Your Custom Quiz

In Bresciani 2022 et al., on modified urethrostomy outcomes, what surgical modification aimed to improve urinary continence?

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Correct. The urethra was tunneled through rectus abdominis muscle to increase resistance and reduce incontinence.
Incorrect. The correct answer is Tunneling through rectus abdominis muscle.
The urethra was tunneled through rectus abdominis muscle to increase resistance and reduce incontinence.

🔍 Key Findings

  • Modified prepubic urethrostomy (mPPU) was effective for managing proximal urethral obstructions in male cats.
  • All 8 cats regained voluntary urination within 24 hours postoperatively.
  • Early urinary incontinence and peristomal dermatitis occurred in all cats but were self-limiting.
  • Two cats (25%) required surgical revision due to stomal obstruction from weight gain and abdominal fat.
  • No intraoperative complications were reported in any of the 8 cats.
  • Follow-up (13–84 months) showed sustained urinary continence and owner satisfaction in all cases.
  • The rectus abdominis muscle tunnel likely increased outflow resistance, minimizing persistent incontinence.
  • Recurrent hematuria and dysuria occurred in 3 cats but were managed conservatively.

Bresciani

Veterinary Surgery

2

2022

Modified prepubic urethrostomy with body wall tunneling: Description of technique and long-term outcome in eight male cats

2022-2-VS-bresciani-2

Article Title: Modified prepubic urethrostomy with body wall tunneling: Description of technique and long-term outcome in eight male cats

Journal: Veterinary Surgery

In Silveira 2022 et al., on GTO in canine THR, which scenario was considered a suitable indication for performing a greater trochanter osteotomy?

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Correct. GTO was used specifically in cases with severely medialized trochanters or fixed luxations limiting broach access.
Incorrect. The correct answer is Severe medialization of the greater trochanter or chronic craniodorsal hip luxation.
GTO was used specifically in cases with severely medialized trochanters or fixed luxations limiting broach access.

🔍 Key Findings

  • GTO enabled successful cementless THR in dogs with severe medialization of the greater trochanter or chronic craniodorsal hip luxation.
  • All 5 hips had acceptable long-term outcomes (median follow-up: 48 months) with full function and no persistent complications.
  • Only one major complication occurred—a luxation unrelated to the GTO and successfully corrected with cup revision.
  • GTO facilitated femoral canal access and gluteal preservation, reducing risk of iatrogenic injury during broaching.
  • All GTOs healed radiographically (4 by 6 weeks, 1 by 12 weeks), with no cases of nonunion or implant migration.
  • No complications related to GTO or PTBW fixation (pins + tension band) were observed in any dog.
  • Surgical planning included templating both THR and GTO to ensure ideal alignment and reduce fracture risk.
  • GTO may be especially valuable in luxoid hip dysplasia phenotypes or chronically fixed luxations.

Silveira

Veterinary Surgery

2

2022

Greater trochanter osteotomy as a component of cementless total hip replacement: Five cases in four dogs

2022-2-VS-silveira-4

Article Title: Greater trochanter osteotomy as a component of cementless total hip replacement: Five cases in four dogs

Journal: Veterinary Surgery

In Latifi 2022 et al., on forelimb fascial mapping, what surgical strategy may be required for wide tumor excision over the triceps tendon region?

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Correct. The triceps tendon lacks a distinct fascia, so partial tenectomy may be needed to obtain surgical margins.
Incorrect. The correct answer is Partial triceps tenectomy.
The triceps tendon lacks a distinct fascia, so partial tenectomy may be needed to obtain surgical margins.

🔍 Key Findings

  • Fascia was present over most of the canine forelimb, but key areas like the elbow, carpus, and manus lacked robust fascial planes for wide resection.
  • Type I fascia (discrete sheet) was primarily found in the antebrachium, with type IV (periosteal) fascia located at the olecranon, scapular spine, and accessory carpal bone.
  • Distal antebrachial fascia was thin and adherent, often blending with carpal structures and lacking reliable surgical planes.
  • Partial tenectomy or joint capsule resection was often required for wide excision in the distal limb, especially over the triceps tendon and carpus.
  • Nerve transections (e.g., superficial radial or ulnar branches) were commonly needed to maintain fascial margins, though often with minimal functional loss due to overlapping innervation.
  • Digital and metacarpal pads lacked clear deep fascial borders, making digit amputation necessary for oncologic margins in distal tumors.
  • Dissections revealed fascial junctions as either Type A (easily separable) or Type B (risk of disruption), guiding resection plane selection.
  • Findings provide a surgical map to guide preoperative planning for superficial tumor excision on the forelimb.

