
Your Custom Quiz
In Gleason 2023 et al., on ala vestibuloplasty in cats, which clinical respiratory sign resolved in all cats following ala vestibuloplasty?
🔍 Key Findings
- Ala vestibuloplasty significantly reduced normalized pulmonary transit time (nPTT) (mean 5.43 → 3.89 sec; p <.001), suggesting improved cardiopulmonary function.
- Clinical respiratory signs improved, including reduced snoring, sneezing, nasal discharge, and open-mouth breathing (all p <.01).
- Activity tolerance increased, with less dyspnea during activity and longer time to onset of dyspnea (p <.005).
- Paradoxical sternal motion resolved in all affected cats after surgery.
- Hiatal hernias resolved in 75% of affected cats on follow-up CT.
- No serious complications occurred, with only mild, self-limiting epistaxis and hypersalivation in a few cases.
- Aberrant turbinates were detected on CT in all cats, though only 1 showed obstructive CATs endoscopically.
- Total clinical severity scores improved significantly postoperatively (median reduction of 30 points; p <.001).
Veterinary Surgery
4
2023
Ala vestibuloplasty improves cardiopulmonary and activity‐related parameters in brachycephalic cats
2023-4-VS-gleason-2
In Miller 2024 et al., on SOP-LC mechanical testing, how did single-side clamp placement affect bending strength compared to alternating sides?
🔍 Key Findings Summary
- No significant difference in mechanical properties between contoured vs non-contoured SOP-LC rods
- Clamp configuration significantly influenced mechanical performance:
- Single-side clamps → ↑ yield load, ↑ displacement, ↑ bending strength (p < 0.05)
- Alternating-side clamps → ↑ initial torsional stiffness (p = 0.029)
- Clamp slippage was evident only in torsional tests; screw loosening may be torque-dependent
- Mild screw bending and construct offset suggest subtle instability
- Recommends clamp configuration choice based on loading scenario
- Suggests 3.0 Nm torque may be more effective than 2.5 Nm to prevent clamp slippage
Veterinary and Comparative Orthopedics and Traumatology
4
2024
Mechanical Testing of Sliding on Pivot-Locking Clamp (SOP-LC) Fracture Repair System in Four-Point Bending and Torsion
2024-4-VCOT-miller-2
In Stoneburner 2024 et al., on MIS survey results, what was the most commonly performed MIS procedure among respondents?
🔍 Key Findings
- The survey included 111 practicing surgeons and 28 residents from ACVS, ECVS, and ANZCVS. 98.2% had performed soft tissue minimally invasive surgery (MIS).
- In the past year, surgeons reported a median caseload of 90% basic laparoscopy, 0% advanced laparoscopy, and 10% thoracoscopy; for residents: 100% basic laparoscopy, 0% advanced, 0% thoracoscopy.
- Laparoscopic ovariectomy and OHE were the most commonly performed MIS procedures, with most respondents proficient in basic laparoscopy, but few performing advanced laparoscopy or thoracoscopy.
- Top barriers to MIS adoption were: lack of consistent caseload, lack of training, difficult learning curve, equipment limitations, and cost.
- 76.6% of surgeons and 92.9% of residents received MIS training during residency. Those trained had completed residency median 6 years ago, compared to 22 years ago for those without MIS training (p < .001). Perceived adequate training correlated with higher proficiency.
- MIS was recognized as having a steep learning curve, but patient benefits (mean score 4.0/5) were the top motivation — less pain, faster recovery, improved visualization.
- The authors conclude basic laparoscopy is widely adopted, but advanced and thoracoscopic MIS remain underutilized. Training and access are key to future growth.
- Expanded training and improved access to equipment are necessary to promote broader integration of MIS into veterinary soft-tissue surgery.
Veterinary Surgery
5
2024
Laparoscopy and thoracoscopy in small animal surgery: A 2020 survey of small animal surgical diplomates and residents
2024-5-VS-stoneburner-2
In Dalton 2023 et al., In Minimally invasive acetabular fracture repair in dogs, what reduction quality was reported in cadaveric cases?
🔍 Key Findings
- Feasibility study in 5 canine cadavers plus 1 clinical case (Chihuahua, 5.5 kg).
- Technique used two small approaches (caudal and craniolateral) connected with an epiperiosteal tunnel.
- Plates were precontoured on mirrored 3D-printed hemipelves to improve fit and reduce intraoperative bending.
- Cadaver outcomes: fracture gap <2 mm, step defect <1 mm, pelvic angulation <5°.
- Sciatic nerve injury was minimal: 1/5 cadavers had a mild indentation; others had no gross injury.
- Median total surgical time: ~46 minutes in cadavers; incisions ~5 cm.
- Clinical Chihuahua case: weight-bearing within 24 hrs, radiographic union at 3 months; one screw fractured but no adverse effect.
- Authors conclude: MIAF with 3D printing is feasible and accurate, but requires further evaluation before routine use.
Veterinary Surgery
7
2023
Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report
2023-7-VS-dalton-4
In Carvajal 2025 et al., on femoral stem breakage, what was the most common radiographic finding among failed implants?
