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 Giansetto 2022 et al., on preputial urethrostomy, what was the primary indication for performing the novel technique in all 4 dogs?

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Correct. Each dog presented with a traumatic or acquired urethral lesion not manageable by standard techniques.
Incorrect. The correct answer is Urethral rupture or stenosis.
Each dog presented with a traumatic or acquired urethral lesion not manageable by standard techniques.

🔍 Key Findings

  • Modified preputial urethrostomy without penile amputation was successfully performed in 4 male dogs with urethral stenosis or trauma.
  • The technique involved anastomosis of the pelvic urethra to the preputial mucosa via caudal celiotomy, avoiding perineal urethrostomy complications.
  • No cases of skin scalding or stoma stenosis were reported during short- and long-term follow-up.
  • Two dogs developed mild urinary incontinence, particularly when excited; one improved with phenylpropanolamine.
  • The approach preserved local anatomy, avoiding penile amputation, osteotomies, and preputial dissection.
  • Postoperative urinary catheterization was used to protect the anastomosis, although optimal duration remains debated.
  • Surgical access via the linea alba minimized tension at the anastomosis site and avoided complications from paramedian approaches.
  • This technique may serve as a viable alternative to prepubic urethrostomy, reducing urine-related skin complications and improving cosmetic outcome.

Giansetto

Veterinary Surgery

8

2022

Preputial urethrostomy with preservation of the local anatomy in 4 dogs

2022-8-VS-giansetto-3

Article Title: Preputial urethrostomy with preservation of the local anatomy in 4 dogs

Journal: Veterinary Surgery

In Janas 2024 et al., on ARC outcomes in cats, what percentage of cats experienced perioperative complications?

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Correct. Five out of 20 cats (25%) experienced perioperative complications including seizures, blindness, and ascites.
Incorrect. The correct answer is 25%.
Five out of 20 cats (25%) experienced perioperative complications including seizures, blindness, and ascites.

🔍 Key Findings:

  • Study design: Retrospective, 20 cats with congenital EHPSS treated with ameroid ring constrictor (ARC).
  • Perioperative complication rate: 25% (5/20), including seizures, blindness, ascites, and one death.
  • Short-term outcomes (18 cats):
    • Excellent: 14
    • Good: 2
    • Poor: 2
  • Long-term outcomes (18 cats):
    • Excellent: 15
    • Good: 1
    • Poor: 2
  • Persistent seizures: Noted in some cats despite normal bile acids and CBC/chemistry.
  • Preoperative blindness resolved in most cats.
  • Mean follow-up duration: Median 8 years.

Janas

Veterinary Surgery

2

2024

Clinical outcomes for 20 cats with congenital extrahepatic portosystemic shunts treated with ameroid constrictor ring attenuation (2002–2020)

2024-2-VS-janas-1

Article Title: Clinical outcomes for 20 cats with congenital extrahepatic portosystemic shunts treated with ameroid constrictor ring attenuation (2002–2020)

Journal: Veterinary Surgery

In Evers 2023 et al., on medial meniscal tear detection, what was the reported sensitivity of needle arthroscopy (NA)?

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Correct. NA had a sensitivity of 95% compared to standard arthroscopy as the gold standard.
Incorrect. The correct answer is 95%.
NA had a sensitivity of 95% compared to standard arthroscopy as the gold standard.

🔍 Key Findings

  • Needle arthroscopy (NA) had 95% sensitivity and 100% specificity for diagnosing medial meniscal tears in dogs with CCLR.
  • NA missed 1 medial and 1 lateral meniscal tear, both nondisplaced and stable.
  • Visibility of all meniscal horns was significantly lower with NA compared to standard arthroscopy (SA) (P < .005 for all horns).
  • Probing the caudal horn of the lateral meniscus was significantly more difficult with NA (P = .0017), though medial horn probing was similar.
  • Mean NA procedure time was 8 ± 3 minutes, significantly shorter than SA (15 ± 9 min, P = .0041).
  • No increase in lameness observed after NA, indicating minimal procedural morbidity.
  • NA was performed under sedation in most dogs, though 10/26 required additional chemical restraint or short anesthesia.
  • NA was most accurate for displaced vertical longitudinal tears, with all 14 correctly identified; one stable tear and a lateral tear were missed.

Evers

Veterinary Surgery

6

2023

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

2023-6-VS-evers-1-67cb4

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

Journal: Veterinary Surgery

In Alvarez-Sanchez 2023 et al., on SLN mapping in canine MCT, which SLN detection method had the higher failure rate?

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Correct. NIRF failed in 20% of dogs, while ICTL failed in only 5%, making NIRF the less sensitive method individually.
Incorrect. The correct answer is Near-infrared fluorescence (NIRF).
NIRF failed in 20% of dogs, while ICTL failed in only 5%, making NIRF the less sensitive method individually.

