Evaluation of single port access gastropexy and ovariectomy using articulating instruments and angled telescopes in dogs

Jeffrey J. Runge, Philipp Mayhew

Research output: Contribution to journalArticle

48 Scopus citations

Abstract

Objective: To describe in dogs, a technique for single port access gastropexy and ovariectomy (SPAGO) using a commercially available multitrocar port and to evaluate short-term outcome. Design: Retrospective case series. Animals: Dogs (n=18). Procedures: A commercially available multitrocar port was inserted into the abdomen lateral to the rectus abdominis muscle and 2-5cm caudal to the right rib. Dogs were tilted 45° in both left and right recumbency and bilateral ovariectomy performed using articulating graspers, a bipolar vessel sealing device and a 30° telescope. The laparoscopic assisted incisional gastropexy was performed after ovariectomy at the multitrocar port insertion site by grasping the antral portion of the stomach with a 10mm DuVall forceps and suturing the seromuscular layer of the antral region of the stomach to the transversus abdominis muscle. Results: Eighteen dogs (median weight, 34.5kg; range, 14.7-59.2kg) met the inclusion criteria. Median surgical time for SPAGO was 65minutes (range, 50-225minutes). Intra-operative complications included, incorrect multitrocar port placement location (n=3) and mild hemorrhage from a splenic laceration (1) All dogs recovered from surgery and were discharged from the hospital. Conclusions: Single port access gastropexy and ovariectomy is a feasible procedure to provide prophylaxis against gastric dilation-volvulus and a simultaneous means of sterilization in female dogs. Careful and accurate initial multitrocar port insertion is necessary to have optimal operative viewing as well as to reduce the chances of inadvertent splenic laceration.

Original languageEnglish (US)
Pages (from-to)807-813
Number of pages7
JournalVeterinary Surgery
Volume42
Issue number7
DOIs
StatePublished - Oct 2013

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ASJC Scopus subject areas

  • veterinary(all)

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