Your Custom Quiz

In Miyagi 2025 et al., on endoscopic laser sphincterotomy, which feature helped protect the pancreatic duct during lasering?

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Correct. The catheter served as a protective shield over the ductal orifice during the laser procedure.
Incorrect. The correct answer is Catheter positioned over pancreatic duct.
The catheter served as a protective shield over the ductal orifice during the laser procedure.

🔍 Key Findings

  • Endoscopic-assisted retrograde catheterization (EARC) and laser sphincterotomy were successful in 18/18 cadavers, demonstrating technical feasibility.
  • Intramural common bile duct (ICBD) length ranged from 10 to 21 mm (mean 15.8 mm), with no correlation to body weight (r = 0.06, p = .79).
  • Transition from ICBD to extramural duct was accurately identified endoscopically in 88% (16/18); transition was heralded by separation of the submucosal layer.
  • Partial lateral perforations occurred in 2/18 dogs, only during early learning phase; no leakage was found on open dissection.
  • Laser sphincterotomy preserved the pancreatic duct orifice, aided by protective catheter positioning.
  • Compared to open duodenotomy, this technique allows for a smaller incision and less manipulation of the pancreas, which may reduce morbidity.
  • No adverse events such as intra-abdominal saline egress or full-thickness perforation occurred, and the technique allowed safe access up to 10 mm from the MDP.
  • Cadaveric limitations included absence of biliary pathology and inability to evaluate live complications, but the technique shows promise for future live animal trials.

Miyagi

Veterinary Surgery

5

2025

Endoscopic‐assisted laser sphincterotomy of the intramural common bile duct: A cadaveric pilot study

2025-5-VS-miyagi-3

Article Title: Endoscopic‐assisted laser sphincterotomy of the intramural common bile duct: A cadaveric pilot study

Journal: Veterinary Surgery

In Evers 2023 et al., on needle arthroscopy, what was the reported sensitivity for detecting medial meniscal tears?

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Correct. Needle arthroscopy had 95% sensitivity and 100% specificity using standard arthroscopy as the reference.
Incorrect. The correct answer is 95%.
Needle arthroscopy had 95% sensitivity and 100% specificity using standard arthroscopy as the reference.

🔍 Key Findings

  • Needle arthroscopy (NA) had 95% sensitivity and 100% specificity for detecting medial meniscal tears using standard arthroscopy (SA) as the reference.
  • NA correctly identified meniscal status in 25/26 dogs, missing only one stable nondisplaced tear.
  • NA took less time than SA: 8 ± 3 min vs. 15 ± 9 min (P = .0041).
  • Visibility scores were significantly lower with NA than SA for all meniscal horns (medial and lateral) .
  • Probing difficulty was greater with NA, especially for the lateral meniscus (P = .0017).
  • NA caused no measurable morbidity: lameness scores were unchanged before and after the procedure (P = .25).
  • NA was possible in sedated dogs, though 10/26 required additional anesthesia due to delays.
  • NA missed 1 lateral tear, likely due to reduced access and lack of shaving compared to SA.

Evers

Veterinary Surgery

7

2023

Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture

2023-7-VS-evers-1

Article Title: Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture

Journal: Veterinary Surgery

In Jones 2024 et al., on LEAP plate design, what feature was specifically updated post-study to address a mode of implant failure?

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Correct. Design changes were made to reinforce the area between the third and fourth screw holes after one implant failure.
Incorrect. The correct answer is Increased width and depth at screw holes.
Design changes were made to reinforce the area between the third and fourth screw holes after one implant failure.

