Your Custom Quiz

In Anderson 2025 et al., on liver hemostatic agents, which sponge showed significantly less bleeding at 5 minutes post-application?

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Correct. At 5 minutes post-application, 2/20 AG vs. 10/20 PC dogs were still bleeding, indicating significantly better hemostasis with AG (p = .0138).
Incorrect. The correct answer is Adhesive gelatin sponge.
At 5 minutes post-application, 2/20 AG vs. 10/20 PC dogs were still bleeding, indicating significantly better hemostasis with AG (p = .0138).

🔍 Key Findings

  • Study Design: Prospective, randomized clinical trial of 45 dogs undergoing liver biopsy or lobectomy.
  • Groups:
    • Adhesive gelatin sponge (AG) group (n=22)
    • Plain collagen sponge (PC) group (n=23)
  • Main Results:
    • At 5 minutes post-application, 10/20 PC dogs were still bleeding vs. 2/20 AG dogs (p = 0.0138).
    • AG had significantly better adhesion scores (median 2 vs. 1, p < 0.001).
    • Sponge dislodgement: 5/23 in PC group, 0/22 in AG group (p = 0.042).
    • Time to 50% hemostasis: AG = 2 min, PC = 4 min 49 sec.
  • Complications: No adverse events related to either sponge.
  • Conclusion: Adhesive gelatin sponges offered superior intraoperative adhesion and hemostatic control during canine liver surgery compared to collagen sponges.

Anderson

Veterinary Surgery

2

2025

A randomized comparison of an adhesive gelatin sponge and a plain collagen sponge for hemostatic control during canine liver surgery

2025-2-VS-anderson1-1

Article Title: A randomized comparison of an adhesive gelatin sponge and a plain collagen sponge for hemostatic control during canine liver surgery

Journal: Veterinary Surgery

In Mazdarani 2022 et al., on CBLO and stifle biomechanics, when did cranial tibial translation (CTT) occur after CBLO **without** hamstring loading?

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Correct. CBLO eliminated CTT at all angles **except 140°** in the absence of hamstring load.
Incorrect. The correct answer is Only at 140°.
CBLO eliminated CTT at all angles **except 140°** in the absence of hamstring load.

🔍 Key Findings

  • CBLO reduced tibial plateau angle (TPA) from a mean of 28.1° to 9.7°, aligning with its goal of flattening the tibial slope.
  • CBLO eliminated cranial tibial translation (CTT) following CCL transection and meniscal release at all angles except 140° without hamstring load.
  • Hamstring loading (20% quadriceps load) significantly reduced or delayed the onset of CTT, improving stifle stability.
  • Medial meniscus was confirmed as a secondary stabilizer; its release (MMR) caused more CTT than CCLx alone.
  • PTA (patellar tendon angle) increased with joint extension; CBLO shifted the PTA curve lower and parallel to intact values, suggesting effective flexion of the joint.
  • Combined CBLO and hamstring loading resulted in the most stable joints, especially from 50° to 135° joint angles.
  • Residual CTT occurred in CBLO-only limbs at higher extension angles (e.g., 140°), but hamstring load mitigated this.
  • Stifle stability post-CBLO is multifactorial, depending on joint angle, meniscal integrity, and hamstring activation.

Mazdarani

Veterinary Surgery

6

2022

Effect of center of rotation of angulation‐based leveling osteotomy on ex vivo stifle joint stability following cranial cruciate ligament transection and medial meniscal release with and without a hamstring load

2022-6-VS-mazdarani-2

Article Title: Effect of center of rotation of angulation‐based leveling osteotomy on ex vivo stifle joint stability following cranial cruciate ligament transection and medial meniscal release with and without a hamstring load

Journal: Veterinary Surgery

In Moreira 2024 et al., what was a key methodological tool used for simulation of all osteotomy types?

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Correct. All models used individualized CT-based reconstructions to simulate osteotomies in silico.
Incorrect. The correct answer is Patient-specific 3D CT reconstructions.
All models used individualized CT-based reconstructions to simulate osteotomies in silico.

2024-1-VS-moreira-5

Article Title:

Journal:

In Eiger 2024 et al., on NIRFA-ICG in axial flaps, what was the typical direction of margin adjustment surgeons made after viewing NIRFA-ICG images?

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Correct. Surgeons most often shortened flaps and reduced area after visualizing perfusion zones with NIRFA.
Incorrect. The correct answer is Shortening flap length and decreasing area.
Surgeons most often shortened flaps and reduced area after visualizing perfusion zones with NIRFA.

