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In Zann 2023 et al., In Long-term outcomes after proximal humeral OC debridement in dogs, what difference was noted in affected limbs compared to contralateral limbs in unilaterally affected dogs?

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Correct. OC limbs showed measurable atrophy and reduced ROM compared to contralateral healthy limbs.
Incorrect. The correct answer is Decreased brachial circumference and extension.
OC limbs showed measurable atrophy and reduced ROM compared to contralateral healthy limbs.

🔍 Key Findings

  • 20 dogs (26 shoulders) evaluated at mean 3.5 years post-surgery after arthroscopic or open debridement.
  • Ipsilateral muscle atrophy and decreased range of motion (↓ extension, ↓ flexion) in affected limbs compared to contralateral healthy shoulders.
  • All treated shoulders developed osteoarthritis, confirmed radiographically, by CT, and arthroscopically.
  • Moderate to severe synovitis was present in all shoulders; lesions showed patchy, incomplete cartilage infilling even up to 8.9 years post-op.
  • Kinetic gait analysis showed no significant differences in PVF/VI between affected and unaffected limbs, despite mild lameness clinically.
  • Owners reported good to very good mobility (median LOAD = 6), often underestimating clinical lameness.
  • CT detected larger lesion dimensions than radiographs (wider, deeper defects).
  • Despite progression of OA, surgical debridement was associated with satisfactory long-term function, though not prevention of degenerative changes.

Zann

Veterinary Surgery

7

2023

Long-term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis

2023-7-VS-zann-4

Article Title: Long-term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis

Journal: Veterinary Surgery

In Marchionatti 2022 et al., on antiseptic efficacy comparison, what issue may falsely elevate the observed efficacy of antiseptics in skin cultures?

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Correct. Residual activity of antiseptics without neutralizers can persist after sampling, skewing results:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is Lack of neutralizing agents during sampling.
Residual activity of antiseptics without neutralizers can persist after sampling, skewing results:contentReference[oaicite:3]{index=3}

🔍 Key Findings

  • Chlorhexidine-based asepsis protocols were comparable to povidone-iodine for reducing surgical site infection (SSI) rates in veterinary surgery.
  • No significant difference in skin bacterial colonization was observed between the two antiseptics, at both immediate and delayed timepoints.
  • Chlorhexidine-alcohol protocols showed a non-significant trend toward improved bacterial reduction in some studies, though inconsistent across all studies.
  • Use of neutralizing agents was inconsistent, which may have led to overestimation of antiseptic efficacy in several studies.
  • Formulations and concentrations varied widely (e.g., chlorhexidine 0.5–4%, povidone-iodine 0.7–1%), contributing to heterogeneity and limiting definitive conclusions.
  • Only a minority of studies reported using CDC criteria for SSI diagnosis, affecting the reliability of infection outcomes.
  • Risk of bias was high or unclear in multiple domains across all included studies, limiting overall confidence in conclusions.
  • Meta-analysis confirmed no statistically significant superiority of either protocol for SSI prevention or skin bacterial reduction.

Marchionatti

Veterinary Surgery

5

2022

Preoperative skin asepsis protocols using chlorhexidine versus povidone‐iodine in veterinary surgery: A systematic review and meta-analysis

2022-5-VS-marchionatti-4

Article Title: Preoperative skin asepsis protocols using chlorhexidine versus povidone‐iodine in veterinary surgery: A systematic review and meta-analysis

Journal: Veterinary Surgery

In Lederer 2025 et al., on MIPO vs ORPS, which outcome measure significantly differed between groups?

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Correct. Time to clinical union was significantly longer in MIPO (85 days) vs ORPS (57 days), p = .010.
Incorrect. The correct answer is Time to clinical union.
Time to clinical union was significantly longer in MIPO (85 days) vs ORPS (57 days), p = .010.

