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In Miller 2024 et al., on intestinal obstruction and catheter technique in cats, what key factor was significantly associated with failed RRCT attempts?

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Correct. Cats with failed RRCTs had a longer median duration of clinical signs (6.5 vs. 2.0 days).
Incorrect. The correct answer is Longer duration of clinical signs prior to surgery.
Cats with failed RRCTs had a longer median duration of clinical signs (6.5 vs. 2.0 days).

🔍 Key Findings

  • Cats with linear (LFBO) and discrete (DFBO) small intestinal obstructions had similar survival (98.2% vs. 97%, p = 1.0).
  • Postoperative complications were not significantly different between LFBO and DFBO cases (p = .1386).
  • Intestinal dehiscence was rare (only 2 cats), both in DFBOs, with no statistical difference between groups.
  • Red rubber catheter technique (RRCT) successfully removed LFBOs in 83% (20/24) of attempts.
  • All failed RRCTs occurred in cats with perforations or tissue nonviability.
  • Cats with failed RRCTs had longer clinical signs pre-surgery (median 6.5 vs. 2.0 days).
  • Surgical time was longer in LFBO cats (median 77 min vs. 58 min, p = .0018).
  • Preoperative septic peritonitis was rare (4/169 cats), but occurred only in linear or mixed FBO cases.

Miller

Veterinary Surgery

7

2024

Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats

2024-7-VS-miller-2

Article Title: Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats

Journal: Veterinary Surgery

In Mullins 2023 et al., on thoracolumbar pin placement, what was a key **limitation** of the FHP technique noted in the study?

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Correct. FHP required training and anatomical familiarity, which impacted intraoperative deviation rates.
Incorrect. The correct answer is Steep learning curve and operator experience dependency.
FHP required training and anatomical familiarity, which impacted intraoperative deviation rates.

🔍 Key Findings

  • Both free-hand probing (FHP) and 3D-printed guides (3DPG) enabled accurate spinal pin placement, with 87.5% vs 96.4% of pins graded as optimal (Grade I).
  • 3DPGs had fewer intraoperative deviations (0/56 pins) compared to 6/56 with the FHP technique.
  • No pins using either method fully breached the medial vertebral canal (Grade IIb) — a critical safety outcome.
  • Pins placed using 3DPGs required less time overall (mean 2.6 min) than FHP (mean 4.5 min).
  • FHP required specific experience and has a learning curve, whereas 3DPG use requires CAD software and 3D printing access.
  • FHP had more lateral canal violations (Grade IIIa: 4/56 vs 0/56 for 3DPG), suggesting slightly less precision.
  • Both techniques were safe, and all deviations were recognized and corrected intraoperatively.
  • 3DPGs may offer practical advantages in clinical settings lacking surgical expertise, while FHP allows immediate intervention without 3D printing delay.

Mullins

Veterinary Surgery

5

2023

Accuracy of pin placement in the canine thoracolumbar spine using a free-hand probing technique versus 3D-printed patient-specific drill guides: An ex-vivo study

2023-5-VS-mullins-4

Article Title: Accuracy of pin placement in the canine thoracolumbar spine using a free-hand probing technique versus 3D-printed patient-specific drill guides: An ex-vivo study

Journal: Veterinary Surgery

In Thompson 2024 et al., on cyanoacrylate enterotomy sealants, which group had the highest initial leak pressure (ILP)?

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Correct. The HS + CE group achieved the highest ILP (83.3 mmHg), significantly exceeding all others (p < .001).
Incorrect. The correct answer is Handsewn + cyanoacrylate.
The HS + CE group achieved the highest ILP (83.3 mmHg), significantly exceeding all others (p < .001).

🔍 Key Findings

  • Highest initial leak pressure (ILP) observed in the handsewn + cyanoacrylate (HS + CE) group: 83.3 ± 4.6 mmHg (p < .001 vs. others).
  • Lowest ILP: cyanoacrylate-only group (CE): 18.6 ± 3.5 mmHg.
  • No significant MIP difference between handsewn (HSE) and HS + CE groups (p = .19); CE had significantly lower MIP (22.7 mmHg).
  • Leak location:
    • HSE: 60% from suture holes
    • CE: 100% from incisional line
    • HS + CE: 60% from incisional line, 40% from suture holes
  • Authors conclude cyanoacrylate augmentation significantly increases ILP and could reduce enterotomy leakage risk.

Thompson

Veterinary Surgery

2

2024

Effects of cyanoacrylate on leakage pressures of cooled canine cadaveric jejunal enterotomies

2024-2-VS-thompson-1

Article Title: Effects of cyanoacrylate on leakage pressures of cooled canine cadaveric jejunal enterotomies

Journal: Veterinary Surgery

In Ciammaichella 2025 et al., on lymphadenectomy complications, which lymphadenectomy site had the highest rate of postoperative complications?

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Correct. Ilio-sacral lymphadenectomy had a 41% postoperative complication rate, the highest among the groups.
Incorrect. The correct answer is Ilio-sacral.
Ilio-sacral lymphadenectomy had a 41% postoperative complication rate, the highest among the groups.

