1
|
Kaleel KL, Secoura PL, Muñoz-Pérez JP, Alarcón-Ruales D, Vallejo F, Miranda C, Lewbart GA, Townsend K, Vaden SL. Endoscopy and rectal enema for fecal collection in wild sea turtles (Chelonia mydas, Eretmochelys imbricata) in a field setting. Zoo Biol 2024; 43:55-60. [PMID: 37843006 DOI: 10.1002/zoo.21805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2023] [Revised: 08/19/2023] [Accepted: 09/15/2023] [Indexed: 10/17/2023]
Abstract
Forty-seven free-ranging sea turtles (46- Chelonia mydas, 1- Eretmochelys imbricata) were examined via novel use of an endoscopy combined with a rectal enema to obtain large fecal sample volumes. The cloaca was insufflated using an endoscope, after which the bladder and rectum separated, allowing access to the colon. Environmental conditions and location influenced the performance of the procedure initially, but after several attempts the procedure was successfully initiated. In all cases, fecal samples were obtained, and the animals were released to their respective locations. Fecal sample collection using this approach enhances the ability to obtain diagnostic information and perform other scientific analyses of sea turtles.
Collapse
Affiliation(s)
- Kristina L Kaleel
- University of Florida College of Veterinary Medicine, Gainesville, Florida, USA
| | - Patricia L Secoura
- The Department of Clinical Sciences, North Carolina State College of Veterinary Medicine, Raleigh, North Carolina, USA
| | - Juan Pablo Muñoz-Pérez
- Colegio de Ciencias Biológicas y Ambientales (COCIBA), Universidad San Francisco de Quito USFQ, Quito, Ecuador
- Galápagos Science Center (GSC), Universidad San Francisco de Quito (USFQ) & UNC-Chapel Hill Galápagos Science Center (GSC), Galápagos, Ecuador
- School of Science, Technology and Engineering, University of the Sunshine Coast UniSC, Hervey Bay, Australia
- Equilibrio Azul, Puerto Lopez, Ecuador
| | - Daniela Alarcón-Ruales
- Colegio de Ciencias Biológicas y Ambientales (COCIBA), Universidad San Francisco de Quito USFQ, Quito, Ecuador
- Galápagos Science Center (GSC), Universidad San Francisco de Quito (USFQ) & UNC-Chapel Hill Galápagos Science Center (GSC), Galápagos, Ecuador
- School of Science, Technology and Engineering, University of the Sunshine Coast UniSC, Hervey Bay, Australia
| | | | | | - Gregory A Lewbart
- The Department of Clinical Sciences, North Carolina State College of Veterinary Medicine, Raleigh, North Carolina, USA
- Colegio de Ciencias Biológicas y Ambientales (COCIBA), Universidad San Francisco de Quito USFQ, Quito, Ecuador
- Galápagos Science Center (GSC), Universidad San Francisco de Quito (USFQ) & UNC-Chapel Hill Galápagos Science Center (GSC), Galápagos, Ecuador
| | - Kathy Townsend
- School of Science, Technology and Engineering, University of the Sunshine Coast UniSC, Hervey Bay, Australia
| | - Shelly L Vaden
- The Department of Clinical Sciences, North Carolina State College of Veterinary Medicine, Raleigh, North Carolina, USA
| |
Collapse
|
2
|
de la Vega M, Ralphs SC. Outcomes and complications of prophylactic incisional gastropexy in 766 dogs (2009-2019). BMC Res Notes 2023; 16:300. [PMID: 37908004 PMCID: PMC10619303 DOI: 10.1186/s13104-023-06595-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Accepted: 10/24/2023] [Indexed: 11/02/2023] Open
Abstract
OBJECTIVE To report the outcomes and complications associated with prophylactic incisional gastropexy performed in dog breeds at risk for GDV. RESULTS Seven hundred and sixty-six dogs underwent prophylactic incisional gastropexy of which 61 were electively performed at the time of castration or spay and 705 were adjunctively performed at the time of emergency abdominal surgery. All dogs had short-term follow-up, and 446 dogs (58.2%) had additional follow-up with a median long-term follow-up time of 876 days (range 58-4450). Only 3 dogs (0.4%) had a direct complication associated with the gastropexy site including hemorrhage causing hemoabdomen (2) and infection with partial dehiscence (1). No dogs with long-term follow-up experienced gastric dilatation (GD), gastric dilatation volvulus (GDV), or persistent GI signs following gastropexy. Results of this study found that complications directly associated with prophylactic gastropexy were rare and limited to hemorrhage causing hemoabdomen and infection with partial dehiscence. Transient postoperative GI signs may occur. Gastropexy malpositioning and bowel entrapment were not encountered. There was no occurrence of GD or GDV.
