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Elective gastropexy with a reusable single-incision laparoscopic surgery port in dogs: 14 cases (2012-2013).
J Am Vet Med Assoc. 2016 Aug 01; 249(3):299-303.JA

Abstract

OBJECTIVE

To describe the technique, clinical findings, and short-term outcome in dogs undergoing laparoscopic-assisted incisional gastropexy with a reusable single-incision surgery port. DESIGN Retrospective case series. ANIMALS 14 client-owned dogs. PROCEDURES Medical records of dogs referred for elective laparoscopic gastropexy between June 2012 and August 2013 were reviewed. History, signalment, results of physical examination and preoperative laboratory testing, surgical procedure, duration of surgery, postoperative complications, duration of hospital stay, and short-term outcome were recorded. All patients underwent general anesthesia and were positioned in dorsal recumbency. After an initial limited laparoscopic exploration, single-incision laparoscopic-assisted gastropexy was performed extracorporeally in all dogs via a conical port placed in a right paramedian location. Concurrent procedures included laparoscopic ovariectomy (n = 4), gastric biopsy (2), and castration (7). Short-term outcome was evaluated.

RESULTS

Median duration of surgery was 76 minutes (range, 40 to 90 minutes). Intraoperative complications were minor and consisted of loss of pneumoperitoneum in 2 of 14 dogs. A postoperative surgical site infection occurred in 1 dog and resolved with standard treatment. Median duration of follow-up was 371 days (range, 2 weeks to 1.5 years). No dogs developed gastric dilation-volvulus during the follow-up period, and all owners were satisfied with the outcome.

CONCLUSIONS

AND CLINICAL RELEVANCE Results suggested that single-incision laparoscopic-assisted gastropexy with a reusable conical port was feasible and effective in appropriately selected cases. Investigation of the potential benefits of this reusable port versus single-use devices for elective gastropexy in dogs is warranted.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27439347

Citation

Stiles, Mandy, et al. "Elective Gastropexy With a Reusable Single-incision Laparoscopic Surgery Port in Dogs: 14 Cases (2012-2013)." Journal of the American Veterinary Medical Association, vol. 249, no. 3, 2016, pp. 299-303.
Stiles M, Case JB, Coisman J. Elective gastropexy with a reusable single-incision laparoscopic surgery port in dogs: 14 cases (2012-2013). J Am Vet Med Assoc. 2016;249(3):299-303.
Stiles, M., Case, J. B., & Coisman, J. (2016). Elective gastropexy with a reusable single-incision laparoscopic surgery port in dogs: 14 cases (2012-2013). Journal of the American Veterinary Medical Association, 249(3), 299-303. https://doi.org/10.2460/javma.249.3.299
Stiles M, Case JB, Coisman J. Elective Gastropexy With a Reusable Single-incision Laparoscopic Surgery Port in Dogs: 14 Cases (2012-2013). J Am Vet Med Assoc. 2016 Aug 1;249(3):299-303. PubMed PMID: 27439347.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Elective gastropexy with a reusable single-incision laparoscopic surgery port in dogs: 14 cases (2012-2013). AU - Stiles,Mandy, AU - Case,J Brad, AU - Coisman,James, PY - 2016/7/22/entrez PY - 2016/7/22/pubmed PY - 2017/7/1/medline SP - 299 EP - 303 JF - Journal of the American Veterinary Medical Association JO - J. Am. Vet. Med. Assoc. VL - 249 IS - 3 N2 - OBJECTIVE To describe the technique, clinical findings, and short-term outcome in dogs undergoing laparoscopic-assisted incisional gastropexy with a reusable single-incision surgery port. DESIGN Retrospective case series. ANIMALS 14 client-owned dogs. PROCEDURES Medical records of dogs referred for elective laparoscopic gastropexy between June 2012 and August 2013 were reviewed. History, signalment, results of physical examination and preoperative laboratory testing, surgical procedure, duration of surgery, postoperative complications, duration of hospital stay, and short-term outcome were recorded. All patients underwent general anesthesia and were positioned in dorsal recumbency. After an initial limited laparoscopic exploration, single-incision laparoscopic-assisted gastropexy was performed extracorporeally in all dogs via a conical port placed in a right paramedian location. Concurrent procedures included laparoscopic ovariectomy (n = 4), gastric biopsy (2), and castration (7). Short-term outcome was evaluated. RESULTS Median duration of surgery was 76 minutes (range, 40 to 90 minutes). Intraoperative complications were minor and consisted of loss of pneumoperitoneum in 2 of 14 dogs. A postoperative surgical site infection occurred in 1 dog and resolved with standard treatment. Median duration of follow-up was 371 days (range, 2 weeks to 1.5 years). No dogs developed gastric dilation-volvulus during the follow-up period, and all owners were satisfied with the outcome. CONCLUSIONS AND CLINICAL RELEVANCE Results suggested that single-incision laparoscopic-assisted gastropexy with a reusable conical port was feasible and effective in appropriately selected cases. Investigation of the potential benefits of this reusable port versus single-use devices for elective gastropexy in dogs is warranted. SN - 1943-569X UR - https://www.unboundmedicine.com/medline/citation/27439347/Elective_gastropexy_with_a_reusable_single_incision_laparoscopic_surgery_port_in_dogs:_14_cases__2012_2013__ L2 - http://avmajournals.avma.org/doi/full/10.2460/javma.249.3.299?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -