Peer-reviewed veterinary case report
Using absorbable straps for laparoscopic stomach fixation in dogs
By Lacitignola, Luca et al.·Published in Veterinary surgery : VS·2021·Dipartimento Dell'Emergenze e trapianti di Organo, Italy·View original on PubMed →
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Original publication title: Absorbable fixation straps for laparoscopic gastropexy in dogs.
- Species:
- dog
Plain-English summary
A group of 12 dogs underwent a laparoscopic procedure called gastropexy, which helps prevent stomach twisting, using a new method involving absorbable fixation straps. The surgery took about 10 minutes to complete, and there were no complications reported during or after the procedure. Follow-up ultrasounds confirmed that the surgery was successful, with no issues noted at 7, 30, and 90 days post-surgery. This new technique appears to be safe and effective, making it a promising option for dogs at risk of stomach problems.
People also search for: dog gastropexy procedure · laparoscopic surgery for dogs · stomach twisting in dogs treatment
Abstract
OBJECTIVE: To evaluate the feasibility and efficacy of laparoscopic absorbable fixation straps (AFS) for laparoscopic gastropexy in dogs. STUDY DESIGN: Cadaveric and prospective clinical study. ANIMALS: Five dog cadavers for the cadaveric study; 12 dogs for the clinical study. METHODS: The pyloric antrum was affixed to the abdominal wall laparoscopically by applying a series of straps. The cadaveric study assessed potential challenges during the procedure and stomach mucosal penetration. For the clinical study, the total duration of surgery, time to complete the gastropexy, and the number of straps used were recorded. Ultrasound evidence of adhesion, complications, and weight were monitored at 7, 30, and 90 days after surgery. Owner satisfaction was evaluated at the 6-month follow-up. RESULTS: The total duration of surgery was 25.8 minutes (range, 19-39; SD, 6.7), and the time to complete the gastropexy was 10.1 minutes (range, 7-19; SD, 3.9). The linear regression analysis revealed an inverse correlation between the time to complete the gastropexy and the order of the surgeries (r = 0.75, P < .05). No complications were recorded. Ultrasound examination was used to confirm gastropexy at all follow-ups. CONCLUSION: Laparoscopic gastropexy with AFS was performed in both cadavers and clinical animals with minimal complications. Persistent adhesion was demonstrated during ultrasound evaluations and in one postmortem evaluation. CLINICAL SIGNIFICANCE: This novel laparoscopic technique can be employed safely, effectively, and reasonably quickly, and the learning curve is expected to be relatively short.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/33175434/