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Vet Surg. 2017 Feb;46(2):233-241. doi: 10.1111/vsu.12601. Epub 2016 Dec 19.

Total laparoscopic gastropexy using 1 simple continuous barbed suture line in 63 dogs.

Author information

1
Department of Clinical Studies, Matthew J. Ryan Veterinary Hospital at the University of Pennsylvania, Philadelphia, Pennsylvania.
2
Department of Clinical Studies, Companion Animal Hospital at the Ontario Veterinary College, Guelph, Ontario, Canada.
3
Department of Small Animal Clinical Sciences, Small Animal Hospital at the University of Florida, Gainesville, Florida.
4
Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis, Davis, California.

Abstract

OBJECTIVE:

To describe the use and outcome of a single, simple continuous, barbed suture line for prophylactic, total laparoscopic gastropexy in dogs.

STUDY DESIGN:

Multi-center, retrospective case series.

ANIMALS:

Sixty-three client-owned dogs.

METHODS:

Medical records of dogs undergoing total laparoscopic gastropexy using a barbed suture at 4 academic veterinary hospitals from 2011-2015 were reviewed. Data collected included signalment, procedure time, procedure-associated complications, short-term complications, and long-term outcome. All procedures were performed under general anesthesia in dorsal to dorsal-left oblique recumbency. Laparoscopic ports were placed on ventral midline in 1 of 3 port configurations, and 5 mm laparoscopic needle drivers were used for intracorporeal sutured gastropexy with unidirectional barbed suture. The gastropexy was positioned just caudal to the 13th rib, 2-4 cm lateral to the rectus abdominis muscle.

RESULTS:

Sixty-three dogs underwent total laparoscopic gastropexy with a single, simple continuous, barbed suture line. Median gastropexy surgery time was 70 minutes (interquartile range [IQR] 60-90 minutes). One dog sustained splenic laceration from Veress needle penetration during initial abdominal insufflation. Short term (>24 hours to 6 months postoperative) complications included incisional seroma formation (n = 2) and suture reaction (n = 1). Long term (>6 months postoperative) complications included intermittent regurgitation and chronic diarrhea in 1 dog. Fifteen dogs had postoperative ultrasound and all had intact gastropexy sites.

CONCLUSION:

Total laparoscopic barbed gastropexy using a single, simple continuous, barbed suture line in dogs is safe and results in an intact gastropexy long term.

PMID:
27990648
DOI:
10.1111/vsu.12601
[Indexed for MEDLINE]

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