Your Custom Quiz

In Davey 2024 et al., on modified closed anal sacculectomy, what percentage of dogs experienced postoperative complications, and how were most classified?

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Correct. Postoperative complications occurred in 31.9% of dogs, and 93.3% of those were minor in severity.
Incorrect. The correct answer is 31.9%, mostly minor.
Postoperative complications occurred in 31.9% of dogs, and 93.3% of those were minor in severity.

🔍 Key Findings

  • Modified closed anal sacculectomy resulted in a local recurrence rate of only 2.2%, substantially lower than prior reports (18–50%).
  • Postoperative complications occurred in 31.9% of dogs; most (93%) were minor, with dehiscence being the most common.
  • Mean survival time in deceased dogs was 521 days; median was 388 days.
  • Surgical technique included complete en bloc excision of the sac and duct with sphincter reconstruction, aiming to reduce seeding risk.
  • Only one major complication resulted in euthanasia due to infection and dehiscence.
  • Histologic margins were complete in 44.7% of dogs; lymphatic invasion was present in 31.9%, and vascular in 8.5%.
  • Adjunctive chemotherapy was administered in 34% of dogs (mostly carboplatin); not standardized due to retrospective design.
  • Routine rectal exam was key to diagnosis in 57.4% of dogs with no clinical signs, underscoring the importance of screening.

Davey

Veterinary Surgery

6

2024

Outcomes of dogs with apocrine gland anal sac adenocarcinoma treated via modified closed anal sacculectomy (2015–2022)

2024-6-VS-davey-4

Article Title: Outcomes of dogs with apocrine gland anal sac adenocarcinoma treated via modified closed anal sacculectomy (2015–2022)

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 Adair 2023 et al., on PCCLm vs OC in dogs, what was the most common reason for converting PCCLm to OC?

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Correct. 4 out of 5 conversions from PCCLm to OC were due to uroliths too numerous to retrieve endoscopically.
Incorrect. The correct answer is Uroliths too numerous to retrieve.
4 out of 5 conversions from PCCLm to OC were due to uroliths too numerous to retrieve endoscopically.

🔍 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.

Adair

Veterinary Surgery

6

2023

Retrospective comparison of modified percutaneous cystolithotomy (PCCLm) and traditional open cystotomy (OC) in dogs: 218 cases (2010–2019)

2023-6-VS-adair-4

Article Title: Retrospective comparison of modified percutaneous cystolithotomy (PCCLm) and traditional open cystotomy (OC) in dogs: 218 cases (2010–2019)

Journal: Veterinary Surgery

In Nash 2024 et al., on esophageal pH monitoring, what percentage of dogs experienced proximal GER events during the recording period?

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Correct. Only 12 of 31 dogs with dual sensors had proximal GER, corresponding to 39%.
Incorrect. The correct answer is 39%.
Only 12 of 31 dogs with dual sensors had proximal GER, corresponding to 39%.

🔍 Key Findings

  • Esophageal pH-monitoring was well tolerated in all 35 nonbrachycephalic dogs, with no major adverse events reported.
  • Distal GER occurred in 80% of dogs, but events were typically brief and non-productive; proximal GER occurred in only 39%.
  • Upper reference limits for GER were 2.4 events/hour (distal) and 0.4 events/hour (proximal).
  • Cumulative acid exposure was minimal: upper limits were 2.3% (distal) and 0% (proximal).
  • Comparison with brachycephalic dogs shows significantly higher GER frequency and duration, validating the diagnostic utility of pH monitoring.
  • Transnasal probe placement under light anesthesia was safe and less morbid compared to percutaneous or conscious techniques.
  • No expelled or productive regurgitation occurred, despite some GER events, indicating efficient esophageal clearance in healthy dogs.
  • Diet and fasting duration may affect GER, but these were not controlled variables in this study.

Nash

Veterinary Surgery

8

2024

Esophageal pH‐monitoring in nonbrachycephalic dogs: A reference

2024-8-VS-nash-4

Article Title: Esophageal pH‐monitoring in nonbrachycephalic dogs: A reference

Journal: Veterinary Surgery

In Cantatore 2022 et al., on transanal submucosal resection, what was the major complication rate following surgery?