🔍 Key Findings

  • Ilio-sacral lymphadenectomy had the highest complication rates: intraoperative (7%) and postoperative (41%)
  • Axillary lymphadenectomy showed the lowest complication rates: intraoperative (1%) and postoperative (16%)
  • Enlarged or metastatic lymph nodes were significantly associated with intraoperative complications (p = .030)
  • Postoperative complications were mostly minor (Grade 1) and self-limiting (seromas, edema)
  • Medial retropharyngeal lymphadenectomy had intermediate complication rates: postoperative complications in 26%
  • No significant predictors retained significance in multivariate analysis
  • Use of methylene blue was associated with fewer complications, although not statistically significant
  • Complication rates did not result in mortality, and all were manageable; MST was 374 days

Ciammaichella

Veterinary Surgery

7

2025

Complications of medial retropharyngeal, axillary, and ilio-sacral lymphadenectomy in 127 dogs with malignant tumors

2025-7-VS-ciammaichella-1

Article Title: Complications of medial retropharyngeal, axillary, and ilio-sacral lymphadenectomy in 127 dogs with malignant tumors

Journal: Veterinary Surgery

In Korchek 2025 et al., on fracture gap risk, which postoperative finding was most strongly associated with implant failure in toy breed dogs with radius/ulna fractures?

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Correct. Implant failure was significantly associated with a postoperative fracture gap in the caudal cortex, with an OR of 23.0 and p = .004.
Incorrect. The correct answer is Presence of a fracture gap in the caudal cortex.
Implant failure was significantly associated with a postoperative fracture gap in the caudal cortex, with an OR of 23.0 and p = .004.

🔍 Key Findings

80 toy breed dogs with surgically repaired transverse radius/ulna fractures were analyzed.
Fracture gap in the caudal cortex was present in 46% of cases.
Implant failure rate:

  • 27% in cases with fracture gap
  • 2% in cases without fracture gap

Fracture gap significantly associated with implant failure:

  • OR = 23.0, 95% CI: 2.7–197.9, p = 0.004

Absence of external coaptation also associated with increased implant failure risk:

  • OR = 10.1, 95% CI: 1.1–89.6, p = 0.04

Prolonged external coaptation (>1 week) linked to non-implant complications (skin wounds, osteopenia, osteomyelitis):

  • OR = 5.4, p = 0.04

Plate thickness, type, open screw holes, and working length were not statistically significant predictors of implant failure after multivariable analysis.

Korchek

Veterinary Surgery

2

2025

Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs—A multicenter retrospective cohort study

2025-2-VS-korchek-1

Article Title: Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs—A multicenter retrospective cohort study

Journal: Veterinary Surgery

In Ferreira 2025 et al., on heated pneumoperitoneum in dogs, what best describes the clinical outcome of all patients in the study?

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Correct. All 15 dogs recovered uneventfully and were discharged on the day of surgery.
Incorrect. The correct answer is All animals recovered and were discharged same day.
All 15 dogs recovered uneventfully and were discharged on the day of surgery.

🔍 Key Findings

  • Heated CO₂ insufflation reduced perioperative hypothermia during laparoscopic ovariectomy compared to nonheated CO₂.
  • Final body temperature was significantly higher in the heated group (36.03°C) than in the nonheated group (34.93°C).
  • Temperature reduction correlated with surgical duration only in the nonheated group (p < .05).
  • Heated CO₂ delayed temperature drop, occurring after 20 minutes vs. 5 minutes in nonheated cases.
  • No significant differences between groups in anesthetic, surgical, or insufflation times.
  • All dogs recovered uneventfully and were discharged the same day.
  • Heated CO₂ may offer greater benefit in longer procedures or in small-sized dogs prone to hypothermia.
  • No adverse effects were attributed to heated gas use in this clinical trial.

Ferreira

Veterinary Surgery

5

2025

Effect of heated pneumoperitoneum on body temperature in dogs undergoing laparoscopic ovariectomy—A randomized controlled trial

2025-5-VS-ferreira-5

Article Title: Effect of heated pneumoperitoneum on body temperature in dogs undergoing laparoscopic ovariectomy—A randomized controlled trial

Journal: Veterinary Surgery

In Gant 2025 et al., on skin prep and SSI, which two combinations were compared for their impact on SSI?

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Correct. These two combinations were the basis of comparison in the retrospective and prospective parts of the study.
Incorrect. The correct answer is 2% chlorhexidine & 70% isopropyl alcohol vs 0.7% iodophor & 74% isopropyl alcohol.
These two combinations were the basis of comparison in the retrospective and prospective parts of the study.

🔍 Key Findings

  • No statistically significant difference in overall SSI rates: 9.2% (chlorhexidine) vs. 7.38% (iodophor) (p = .25).
  • Significant drape lift occurred in 13.2% of cases; those with lift had 2.72× increased risk of SSI (p = .026).
  • Increased body weight was a statistically significant risk factor for SSI (p = .008): each 1 kg increased SSI risk by 3%.
  • Use of glutaraldehyde was associated with a 2.38× increased risk of SSI (p = .055, approaching significance).
  • No difference in SSI rates based on surgeon training level or surgical classification (clean, clean-contaminated, contaminated).