Latifi

Veterinary Surgery

1

2022

Fascial plane mapping for superficial tumor resection in dogs. Part II: Forelimb

2022-1-VS-latifi-3

Article Title: Fascial plane mapping for superficial tumor resection in dogs. Part II: Forelimb

Journal: Veterinary Surgery

In Downey 2023 et al., on thoracoscopic lobectomy, what was the rate of survival to discharge?

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Correct. 11 of 12 dogs survived to discharge (91.7%).
Incorrect. The correct answer is 91.7%.
11 of 12 dogs survived to discharge (91.7%).

🔍 Key Findings

  • Thoracoscopic (TL) or thoracoscopic-assisted (TAL) lobectomy was successfully performed in 12 dogs with non-neoplastic pulmonary consolidation (PC).
  • 44% (4/9) of TL cases were converted to open thoracotomy due to adhesions or poor visualization—higher than rates for neoplastic lobectomies.
  • OLV was successful in 7/9 TL dogs; unsuccessful attempts were managed with intermittent ventilation, mostly in brachycephalic breeds.
  • Median hospital stay was 3 days; 91.7% (11/12) survived to discharge, and 100% of survivors showed no recurrence at median 24-month follow-up.
  • Complications were mostly minor: pneumothorax (2), minor hemorrhage (3), dehiscence (1), and 1 fatality due to BOAS complications.
  • Histopathology showed infectious pneumonia in 10 dogs, and in 4 cases, foreign body migration was suspected as the underlying cause.
  • Median surgical time for TL was 90 minutes; conversion correlated with longer symptom duration (median 90 vs. 7 days).
  • Postoperative recovery was excellent in all surviving dogs, with one case of persistent cough attributed to concurrent heart disease.

Downey

Veterinary Surgery

7

2023

Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs

2023-7-VS-downey-3

Article Title: Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs

Journal: Veterinary Surgery

In Brockman 2025 et al., on canine mitral valve repair outcomes, what was the overall survival to discharge rate across the full cohort?

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Correct. 107 of 132 dogs survived to discharge, yielding an overall rate of 81%.
Incorrect. The correct answer is 81%.
107 of 132 dogs survived to discharge, yielding an overall rate of 81%.

🔍 Key Findings

  • Overall survival to discharge: 107 of 132 dogs (81%)
  • Quartile improvement: Survival increased steadily from 67% in Q1 to 91% in Q4
    • Q1: 22/33 survived
    • Q2: 27/33
    • Q3: 28/33
    • Q4: 30/33
  • Statistical significance: Higher operative rank significantly associated with improved survival (p < .05)
  • Median cross clamp time (XCT): 73 min (range 40–165), but increased again in Q4
  • Fatalities (n=25) were often due to:
    • Failure to wean from CPB
    • Intracranial vascular events (stroke)
    • Intrathoracic hemorrhage
  • Breed representation: CKCS (23.5%), Chihuahua (22%), Crossbreeds (21%)
  • Stages of MMVD: Stage C (67%), Stage D (27%), Stage B2 (6%)
  • Emphasis on deliberate multidisciplinary teamwork for outcome improvement
  • Highlights importance of technical and non-technical team skills, procedural standardization, and consistent personnel

Brockman

Veterinary Surgery

4

2025

Improvement in short‐term outcome over time, in a single center embarking on a canine mitral valve repair program using a structured multidisciplinary approach

2025-4-VS-brockman-1

Article Title: Improvement in short‐term outcome over time, in a single center embarking on a canine mitral valve repair program using a structured multidisciplinary approach

Journal: Veterinary Surgery

In Karydas 2025 et al., on follow-up radiography, what was the clinical outcome in dogs with radiographic abnormalities but no clinical concerns?

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Correct. In 3.5% of dogs, radiographs showed K-wire migration without clinical signs, and no intervention was needed.
Incorrect. The correct answer is Required no treatment.
In 3.5% of dogs, radiographs showed K-wire migration without clinical signs, and no intervention was needed.

🔍 Key Findings

139 immature dogs with humeral condylar fractures (HCF) reviewed retrospectively.
Postoperative plan changed in 17% (23/139) of cases.
Key risk factors for plan change:

  • Owner concerns (OR: 7.6)
  • Analgesic use at follow-up (OR: 7.9)
  • Lameness (OR: 5.9)
  • Abnormal clinical exam (OR: 44.8)
  • Radiographic abnormalities (OR: 51.9)

No plan changes were based solely on radiographs when clinical signs were absent.
Supracondylar K-wire migration noted in 3.5% of dogs without affecting the clinical plan.
Authors conclude that routine follow-up radiographs offer limited value without concurrent clinical indicators.