Collapse
|
3
|
Oviedo-Peñata CA, Giraldo Mejía GE, Riaño-Benavides CH, Maldonado-Estrada JG, Lemos Duque JD. Development and validation of a composed canine simulator for advanced veterinary laparoscopic training. Front Vet Sci 2022; 9:936144. [PMID: 36325095 PMCID: PMC9621388 DOI: 10.3389/fvets.2022.936144] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Accepted: 09/05/2022] [Indexed: 11/04/2022] Open
Abstract
The development of innovative simulation models for veterinary laparoscopic surgery training is a priority today. This study aimed to describe a didactic simulation tool for the training of total laparoscopic gastropexy (TLG) with intracorporeal sutures in dogs. CALMA Veterinary Lap-trainer composite simulator (CLVTS) was developed from a plaster cast of 2 Great Dane canines mimicking the space and the correct position to carry out a TLG. After video instruction, 16 veterinarians with different degrees of experience in minimally invasive surgery (Experts, n = 6 and intermediates, n = 10) evaluated four sequential simulating TLG with intracorporeal suturing in the CLVTS. Subsequently, they completed an anonymous questionnaire analyzing the realism, usefulness, and educational quality of the simulator. The CLVTS showed a good preliminary acceptance (4.7/5) in terms of the usefulness and adequacy of the exercises that, in the participants' opinion, are appropriate and are related to the difficulty of the TLG. In addition, both experienced and intermediate surgeons gave high marks (4.5/5) to the feeling of realism, design, and practicality. There were no significant differences between the responses of the two groups. The results suggest that the CVLTS has both face and content validity. Where it can be practiced in a structured environment for the development of a total laparoscopic gastropexy with intracorporeal suture and without compromising patient safety, but still has some limitations of the scope of the study. Further studies are needed to establish the ability to assess or measure technical skills, including the degree of transferability to the actual surgical environment.
Collapse
Affiliation(s)
- Carlos A. Oviedo-Peñata
- Tropical Animal Production Research Group, Faculty of Veterinary Medicine and Zootechny, University of Cordoba, Monteria, Colombia,OHVRI-Research Group, Faculty of Agrarian Sciences, College of Veterinary Medicine, University of Antioquia, Medellín, Colombia,*Correspondence: Carlos A. Oviedo-Peñata
| | - Gloria E. Giraldo Mejía
- OHVRI-Research Group, Faculty of Agrarian Sciences, College of Veterinary Medicine, University of Antioquia, Medellín, Colombia
| | - Carlos Humberto Riaño-Benavides
- OHVRI-Research Group, Faculty of Agrarian Sciences, College of Veterinary Medicine, University of Antioquia, Medellín, Colombia
| | - Juan G. Maldonado-Estrada
- OHVRI-Research Group, Faculty of Agrarian Sciences, College of Veterinary Medicine, University of Antioquia, Medellín, Colombia
| | - Juan D. Lemos Duque
- Bioinstrumentation and Clinical Engineering Research Group-GIBIC, Department of Bioengineering, Faculty of Engineering, Universidad de Antioquia, Medellín, Colombia
| |
Collapse
|
4
|
Updated Information on Gastric Dilatation and Volvulus and Gastropexy in Dogs. Vet Clin North Am Small Anim Pract 2022; 52:317-337. [DOI: 10.1016/j.cvsm.2021.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
|
5
|
Balsa IM, Giuffrida MA, Mayhew PD. A randomized controlled trial of three-dimensional versus two-dimensional imaging system on duration of surgery and mental workload for laparoscopic gastropexies in dogs. Vet Surg 2021; 50:944-953. [PMID: 33864647 DOI: 10.1111/vsu.13637] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Revised: 03/01/2021] [Accepted: 04/04/2021] [Indexed: 01/10/2023]
Abstract
OBJECTIVE To evaluate the effect of three-dimensional (3D) laparoscopy compared to two-dimensional (2D) laparoscopy when evaluating duration of surgery for canine intracorporeally sutured gastropexy. STUDY DESIGN Randomized controlled clinical trial. ANIMALS Thirty client-owned dogs. METHODS Dogs were randomized into 2D or 3D groups and underwent a three-port laparoscopic intracorporeally sutured incisional gastropexy with barbed suture. Procedures were performed by a single board-certified surgeon. Duration of surgery was recorded and workload was assessed immediately after surgery using the NASA Task Load Index (TLX). RESULTS Median duration of surgery was 3 min shorter for 3D versus 2D (95%CI -10 to 13; p = .51). Surgical component durations, total and component TLX scores, and intraoperative complications also did not differ between groups. In a subgroup analysis excluding the first eight cases due to presumption of a learning curve with suturing technique, total TLX score (p = .004) and all component scores were lower for 3D as compared to 2D laparoscopy, although duration of surgery did not differ (p = .20). CONCLUSION The use of 3D laparoscopy was not associated with shorter duration of surgery when compared to 2D laparoscopy. CLINICAL SIGNIFICANCE 3D laparoscopy requires further investigation in veterinary medicine to determine its utility in decreasing surgical duration, surgical complications or surgeon mental or physical workload.