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Correct. Only 1 of 93 dogs experienced a major complication requiring surgical revision.
Incorrect. The correct answer is 1.1%.
Only 1 of 93 dogs experienced a major complication requiring surgical revision.

🔍 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.

Cantatore

Veterinary Surgery

3

2022

Submucosal resection via a transanal approach for treatment of epithelial rectal tumors – a multicenter study

2022-3-VS-cantatore-3

Article Title: Submucosal resection via a transanal approach for treatment of epithelial rectal tumors – a multicenter study

Journal: Veterinary Surgery

In Boullenger 2025 et al., on traumatic patellar luxation, what percentage of cases experienced complete resolution of lameness by 2 months postoperatively?

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Correct. Ten of 13 animals had full lameness resolution by 2-month follow-up (76.9%).
Incorrect. The correct answer is 77%.
Ten of 13 animals had full lameness resolution by 2-month follow-up (76.9%).

🔍 Key Findings

  • Patients: 16 (11 dogs, 5 cats); 6.1% of canine and 23.8% of feline PL cases were traumatic.
  • Most common luxation direction: Medial (81.3%).
  • Surgery: All had capsular imbrication; 75% had fabello-patellar suture (FPS).
  • Short-term results (13/16 cases):
    • 77% had no lameness by 2 months.
    • 85% had no PL recurrence.
    • 3 severe complications: capsulorrhaphy tear, FPS fabellar tear, septic arthritis.
  • Long-term results (13/16 cases):
    • 85% lameness-free.
    • 77% full function; 23% acceptable.
    • 0 reluxations reported by owners.

Boullenger

Veterinary and Comparative Orthopedics and Traumatology

1

2025

Clinical Presentation, Surgical Treatment, and Outcome of Traumatic Patellar Luxation in 11 Dogs and 5 Cats: A Single-Centre Retrospective Study between 2011 and 2022

2025-1-VC-boullenger-1

Article Title: Clinical Presentation, Surgical Treatment, and Outcome of Traumatic Patellar Luxation in 11 Dogs and 5 Cats: A Single-Centre Retrospective Study between 2011 and 2022

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Winston 2023 et al., on LES-AS surgery outcomes, which preoperative treatment was discontinued postoperatively in all dogs?

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Correct. Oral sildenafil was stopped after surgery, supporting the idea that surgical treatment alone was effective in maintaining clinical improvement.
Incorrect. The correct answer is Sildenafil.
Oral sildenafil was stopped after surgery, supporting the idea that surgical treatment alone was effective in maintaining clinical improvement.

🔍 Key Findings

  • Modified Heller myotomy with Dor fundoplication improved vomiting/regurgitation scores by 180%, QoL by 100%, and owner-perceived body weight by 63% (P < .05).
  • 6 of 9 dogs with postoperative VFSS showed objective improvement in gastric filling scores; others remained stable.
  • Oral sildenafil was discontinued postoperatively in all dogs, indicating surgical success comparable to medical management.
  • 12 of 13 dogs survived to discharge; one dog was euthanized due to aspiration pneumonia postoperatively.
  • 50% of dogs experienced gastrostomy tube complications, higher than reported in previous literature.
  • Most complications were gastrostomy-tube related, with some requiring surgical correction (e.g., tube migration, leakage).
  • Feeding strategies (Bailey chair, elevated bowls) and food consistency (gruel/liquid) remained essential postoperatively to control regurgitation.
  • 9 of 11 owners would opt for the surgery again; those who wouldn’t cited risk or lack of efficacy.

Winston

Veterinary Surgery

2

2023

Management and outcomes of 13 dogs treated with a modified Heller myotomy and Dor fundoplication for lower esophageal sphincter achalasia-like syndrome

2023-2-VS-winston-4

Article Title: Management and outcomes of 13 dogs treated with a modified Heller myotomy and Dor fundoplication for lower esophageal sphincter achalasia-like syndrome

Journal: Veterinary Surgery

In Power 2022 et al., on liposomal bupivacaine use, what proportion of incisional complications required only topical treatment or no treatment?

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Correct. Of the 43 complications, 27 required only minimal or no treatment (CSS 1).
Incorrect. The correct answer is 62.8%.
Of the 43 complications, 27 required only minimal or no treatment (CSS 1).