🔍 Key Findings Summary

  • 62 fractures in 61 dogs (44 lateral condylar, 18 intracondylar); mostly Spaniels
  • LEAP plate used in all cases; minimal intraoperative contouring needed (1 French Bulldog)
  • Overall complication rate: ~33%, mostly minor; 1 amputation due to catastrophic infection
  • Radiographic healing:
    • Lateral epicondylar part healed in 100%
    • Condylar part healed in ~61.5% LCF and ~57.1% ICF
  • Functional outcomes:
    • 87% returned to full limb use
    • Median LOAD score: 2 for LCF, 6.5 for ICF
  • Design adjustments made post-study to strengthen weak zones around 3rd–4th screw holes

Jones

Veterinary Surgery

4

2024

Clinical Assessment of a Lateral Epicondylar Anatomical Plate for the Stabilization of Humeral Condylar Fractures in Dogs

2024-4-VS-jones-4

Article Title: Clinical Assessment of a Lateral Epicondylar Anatomical Plate for the Stabilization of Humeral Condylar Fractures in Dogs

Journal: Veterinary Surgery

In Wilson 2025 et al., on acetabular measurement accuracy, what was the main drawback of femoral head circle methods?

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Correct. FHC-based methods underestimated cup size by 2.4–3.6 mm.
Incorrect. The correct answer is Underestimated cup size.
FHC-based methods underestimated cup size by 2.4–3.6 mm.

🔍 Key Findings

Study population: 73 hips from 60 dogs undergoing cementless THR.
Methods evaluated:

  • ACVD/ACOLL (acetabular circle on VD or OLL view)
  • ALVD/ALOLL (acetabular line)
  • FHCVD/FHCOLL/FHCCCHB (femoral head circle)
Findings:
  • Intraobserver repeatability and interobserver consistency were excellent for ACVD and ACOLL.
  • FHC methods consistently underestimated actual cup size by 2.4–3.6 mm.
  • AC and AL methods had low bias (±0.5 mm) and better predictive value.
  • OA severity negatively affected the accuracy of all measurements (p < .05).
  • Highest predictive accuracy was ~49% using ACVD with rounding down protocol.

Wilson

Veterinary Surgery

1

2025

Evaluation of three acetabular measurement methods for total hip replacement in dogs

2025-1-VS-wilson-2

Article Title: Evaluation of three acetabular measurement methods for total hip replacement in dogs

Journal: Veterinary Surgery

In Deveci 2025 et al., on 3D drill guides, what was the median screw trajectory deviation in the transverse plane?

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Correct. The median angular deviation from plan was 0.88° transverse and 0.72° dorsal.
Incorrect. The correct answer is 0.88 degrees.
The median angular deviation from plan was 0.88° transverse and 0.72° dorsal.

🔍 Key Findings

  • Objective: Evaluate feasibility and accuracy of 3D-printed patient-specific drill guides for iliosacral screw placement in cadaver dogs.
  • N = 10 canine cadavers (20 hemipelves); screw placement done using fluoroscopic-assisted patient-specific guides (PSG).
  • Median cortical breach grade: 0 (IQR 0–1) for all screws.
    19/20 screws breached sacral canal wall (all ≤ grade 2), but no screws breached canal contents (grade 3).
  • Median trajectory deviation: 0.88° transverse, 0.72° dorsal.
  • Procedure time: Median 7.2 minutes for guide placement and drilling.
  • Conclusions: PSG-assisted screw placement was safe, accurate, and fast, offering clinical potential in pelvic trauma.

Deveci

Veterinary Surgery

2

2025

Evaluation of 3D‐printed patient‐specific guides to facilitate fluoroscopic‐assisted iliosacral screw placement in dogs

2025-2-VS-deveci-3

Article Title: Evaluation of 3D‐printed patient‐specific guides to facilitate fluoroscopic‐assisted iliosacral screw placement in dogs

Journal: Veterinary Surgery

In Miller 2024 et al., on staple vs. hand-sewn feline GI techniques, how did HSE compare to SSE in terms of construct completion time and leak resistance?

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Correct. HSE took 8x longer than SSE but had much higher leak pressure tolerance.
Incorrect. The correct answer is HSE was slower but more secure.
HSE took 8x longer than SSE but had much higher leak pressure tolerance.

