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

Joel D. Takacs, Ameet Singh, J. Brad Case, Philipp Mayhew, Michelle Giuffrida, Ana V. Caceres, W. Alexander Fox-Alvarez, Jeffrey J. Runge

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8 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)233-241
Number of pages9
JournalVeterinary Surgery
Volume46
Issue number2
DOIs
StatePublished - Feb 1 2017

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ASJC Scopus subject areas

  • veterinary(all)

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Takacs, J. D., Singh, A., Case, J. B., Mayhew, P., Giuffrida, M., Caceres, A. V., Fox-Alvarez, W. A., & Runge, J. J. (2017). Total laparoscopic gastropexy using 1 simple continuous barbed suture line in 63 dogs. Veterinary Surgery, 46(2), 233-241. https://doi.org/10.1111/vsu.12601