotomy, what was the overall rate of closure-related complications observed in dogs?
🔍 Key Findings
- Overall closure-related complication rate was 14.1%, lower than previously reported (17–78%).
- No clinically meaningful difference in complication rate between orthopedic wire (17.4%) and suture (11.5%) closure methods.
- Dog size (≥20 kg) was the only significant risk factor associated with increased closure-related complications (p = .01).
- Type of closure (wire vs. suture) did not affect risk, even in larger dogs.
- Suture closure showed a non-significant trend toward fewer complications (mean reduction 2.3%, 95% CI: –9.1% to +4.5%).
- Most complications were mild (62%), with only 10 severe cases requiring surgical revision.
- Infection rate was low (2.7%), and not significantly different between wire and suture.
- Suture closure is a valid alternative to wire, including in large dogs, based on this large, multi-institutional study.
Veterinary Surgery
6
2022
Comparison of median sternotomy closure‐related complication rates using orthopedic wire or suture in dogs: A multi-institutional observational treatment effect analysis
2022-6-VS-pilot-1
In Kang 2022 et al., on 3D scaffold reconstruction, which material was combined with polycaprolactone (PCL) to enhance osteoconductivity?
🔍 Key Findings
- Patient-specific 3D-printed PCL/β-TCP scaffold enabled successful zygomatic arch reconstruction in a dog.
- Complete surgical resection of a zygomatic parosteal osteosarcoma was achieved, with a 0.3 mm histologically clean margin.
- Post-op imaging showed progressive tissue ingrowth into the scaffold, with Hounsfield Units increasing from 20.4 to 97.8 over 10 months.
- No complications (e.g., infection, displacement) or tumor recurrence were noted at 16-month follow-up.
- Use of a patient-specific osteotomy guide improved anatomical fit and facilitated precise excision and implant placement.
- Facial symmetry and orbital stability were maintained throughout follow-up.
- The scaffold remained structurally stable despite limited bone regeneration, suggesting connective tissue filled the defect.
- Topical mitomycin C was applied intraoperatively for possible anti-neoplastic effect, but efficacy remains unclear.
Veterinary Surgery
8
2022
Zygomatic arch reconstruction with a patient-specific polycaprolactone beta-tricalcium phosphate scaffold after parosteal osteosarcoma resection in a dog
2022-8-VS-kang-1
In Kimura 2025 et al., on mini-THA in <4 kg dogs, which implant strategy was used to reduce risk of femoral fracture during THA in small dogs?
🔍 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-5
In Deprey 2022 et al., on gap fracture implants, which of the following best explains the improved biomechanical performance of the NAS-ILN?
🔍 Key Findings
- NAS-ILN had significantly greater stiffness in both axial compression and 4-point bending compared to LCP constructs.
- Ultimate load to failure was significantly higher for NAS-ILN in compression (804 N vs 328 N) and bending (25.7 Nm vs 16.3 Nm).
- Torsional stiffness and angular deformation were similar, but NAS-ILN resisted higher torque to failure than LCP (22.5 Nm vs 19.1 Nm).
- No slack was observed with the NAS-ILN construct, unlike older nail designs.
- Failure modes differed: LCPs failed via plate bending; NAS-ILNs failed at the implant or bone near screw holes.
- Titanium alloy and curved design of NAS-ILN provides better anatomic fit and more uniform stress distribution.
- A third, perpendicular locking hole in NAS-ILN may enhance torsional stability but was not utilized in this study.
- The curved, angle-stable design of NAS-ILN is a novel advancement in veterinary orthopedics.
Veterinary Surgery
8
2022
Mechanical evaluation of a novel angle‐stable interlocking nail in a gap fracture model
2022-8-VS-deprey-5
In Aly 2024 et al., on simulator training for feline OHE, what was the difference in incidence of rescue analgesia between groups?
🔍 Key Findings
- This study evaluated whether high-fidelity surgical simulator training improved live animal and student outcomes in a feline OHE teaching lab involving 186 cats and 146 students.
- Simulator training significantly improved surgical performance and outcomes:
- Live surgery was 6 minutes shorter on average in the SIM group vs. NO-SIM (115 ± 21 min vs. 121 ± 16 min, p = .04).
- Pain scores ≥5/20 occurred in 1% of SIM group cats vs. 15% of NO-SIM group cats (p < .01).
- Rescue analgesia was needed less frequently in the SIM group (5% vs. 15%, p = .03).
- Student confidence was significantly higher in the SIM group (median 7/10 vs. 6/10, p < .01).
- The simulator used a realistic abdominal model with friable tissues and required performance of a full OHE procedure.
- The study design was nonrandomized, grouped by class year, with limitations including lack of blinding during pain assessment in year two.
- Authors concluded that pre-lab simulator competency improves both animal welfare and student confidence, recommending it as a prerequisite for live surgical training.
Veterinary Surgery
6
2024
Effect of surgical simulator training on student and live animal outcomes in a feline ovariohysterectomy teaching laboratory
2024-6-VS-aly-2
In Allaith 2023 et al., on THR outcomes, what statistically significant change was observed in postoperative LOAD scores?
🔍 Key Findings
From Allaith et al., 2023 – Outcomes from a multiuser canine hip replacement registry
- 2375 total hip replacements were analyzed across 1852 dogs, making this the largest multiuser canine THR dataset to date.
- Most common indications for THR were hip dysplasia (51%) and osteoarthritis (34%).
- Implants used included Kyon (46%), BioMedtrix CFX (22%), Hybrid (11%), BFX (9%), and Helica (4.5%).
- Veterinary-reported complication rate was 8.5%, while owner-reported was 23%, with moderate agreement (k=0.44).
- Most common complications: Luxation, femoral fracture, and aseptic loosening.
- BioMedtrix BFX and Helica implants had a higher risk of complications when used after femoral head and neck excision (P = .031).
- Postoperative LOAD scores significantly improved vs preoperative (21 → 11; P < .0001), supporting improved mobility.
- Owner satisfaction was high, with 88% rating outcome as very good or good.
Veterinary Surgery
2
2023
Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period
2023-2-VS-allaith-4
In Adair 2023 et al., on PCCLm vs. open cystotomy, what factor increased the odds of surgical site infection/inflammation in the PCCLm group?
🔍 Key Findings
- PCCLm resulted in significantly fewer postoperative lower urinary tract signs compared to OC (13.0% vs 60.9%, p <.001).
- Incomplete urolith removal was not significantly different between PCCLm and OC (11.4% vs 20%, p = .112).
- PCCLm had significantly shorter anesthesia times than OC when no concurrent procedures were performed (97.5 vs 120 min, p < .001).
- Surgical site infection/inflammation (SSII) rates were low and not significantly different between groups (4.5% PCCLm vs 1.8% OC).
- Dogs undergoing PCCLm were more frequently discharged same-day (84.7% vs 0% in OC), reflecting faster recovery.
- PCCLm had higher intraoperative complication rates (22.1% vs 3.4%), mostly due to incision extension or conversions.
- Time to additional surgery for urolith recurrence was longer in PCCLm dogs (24 vs 11.5 months, p = .004).
- Calcium oxalate uroliths were more prevalent in PCCLm cases, while OC had more struvite or mixed types.
Veterinary Surgery
6
2023
Retrospective comparison of modified percutaneous cystolithotomy (PCCLm) and traditional open cystotomy (OC) in dogs: 218 cases (2010–2019)
2023-7-VS-adair-4
Quiz Results
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