🔍 Key Findings

  • Combined ICTL and NIRF detected the same SLN in 80% of cases; each method alone missed sentinel lymph nodes in some dogs.
  • ICLT failed in 5% of dogs, while NIRF failed in 20%; combined use resulted in only 5% failure in SLN detection.
  • Metastatic lymph nodes were detected in 95% of dogs, despite most tumors being low or intermediate grade (95%).
  • 27 of 41 nodes (65.8%) were histologically metastatic (HN2 or HN3), many of which would have been missed using ALN alone.
  • ALN matched the SLN in only 45% of cases with ICTL and 30% with NIRF, supporting the need for SLN mapping.
  • ICLT and NIRF were complementary, often identifying different SLN, with some only fluorescent or enhanced in one modality.
  • Subcutaneous MCT had higher metastatic rates (7/8 dogs) than previously reported, challenging older assumptions about benign behavior.
  • Removing both ALN and SLN (from both methods) improved detection of metastasis to 85–95%, reducing risk of understaging.

Alvarez-Sanchez

Veterinary Surgery

3

2023

Comparison of indirect computed tomographic lymphography and near-infrared fluorescence sentinel lymph node mapping for integumentary canine mast cell tumors

2023-3-VS-alvarez-sanchez-2

Article Title: Comparison of indirect computed tomographic lymphography and near-infrared fluorescence sentinel lymph node mapping for integumentary canine mast cell tumors

Journal: Veterinary Surgery

In Peycke 2022 et al., on CBLO in immature dogs, what was a **benefit of using K-wires** for tibial apophysis stabilization in CBLO?

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Correct. Unlike CCS, K-wires allowed continued growth of the tibial tuberosity apophysis.
Incorrect. The correct answer is Preserved apophyseal growth.
Unlike CCS, K-wires allowed continued growth of the tibial tuberosity apophysis.

🔍 Key Findings

  • CBLO was effective for stifle stabilization in skeletally immature dogs with CrCL injuries, avoiding disruption of proximal tibial growth plates.
  • Radiographic union of the osteotomy occurred in a mean of 6 weeks (range: 4–8 weeks), indicating rapid bone healing.
  • Full limb function was restored in all cases by long-term follow-up (mean 23 months), including dogs with initial complications.
  • Two dogs developed 19° valgus deformities due to screw interference with the proximal tibial physis; both were corrected surgically with return to function.
  • One dog developed 10° recurvatum due to over-rotation of the tibial plateau, but retained full function without revision.
  • CCS (countersink compression screw) caused early apophyseal closure in older dogs but had no adverse clinical effects.
  • In contrast, K-wire or plate-only fixation preserved open apophysis, suggesting implant choice may influence growth.
  • No meniscal injuries were observed, and all CrCL injuries were managed arthroscopically — 6 complete, 6 partial, 4 avulsions.

Peycke

Veterinary Surgery

3

2022

Center of rotation of angulation-based leveling osteotomy for stifle stabilization in skeletally immature dogs

2022-3-VS-peycke-4

Article Title: Center of rotation of angulation-based leveling osteotomy for stifle stabilization in skeletally immature dogs

Journal: Veterinary Surgery

In Welker 2024 et al., on thoracic duct anastomosis with MAC device, which imaging technique confirmed postoperative flow?

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Correct. This method was used to demonstrate flow and clearance from the cisterna chyli.
Incorrect. The correct answer is Contrast lymphangiography.
This method was used to demonstrate flow and clearance from the cisterna chyli.

🔍 Key Findings

  • Anastomosis of the thoracic duct (TD) to the intercostal vein (ICV) using a microvascular anastomotic coupler (MAC) was feasible in all 6 healthy dogs
  • Immediate postoperative patency was confirmed in all dogs, but only 4/6 had patent anastomoses at 30 days, with 2 failing due to ICV kinking
  • Kinking of the ICV near the azygos vein insertion was the primary failure mechanism, likely from MAC malalignment
  • No intraoperative or major postoperative complications occurred, though 2 dogs developed mild seromas
  • Use of the MAC device simplified microsurgical anastomosis versus hand suturing, especially in the deep thoracic cavity
  • Contrast lymphangiography showed faster clearance from the cisterna chyli postoperatively, suggesting effective flow redirection
  • Persistent branches of the thoracic duct may impact outcomes, and should be ligated during surgery
  • This technique may be a potential novel treatment for idiopathic chylothorax, improving outcomes by reducing collateral flow stimuli

Welker

Veterinary Surgery

7

2024

Anastomosis of the caudal thoracic duct and intercostal vein using a microvascular anastomotic coupler device: Experimental study in six dogs

2024-7-VS-welker-3

Article Title: Anastomosis of the caudal thoracic duct and intercostal vein using a microvascular anastomotic coupler device: Experimental study in six dogs

Journal: Veterinary Surgery

In Monti 2025 et al., on lymph node fluorescence imaging, what was the most common intraoperative complication encountered during NIRF-ICG guided laparoscopic ISLN excision?