Gant

Veterinary Surgery

3

2025

Influence of skin preparation on surgical site infection and lift of adhesive surgical drapes

2025-3-VS-gant-2

Article Title: Influence of skin preparation on surgical site infection and lift of adhesive surgical drapes

Journal: Veterinary Surgery

In Thomsen 2024 et al., on CT accuracy for liver tumors, what level of inter-rater agreement (kappa) was reported for liver division localization?

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Correct. Kappa values were as high as 0.885, indicating excellent agreement among radiologists for division-level localization.
Incorrect. The correct answer is Excellent.
Kappa values were as high as 0.885, indicating excellent agreement among radiologists for division-level localization.

🔍 Key Findings

  • CT localization of liver masses was more accurate by division (88%) than by lobe (74.3%)
  • Inter-radiologist agreement was excellent for division (kappa up to 0.885) and only moderate–good for lobe
  • Quadrate and right lateral lobes had significantly lower localization accuracy compared to left lateral or medial lobes
  • CT localization of the left division was most accurate (90.1%) compared to central (77.1%) and right (88.3%)
  • Portal and hepatic venous phases were equally helpful for localization (each ~30–38% usefulness)
  • No significant associations found between histopathologic diagnosis and localization accuracy
  • Lobe-level CT localization should be interpreted with caution, especially for the quadrate and right lateral lobes
  • Radiologist experience likely influenced accuracy, with the most experienced radiologist performing best

Thomsen

Veterinary Surgery

7

2024

Computed tomography scan accuracy for the prediction of lobe and division of liver tumors by four board-certified radiologists

2024-7-VS-thomsen-4

Article Title: Computed tomography scan accuracy for the prediction of lobe and division of liver tumors by four board-certified radiologists

Journal: Veterinary Surgery

In Monnet 2023 et al., on barbed vs conventional suture in vesicourethral anastomosis (VUA), which of the following best describes the leakage sites observed?

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Correct. Leakage was seen ventrally or laterally between suture bites in both groups; no dorsal leakage was reported.
Incorrect. The correct answer is Leaks were lateral or ventral.
Leakage was seen ventrally or laterally between suture bites in both groups; no dorsal leakage was reported.

🔍 Key Findings

  • Leakage pressure was not significantly different between unidirectional barbed suture (UBS) and conventional (C) suture groups (p = .236).
  • UBS group had a 28% lower median leakage pressure than the C group (8.6 mmHg vs. 11.7 mmHg), suggesting higher biological risk of leakage.
  • UBS significantly reduced suturing time (median 12.7 vs. 17.3 minutes; p < .0002).
  • Fewer suture bites were needed in the UBS group (median 14 vs. 19; p = .012).
  • No suture breakage or urethral narrowing occurred in either group.
  • Leakage site distribution (ventral vs lateral) was similar between groups; no dorsal leaks noted.
  • Leakage occurred as low as 5 mmHg in UBS group, indicating potential for postoperative extravasation.
  • UBS may aid intracorporeal suturing in minimally invasive prostatectomy, but catheterization remains necessary postoperatively.

Monnet

Veterinary Surgery

5

2023

Influence of conventional versus unidirectional barbed suture on leakage pressures in canine vesicourethral anastomosis: An ex-vivo study

2023-5-VS-monnet-3

Article Title: Influence of conventional versus unidirectional barbed suture on leakage pressures in canine vesicourethral anastomosis: An ex-vivo study

Journal: Veterinary Surgery

In Glenn 2024 et al., on overall diagnostic performance, which algorithm had the highest accuracy?

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Correct. Algorithm 3 had the highest overall accuracy (95.5%), balancing sensitivity and specificity.
Incorrect. The correct answer is Algorithm 3.
Algorithm 3 had the highest overall accuracy (95.5%), balancing sensitivity and specificity.

🔍 Key Findings Summary

  • Population: 754 soft tissue or orthopedic procedures in dogs and cats
  • SSI Rate: 62/754 (8.2%)
  • Algorithms Evaluated:
    • Algorithm 1: Highest sensitivity (87.1%) → best for "rule-out"
    • Algorithm 2: Highest specificity (97.9%) → best for "rule-in"
    • Algorithm 3: Highest overall accuracy (95.5%)
  • Active vs. Passive Surveillance:
    • Active surveillance detected 12 additional SSIs (19.4%) missed by passive
    • Active surveillance increased detection rate by 24%
  • Timing: Most SSIs occurred within 30 days; late infections (after 90 days) were rare and implant-related
  • Conclusion: Client questionnaires are a valid and scalable tool for SSI detection; active surveillance improves outcomes

Glenn

Veterinary Surgery

1

2024

Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system

2024-1-VS-glenn-4

Article Title: Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system

Journal: Veterinary Surgery

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