A rapid and strong laparoscopic-assisted gastropexy in dogs

Abstract

The laparoscopic gastropexy technique described in the present study could be performed quickly and easily by an experienced surgeon, resulted in a strong fibrous adhesion between the stomach and abdominal wall, and appeared to cause minimal stress to the dogs.

Result of Endoscopically Assisted Gastropexy in Dogs

“…This theoretically should result in a decreased duration of anaesthesia, degree of postoperative pain and requirements for analgesia, incidence of incision complications, duration of hospitalization, and cost [3,25,26]. Additionally, this minimally invasive technique allows for a decrease in the amount of equipment necessary to perform the procedure, compared with that required for other currently used minimally invasive laparoscopically assisted gastropexy procedures [8,9,16,18]. Endoscopically assisted gastropexy is more commonly available in private practice compared with laparoscopic equipment.…”

“…GDV is prevented most successfully by maintaining the stomach in its normal anatomic location via a prophylactic gastropexy supported with ultrasonographic and radiographic examinations. It has contributed to the development of less invasive prophylactic gastropexy procedures [8,9,16,18]. The ideal gastropexy technique is simple to perform, permanently and predictably attaches the stomach to the abdominal wall in a correct anatomic position to prevent volvulus, does not interfere with gastric function, is associated with minimal intraoperative and postoperative complications, and requires minimal postoperative management of the treated dog [11].…”

“…These include a grid gastropexy and a laparoscopically assisted gastropexy. However, both of these procedures are relatively time consuming and the laparoscopically assisted gastropexy requires a considerable amount of instrumentation [16][17][18]. By using endoscopically assisted gastropexy, clinicians can potentially perform an otherwise invasive procedure in a shorter period of time.…”

Laparoscopic procedures in dogs and cats

“…Laparoscopic methods of gastropexy have been developed to reduce postoperative pains (Rawlings et al 2001, Rawlings 2002.…”

“…The serous and muscular layers are sutured to the transversus abdominis muscle with a continuous suture made of absorbable monophilament material sized from 2-0 to 0. The stomach should be viewed with the laparoscope to make sure that there is no twist of the pyloric antrum (Rawlings et al 2001, Rawlings 2002). On removing the cannulae, the transversus abdominis muscles should be sewn using an interrupted cross suture.…”