Your Custom Quiz

In Young 2023 et al., on minimally invasive parathyroidectomy, what was the most common histopathologic diagnosis in excised parathyroid glands?

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Correct. Parathyroid adenomas accounted for 54.8% of excised glands, the most common diagnosis in the study.
Incorrect. The correct answer is Parathyroid adenoma.
Parathyroid adenomas accounted for 54.8% of excised glands, the most common diagnosis in the study.

🔍 Key Findings

  • Short-term resolution of hypercalcemia occurred in 97.8% (44/45) of dogs.
  • Long-term cure rate was 93.3%, comparable to traditional bilateral neck exploration.
  • Postoperative hypocalcemia was observed in only 15.6%, which is lower than traditional approaches (36–63.8%).
  • Permanent hypocalcemia occurred in 4.4%, requiring lifelong calcitriol supplementation.
  • Minimally invasive approach had median surgical times of 26 min (unilateral) and 45.5 min (bilateral).
  • Most lesions were adenomas (54.8%), followed by hyperplasia (27.4%) and carcinomas (3.2%).
  • Ultrasound identified 98.4% (61/62) of abnormal glands, supporting it as the preferred imaging modality.
  • One death due to non-compliance with calcitriol, emphasizing importance of postoperative management.

Young

Veterinary Surgery

1

2023

Surgical description and outcome of ultrasound‐guided minimally invasive parathyroidectomy in 50 dogs with primary hyperparathyroidism

2023-1-VS-young-1

Article Title: Surgical description and outcome of ultrasound‐guided minimally invasive parathyroidectomy in 50 dogs with primary hyperparathyroidism

Journal: Veterinary Surgery

In Fracka 2024 et al., on perioperative risk factors, what factor was present only in dogs with complications but excluded from the final model due to statistical instability?

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Correct. All dogs with prior aspiration pneumonia had complications, but it was not in the model due to instability.
Incorrect. The correct answer is History of aspiration pneumonia.
All dogs with prior aspiration pneumonia had complications, but it was not in the model due to instability.

🔍 Key Findings

  • Staphylectomy was linked to higher risk of complicated recovery than folded flap palatoplasty (OR = 59.29, p = .0002).
  • Laryngeal collapse > Grade 2 was strongly associated with poor recovery (OR = 97.13, p < .0001).
  • Longer general anesthesia duration increased the risk of complications (OR = 1.01 per min, p = .0051).
  • Increasing age significantly raised the odds of perioperative complication (OR = 1.04 per month, p = .0113).
  • History of aspiration pneumonia was only found in dogs with complications, though not in final model due to instability.
  • Complicated recovery included >12 h O₂ therapy, tracheostomy, or death.
  • FFP may reduce pharyngeal-laryngeal edema, possibly improving immediate outcomes.
  • Bulldogs comprised 80% of population, with French Bulldogs most common (63%).

Fracka

Veterinary Surgery

4

2024

Risk factors for complicated perioperative recovery in dogs undergoing staphylectomy or folded flap palatoplasty: Seventy-six cases (2018–2022)

2024-4-VS-fracka-5

Article Title: Risk factors for complicated perioperative recovery in dogs undergoing staphylectomy or folded flap palatoplasty: Seventy-six cases (2018–2022)

Journal: Veterinary Surgery

In Mattioli 2025 et al., on lymphadenectomy complications, what percentage of complications were classified as mild?

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Correct. Eighty percent of the complications were classified as mild in severity.
Incorrect. The correct answer is 80%.
Eighty percent of the complications were classified as mild in severity.

🔍 Key Findings

Sample: 201 lymphadenectomies in 163 dogs.
Intraoperative techniques:

  • Unassisted: 36%
  • Methylene blue (MB): 24%
  • Gamma probe + MB (γ-MB): 40%

Complication rate: 7.5% overall (93% uncomplicated)

  • 80% were mild, 20% moderate; no severe complications
  • Most common = seroma (2.5%), lymphoedema (1.5%)

Risk factors (via decision tree model):

  • Surgical time > 21.5 min
  • Lymph node site = mandibular or retropharyngeal

No significant difference in complication rate based on:

  • Guidance technique (p = .255)
  • LN palpability, number removed, or LN size

Clinical implication: Peripheral SLN excision is safe regardless of intraoperative technique; certain sites and durations carry slightly higher risk.