Karydas

Veterinary Surgery

2

2025

Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs

2025-2-VS-karydas-3

Article Title: Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs

Journal: Veterinary Surgery

In Sherman 2023 et al., on minimally invasive ESF, how did intraoperative imaging affect surgery time?

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Correct. Intraoperative imaging shortened surgical time significantly (P = .046).
Incorrect. The correct answer is Decreased from 100 to 74 minutes.
Intraoperative imaging shortened surgical time significantly (P = .046).

🔍 Key Findings

  • 55 cases (49 dogs, 6 cats) with nonarticular tibial fractures were treated using linear ESF with a minimally invasive approach
  • All fractures achieved radiographic union; no unacceptable outcomes were reported
  • 40% complication rate, mostly minor (82%), primarily pin-tract morbidity; major complications (7%) included osteomyelitis and refracture
  • Open fractures had significantly more major complications than closed ones (P = .019)
  • Use of intraoperative imaging (72% cases) reduced surgery time but did not improve alignment (P > .05)
  • Median surgery time: 74 min with imaging vs. 100 min without (P = .046)
  • TPA was lower than normal in both dogs and cats, but did not correlate with poor outcomes
  • 62% had full clinical recovery, and 38% had acceptable outcomes at fixator removal

Sherman

Veterinary Surgery

2

2023

Linear external skeletal fixation applied in minimally invasive fashion for stabilization of nonarticular tibial fractures in dogs and cats

2023-2-VS-sherman-5

Article Title: Linear external skeletal fixation applied in minimally invasive fashion for stabilization of nonarticular tibial fractures in dogs and cats

Journal: Veterinary Surgery

In Swieton 2025 et al., on portocaval shunts, which postoperative complication occurred most frequently?

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Correct. Seizures occurred in 2 of the 4 dogs with postoperative complications, making them the most common complication reported.
Incorrect. The correct answer is Seizures.
Seizures occurred in 2 of the 4 dogs with postoperative complications, making them the most common complication reported.

🔍 Key Findings

Study population: 21 dogs with portocaval extrahepatic portosystemic shunts (EHPSS)
Surgical approach: 67% (14/21) underwent ameroid constrictor placement
Perioperative complications: 4 dogs (19%), including seizures (n = 2), vomiting, and abdominal effusion
Perioperative mortality: 1 dog (5%)
Postoperative clinical outcome:

  • Good to excellent outcome: 81% (17/21)
  • Median follow-up: 6 months (range 3–43)

Persistence of shunting (CT or US): 56% (9/16 evaluated)
Dogs with persistent shunting: 67% still had good to excellent clinical outcome
Congenital portocaval shunts may have more favorable outcomes than previously reported

Swieton

Veterinary Surgery

2

2025

Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt

2025-2-VS-swieton-3

Article Title: Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt

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 Story 2024 et al., on surgical correction of excessive tibial plateau angle (eTPA), which two techniques demonstrated the most accurate achievement of their target TPA values?

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Correct. Groups A and D had the least variation from their target TPAs, with mean correction accuracy near 1.0.
Incorrect. The correct answer is CBLO + CCWO and PTNWO.
Groups A and D had the least variation from their target TPAs, with mean correction accuracy near 1.0.

🔍 Key Findings

  • All four techniques achieved TPA <14°, meeting the threshold for acceptable surgical correction in eTPA cases.
  • Group A (CBLO + CCWO) and Group D (PTNWO) showed highest accuracy in achieving target TPA values.
  • Group B (TPLO + CCWO) resulted in significant tibial shortening compared to other techniques.
  • Group A caused the greatest cranial mechanical axis shift, while Group B caused the least.
  • Group C (mCCWO) resulted in consistent under-correction of TPA, despite aiming for 0°.
  • Modified or neutral wedge osteotomies (Groups C and D) had minimal effect on tibial length, making them suitable when preservation is important.
  • All techniques involved mechanical axis shifts, highlighting the importance of preoperative planning to minimize morphologic disruption.
  • Supplemental fixation was standard for all procedures to reduce risks such as tibial tuberosity fracture and plateau leveling loss.

Story

Veterinary Surgery

8

2024

Morphologic impact of four surgical techniques to correct excessive tibial plateau angle in dogs: A theoretical radiographic analysis

2024-8-VS-story-3

Article Title: Morphologic impact of four surgical techniques to correct excessive tibial plateau angle in dogs: A theoretical radiographic analysis

Journal: Veterinary Surgery

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