Collapse
Affiliation(s)
- Ingrid M Balsa
- Department of Surgical and Radiological Sciences, University of California-Davis, School of Veterinary Medicine, Davis, California, USA
| | - Michelle A Giuffrida
- Department of Surgical and Radiological Sciences, University of California-Davis, School of Veterinary Medicine, Davis, California, USA
| | - Philipp D Mayhew
- Department of Surgical and Radiological Sciences, University of California-Davis, School of Veterinary Medicine, Davis, California, USA
| |
Collapse
|
6
|
McGraw AL, Thomas TM. Military Working Dogs: An Overview of Veterinary Care of These Formidable Assets. Vet Clin North Am Small Anim Pract 2021; 51:933-944. [PMID: 34059265 DOI: 10.1016/j.cvsm.2021.04.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
For the clinician treating military working dogs, an understanding of how they are sourced, preventive medicine policies, and common disease conditions is paramount in optimizing the delivery of health care. Military personnel rely heavily on the availability of these K-9s, which bring a diverse array of capabilities to myriad operational settings. Anticipating and mitigating common diseases will ensure these dogs continue to serve the needs of US military and allied forces.
Collapse
Affiliation(s)
- Andrew L McGraw
- Auburn Veterinary Specialists-Gulf Shores, Auburn University Educational Complex, 21541 Coastal Gateway Boulevard (County Road 8), Gulf Shores, AL 36542, USA.
| | - Todd M Thomas
- Auburn Veterinary Specialists-Gulf Shores, Auburn University Educational Complex, 21541 Coastal Gateway Boulevard (County Road 8), Gulf Shores, AL 36542, USA
| |
Collapse
|
7
|
Mayhew PD, Balsa IM, Marks SL, Pollard RE, Case JB, Culp WTN, Giuffrida MA. Clinical and videofluoroscopic outcomes of laparoscopic treatment for sliding hiatal hernia and associated gastroesophageal reflux in brachycephalic dogs. Vet Surg 2021; 50 Suppl 1:O67-O77. [PMID: 33687078 DOI: 10.1111/vsu.13622] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Revised: 02/17/2021] [Accepted: 02/25/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To describe a laparoscopic technique for treatment of sliding hiatal hernia (SHH) and associated gastroesophageal reflux (GER) in brachycephalic dogs and document clinical and videofluoroscopic outcomes postoperatively. STUDY DESIGN Prospective clinical trial. ANIMALS Eighteen client-owned dogs. METHODS A three-port laparoscopic approach was used. Intracorporeal suturing was used for hiatal plication and esophagopexy, and left-sided laparoscopic or laparoscopic-assisted gastropexy was performed. A standardized canine dysphagia assessment tool (CDAT) questionnaire was completed by owners pre- and postoperatively. Videofluoroscopic swallow studies (VFSS) were used to evaluate esophageal function, and impedance planimetry was used to assess lower esophageal sphincter geometry preoperatively and in a subset of dogs postoperatively. RESULTS Median age was 27.5 (range 5-84) months. Conversion to open surgery was necessary in 1 (5.5%) of 18 dogs. Regurgitation after eating, and associated with activity/exercise, improved significantly when comparing pre- and postoperative CDAT assessments. Hiatal hernia and GER severity scores improved significantly between pre- and postoperative VFSS assessments, whereas SHH and GER frequency scores did not. One dog developed pneumothorax intraoperatively, underwent cardiopulmonary arrest, and died. Minor complications included splenic (n = 6) and hepatic lacerations (n = 3) that did not require specific therapy. CONCLUSION A laparoscopic approach to treatment of SHH and GER led to improvements in clinical and VFSS indices in the majority of brachycephalic dogs. However, a subset of dogs still demonstrated some clinical signs postoperatively. CLINICAL RELEVANCE In experienced hands, laparoscopic treatment of SHH and GER offers a minimally invasive alternative to open surgery.
Collapse
Affiliation(s)
- Philipp D Mayhew
- Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, California, USA
| | - Ingrid M Balsa
- Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, California, USA
| | - Stanley L Marks
- Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California-Davis, Davis, California, USA
| | - Rachel E Pollard
- Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, California, USA
| | - J Brad Case
- Department of Small Animal Clinical Sciences, Veterinary Medical Center, University of Florida, Gainseville, Florida, USA
| | - William T N Culp
- Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, California, USA
| | - Michelle A Giuffrida
- Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, California, USA
| |
Collapse
|
8
|
Outcomes and Complications in a Case Series of 39 Total Laparoscopic Prophylactic Gastropexies Using a Modified Technique. Animals (Basel) 2021; 11:ani11020255. [PMID: 33498478 PMCID: PMC7909519 DOI: 10.3390/ani11020255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2020] [Revised: 01/04/2021] [Accepted: 01/16/2021] [Indexed: 11/20/2022] Open
Abstract
Simple Summary Gastric dilatation and volvulus is a very severe condition that is most commonly seen in large and giant deep-chested dogs, although any dog may be affected. Recently, an increasing number of breeders and owners have become aware of the benefits of prophylactic gastropexy. Many techniques have been developed to perform gastropexy, but laparoscopic surgery, having very low levels of morbidity and invasiveness, fits well with the concept of prevention. The aim of this study is to validate a rapid, modified total laparoscopic prophylactic gastropexy technique with a low rate of complications. The results show that this procedure is safe and effective. Using this technique, it is possible to respect animal welfare and prevent the development of a life-threatening syndrome. Abstract 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.
Collapse
|
9
|
Monnet E. Laparoscopic correction of sliding hiatal hernia in eight dogs: Description of technique, complications, and short-term outcome. Vet Surg 2020; 50:230-237. [PMID: 33170546 DOI: 10.1111/vsu.13541] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 09/16/2020] [Accepted: 10/17/2020] [Indexed: 12/28/2022]
Abstract
OBJECTIVE To describe a novel laparoscopic technique to treat sliding hiatal hernia in dogs. STUDY DESIGN Retrospective case series. ANIMALS Eight dogs with sliding hiatal hernia treated with laparoscopy. METHODS Surgery reports were reviewed for technique description and animal outcomes. RESULTS Six dogs were brachycephalic. Dogs were placed in right lateral oblique recumbency. Four dogs were placed in a reverse Trendelenburg position to visualize the esophageal hiatus. A single port was placed 2 cm caudal to the last rib on the left side. An extra cannula was added in four dogs. A large-bore orogastric tube was introduced in five dogs and used in four dogs to reduce the hernia. A unidirectional nonabsorbable barbed suture was used for the closure of the esophageal hiatus and the esophagopexy. A left-sided gastropexy was performed for all the cases. The gastropexy was performed with a gastrostomy tube to bypass the esophagus in four dogs. Intraoperative complications included pneumothorax in three dogs. Conversion was elective in three cases and emergent in one case. Clinical signs were recorded as improved in each dog. The median follow-up time was 16.5 days (range, 9-264). CONCLUSION Hiatal hernia repair was performed laparoscopically in this population. Repair included a combination of esophageal plication, esophagopexy, and left-sided gastropexy. Reverse Trendelenburg animal positioning and orogastric tube placement facilitated the reduction of the hernia. CLINICAL SIGNIFICANCE Laparoscopy is an option for the treatment of sliding hiatal hernia in dogs.
Collapse
Affiliation(s)
- Eric Monnet
- Department of Clinical Sciences, Colorado State University, Fort Collins, Colorado
| |
Collapse
|
10
|
Baron JK, Casale SA, Monnet E, Mayhew PD, Runge JJ, Follette CM, Phipps K, Powell ME, Reczynska AI, Squire NT, Barton BA, Berg J. Paramedian incisional complications after prophylactic laparoscopy-assisted gastropexy in 411 dogs. Vet Surg 2019; 49 Suppl 1:O148-O155. [PMID: 31814138 DOI: 10.1111/vsu.13348] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2019] [Revised: 09/16/2019] [Accepted: 09/21/2019] [Indexed: 12/17/2022]
Abstract
OBJECTIVE To determine the frequency and types of paramedian incisional complications after prophylactic laparoscopy-assisted gastropexy (LAG) in dogs and to evaluate potential risk factors for complications. STUDY DESIGN Multi-institutional retrospective study. ANIMALS Client-owned dogs (N = 411). METHODS Records for dogs that underwent single-incision-port laparoscopy-assisted gastropexy (SIPLAG) or multiple-port laparoscopy-assisted gastropexy (MPLAG) at five veterinary referral hospitals were reviewed. Information regarding signalment, surgical procedures, perioperative care, and incisional complications was collected. Follow-up information was obtained by review of medical records and/or communication with owners. Potential risk factors for complications were examined statistically. RESULTS Paramedian incisional complications were observed in 78 of 411 (19%) dogs. The most common complication was seroma formation, which occurred in 51 (12.4%) dogs. Surgical site infections were observed in 16 (3.9%) dogs, and dehiscence or development of excessive scar tissue at the incision site were each observed in nine (2.2%) dogs. Complications resolved with conservative treatment in 75 of 78 (96.2%) dogs and with surgical treatment in three of 78 (3.8%) dogs. The odds of complications were approximately twice as high in dogs undergoing SIPLAG than in dogs undergoing MPLAG (odds ratio, 2.03; P = .006). CONCLUSION Minor paramedian incisional complications, particularly seroma formation, were frequently observed after LAG. Most complications were successfully managed conservatively. Single-incision-port laparoscopy-assisted gastropexy was associated with a higher complication rate compared with MPLAG. CLINICAL SIGNIFICANCE Owners should be informed that there is a relatively high rate of minor paramedian incisional complications after LAG. The risk of complications appears to be higher for SIPLAG than for MPLAG.
Collapse
Affiliation(s)
- Jessica K Baron
- Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts
| | - Sue A Casale
- Angell Animal Medical Center, Boston, Massachusetts
| | - Eric Monnet
- Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado
| | - Philipp D Mayhew
- Department of Surgical and Radiological Sciences, University of California-Davis, Davis, California
| | - Jeffrey J Runge
- Department of Surgery, Guardian Veterinary Specialists, Brewster, New York
| | - Christelle M Follette
- Department of Surgical and Radiological Sciences, University of California-Davis, Davis, California
| | - Kevin Phipps
- Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado
| | - Margaret E Powell
- Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts
| | - Alicja I Reczynska
- Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts
| | - Nathan T Squire
- Veterinary Orthopedic Sports Medicine Group, Annapolis Junction, Maryland
| | - Bruce A Barton
- Division of Biostatistics, Department of Quantitative Health Science, University of Massachusetts Medical School, Worcester, Massachusetts
| | - John Berg
- Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts
| |
Collapse
|
11
|
Coleman KA, Boscan P, Ferguson L, Twedt D, Monnet E. Evaluation of gastric motility in nine dogs before and after prophylactic laparoscopic gastropexy: a pilot study. Aust Vet J 2019; 97:225-230. [PMID: 31236930 DOI: 10.1111/avj.12829] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2018] [Revised: 03/22/2019] [Accepted: 04/07/2019] [Indexed: 11/28/2022]
Abstract
BACKGROUND The purpose of this study was to evaluate the effect of a prophylactic laparoscopic gastropexy on gastric motility in healthy large-breed dogs. METHODS This was a prospective pilot study with nine healthy client-owned dogs. Each dog was its own control. Gastric motility was evaluated before and after laparoscopic gastropexy. Dogs were fed a standard diet three weeks before and after surgery. Gastric motility was measured before and 3 weeks after surgery. A wireless motility capsule (WMC) was used to measure gastric pH, intragastric pressure, temperature, frequency of contractions, motility index (MI) and transit time. Non-parametric statistical analysis was used to compare the paired data. Clients were contacted for follow-up information 2 years postoperatively. RESULTS Median frequency of gastric contractions was 1.3 (range, 0.6-1.9 contractions/min) before gastropexy and 1.0 (range, 0.3-2.6 contractions/min) after gastropexy (P = 0.820). Median MI was 49.2 (range, 23.7-96.6) before gastropexy and 28.1 (range, 12.2-148.9) after gastropexy (P = 0.652). Median gastric emptying time was 1140 (range, 486-1230 min) before gastropexy and 1110 (range, 306-2610 min) after gastropexy (P = 0.570). During the hour before the WMC passed through the pylorus, median MI was 72.2 (range, 48.2-549.3) before gastropexy and 52.9 (range, 15.20-322.8) after gastropexy (P = 0.734), and frequency of contractions was 1.1 (range, 0.9-4.1 contractions/min) before gastropexy and 1.2 (range, 0.5-3.0 contractions/min) after gastropexy (P = 0.652). CONCLUSION Motility in the stomach did not change in healthy dogs after prophylactic laparoscopic gastropexy. We conclude that preventive laparoscopic gastropexy does not induce gastroparesis.
Collapse
Affiliation(s)
- K A Coleman
- Department of Clinical Sciences, Colorado State University Veterinary Teaching Hospital, 300 West Drake Road, Fort Collins, CO 80523, USA
| | - P Boscan
- Department of Clinical Sciences, Colorado State University Veterinary Teaching Hospital, 300 West Drake Road, Fort Collins, CO 80523, USA
| | - L Ferguson
- Department of Clinical Sciences, Colorado State University Veterinary Teaching Hospital, 300 West Drake Road, Fort Collins, CO 80523, USA
| | - D Twedt
- Department of Clinical Sciences, Colorado State University Veterinary Teaching Hospital, 300 West Drake Road, Fort Collins, CO 80523, USA
| | - E Monnet
- Department of Clinical Sciences, Colorado State University Veterinary Teaching Hospital, 300 West Drake Road, Fort Collins, CO 80523, USA
| |
Collapse
|
12
|
Webb RJ, Monnet E. Influence of length of incision and number of suture lines on the biomechanical properties of incisional gastropexy. Vet Surg 2019; 48:933-937. [PMID: 31187882 DOI: 10.1111/vsu.13262] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2018] [Revised: 04/15/2019] [Accepted: 05/21/2019] [Indexed: 01/26/2023]
Abstract
OBJECTIVE To determine the effect of the length of incision and of the number of suture lines on the load to failure of incisional gastropexy in an ex vivo model. STUDY DESIGN Ex vivo study. SAMPLE POPULATION Thirty-six hound-mix fresh canine cadavers. METHODS Specimens were randomly divided into four groups of incisional gastropexies varying in length of incision (2 or 4 cm) and number of suture lines (one or two). Load to failure was measured. Number of suture bites on each side of the gastropexy and number of inadvertent full thickness gastric suture bites were recorded. RESULTS Incisional gastropexies performed with one or two suture lines sustained loads to failure of 53.80 ± 12.10 N and 53.30 ± 10.60 N (P = .887), respectively. Loads to failure equal to 49.70 ± 10.80 N and 57.30 ± 10.60 N (P = .048) were measured on incisional gastropexies performed with 2- or 4-cm-suture lines, respectively. There was no interaction between the length of the incision and the number of suture lines (P = .634). CONCLUSION Length of incision but not number of suture lines influenced the biomechanical properties of gastropexies in this acute cadaveric model. CLINICAL SIGNIFICANCE According to this acute in vitro experiment, gastropexy can be performed with either one or two suture lines.