🔍 Key Findings

Study size: 105 dogs (73 ORPS; 32 MIPO)

MIPO vs ORPS differences:

  • Surgical time: MIPO median 130 min vs ORPS 85 min (p < .001)
  • Explant rate: MIPO 25% vs ORPS 4.1% (p = .003)
  • Time to clinical union: MIPO 85 days vs ORPS 57 days (p = .010)
  • Frontal alignment deviation: MIPO 3.5° vs ORPS 2.0° (p = .047)
  • Comminution more frequent in MIPO (41% vs 16%; p = .012)

Significant predictors for MIPO use: More proximal fracture margin (p = .004), surgeon identity (p < .001)

No significant difference: Sagittal alignment, radial length, union rate, or complication rate by surgeon

Implant preference: Fixin plates used in 84% of MIPO; locking plates more common in ORPS

Lederer

Veterinary Surgery

4

2025

Retrospective comparison of minimally invasive plate osteosynthesis and open reduction and plate stabilization of antebrachial fractures in 105 dogs (2017–2022)

2025-4-VS-lederer-1

Article Title: Retrospective comparison of minimally invasive plate osteosynthesis and open reduction and plate stabilization of antebrachial fractures in 105 dogs (2017–2022)

Journal: Veterinary Surgery

In Viitanen 2023 et al., on zygomatic sialoadenectomy, which surgical complication was specifically avoided by using the intraoral approach?

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Correct. IOA avoids the palpebral branch of the auriculopalpebral nerve, reducing risk of lagophthalmos.
Incorrect. The correct answer is Palpebral nerve damage.
IOA avoids the palpebral branch of the auriculopalpebral nerve, reducing risk of lagophthalmos.

🔍 Key Findings

  • Intraoral approach (IOA) reduced surgical time compared to lateral orbitotomy (median: 42.0 vs 65.7 minutes, p = .005)
  • Ease of closure (Stage III) was better with IOA (p < .001), though gland removal (Stage II) was easier with LOA (p = .039)
  • Complete gland removal was achieved in 8/10 IOA vs 10/10 LOA cases in cadaveric study
  • All 3 clinical cases had uneventful recoveries post-IOA, including one carcinoma, with no intra- or short-term postoperative complications
  • LOA had superior surgical exposure, but was more invasive and time-consuming
  • IOA posed greater difficulty in complete gland removal in brachycephalic dogs, with remnant tissue noted in 2/10 cadavers
  • IOA avoids osteotomy, reducing potential complications like delayed union and postoperative pain
  • Cosmetic outcomes and healing were better with IOA, and no E-collar was required postoperatively

Viitanen

Veterinary Surgery

2

2023

Intraoral approach for zygomatic sialoadenectomy in dogs: An anatomical study and three clinical cases

2023-2-VS-viitanen-2

Article Title: Intraoral approach for zygomatic sialoadenectomy in dogs: An anatomical study and three clinical cases

Journal: Veterinary Surgery

In McNamara 2022 et al., on transoral endoscopic arytenopexy, what was the primary clinical advantage of the TEA technique compared to traditional unilateral arytenoid lateralization (UAL)?

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Correct. TEA preserved the laryngeal epiglottic-glottic seal (LEGS) in 100% of cases, whereas UAL often disrupts it.
Incorrect. The correct answer is It preserved the LEGS in all cases.
TEA preserved the laryngeal epiglottic-glottic seal (LEGS) in 100% of cases, whereas UAL often disrupts it.

🔍 Key Findings

  • TEA significantly increased the rima glottis area (RGA) from a mean of 0.52 cm³ to 0.78 cm³ (p < .0001)
  • Mean RGA increased by 157%, equivalent to an 84% estimated decrease in airway resistance
  • LEGS (laryngeal epiglottic-glottic seal) remained intact in all cadavers post-procedure, indicating maintained airway protection
  • TEA was technically feasible in all 15 cadaveric dogs using a custom endoscopic gag port (EGP)
  • TEA avoids cervical dissection, potentially reducing surgical trauma and risks compared to UAL (unilateral arytenoid lateralization)
  • Compared to UAL, TEA showed slightly less RGA increase, but greater LEGS preservation, potentially reducing aspiration risk
  • No cartilage was included in sutures; arytenopexy involved soft tissue fixation to pharyngeal wall across the piriform recess
  • Cadaver model limitations include inability to assess functional outcomes like swallowing and respiratory motion impact

McNamara

Veterinary Surgery

7

2022

Description and evaluation of a novel transoral endoscopic arytenopexy in canine cadavers

2022-7-VS-mcnamara-1

Article Title: Description and evaluation of a novel transoral endoscopic arytenopexy in canine cadavers

Journal: Veterinary Surgery

In Woelfel 2022 et al., on cervical locked facets, which best describes the neurologic pattern often observed?