Mattioli

Veterinary Surgery

4

2025

Peripheral sentinel lymphadenectomy in 163 dogs: Postoperative surgical complications and comparison between intraoperative dissection techniques

2025-4-VS-mattioli-5

Article Title: Peripheral sentinel lymphadenectomy in 163 dogs: Postoperative surgical complications and comparison between intraoperative dissection techniques

Journal: Veterinary Surgery

In Grimes 2022 et al., on PDA rupture risks, what best describes the utility of the Jackson-Henderson technique?

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Correct. Jackson-Henderson eliminates medial dissection, which is beneficial after rupture.
Incorrect. The correct answer is Used to avoid dissecting medial to PDA in rupture cases.
Jackson-Henderson eliminates medial dissection, which is beneficial after rupture.

🔍 Key Findings

  • Rupture occurred in 7.0% of dogs undergoing surgical PDA ligation (20/285).
  • Overall mortality was low (0.4%), with only one death occurring post-rupture.
  • Residual flow occurred in 9.4% of dogs; significantly more common in dogs with rupture.
  • Residual flow odds were not increased when ligation was successfully performed despite rupture.
  • No significant associations between rupture and age, weight, suture size, or dissection technique.
  • Jackson-Henderson and intrapericardial techniques were helpful in managing rupture or fibrosis.
  • Major complications (non-rupture) were rare (1.4%), including pulmonary artery ligation and cardiac arrest.
  • Surgeon preparedness (e.g., hemostatic tools, alternate techniques) was key to successful outcomes.

Grimes

Veterinary Surgery

4

2022

Surgical ligation of patent ductus arteriosus in dogs: Incidence and risk factors for rupture

2022-4-VS-grimes-4

Article Title: Surgical ligation of patent ductus arteriosus in dogs: Incidence and risk factors for rupture

Journal: Veterinary Surgery

In Clough 2022 et al., on CBLO-TTT construct testing, which outcome best describes the load-to-failure comparison between CBLO-TTT and CBLO alone?

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Correct. The study showed no significant difference in mean failure loads between CBLO-TTT and CBLO (P = .81).
Incorrect. The correct answer is CBLO-TTT and CBLO had similar load-to-failure values..
The study showed no significant difference in mean failure loads between CBLO-TTT and CBLO (P = .81).

🔍 Key Findings

  • Combined CBLO-TTT did not reduce load to failure compared to CBLO or TTT alone (P = .81 and P = .12, respectively).
  • CBLO-TTT maintains construct strength without significant compromise compared to individual procedures.
  • Most common failure mode in CBLO-TTT was displacement of the tibial crest segment with k-wire pullout and tension band untwisting.
  • No fulcrum effect was seen in CBLO-TTT, unlike TPLO-TTT combinations, likely due to preservation of buttress effect.
  • Patellar ligament avulsion occurred in both CBLO and CBLO-TTT, but not as a clinical concern — possibly artifact from cadaver model.
  • Load-to-failure testing was static and unidirectional, not accounting for cyclic fatigue or in vivo healing.
  • Plate size and saw blade variation were based on clinical realism, introducing potential variability but not affecting outcomes.
  • Study suggests feasibility of simultaneous surgical correction of CCL rupture and MPL using CBLO-TTT in dogs.

Clough

Veterinary Surgery

3

2022

Combined center of rotation of angulation‐based leveling osteotomy and tibial tuberosity transposition: An ex vivo mechanical study

2022-3-VS-clough-1

Article Title: Combined center of rotation of angulation‐based leveling osteotomy and tibial tuberosity transposition: An ex vivo mechanical study

Journal: Veterinary Surgery

In Scheuermann 2023 et al., on canine femoral MIPO, how did precontoured plates based on 3D-printed bone models affect fracture alignment outcomes?

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Correct. All cadavers had <10 mm or <5° deviation from the pre-op plan in all planes.
Incorrect. The correct answer is Enabled near-anatomic alignment in all specimens.
All cadavers had <10 mm or <5° deviation from the pre-op plan in all planes.

🔍 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-3

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 Danielski 2025 et al., on PUO complication reduction, what was the **overall complication rate** reported with IM pin and rhBMP-2 use?

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Correct. The total complication rate was 7.4%, significantly lower than in prior studies.
Incorrect. The correct answer is 7.4%.
The total complication rate was 7.4%, significantly lower than in prior studies.