🔍 Key Findings

  • Skin staple anastomosis (SSA) had comparable leak pressures to hand-sewn anastomosis (HSA) but required half the time to complete.
  • Skin staple enterotomy (SSE) had significantly lower leak pressures than hand-sewn enterotomy (HSE) and failed in 12/20 constructs during pressure testing.
  • HSE constructs took 8× longer to complete than SSE, but had much higher intraluminal pressure tolerance.
  • All SSE constructs leaked from the center, with 35% leaking immediately and 60% showing catastrophic failure.
  • SSA leakage occurred at the center in 40% of constructs, likely due to a learning curve in early samples.
  • All constructs had higher pressures than normal physiologic intestinal pressure (4.0 mmHg ±2.0), except some SSEs with immediate leaks.
  • Authors recommend SSA as a viable alternative with appropriate training but do not recommend SSE using the tested technique in live cats.
  • Staple size and placement technique are key factors; smaller or more precisely placed staples may reduce leak risk.

Miller

Veterinary Surgery

4

2024

Performance time and leak pressure of hand-sewn and skin staple intestinal anastomoses and enterotomies in cadaveric cats

2024-4-VS-miller-4

Article Title: Performance time and leak pressure of hand-sewn and skin staple intestinal anastomoses and enterotomies in cadaveric cats

Journal: Veterinary Surgery

In Townsend 2024 et al., on 3D osteotomy accuracy, which of the following planes showed significant improvement with PSG in both simple and complex cuts?

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Correct. Frontal plane improved in both simple and complex cuts; sagittal improved in complex cuts (Group 3).
Incorrect. The correct answer is Frontal and sagittal.
Frontal plane improved in both simple and complex cuts; sagittal improved in complex cuts (Group 3).

🔍 Key Findings:

  • Design: Ex vivo study with 24 paired limbs from normal beagle dogs.
  • Osteotomy types (3 groups):
    1. 30° uniplanar frontal wedge
    2. Oblique (30° frontal, 15° sagittal)
    3. Single oblique (30° frontal, 15° sagittal, 30° external rotation)
  • Comparison: 3D PSG vs Freehand (FH)
  • Main Outcomes:
    • PSG accuracy: Mean angular deviation = 2.8° vs 6.4° in FH (p < .001).
    • 84% of PSG osteotomies were within 5° of target vs 50% of FH.
  • Significant improvements with PSG in:
    • Group 1 (uniplanar frontal) proximal and distal frontal planes (p < .001, .006)
    • Group 3 (SOO) frontal and sagittal planes (p = .002, .043)
  • Time: PSG faster in complex SOO group (84s vs 162s, p < .001); no difference in others.
  • No difference in osteotomy location (mm) between methods.
  • Clinical relevance: PSG more consistent and accurate, especially for complex cuts.

Townsend

Veterinary Surgery

2

2024

Comparison of three-dimensional printed patient-specific guides versus freehand approach for radial osteotomies in normal dogs: Ex vivo model

2024-2-VS-townsend-4

Article Title: Comparison of three-dimensional printed patient-specific guides versus freehand approach for radial osteotomies in normal dogs: Ex vivo model

Journal: Veterinary Surgery

In Israel 2022 et al., on cerclage wire in THR, which complication did occur postoperatively despite cerclage placement?

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Correct. Three dogs developed complications near the femoral stem tip, not in the region protected by cerclage.
Incorrect. The correct answer is Fissure/fracture near stem tip.
Three dogs developed complications near the femoral stem tip, not in the region protected by cerclage.