🔍 Key Findings
Incidence of BFX lateral bolt stem breakage: 2.95% (13 dogs, 14 stems)
Implant factors:
- 13/14 were BFX lateral bolt stems (sizes #5–7)
- +9 necks used in 5/11 of 17 mm heads
- 10/14 stems undersized based on radiographs
- 10/13 dogs exceeded weight limits for implanted stem size
Malalignment:
- 10/14 had varus alignment (median 3.9°)
- 8/14 had insufficient proximodistal seating
Breakage site: Proximolateral shoulder in all cases
Revision outcomes:
- 11 revised (7 CFX, 3 larger BFX, 1 collared)
- 9/10 revised dogs regained full function
- Complications: 1 rebreakage, 1 periprosthetic fracture, 1 fixation failure
Histopathology:
- Electron microscopy showed fatigue striations and incomplete bead fusion
Conclusion: Avoid small BFX lateral bolt stems if undersized or if long necks required; use weight guidelines to prevent fatigue failure.
Veterinary Surgery
3
2025
Breakage of cementless press‐fit femoral stems following total hip arthroplasty in dogs: 14 cases (2013–2023)
2025-3-VS-carvajal-1
In Miller 2024 et al., what was the most common breed represented in the surgical cohort?
🔍 Key Findings Summary
- Sample: 124 dogs (64 S, 60 FFP); French Bulldogs most common (54/124)
- Pre-op clinical signs: Exercise intolerance (34/124), stertor (22), regurgitation (7), vomiting (12)
- Operative time (no concurrent procedure): Longer in FFP (75 vs 51 min, p = .02)
- Anesthetic time: Longer in FFP (111 vs 80 min, p = .02)
- Anesthetic complications: Similar rates (FFP 50, S 49; p = .30)
- Post-op regurgitation: 27/124 (S: 17, FFP: 10; p = .18)
- Post-op aspiration pneumonia: Rare (S: 4, FFP: 5)
- Major complications: Rare (5/124); 2 dogs euthanized post-op (1 per group)
- Revision surgery: Needed in 7/124 (3 S, 4 FFP)
Veterinary Surgery
1
2024
Complications and outcome following staphylectomy and folded flap palatoplasty in dogs with brachycephalic obstructive airway syndrome
2024-1-VS-miller-1
In Dickerson 2023 et al., on surgical outcomes in hepatic abscessation, what was the reported in-hospital mortality rate?
🔍 Key Findings
- Liver lobectomy was the most common treatment (27/36 dogs), with multiple lobes removed in ~1/3 of cases.
- Septic peritonitis was present in 21/23 sampled dogs, making it a frequent complication.
- Perioperative complications occurred in 21/36 dogs, including aspiration pneumonia, pancreatitis, and acute kidney injury.
- Intraoperative hypotension was common (32/36), often requiring vasopressors or colloids.
- Mortality prior to discharge was 21% (8/38), with deaths related to sepsis, aspiration pneumonia, and multi-organ dysfunction.
- Median survival time was 638 days in dogs surviving to discharge.
- No recurrence of hepatic abscessation was observed in the surviving population.
- E. coli and Clostridium spp. were the most commonly cultured organisms, often as single-agent infections.
Veterinary Surgery
1
2023
Outcome in 38 dogs surgically treated for hepatic abscessation
2023-1-VS-dickerson-3
In Griffin 2025 et al., on SLN mapping with ICG, which lymph node was identified as sentinel?
🔍 Key Findings
- Case: 9-year-old Labrador with a right caudal pulmonary adenocarcinoma.
- Technique: Peritumoral injection of indocyanine green (ICG) under VATS guidance, followed by near-infrared (NIR) imaging.
- SLN identified: Right tracheobronchial lymph node fluoresced and was safely extirpated.
- Histology: Grade 1 adenocarcinoma, pneumonia, reactive node.
- Outcome: Patient deteriorated and died on postoperative day 3 due to systemic complications (not linked to surgical technique).
- Clinical relevance: First clinical application of SLN mapping for canine pulmonary neoplasia; method feasible with open or minimally invasive approaches.
Veterinary Surgery
1
2025
Intraoperative sentinel lymph node mapping with indocyanine green via video‐assisted thoracoscopic surgery for primary pulmonary neoplasia in a dog
2025-1-VS-griffin-1
In Miyagi 2025 et al., on endoscopic laser sphincterotomy, what was concluded regarding ICBD length and body weight?
🔍 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.
Veterinary Surgery
5
2025
Endoscopic‐assisted laser sphincterotomy of the intramural common bile duct: A cadaveric pilot study
2025-5-VS-miyagi-5
In Thompson 2024 et al., on cyanoacrylate enterotomy sealants, what is the suggested clinical implication of adding cyanoacrylate to a handsewn enterotomy repair?
🔍 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.
Veterinary Surgery
2
2024
Effects of cyanoacrylate on leakage pressures of cooled canine cadaveric jejunal enterotomies
2024-2-VS-thompson-5
Quiz Results
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