🔍 Key Findings

  • Overall complication rate was 19.7% (43/218), with most being mild (CSS 1).
  • Soft tissue procedures had higher complication rates (26%) than orthopedic procedures (11.6%) (P < 0.01).
  • No difference in complication rates between clean, clean-contaminated, and contaminated wounds (P = 0.55).
  • No difference in complication rates between labeled use (CCL surgery) and off-label orthopedic procedures (P = 0.21).
  • Majority of complications (63%) were mild, resolving without intervention or with topical therapy.
  • Severe complications requiring revision surgery were rare (2.3%) and occurred mainly in soft-tissue surgeries.
  • Most common complications included SSI (25.6%), dehiscence (16.3%), and seroma (14%).
  • Liposomal bupivacaine appears safe for use in broader orthopedic procedures beyond current labeling.

Power

Veterinary Surgery

4

2022

Incidence and severity of short‐term incisional complications after intraoperative local infiltration of liposomal bupivacaine in dogs

2022-4-VS-power-4

Article Title: Incidence and severity of short‐term incisional complications after intraoperative local infiltration of liposomal bupivacaine in dogs

Journal: Veterinary Surgery

In Tani 2022 et al., on FCU tendon reconstruction, what did histology of the FCU in Case 1 reveal?

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Correct. Histology showed mild atrophy and degeneration, consistent with injury rather than systemic disease.
Incorrect. The correct answer is Mild nonspecific degeneration.
Histology showed mild atrophy and degeneration, consistent with injury rather than systemic disease.

🔍 Key Findings

  • Fascia lata autograft reconstruction of the FCU tendon successfully treated carpal hyperextension in both dogs.
  • Primary repair was not possible in one dog due to complete rupture; a fascia lata graft bridged the tendon gap.
  • In the second case, elongated tendon was corrected and reinforced with fascia lata to prevent recurrence.
  • Type I external skeletal fixation was used for 6 weeks to support tendon healing in both dogs.
  • Postoperative gait and range of motion returned to normal, with no recurrence at 36-month follow-up.
  • Ultrasonography aided diagnosis, revealing thinning and echogenic changes in the FCU tendon.
  • Histologic findings showed mild, nonspecific muscle changes, suggesting injury rather than a systemic disease.
  • No complications occurred, and fascia lata showed potential for biological integration and remodeling into tendon-like structure.

Tani

Veterinary Surgery

8

2022

Reconstruction of the flexor carpi ulnaris tendon with a fascia lata autograft in two dogs with carpal hyperextension

2022-8-VS-tani-5

Article Title: Reconstruction of the flexor carpi ulnaris tendon with a fascia lata autograft in two dogs with carpal hyperextension

Journal: Veterinary Surgery

In Kuvaldina 2023 et al., on endoscopic axillary lymphadenectomy, what was the typical surgical time for axillary node removal in cadavers?

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Correct. Mean removal time in cadavers was 33 minutes, showing feasibility of the procedure.
Incorrect. The correct answer is 33 minutes.
Mean removal time in cadavers was 33 minutes, showing feasibility of the procedure.

🔍 Key Findings

  • Endoscopic excisional biopsy of axillary lymph nodes was successfully performed in cadavers and clinical dogs with minimal complications.
  • The technique used a SILS port and CO₂ insufflation through a small incision between the latissimus dorsi and superficial pectorals.
  • In 4 cadavers (6 limbs), mean time to remove axillary nodes was 33 minutes, and single nodes were found in 5/6 limbs.
  • In 3 clinical dogs, the procedure was successful in 2 cases; 1 required conversion to open surgery due to difficulty manipulating the node.
  • Accessory axillary nodes were successfully excised when present, located adherent to deep latissimus dorsi.
  • No cases developed lymphedema, pneumothorax, or major complications postoperatively.
  • Subjective benefits included better visualization, reduced dissection, and less postoperative morbidity than open techniques.
  • Study suggests MIS lymphadenectomy may improve staging accuracy and reduce complications, though larger studies are needed.

Kuvaldina

Veterinary Surgery

6

2023

Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

2023-6-VS-kuvaldina-5-2a368

Article Title: Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

Journal: Veterinary Surgery

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