🔍 Key Findings

  • Caudal superficial epigastric (CSE) flaps were most visible with NIRFA, scoring 4/4 VFP in 97% of evaluations.
  • CSE flap margins were altered in 65% of observations after NIRFA, showing the strongest influence on surgical planning.
  • Thoracodorsal (THO) and omocervical (OMO) flaps had lower visualization scores, with 60–81% of images scoring below 2.
  • Surgeons were 17–25 times more likely to adjust margins for CSE flaps versus OMO or THO based on fluorescence imaging.
  • Poor inter-rater agreement was found for OMO (ICC 0.49) and THO (ICC 0.35); CSE had near-perfect agreement, but ICC was low due to uniform high scoring.
  • Visualization was affected by flap depth and panniculus, making deeper vessels (OMO, THO) harder to see.
  • Surgeons often shortened flap length and reduced flap area when modifying based on NIRFA results.
  • Real-time angiosome visualization via NIRFA-ICG may reduce necrosis risk and improve patient-specific APF design.

Eiger

Veterinary Surgery

6

2024

Use of near‐infrared fluorescence angiography with indocyanine green to evaluate direct cutaneous arteries used for canine axial pattern flaps

2024-6-VS-eiger-5

Article Title: Use of near‐infrared fluorescence angiography with indocyanine green to evaluate direct cutaneous arteries used for canine axial pattern flaps

Journal: Veterinary Surgery

In Scheuermann 2023 et al., on femoral MIPO alignment, what was a noted limitation of the prototype FRS?

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Correct. Authors noted the system was bulky, time-consuming, and difficult to use clinically in its current form.
Incorrect. The correct answer is It was cumbersome and inefficient.
Authors noted the system was bulky, time-consuming, and difficult to use clinically in its current form.

🔍 Key Findings

  • Precontoured plates using 3D-printed femoral models achieved near-anatomic alignment in all cadaver limbs.
  • Fracture reduction system (FRS) required significantly fewer fluoroscopy images than intramedullary pin (IMP) methods (7 vs 26, P = .001).
  • Despite longer surgical time (43 vs 29 minutes, P = .011), FRS showed equally accurate or better alignment compared to IMP.
  • Femoral length, frontal, sagittal, and axial alignment were all within near-anatomic thresholds (<10 mm or <5° deviation) in both groups.
  • FRS was associated with more consistent length maintenance, with IMP showing a median shortening of 2.3 mm (P = .03).
  • Axial plane deviation was statistically different in the FRS group (P = .04), but still clinically acceptable.
  • Study highlights potential for custom 3D-printed guides to reduce radiation exposure and improve precision in MIPO procedures.
  • Authors caution that FRS was time-consuming and cumbersome, suggesting design refinements needed for clinical use.

Scheuermann

Veterinary Surgery

6

2023

Minimally invasive plate osteosynthesis of femoral fractures with 3D‐printed bone models and custom surgical guides: A cadaveric study in dogs

2023-6-VS-scheuermann-5-d2296

Article Title: Minimally invasive plate osteosynthesis of femoral fractures with 3D‐printed bone models and custom surgical guides: A cadaveric study in dogs

Journal: Veterinary Surgery

In Lu 2025 et al., on SOP constructs, what was concluded about the **clinical significance** of the increased mediolateral stiffness with bending tees?

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Correct. The absolute difference in stiffness was small (2.08 N/mm), so the clinical impact remains unclear.
Incorrect. The correct answer is Uncertain, likely minimal impact.
The absolute difference in stiffness was small (2.08 N/mm), so the clinical impact remains unclear.

🔍 Key Findings

  • Bending tees significantly increased mediolateral bending stiffness, but not craniocaudal stiffness, in plate-bone constructs.
  • Mean mediolateral stiffness was 43.2 N/mm with tees vs. 41.1 N/mm without (p = 0.0042), though the absolute difference was small.
  • No significant differences were found in craniocaudal bending stiffness between constructs with or without tees (p = 0.89).
  • Plastic deformation occurred in all constructs; no screw pull-out or implant breakage was observed.
  • SOP nodes may resist compressive but not tensile deformation, suggesting variable mechanical contributions depending on loading direction.
  • Craniocaudal bending had greater stiffness than mediolateral due to higher area moment of inertia along the node diameter.
  • Clinical relevance of added stiffness from tees remains unclear, warranting further in vivo and cyclic testing.
  • This was the first study to directly test SOP constructs with/without tees over a fracture gap in multiple planes.

Lu

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

Comparison of Bending Stiffness between String of Pearls Plate-Bone Substitute Constructs with and without Bending Tees in a Fracture Gap Model

2025-2-VCOT-lu-4

Article Title: Comparison of Bending Stiffness between String of Pearls Plate-Bone Substitute Constructs with and without Bending Tees in a Fracture Gap Model

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Marchionatti 2022 et al., on antiseptic efficacy comparison, what was the finding of the meta-analysis regarding SSI incidence with chlorhexidine vs povidone-iodine protocols?