🔍 Key Findings

  • No proximal femoral fractures occurred in any of the 184 hips with cerclage wire placement
  • Cerclage wire was well tolerated, with no failures or complications related to the wire
  • Application of a single cerclage wire took <10 minutes, was cost-effective, and required minimal instrumentation
  • 3 postoperative complications (1 fissure, 2 fractures) occurred distal to the cerclage site, near the stem tip, requiring plate/screw fixation
  • All dogs returned to normal activity, and all owners were satisfied with the outcome
  • Cerclage placement location is critical—must be proximal to the lesser trochanter and close to the calcar to resist hoop strain
  • Biomechanical evidence supports that cerclage wires improve resistance to hoop strain and subsidence of cementless stems
  • Press-fit cementless stems may settle, but when supported by cerclage, this does not result in fractures even in undersized implants

Israel

Veterinary Surgery

2

2022

Outcome of canine cementless collared stem total hip replacement with proximal femoral periprosthetic cerclage application: 184 consecutive cases

2022-2-VS-israel-4

Article Title: Outcome of canine cementless collared stem total hip replacement with proximal femoral periprosthetic cerclage application: 184 consecutive cases

Journal: Veterinary Surgery

In Buote 2023 et al., on laparoscopic sleeve gastrectomy in cats, what technique helped avoid staple line misplacement near the lesser curvature?

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Correct. Orogastric tube helped ensure appropriate spacing from the lesser curvature during stapling.
Incorrect. The correct answer is Orogastric tube placement.
Orogastric tube helped ensure appropriate spacing from the lesser curvature during stapling.

🔍 Key Findings

  • LVSG was feasible in 9/10 feline cadavers and both live cats, with no intra- or postoperative complications in live cases.
  • Two cadavers developed suspected stenosis due to staple lines too close to the lesser curvature; avoided with orogastric tube placement in later cases.
  • No evidence of gastric leakage in any cadavers (8/10 tested) or live patients after methylene blue leak tests.
  • Mean surgical time was ~110 min cadavers / 115 min live, and 27.6% of stomach mass was resected.
  • Both live cats recovered uneventfully, lost 21–24% body weight over 3 months, and had no GI complications at 6-month follow-up.
  • Orogastric tube and tension on the greater curvature were critical to avoid staple line misplacement or stenosis.
  • No oversew of the staple line was needed, and unreinforced staples showed no leakage in live patients.
  • Future studies needed to assess metabolic outcomes and ideal staple sizing and closure techniques.

Buote

Veterinary Surgery

6

2023

Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats

2023-6-VS-buote2-4

Article Title: Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats

Journal: Veterinary Surgery

In Berthomé 2025 et al., on prophylactic fenestration in cervical IVDE, what was a statistically significant outcome regarding surgery duration?

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Correct. Median surgical time was significantly longer in the PF group (182 vs. 110 min, *p* = .017).
Incorrect. The correct answer is PF group had longer duration.
Median surgical time was significantly longer in the PF group (182 vs. 110 min, *p* = .017).

🔍 Key Findings

  • Prophylactic fenestration (PF) significantly reduced recurrence of cervical intervertebral disc extrusion (0% vs. 37.8%, p < .001).
  • Surgery time was longer with PF (median 182 vs. 110 min, p = .017), but no difference in perioperative complication rates (PF 16.7%, non-PF 18.9%; p = .838).
  • 25% overall recurrence rate, but all recurrences occurred in the non-PF group.
  • Medical management was effective in 92.9% of recurrence cases.
  • Most PF sites targeted adjacent discs; 88.9% were at adjacent levels, which are common recurrence sites.
  • Neurologic outcomes were similar between PF and non-PF dogs post-surgery and at follow-up.
  • Fenestration technique (blade vs. burr) not shown to affect outcome but contributed to extended surgical time.
  • No major complications or deaths linked directly to PF in initial surgeries.

Berthomé

Veterinary Surgery

6

2025

Recurrence of cervical intervertebral disc extrusion in 55 dogs after surgical decompression with or without prophylactic fenestration

2025-6-VS-berthome-3

Article Title: Recurrence of cervical intervertebral disc extrusion in 55 dogs after surgical decompression with or without prophylactic fenestration

Journal: Veterinary Surgery

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