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Peer-reviewed veterinary case report

Outcomes of laparoscopic gastropexy with knotless device in 44 dogs

By Fairfield, Danielle K et al.·Published in The Canadian veterinary journal = La revue veterinaire canadienne·2023·Department of Clinical Studies, Canada·View original on PubMed

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Original publication title: Perioperative characteristics and long-term outcomes following prophylactic total laparoscopic gastropexy using a novel knotless tissue control device in 44 dogs.

Species:
dog
Stomach & digestionDogs

Plain-English summary

A group of 44 dogs underwent a preventive surgery called laparoscopic gastropexy to help avoid a serious condition known as gastric dilatation volvulus (GDV), which can cause the stomach to twist. The surgery was performed using a new device that helps control tissue without knots. After following up with the owners, it was found that none of the dogs developed GDV, and only one dog needed a second surgery for a different issue. Overall, the procedure was successful, with all owners expressing satisfaction and saying they would consider it for future pets.

People also search for: dog GDV prevention surgery · laparoscopic gastropexy for dogs · dog surgery complications

Abstract

OBJECTIVE: To report on operative technique and outcomes following prophylactic total laparoscopic gastropexy (PTLG) using a novel knotless tissue control device (KTCD) in dogs. ANIMALS: This study included 44 dogs. PROCEDURE: Medical records were reviewed, and perioperative data were collected. Right-sided incisional gastropexy was performed using 2 strands of KTCD introduced through a 12-millimeter cannula in a single-incision multi-channeled port. Dog owners were contacted to obtain outcome data. RESULTS: Median age and weight of dogs were 17 mo (6 to 60 mo) and 48.5 kg (14 to 73.3 kg). Median surgical and anesthesia times were 90 min (60 to 150 min) and 195 min (135 to 270 min). Major intraoperative complications were not reported. Follow-up data were available for 40/44 (91%) dogs. Median follow-up time was 522 d (43 to 983 d). Gastric dilatation volvulus (GDV) was not reported in any dog. One dog developed suspected colonic entrapment around the gastropexy that required surgical revision. All owners were satisfied with the procedure and indicated they would repeat the procedure with future pets. CONCLUSION: The PTLG procedure using novel KTCD in this cohort of dogs was effective at preventing GDV for the duration of follow-up and was associated with low perioperative complication rate and high owner satisfaction. CLINICAL RELEVANCE: This retrospective study reports on operative technique and outcomes associated with KTCD use in PTLG. Our findings warrant prospective evaluation of KTCD use in PTLG.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/37397695/