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Correct. Capsular rupture with ICG dye dispersion was reported in one of the two dogs requiring conversion to open surgery.
Incorrect. The correct answer is Capsular disruption with dye leakage.
Capsular rupture with ICG dye dispersion was reported in one of the two dogs requiring conversion to open surgery.

🔍 Key Findings

  • Laparoscopic ISLN removal using NIRF-ICG was feasible in 89% of dogs (16/18), demonstrating high procedural success with minimal invasiveness.
  • Median laparoscopic dissection time was only 12 minutes, suggesting efficiency of the NIRF-guided approach.
  • No postoperative complications were observed, and intraoperative complications occurred in only 2 dogs (11.1%), both requiring conversion to open surgery.
  • Metastatic disease was confirmed in 48% of patients (12/25 nodes), including cases where LNs appeared normal in size, highlighting the value of histologic evaluation.
  • NIRF-ICG enabled precise identification of small and mildly enlarged nodes, which are often missed during traditional imaging or palpation.
  • Fluorescent dye leakage following LN capsule rupture limited visibility and required surgical conversion, indicating a key limitation of the technique.
  • ICG signal was occasionally absent in metastatic LNs, likely due to lymphatic rerouting or obstruction, underscoring limitations in SLN identification.
  • The lateral approach allowed consistent access to ipsilateral MILN, IILN, and sacral LNs, though contralateral nodes were inaccessible with this method.

Monti

Veterinary Surgery

6

2025

Near‐infrared fluorescence‐guided minimally invasive surgery for iliosacral lymph node removal in 18 dogs (2023–2025)

2025-6-VS-monti-1

Article Title: Near‐infrared fluorescence‐guided minimally invasive surgery for iliosacral lymph node removal in 18 dogs (2023–2025)

Journal: Veterinary Surgery

In Smith 2025 et al., on ergonomic injury risk, which factor was most significantly associated with reporting a work-related musculoskeletal disorder (WRMD)?

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Correct. Women had 2.59 times greater odds of reporting WRMDs than men (p = .011).
Incorrect. The correct answer is Being female.
Women had 2.59 times greater odds of reporting WRMDs than men (p = .011).

🔍 Key Findings

140 laparoscopic surgeons surveyed; 37% reported at least one musculoskeletal disorder.
Women had significantly higher odds of reporting WRMD (OR = 2.59, p = .011).
Smaller glove size significantly associated with WRMD (p = .001), shoulder tendonitis (p = .01), and neck strain (p = .001).
Most common injuries: Neck strain (35%), shoulder tendonitis (31%).
WRMD was associated with greater difficulty using:

  • Rotating cup biopsy forceps (p < .001)
  • Vessel sealing device and endo stapler (especially in those with shoulder injuries)

No significant association with surgeon age, dominant hand, height, weight, or case volume.

Smith

Veterinary Surgery

2

2025

Variables associated with the prevalence of self-reported work-related musculoskeletal disorders in veterinary laparoscopic surgeons

2025-2-VS-smith-1

Article Title: Variables associated with the prevalence of self-reported work-related musculoskeletal disorders in veterinary laparoscopic surgeons

Journal: Veterinary Surgery

In Longo 2025 et al., on MITA, what was the mean time to radiographic union?

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Correct. Mean time to radiographic union was 1.8 ± 0.5 months.
Incorrect. The correct answer is 1.8 months.
Mean time to radiographic union was 1.8 ± 0.5 months.

🔍 Key Findings

  • 15 dogs underwent minimally invasive tarsal arthrodesis (MITA); 10 partial, 5 pantarsal.
  • Mean time to radiographic union: 1.8 ± 0.5 months.
  • Mean time to clinical union: 3.7 ± 0.8 months.
  • Complete osseous union: 46%; the rest achieved ≥50% with functional weightbearing.
  • Complication rate: 26% major (mostly implant-related); no catastrophic complications or plantar necrosis.
  • Functional outcomes: 6 full, 8 acceptable, 1 unacceptable (not due to MITA).
  • MITA may lower soft tissue complications vs open approaches and enable faster healing.

Longo

Veterinary Surgery

1

2025

Minimally invasive tarsal arthrodesis in 15 dogs

2025-1-VS-longo-1

Article Title: Minimally invasive tarsal arthrodesis in 15 dogs

Journal: Veterinary Surgery

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