Your Custom Quiz
In Miller 2024 et al., on staple vs. hand-sewn feline GI techniques, what was the most common location of leakage for skin staple enterotomy (SSE)?
🔍 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.
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-2
In Cola 2024 et al., on laparotomy-assisted endoscopy, what was the overall success rate of LAER in avoiding full conversion to enterotomy or gastrotomy?
🔍 Key Findings
- LAER was effective (partial or complete) in 35/40 cases, regardless of FB location or type.
- Intestinal wall damage significantly increased the likelihood of conversion to enterotomy (p = .043).
- LAER led to significantly shorter hospitalization (median 48 h vs 72 h; p = .006).
- Patients in the LAER group required less postoperative analgesia (median 36 h vs 48 h; p < .001).
- Faster return to spontaneous feeding was seen in LAER group (median 24 h vs 36 h; p = .012).
- No significant difference in complication rate or postoperative ileus between LAER and enterotomy groups.
- Sharp, linear, or multiple FBs did not significantly affect LAER effectiveness.
- Conversion to surgery was required in 5/40 LAER attempts, mostly due to immovable FBs or intestinal damage.
Veterinary Surgery
7
2024
Laparotomy‐assisted endoscopic removal of gastrointestinal foreign bodies: Evaluation of this technique and postoperative recovery in dogs and cats
2024-7-VS-cola-4
In Sandberg 2024 et al., what was the main effect of the harness on carpal joint motion during walk?
🔍 Key Findings Summary
- Tactical harness use altered kinematics in all forelimb joints
- Elbow most affected: increased extension, internal rotation, abduction at walk and trot
- Carpus: reduced flexion, increased abduction at walk
- Shoulder: least affected, but showed reduced flexion and increased abduction during walk
- Only significant ROM increases:
- Shoulder frontal plane (22%)
- Elbow transverse plane (19%) at walk
- Results suggest potential functional limitations from harness use during duty
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Influence of Wearing a Tactical Harness on Three-Dimensional Thoracic Limb Kinematics
2024-2-VCOT-sandberg-3
In Farrugia 2025 et al., on BODPUO location effects, what complication pattern was observed with more proximal osteotomies?
🔍 Key Findings
- Proximal BODPUOs (closer to 26–28% of ulna length) resulted in greater increases in proximal ulna tilt postoperatively (up to 18°).
- Distal osteotomies (closer to 48–49%) yielded minimal change in ulna angle.
- Strong linear relationship between osteotomy location and change in angle; correlation coefficient = 0.73.
- Initial proximal ulna angle (IPUA) influences results—angles closer to 90° yielded greater changes.
- Craniocaudal osteotomy angle had minimal impact on tilt change after adjusting for location.
- Osteotomy length had no significant effect on change in angle.
- Prediction intervals showed wide individual variation in outcomes, especially with more proximal osteotomies.
- No increase in complications was associated with more proximal osteotomies, contrary to past assumptions.
Veterinary Surgery
6
2025
Bi-oblique dynamic proximal ulna osteotomy: Effect of location on change in angle of the proximal ulna segment
2025-6-VS-farrugia-5
In Sadowitz 2023 et al., on screw angle & speed, which technique produced a lower TCF rate despite off-axis screw insertion?
2023-8-VS-sadowitz-4
In Raleigh 2022 et al., on pericardiectomy complications, what preoperative finding may serve as a warning sign for intraoperative VF?
🔍 Key Findings
- Ventricular fibrillation (VF) occurred in 3% of pericardiectomy cases across reporting institutions.
- 14 of 16 dogs (88%) that developed intraoperative VF died, indicating high mortality.
- Electrosurgical devices were used in 15/16 dogs; VF onset coincided with their use in 8 dogs, suggesting a potential but unproven association.
- Preoperative arrhythmias were seen in 7 dogs (e.g., VPCs, VT, bradycardia), possibly serving as early warning signs.
- Thoracoscopic approach was used in 75% of cases; however, conversion to open surgery was required in 9/13 thoracoscopic procedures after VF onset.
- Defibrillation was attempted in 13 dogs, but only 3 converted to sinus rhythm, and only 2 survived postoperatively.
- VF may result from stray current or cardiac manipulation; bipolar energy devices were implicated despite lower theoretical risk.
- Preventative strategies include judicious electrosurgery use, close ECG monitoring, rapid CPR preparedness, and preop cardiac risk assessment.
Veterinary Surgery
4
2022
The development of ventricular fibrillation as a complication of pericardiectomy in 16 dogs
2022-4-VS-raleigh-4
In Davey 2024 et al., on modified closed anal sacculectomy, what percentage of dogs experienced postoperative complications, and how were most classified?
🔍 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.
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
In Bresciani 2022 et al., on modified urethrostomy outcomes, what was the long-term continence status of cats post-mPPU?
🔍 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.
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-5
In Guevara 2024 et al., on implant placement accuracy, what was the rate of acceptable pin placement using 3D-printed guides?
🔍 Key Findings:
- Sample: 24 canine cadavers, 477 total pins across 240 vertebrae.
- Technique Comparison: 3D printed guides (3DPG) vs freehand (FH).
- Acceptable Placement Rates: 3DPG = 87.5%, FH = 69.8% (p < .0001).
- Odds Ratio for FH: 0.28 (95% CI 0.16–0.47), significantly less likely to yield acceptable placement.
- Worst Accuracy Locations: T10 (OR 0.10), T11 (OR 0.35).
- Surgeon Impact: Surgeon 2 outperformed others (OR 9.61, p = .001).
- Modified Zdichavsky Classification used to score implant accuracy (Grades I–IIIb).
- Primary Benefit of 3DPG: Increased safety and precision, regardless of surgeon experience.
Veterinary Surgery
2
2024
Ex vivo comparison of pin placement with patient-specific drill guides or freehand technique in canine cadaveric spines
2024-2-VS-guevara-1
In Buote 2023 et al., on 3D printed cannulas, what issue occurred during live case 1 involving insufflation?
🔍 Key Findings
- Customized 3D printed cannulas (3DPCs) significantly reduced surgical time in feline cadaver models (125.6 vs. 95.2 min, p = 0.03).
- Use of 3DPCs resulted in a reduction in instrument collisions (6.8 vs. 2.6, p = 0.03).
- Cannula pullout complications decreased with 3DPCs (10 vs. 2.2 per procedure, p = 0.03).
- 3DPCs were designed at shorter lengths (3 cm), improving intra-abdominal working space in cats.
- No incisional or postoperative complications occurred in the two live feline cases.
- One 3DPC insufflation port broke intraoperatively; resolved by using a male luer lock connector in the next case.
- CO₂ leakage occurred from re-used silicone valves in 2 ports; emphasizing the need for durable valve design.
- Estimated cost per 3DPC was <$5.00, suggesting cost-effective customization for feline laparoscopy.
Veterinary Surgery
7
2023
3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series
2023-7-VS-buote-3
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings