Your Custom Quiz

In Dalton 2023 et al., on acetabular fracture repair, what was a reported potential benefit of the minimally invasive approach compared to traditional open techniques?

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Correct. Reduced risk to the sciatic nerve was noted, likely due to avoidance of direct retraction and protection by preserved soft tissues.
Incorrect. The correct answer is Reduced retraction-related nerve injury.
Reduced risk to the sciatic nerve was noted, likely due to avoidance of direct retraction and protection by preserved soft tissues.

🔍 Key Findings

  • Minimally invasive repair of acetabular fractures using precontoured plates on 3D-printed models is feasible and technically reproducible in dogs.
  • All cadavers had fracture gaps <2 mm and step defects <1 mm, indicating accurate reduction.
  • Sciatic nerve injury was minimal or absent in all cases, supporting potential neuroprotection from indirect approaches.
  • Pelvic angulation was maintained <5°, confirming preservation of alignment post-reduction.
  • Surgical time averaged ~46 minutes in cadavers for both approaches and repair.
  • Clinical case showed good radiographic healing by 8 weeks and full union by 3 months, with early weight-bearing post-op.
  • Use of locking screws improved reduction fidelity, particularly across a broad plate span.
  • 3D printing accelerated surgical planning, though its necessity remains debated due to the availability and cost concerns.

Dalton

Veterinary Surgery

6

2023

Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

2023-6-VS-dalton-3-02141

Article Title: Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

Journal: Veterinary Surgery

In Downey 2023 et al., on thoracoscopic lobectomy, what factor was associated with conversion to open thoracotomy?

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Correct. Conversion was associated with median symptom duration of 90 vs. 7 days.
Incorrect. The correct answer is Longer duration of clinical signs.
Conversion was associated with median symptom duration of 90 vs. 7 days.

🔍 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-2

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 Poggi 2024 et al., on laparoscopic resection of pancreatic masses in dogs, what was the maximum tumor size among resected pancreatic masses?

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Correct. The largest resected tumor measured 65 mm in diameter.
Incorrect. The correct answer is 65 mm.
The largest resected tumor measured 65 mm in diameter.

🔍 Key Findings

  • Laparoscopic pancreatic mass resection (LPMR) was successfully performed in all 12 dogs, with no conversion to open laparotomy required.
  • Median operative time was 69 minutes (range 35–100 min); 11/12 dogs were discharged within 48 hours, and one was discharged after 7 days.
  • No major intraoperative complications occurred; minor complications included mild bleeding (2/12) and cannula malfunction (1/12).
  • All dogs survived the procedure and were discharged.
  • Histopathology confirmed neoplasia in all dogs: 9 insulinomas and 3 pancreatic carcinomas; all tumors were completely excised with clear margins.
  • No recurrences were reported; 3 dogs died of unrelated causes, and 9 were still alive at the time of reporting.
  • No postoperative hypoglycemia was observed; 1 dog had transient hyperglycemia, and minor complications included vomiting, idiopathic seizures, and pancreatitis, all of which resolved.
  • Authors concluded that LPMR is a safe, effective, and minimally invasive alternative to open surgery for selected distal pancreatic masses in dogs.

Poggi

Veterinary Surgery

5

2024

Laparoscopic resection of pancreatic masses in 12 dogs

2024-5-VS-poggi-5

Article Title: Laparoscopic resection of pancreatic masses in 12 dogs

Journal: Veterinary Surgery

In Mullen 2023 et al., on microvascular perfusion, which of the following statements best reflects the accuracy of subjective assessment of intestinal viability?

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Correct. Surgeon’s subjective assessment was shown to be unreliable, with no difference in microvascular density between subjectively viable and nonviable intestines.
Incorrect. The correct answer is It poorly predicted viability and often led to unnecessary resections.
Surgeon’s subjective assessment was shown to be unreliable, with no difference in microvascular density between subjectively viable and nonviable intestines.

🔍 Key Findings

  • Microvascular density at the site of foreign body obstruction was significantly lower in obstructed dogs compared to healthy controls.
  • PBR (perfused boundary region) was paradoxically lower in obstructed dogs, indicating that PBR may not reliably correlate with tissue viability in this context.
  • No significant difference in microvascular perfusion between subjectively viable vs nonviable intestines, suggesting subjective assessment is unreliable.
  • No difference in perfusion parameters between handsewn and stapled enterectomies, indicating both techniques preserve vascular health equally.
  • Stapled enterectomy using green TA staples is safe and did not impair intestinal perfusion at the anastomosis site.
  • SDF videomicroscopy is feasible intraoperatively and can differentiate healthy from diseased intestine in dogs.
  • Surgeons' subjective evaluations led to potentially unnecessary enterectomies, as microvascular parameters did not differ.
  • No cases of dehiscence or mortality, suggesting both surgical approaches are effective when applied properly.

Mullen

Veterinary Surgery

4

2023

A quantitative evaluation of the effect of foreign body obstruction and enterectomy technique on canine small intestinal microvascular health

2023-4-VS-mullen-4

Article Title: A quantitative evaluation of the effect of foreign body obstruction and enterectomy technique on canine small intestinal microvascular health

Journal: Veterinary Surgery

In Renaud 2025 et al., on biliary peritonitis surgery, which factor was significantly associated with decreased immediate survival (p = .002)?

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Correct. Use of vasopressors was associated with significantly lower immediate survival (hazard ratio 0.29, p = .002).
Incorrect. The correct answer is Vasopressor use.
Use of vasopressors was associated with significantly lower immediate survival (hazard ratio 0.29, p = .002).

🔍 Key Findings

Mortality rate: 36% (12/33)
Cholecystectomy performed: 94% of dogs (31/33)
New significant prognostic factors for survival:

  • Hyperbilirubinemia (p = .049) — threshold = 60.5 μmol/L
  • Use of vasopressors (p = .002)
  • Renal dysfunction postoperatively (p = .008)
  • Number of postoperative complications (p = .005)

Multivariate model: Total bilirubin and number of complications best predicted survival
Septic vs nonseptic effusion: No significant difference in survival
Diagnostic imaging: Ultrasound sensitivity for extrahepatic biliary rupture = 38%
Most cultured pathogen: E. coli (80% of septic cases)

Renaud

Veterinary Surgery

2

2025

Clinical findings and prognostic factors for immediate survival in 33 dogs undergoing surgery for biliary peritonitis

2025-2-VS-renaud-1

Article Title: Clinical findings and prognostic factors for immediate survival in 33 dogs undergoing surgery for biliary peritonitis

Journal: Veterinary Surgery

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 Fink 2025 et al., on Roux-en-Y outcomes, which anastomosis type was preferred when the common bile duct was severely dilated?

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Correct. Choledochojejunostomy was favored due to favorable size match with the intestinal lumen when the CBD was dilated.
Incorrect. The correct answer is Choledochojejunostomy.
Choledochojejunostomy was favored due to favorable size match with the intestinal lumen when the CBD was dilated.

🔍 Key Findings

  • Roux-en-Y procedures were successfully completed in all 11 cases (6 dogs, 5 cats), despite case complexity and disease severity.
  • Median survival post-discharge was longer in cats (365 days) vs. dogs (82 days), with better outcomes in non-neoplastic vs. neoplastic disease (192 vs. 5 days).
  • Complication rate was high, with septic peritonitis, dehiscence, and cardiac arrest as leading causes of postoperative death; mortality rate = 36%.
  • Dehiscence rate was 8.6% (2 of 23 anastomoses), considered lower than typical rates for GI anastomoses in high-risk patients.
  • Feeding tubes (gastrostomy/jejunostomy) were used in all cases, enabling early nutritional support and stomach decompression.
  • Postoperative nausea and vomiting were common but mostly self-limiting; managed with metoclopramide, cisapride, and antiemetics.
  • Choledochojejunostomy was preferred when common bile duct was dilated, offering a favorable size match and potentially reducing bile leakage.
  • Roux-en-Y reduced typical Billroth II complications (e.g., bile reflux, afferent loop syndrome, dumping syndrome), with none observed in discharged patients.

Fink

Veterinary Surgery

5

2025

Roux‐en‐Y procedure to reconstruct the upper gastrointestinal tract in six dogs and five cats: A descriptive case series

2025-5-VS-fink-2

Article Title: Roux‐en‐Y procedure to reconstruct the upper gastrointestinal tract in six dogs and five cats: A descriptive case series

Journal: Veterinary Surgery

In Adrian 2024 et al., on feline pelvic fracture stabilization, what was the most commonly reported outcome according to the FMPI?

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Correct. FMPI results showed all 18 cats with follow-up had full function, with low pain scores.
Incorrect. The correct answer is Full function with minimal or no pain.
FMPI results showed all 18 cats with follow-up had full function, with low pain scores.

🔍 Key Findings

  • 20 cats with pelvic fractures treated with SOP plates and cortical screws
  • Full function reported in all patients per FMPI follow-up
  • Screw loosening in 3/20 SOP cases; implant removal in 3 cats
  • Median sacral index decrease at follow-up: 5.7%; mostly mild narrowing
  • Complications: 5 major (3 SOP removals, 2 trochanter osteotomy issues); 20 minor
  • SOP plate shown feasible even in challenging configurations; good functional outcomes

Adrian

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Use of Locking Plates Fixed with Cortical Screws for Pelvic Fracture Repair in 20 Cats

2024-1-VCOT-adrian-1

Article Title: Use of Locking Plates Fixed with Cortical Screws for Pelvic Fracture Repair in 20 Cats

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Cortina 2023 et al., on modified TTT outcomes for MPL in dogs, which implant-related complication occurred long-term and required management?

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Correct. Pin migration was the only long-term major complication (1.3%) and was easily resolved without additional surgery.
Incorrect. The correct answer is Pin migration.
Pin migration was the only long-term major complication (1.3%) and was easily resolved without additional surgery.

🔍 Key Findings

  • m-TTT yielded a low overall major complication rate (4.3%) and minor complication rate of 15%, consistent with or better than previous techniques.
  • Patellar reluxation occurred in only 4.3% of stifles, with high-grade reluxation seen in just 0.6% of cases—lower than the 12.4–21% range reported for other techniques.
  • Implant migration rate was 3.7%, lower than previously reported for smooth pin fixation (7.7–24.6%).
  • Use of a tension band with single Steinmann and Kirschner wire reduced stress risers and fixation failure, supporting better stability.
  • Tibial tuberosity fracture occurred in only 1.3% of cases, lower than the 1–6% seen in other reports.
  • All long-term major complications (1.3%) were related to pin migration, but were easily resolved.
  • Radiographic follow-up confirmed complete bone healing in all examined cases, even up to 9 years postoperatively.
  • Owner satisfaction was 100%, and 95% rated quality of life as good to excellent based on CBPI surveys.

Cortina

Veterinary Surgery

5

2023

Outcomes and complications of a modified tibial tuberosity transposition technique in the treatment of medial patellar luxation in dogs

2023-5-VS-cortina-2

Article Title: Outcomes and complications of a modified tibial tuberosity transposition technique in the treatment of medial patellar luxation in dogs

Journal: Veterinary Surgery

In Danielski 2024 et al., on PUO effect on HIF, which group showed the largest increase in HU at the fissure site postoperatively?

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Correct. This age group showed an average HU increase of 384.54, indicating the highest healing response.
Incorrect. The correct answer is Dogs aged 0–14 months.
This age group showed an average HU increase of 384.54, indicating the highest healing response.

🔍 Key Findings Summary

  • Sample: 51 elbows from 35 spaniel dogs
  • Healing Rate: Subjective healing (complete or partial) in 80.3% of elbows; complete in 54.9%
  • Objective HU analysis: Mean HU increased from 640 (pre-op) to 835 (follow-up) (p = .001)
  • Age Effect: Dogs <14 months showed the greatest HU increase (+384 HU) and had wider fissures with less sclerosis
  • Complications:
    • Major: 5 dogs (6 limbs); 4 related to fissure healing (7.8%), 2 related to PUO healing (3.9%)
    • Minor: 3 cases (5.8%) due to IM pin migration
  • Sclerosis: Older dogs had more humeral condyle sclerosis, possibly limiting healing
  • PUO Effectiveness: Confirmed cranio-proximal displacement of anconeal process; aimed to relieve humero-anconeal incongruity
  • Control Comparison: Avoids complications associated with transcondylar screw (infection, breakage)

Danielski

Veterinary Surgery

2

2024

Influence of oblique proximal ulnar osteotomy on humeral intracondylar fissures in 35 spaniel breed dogs

2024-2-VS-danielski-2

Article Title: Influence of oblique proximal ulnar osteotomy on humeral intracondylar fissures in 35 spaniel breed dogs

Journal: Veterinary Surgery

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