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. 2021 Jan 20;11(2):255.
doi: 10.3390/ani11020255.

Outcomes and Complications in a Case Series of 39 Total Laparoscopic Prophylactic Gastropexies Using a Modified Technique

Veronica Giaconella  1 , Riccardo Grillo  1 , Roberto Giaconella  1 , Roberto Properzi  2 , Rodolfo Gialletti  3
Affiliations

Outcomes and Complications in a Case Series of 39 Total Laparoscopic Prophylactic Gastropexies Using a Modified Technique

Veronica Giaconella et al. Animals (Basel). .

Abstract

Laparoscopic-assisted, laparoscopic, and endoscopic gastropexy techniques have been proven successful in recent years. Thanks to minimal invasiveness, low morbidity, and fast recovery, total laparoscopic gastropexy techniques have been gaining popularity. The objective of this study was to describe the use of a modified minimally invasive technique to perform prophylactic gastropexy in dogs. A case series study of 39 client-owned dogs was undertaken from June 2019 to August 2020. Each dog underwent total laparoscopic prophylactic gastropexy using a simple continuous barbed suture line and two laparoscopic needle holders without incising the seromuscular layer of the stomach and the abdominal wall. Surgical time, the number of stitches, and the length of suture were recorded. Telephone checks, owner questionnaires, and ultrasonographic exams were used to evaluate the effectiveness of the procedure after surgery. The median gastropexy surgical time was 12 min (range 4-30 min), and the median length of the suture line was 3 cm (range 2-4 cm). The last follow-up check was carried out 9 months (mean, range 3-14 months) after surgery, and all ultrasonographic exams (n = 29) showed an intact gastropexy. Intraoperative and postoperative complications were noted. This total laparoscopic gastropexy technique was found to be safe, fast, simple, and with a low morbidity rate. It appears to be a new alternative to other methods of prophylactic gastropexy; however, further research in this area is warranted.

Keywords: GDV; barbed suture; prophylactic gastropexy; total laparoscopic gastropexy.

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Conflict of interest statement

The authors declare no conflict of interest related to this report.

Figures

Figure 1
Figure 1
Knotless, synthetic, monofilament, absorbable barbed suture with a button final lock system (Filbloc, polydioxanone (PDO) monofilament long term absorption, Assut Europe, Roma, Italy).
Figure 2
Figure 2
Laparoscopic image at the end of the gastropexy procedure while measuring the suture length. Note the button at the beginning of the suture (arrowhead) and the endoclip at the opposite end.
Figure 3
Figure 3
Laparoscopic view of the intact gastropexy 6 months postoperatively.
See this image and copyright information in PMC

References

    1. Allen P., Paul A. Gastropexy for Prevention of Gastric Dilatation-Volvulus in Dogs: History and Techniques. Top. Companion Anim. Med. 2014;29:77–80. doi: 10.1053/j.tcam.2014.09.001. - DOI - PubMed
    1. Rivier P., Furneaux R., Viguier E. Combined laparoscopic ovariectomy and laparoscopic-assisted gastropexy in dogs suscep-tible to gastric dilatation-volvulus. Can. Vet. J. 2011;52:62–66. - PMC - PubMed
    1. Spah C.E., Elkins A.D., Wehrenberg A., Jaffe M.H., Baird D.K., Naughton J.F., Payton M.E. Evaluation of two novel self-anchoring barbed sutures in a prophylactic laparoscopic gastropexy compared with intracorporeal tied knots. Vet. Surg. 2013;42:932–942. doi: 10.1111/j.1532-950X.2013.12043.x. - DOI - PubMed
    1. Hosgood G. Gastric dilatation-volvulus in dogs. J. Am. Vet. Med. Assoc. 1994;204:1742–1747. - PubMed
    1. Rawlings C.A., Foutz T.L., Mahaffey M.B., Howerth E.W., Bement S., Canalis C. A rapid and strong laparoscopic-assisted gastropexy in dogs. Am. J. Vet. Res. 2001;62:871–875. doi: 10.2460/ajvr.2001.62.871. - DOI - PubMed

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