🔍 Key Findings

  • Combined intramedullary (IM) pin and rhBMP-2 use resulted in a low complication rate (7.4%) after proximal ulnar osteotomy (PUO).
  • Major complications occurred in 5.3% of cases (4 infections, 1 pin breakage with ulnar tilt requiring revision).
  • Minor complications occurred in 2.1% of cases (seroma, delayed union).
  • No cases of non-union were observed; 98.9% of limbs achieved radiographic healing by 6 weeks.
  • IM pin breakage was noted in 11.8% of limbs but did not affect healing outcomes.
  • Chondrodystrophic breeds made up 64.8% of the cohort and tolerated the procedure well.
  • Compared to prior studies, complication rates were substantially reduced with this technique (prior major: 13.9%; this study: 5.3%).
  • The use of rhBMP-2 likely enhanced early bone healing and provided biologic support, particularly important in breeds at higher risk of complications.

Danielski

Veterinary Surgery

6

2025

Impact of intramedullary pinning and recombinant human bone morphogenetic protein‐2 on postoperative complications after proximal ulnar osteotomy in dogs

2025-6-VS-danielski-2

Article Title: Impact of intramedullary pinning and recombinant human bone morphogenetic protein‐2 on postoperative complications after proximal ulnar osteotomy in dogs

Journal: Veterinary Surgery

In Karydas 2025 et al., on follow-up radiography, what percent of postoperative plans were changed based on clinical and radiographic findings?

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Correct. Out of 139 cases, 23 (17%) experienced a postoperative plan change based on clinical and radiographic indicators.
Incorrect. The correct answer is 17%.
Out of 139 cases, 23 (17%) experienced a postoperative plan change based on clinical and radiographic indicators.

🔍 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-1

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

Journal: Veterinary Surgery

In Sunlight 2022 et al., on Protein C monitoring, what was the average postoperative Protein C (PC) activity in dogs with excellent clinical outcomes?

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Correct. Dogs with excellent clinical status had the highest mean postoperative PC, specifically those with complete acute occlusion.
Incorrect. The correct answer is 96.3% ± 10.9%.
Dogs with excellent clinical status had the highest mean postoperative PC, specifically those with complete acute occlusion.

🔍 Key Findings

  • Postoperative Protein C (PC) activity increased in 78.7% of dogs, and was significantly higher in dogs with excellent clinical outcomes.
  • Complete acute shunt occlusion resulted in higher postoperative PC activity (96.3%) and better ultimate clinical outcomes than incomplete occlusion.
  • Preoperative PC was not predictive of clinical status, but postoperative PC was associated with improved outcomes.
  • Standard biochemical markers (HCT, MCV, ALB, BUN) also improved postoperatively, especially in dogs with excellent clinical outcomes.
  • Dogs requiring a second procedure had significantly lower postoperative PC (43.5%) than those not requiring further intervention (78.5%).
  • Repeat procedures improved PC and BUN values, with PC increasing significantly after second intervention (to 69.8%).
  • PC normalization (within reference interval) occurred in 87.5% of dogs with excellent clinical status, compared to only 12.5% in those with poor status.
  • Clinical outcome classification (excellent/fair/poor) correlated with biochemical normalization and lack of need for diet/medications.

Sunlight

Veterinary Surgery

1

2022

Protein C and comparative biochemical changes in dogs treated with percutaneous transvenous coil embolization of congenital intrahepatic portosystemic shunts

2022-1-VS-sunlight-1

Article Title: Protein C and comparative biochemical changes in dogs treated with percutaneous transvenous coil embolization of congenital intrahepatic portosystemic shunts

Journal: Veterinary Surgery

In Papacella-Beugger 2024 et al., on neuronavigation, what percentage of screws were deemed appropriately placed?

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Correct. 85% (17/20) of screws were well-positioned using spinal neuronavigation:contentReference[oaicite:0]{index=0}
Incorrect. The correct answer is 85%.
85% (17/20) of screws were well-positioned using spinal neuronavigation:contentReference[oaicite:0]{index=0}

🔍 Key Findings Summary

  • Cadaveric study using 3 miniature breed dogs (6 hemipelves) to assess spinal neuronavigation accuracy for lumbar plate fixation
  • 20 screws placed using CBCT-based navigation with real-time tracking
  • 85% (17/20) of screws were safely and accurately placed
  • Median deviation of screw entry points from plan: 1.8 mm
  • All 3 misplaced screws occurred in a single cadaver, attributed to inexperienced drill handling
  • Custom 3D-printed lightweight tracking array was necessary due to small spinous processes in miniature dogs
  • No iatrogenic canal perforations or vertebral damage in any specimen
  • Concludes neuronavigation offers precise, safe placement of spinal implants in small dogs, with minimal anatomic disruption

Papacella

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Spinal Neuronavigation for Lumbar Plate Fixation in Miniature Breed Dogs

2024-6-VCOT-papacella-beugger-1

Article Title: Spinal Neuronavigation for Lumbar Plate Fixation in Miniature Breed Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

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