Outcomes and Complications in a Case Series of 39 Total Laparoscopic Prophylactic Gastropexies Using a Modified Technique
Laparoscopic-assisted, laparoscopic, and endoscopic gastropexy techniques have been proven successful in recent years. Thanks to minimal invasiveness, low morbidity, and fast recovery, total laparoscopic gastropexy techniques have been gaining popularity. The objective of this study was to describe...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-01-01
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| Series: | Animals |
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| Online Access: | https://www.mdpi.com/2076-2615/11/2/255 |
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| author | Veronica Giaconella Riccardo Grillo Roberto Giaconella Roberto Properzi Rodolfo Gialletti |
| author_facet | Veronica Giaconella Riccardo Grillo Roberto Giaconella Roberto Properzi Rodolfo Gialletti |
| author_sort | Veronica Giaconella |
| collection | DOAJ |
| description | Laparoscopic-assisted, laparoscopic, and endoscopic gastropexy techniques have been proven successful in recent years. Thanks to minimal invasiveness, low morbidity, and fast recovery, total laparoscopic gastropexy techniques have been gaining popularity. The objective of this study was to describe the use of a modified minimally invasive technique to perform prophylactic gastropexy in dogs. A case series study of 39 client-owned dogs was undertaken from June 2019 to August 2020. Each dog underwent total laparoscopic prophylactic gastropexy using a simple continuous barbed suture line and two laparoscopic needle holders without incising the seromuscular layer of the stomach and the abdominal wall. Surgical time, the number of stitches, and the length of suture were recorded. Telephone checks, owner questionnaires, and ultrasonographic exams were used to evaluate the effectiveness of the procedure after surgery. The median gastropexy surgical time was 12 min (range 4–30 min), and the median length of the suture line was 3 cm (range 2–4 cm). The last follow-up check was carried out 9 months (mean, range 3–14 months) after surgery, and all ultrasonographic exams (n = 29) showed an intact gastropexy. Intraoperative and postoperative complications were noted. This total laparoscopic gastropexy technique was found to be safe, fast, simple, and with a low morbidity rate. It appears to be a new alternative to other methods of prophylactic gastropexy; however, further research in this area is warranted. |
| first_indexed | 2024-03-09T04:10:43Z |
| format | Article |
| id | doaj.art-7254b0259818485fad9cc59dfc03e8fb |
| institution | Directory Open Access Journal |
| issn | 2076-2615 |
| language | English |
| last_indexed | 2024-03-09T04:10:43Z |
| publishDate | 2021-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Animals |
| spelling | doaj.art-7254b0259818485fad9cc59dfc03e8fb2023-12-03T14:00:05ZengMDPI AGAnimals2076-26152021-01-0111225510.3390/ani11020255Outcomes and Complications in a Case Series of 39 Total Laparoscopic Prophylactic Gastropexies Using a Modified TechniqueVeronica Giaconella0Riccardo Grillo1Roberto Giaconella2Roberto Properzi3Rodolfo Gialletti4Clinica Veterinaria Giaconella, via Eugenio Checchi 57, 00157 Roma (RM), ItalyClinica Veterinaria Giaconella, via Eugenio Checchi 57, 00157 Roma (RM), ItalyClinica Veterinaria Giaconella, via Eugenio Checchi 57, 00157 Roma (RM), ItalyStudio Veterinario Properzi, via Santa Maria del Campo 16, 16035 Rapallo (GE), ItalyDepartment of Veterinary Sciences, University of Perugia, via S. Costanzo 4, 06126 Perugia (PG), ItalyLaparoscopic-assisted, laparoscopic, and endoscopic gastropexy techniques have been proven successful in recent years. Thanks to minimal invasiveness, low morbidity, and fast recovery, total laparoscopic gastropexy techniques have been gaining popularity. The objective of this study was to describe the use of a modified minimally invasive technique to perform prophylactic gastropexy in dogs. A case series study of 39 client-owned dogs was undertaken from June 2019 to August 2020. Each dog underwent total laparoscopic prophylactic gastropexy using a simple continuous barbed suture line and two laparoscopic needle holders without incising the seromuscular layer of the stomach and the abdominal wall. Surgical time, the number of stitches, and the length of suture were recorded. Telephone checks, owner questionnaires, and ultrasonographic exams were used to evaluate the effectiveness of the procedure after surgery. The median gastropexy surgical time was 12 min (range 4–30 min), and the median length of the suture line was 3 cm (range 2–4 cm). The last follow-up check was carried out 9 months (mean, range 3–14 months) after surgery, and all ultrasonographic exams (n = 29) showed an intact gastropexy. Intraoperative and postoperative complications were noted. This total laparoscopic gastropexy technique was found to be safe, fast, simple, and with a low morbidity rate. It appears to be a new alternative to other methods of prophylactic gastropexy; however, further research in this area is warranted.https://www.mdpi.com/2076-2615/11/2/255GDVprophylactic gastropexytotal laparoscopic gastropexybarbed suture |
| spellingShingle | Veronica Giaconella Riccardo Grillo Roberto Giaconella Roberto Properzi Rodolfo Gialletti Outcomes and Complications in a Case Series of 39 Total Laparoscopic Prophylactic Gastropexies Using a Modified Technique Animals GDV prophylactic gastropexy total laparoscopic gastropexy barbed suture |
| title | Outcomes and Complications in a Case Series of 39 Total Laparoscopic Prophylactic Gastropexies Using a Modified Technique |
| title_full | Outcomes and Complications in a Case Series of 39 Total Laparoscopic Prophylactic Gastropexies Using a Modified Technique |
| title_fullStr | Outcomes and Complications in a Case Series of 39 Total Laparoscopic Prophylactic Gastropexies Using a Modified Technique |
| title_full_unstemmed | Outcomes and Complications in a Case Series of 39 Total Laparoscopic Prophylactic Gastropexies Using a Modified Technique |
| title_short | Outcomes and Complications in a Case Series of 39 Total Laparoscopic Prophylactic Gastropexies Using a Modified Technique |
| title_sort | outcomes and complications in a case series of 39 total laparoscopic prophylactic gastropexies using a modified technique |
| topic | GDV prophylactic gastropexy total laparoscopic gastropexy barbed suture |
| url | https://www.mdpi.com/2076-2615/11/2/255 |
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