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Correct. Half the tetraparetic dogs had greater thoracic than pelvic limb deficits, consistent with central cord-like syndrome.
Incorrect. The correct answer is Thoracic limbs more affected than pelvic limbs.
Half the tetraparetic dogs had greater thoracic than pelvic limb deficits, consistent with central cord-like syndrome.

🔍 Key Findings

  • Locked facet injuries in dogs involved unilateral dorsal displacement of the cranial articular process of the caudal vertebra, most commonly at C5/6 or C6/7.
  • All affected dogs were small/toy breeds, typically following trauma (most often attacks by larger dogs).
  • Neurologic severity ranged from ambulatory tetraparesis to tetraplegia, often with thoracic limb deficits more severe than pelvic limbs — suggesting a central cord syndrome-like pattern.
  • CT and MRI revealed axial rotation, subluxation, and articular process displacement; MRI showed T2 hyperintensity, nerve root impingement, and soft tissue changes.
  • Surgical treatment included ventral fixation with screws, pins, and PMMA, and one case required dorsal facetectomy for reduction.
  • Medical management, including external coaptation or rest, also resulted in functional recovery in select cases.
  • All dogs with follow-up data (8/8) had functional recovery, with nonambulatory dogs regaining ambulation in a median of 4 weeks.
  • No consistent differences in outcome were observed between surgical and nonsurgical management, suggesting locked facets may be biomechanically stable.

Woelfel

Veterinary Surgery

1

2022

Subaxial cervical articular process subluxation and dislocation: Cervical locked facet injuries in dogs

2022-1-VS-woelfel-4

Article Title: Subaxial cervical articular process subluxation and dislocation: Cervical locked facet injuries in dogs

Journal: Veterinary Surgery

In Tobias 2022 et al., on perineal hernia repair positioning, which statement best reflects the outcome of colopexy?

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Correct. Colopexy helped facilitate visualization but did not prevent recurrence.
Incorrect. The correct answer is It improved visualization during hernia reduction.
Colopexy helped facilitate visualization but did not prevent recurrence.

🔍 Key Findings

  • Perineal hernia repair was feasible in dorsal recumbency in all 23 dogs, allowing simultaneous perineal and abdominal procedures without repositioning.
  • Internal obturator muscle transposition (IOMT) was successfully performed in 22 dogs, with tendon transection facilitating improved muscle elevation.
  • Complication rate was 60.9% in-hospital and 47.8% post-discharge, mostly minor (e.g., swelling, drainage), with infection suspected in 4 dogs (17.4%).
  • Recurrence rate was 19% overall, but significantly higher in dogs with prior hernia repairs (50% vs 5.9%; p = 0.053).
  • Dogs without prior repairs or organ pexies had no recurrences (p = 0.035), suggesting primary repairs without preexisting interventions fare better.
  • Castration and adjunctive abdominal procedures (e.g., colopexy, cystopexy) were often performed concurrently (18/23 dogs).
  • Colopexy did not prevent recurrence, although it aided in surgical visualization during perineal repair.
  • Dorsal positioning allowed simultaneous access to the abdomen and perineum, improving surgical efficiency without added complications.

Tobias

Veterinary Surgery

5

2022

Perineal hernia repair in dorsal recumbency in 23 dogs: Description of technique, complications, and outcome

2022-5-VS-tobias-5

Article Title: Perineal hernia repair in dorsal recumbency in 23 dogs: Description of technique, complications, and outcome

Journal: Veterinary Surgery

In Heald 2022 et al., on PED wound therapy, what current level was applied to the dressing during treatment?

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Correct. The current was limited to 600 μA (0.6 mA) via a 10-kΩ resistor.
Incorrect. The correct answer is 0.6 mA.
The current was limited to 600 μA (0.6 mA) via a 10-kΩ resistor.

🔍 Key Findings

  • Electroceutical dressing (PED) promoted complete healing of chronic wounds in both a dog and a cat previously unresponsive to standard therapies.
  • Infection clearance occurred in both animals by the end of PED therapy, as shown by negative culture results.
  • In the dog, wound area reduced by ~4.2× over 10 days; healing completed by day 67 with no further antibiotic therapy.
  • In the cat, wound area reduced by ~2.5× over 17 days; healing completed by day 47 without systemic antibiotics.
  • PEDs function via direct current (DC) stimulation, believed to generate hypochlorous acid (HOCl) with antibacterial properties.
  • No side effects or adverse tissue reactions were observed in either case, supporting biocompatibility.
  • Multidrug-resistant organisms (e.g., S. pseudintermedius, S. canis, S. epidermidis) were eradicated by PED treatment.
  • PED therapy may reduce reliance on antibiotics and surgery, offering a novel adjunct for chronic, infected wounds.