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Correct. Meta-analysis showed no statistical difference in postoperative SSI between protocols (RR 0.90; P = 0.82):contentReference[oaicite:0]{index=0}
Incorrect. The correct answer is There was no significant difference in SSI incidence between protocols.
Meta-analysis showed no statistical difference in postoperative SSI between protocols (RR 0.90; P = 0.82):contentReference[oaicite:0]{index=0}

🔍 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-1

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

Journal: Veterinary Surgery

In Miller 2024 et al., on leak testing in cooled feline intestine, where did most leaks initiate in both groups?

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Correct. Suture hole was the most common site of initial leakage in both groups.
Incorrect. The correct answer is Suture hole.
Suture hole was the most common site of initial leakage in both groups.

🔍 Key Findings

  • No difference in initial leak pressure (ILP) or maximum intraluminal pressure (MIP) between cooled (17–29 h) and fresh enterotomy constructs.
  • Wall thickness of duodenum and jejunum did not differ between fresh and cooled samples.
  • Leak locations (suture holes vs clamp sites) were similar between groups; not statistically different.
  • Volume of infusion did not influence ILP or MIP outcomes.
  • Mean ILP values: Control = 600 mmHg (maxed), Fresh = 200 mmHg, Cooled = 131 mmHg; CE vs FE difference was not significant.
  • Intraluminal diameter was largest in the ileum, followed by jejunum and duodenum.
  • Cadaveric intestine cooled ≤29h may be reliably used in ex vivo feline leak pressure studies.
  • First report of gross small intestinal lengths by region in cats—useful for resection planning.

Miller

Veterinary Surgery

5

2024

Cooled feline intestine and fresh intestine did not differ in enterotomy leak pressure testing or in gross wall thickness measurement

2024-5-VS-miller-5

Article Title: Cooled feline intestine and fresh intestine did not differ in enterotomy leak pressure testing or in gross wall thickness measurement

Journal: Veterinary Surgery

In Kuvaldina 2023 et al., in Minimally invasive axillary lymphadenectomy in dogs, which of the following best describes postoperative morbidity in the 3 clinical patients?

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Correct. Postoperative morbidity was minimal; all clinical cases recovered uneventfully with no major complications.
Incorrect. The correct answer is Minor seroma or lameness resolved without intervention.
Postoperative morbidity was minimal; all clinical cases recovered uneventfully with no major complications.

🔍 Key Findings

  • A minimally invasive endoscopic technique was successfully developed for excisional biopsy of axillary lymph nodes in dogs.
  • The procedure was performed on 4 cadavers (6 limbs) and 3 clinical patients, with no major complications reported.
  • Mean cadaveric time: accessory axillary node 5.1 min; axillary node 33 min. One limb had a double axillary node.
  • In clinical cases, 2/3 were completed endoscopically; one required conversion to open due to node elevation difficulty.
  • Surgical times in clinical cases ranged from 35 to 58 minutes, depending on node accessibility and number.
  • Postoperative morbidity was minimal: no lymphedema, minor seroma or lameness resolved quickly.
  • The SILS port approach enabled effective access, though precise placement was critical to visualization.
  • This is the first reported veterinary endoscopic technique for axillary lymphadenectomy; potential for improved staging and reduced morbidity.

Kuvaldina

Veterinary Surgery

7

2023

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

2023-7-VS-kuvaldina-4

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

Journal: Veterinary Surgery

In Low 2025 et al., on machine-learning outcomes in IVDE, which factor was associated with improved functional recovery?

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Correct. Fenestration was among the top predictive features associated with better recovery.
Incorrect. The correct answer is Fenestration performed.
Fenestration was among the top predictive features associated with better recovery.

🔍 Key Findings

The study included 162 deep-pain-negative dogs undergoing decompressive surgery (hemilaminectomy) for acute thoracolumbar intervertebral disc extrusion (IVDE).

Ambulatory recovery occurred in 53.1% of dogs (86/162).

The best performing machine-learning model was XGBoost, with an AUC of 0.9502 and accuracy of 89.1%, outperforming Ridge, AdaBoost, and Naive Bayes models.

Preoperative-only XGBoost models were less accurate, with AUC dropping to 0.8271 and accuracy to 71.9%.

Top predictive features (by SHAP analysis) included:

  1. T2-weighted to L2 spinal cord signal ratio (lower values predicted better outcome)
  2. Use of fenestration (presence associated with better recovery)
  3. Hospitalization duration
  4. Imaging modality used
  5. Duration of nonambulatory status

Machine learning provided better insight into prognostic factors than traditional statistical methods.

Low

Veterinary Surgery

4

2025

Machine-learning-based prediction of functional recovery in deep-pain-negative dogs after decompressive thoracolumbar hemilaminectomy for acute intervertebral disc extrusion

2025-4-VS-low-4

Article Title: Machine-learning-based prediction of functional recovery in deep-pain-negative dogs after decompressive thoracolumbar hemilaminectomy for acute intervertebral disc extrusion

Journal: Veterinary Surgery

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