Heald

Veterinary Surgery

3

2022

Electroceutical treatment of infected chronic wounds in a dog and a cat

2022-3-VS-heald-5

Article Title: Electroceutical treatment of infected chronic wounds in a dog and a cat

Journal: Veterinary Surgery

In Duvieusart 2025 et al., on lung lobectomy approaches, which approach was associated with staple line leaks?

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Correct. Staple line leaks occurred in 2 of 4 ICT cases; none were reported in MS or TDCM.
Incorrect. The correct answer is ICT only.
Staple line leaks occurred in 2 of 4 ICT cases; none were reported in MS or TDCM.

🔍 Key Findings

  • Study Design: Canine cadaveric study comparing intercostal thoracotomy (ICT), median sternotomy (MS), and transdiaphragmatic with caudal median sternotomy (TDCM) for accessory lung lobectomy (ALL).
  • Main Outcomes:
    • Exposure Area: TDCM (193.5 cm²) > MS (106.5 cm²) > ICT (73.5 cm²) (p = .01).
    • TDCM provided significantly greater exposure than MS (p = .02) and ICT (p = .02); MS > ICT (p = .04).
    • Surgical Time: No significant difference (p = .06).
    • Lobe Excision (% by weight/surface area): No significant difference between groups (p = .4).
    • Staple Line Leak: Leak at ≤40 cmH₂O in 2/4 ICT, 0/4 MS, 0/4 TDCM (p = .09).
  • Complications:
    • 1/4 MS cases had iatrogenic damage to an adjacent lobe.
  • Technical Insights:
    • TDCM approach allowed immediate visualization of all three parts of the right pulmonary ligament.
    • The TDCM approach offers improved access without requiring en bloc removal with the right caudal lobe.
  • Conclusion: The TDCM approach provides improved exposure for ALL lobectomy with no increase in surgical time or complications relative to other approaches.

Duvieusart

Veterinary Surgery

1

2025

Comparison of three approaches for accessory lung lobectomy in the canine cadaveric model: Intercostal thoracotomy, median sternotomy, and a transdiaphragmatic approach combined with caudal median sternotomy

2025-1-VS-duvieusart-2

Article Title: Comparison of three approaches for accessory lung lobectomy in the canine cadaveric model: Intercostal thoracotomy, median sternotomy, and a transdiaphragmatic approach combined with caudal median sternotomy

Journal: Veterinary Surgery

In Spies 2024 et al., on EHPSS in large dogs, what was the most common clinical sign at presentation?

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Correct. Lethargy was reported in 61.9% of dogs, making it the most common presenting clinical sign.
Incorrect. The correct answer is Lethargy.
Lethargy was reported in 61.9% of dogs, making it the most common presenting clinical sign.

🔍 Key Findings

  • 63 dogs ≥15 kg with single EHPSS were reviewed.
  • Most common breeds: Golden Retriever (28.6%), mixed breed (20.6%).
  • Most common shunt types: splenocaval (25.4%) and portocaval (25.4%).
  • 45 dogs received surgical attenuation; 18 were medically managed.
  • 6.7% (3/45) of surgically treated dogs died due to shunt-related complications; 22.2% (4/18) of medically managed dogs died.
  • Hypoplastic portal vein was noted in 52.9% of dogs where portal anatomy was described.
  • 37.5% of surviving attenuated dogs were weaned off all medical management.
  • Attenuated dogs had higher 1-, 2-, and 5-year survival rates (89%, 77%, 77%) than nonattenuated dogs (82%, 49%, 24%).

Spies

Veterinary Surgery

2

2024

Clinical presentation and short‐term outcomes of dogs ≥15 kg with extrahepatic portosystemic shunts

2024-2-VS-spies-5

Article Title: Clinical presentation and short‐term outcomes of dogs ≥15 kg with extrahepatic portosystemic shunts

Journal: Veterinary Surgery

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