Collapse
Affiliation(s)
- Rebecca J Webb
- Department of Clinical Sciences, College of Veterinary Medicine, Colorado State University, Fort Collins, Colorado
| | - Eric Monnet
- Department of Clinical Sciences, College of Veterinary Medicine, Colorado State University, Fort Collins, Colorado
| |
Collapse
|
13
|
Deroy C, Hahn H, Bismuth C, Ragetly G, Gomes E, Poncet C. Simplified Minimally Invasive Surgical Approach for Prophylactic Laparoscopic Gastropexy in 21 Cases. J Am Anim Hosp Assoc 2019; 55:152-159. [PMID: 30870607 DOI: 10.5326/jaaha-ms-6879] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The objective of this study was to describe the operative technique and outcome of a simplified laparoscopic gastropexy approach in dogs. Twenty-one dogs undergoing prophylactic laparoscopic gastropexy with a simple continuous barbed suture without incising the seromuscular layer of the stomach and transversus abdominis muscle were reviewed. In 20 cases, additional procedures were performed (18 ovariectomies and 2 prescrotal castrations); 1 dog had two prior episodes of gastric dilation without volvulus and underwent gastropexy with a prophylactic intent. The gastropexy procedure had a median duration of 33 min (range 19-43 min). V-Loc 180 absorbable and the V-Loc PBT nonabsorbable suturing devices were used in 8 and 13 dogs, respectively. Minor intraoperative complications occurred in four cases: broken suture (1), needle dislodgement (2), and folded needle (1). Minor complications included self-limiting wound complications (3), abdominal discomfort (2), vomiting (1), and inappetence (2). Postoperative abdominal ultrasound performed after a median of 8 mo (6-36 mo) confirmed permanent adhesion at the gastropexy site in all dogs. One dog developed a fistula (1 yr postoperatively) and another a granuloma (3 mo postoperatively), both at the gastropexy site. Prophylactic laparoscopic gastropexy may be performed with knotless unidirectional barbed suture without creating an incision on the abdominal wall and stomach.
Collapse
Affiliation(s)
- Claire Deroy
- From Clinique Veterinaire Alliance, Bordeaux, France (C.D.); and Center Hospitalier Vétérinaire Fregis, Acrueil, France (H.H., C.B., G.R., E.G., C.P.)
| | - Harriet Hahn
- From Clinique Veterinaire Alliance, Bordeaux, France (C.D.); and Center Hospitalier Vétérinaire Fregis, Acrueil, France (H.H., C.B., G.R., E.G., C.P.)
| | - Camille Bismuth
- From Clinique Veterinaire Alliance, Bordeaux, France (C.D.); and Center Hospitalier Vétérinaire Fregis, Acrueil, France (H.H., C.B., G.R., E.G., C.P.)
| | - Guillaume Ragetly
- From Clinique Veterinaire Alliance, Bordeaux, France (C.D.); and Center Hospitalier Vétérinaire Fregis, Acrueil, France (H.H., C.B., G.R., E.G., C.P.)
| | - Eymeric Gomes
- From Clinique Veterinaire Alliance, Bordeaux, France (C.D.); and Center Hospitalier Vétérinaire Fregis, Acrueil, France (H.H., C.B., G.R., E.G., C.P.)
| | - Cyrill Poncet
- From Clinique Veterinaire Alliance, Bordeaux, France (C.D.); and Center Hospitalier Vétérinaire Fregis, Acrueil, France (H.H., C.B., G.R., E.G., C.P.)
| |
Collapse
|
14
|
Bendinelli C, Properzi R, Boschi P, Bresciani C, Rocca E, Sabbioni A, Leonardi F. Meloxicam vs robenacoxib for postoperative pain management in dogs undergoing combined laparoscopic ovariectomy and laparoscopic-assisted gastropexy. Vet Surg 2019; 48:578-583. [PMID: 30637777 DOI: 10.1111/vsu.13156] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2017] [Revised: 04/13/2018] [Accepted: 05/08/2018] [Indexed: 12/01/2022]
Abstract
OBJECTIVE To compare meloxicam and robenacoxib for short-term postoperative pain management after combined laparoscopic ovariectomy and laparoscopic-assisted gastropexy. STUDY DESIGN Double-blind, prospective, randomised clinical trial. ANIMALS Twenty-six client-owned female dogs. METHODS Dogs undergoing combined laparoscopic ovariectomy and laparoscopic-assisted gastropexy were randomly divided into 2 groups. Before induction of anesthesia, 13 dogs received meloxicam (0.2 mg/kg subcutaneously), and 13 dogs received robenacoxib (2 mg/kg subcutaneously). Pain was scored with the Glasgow Composite Pain Scale (short form) before surgery and at 1, 6, 12, 18, and 24 hours after extubation. Rescue analgesia (tramadol, 3 mg/kg) was provided to dogs with a Glasgow pain score (GPS) ≥5. Glasgow pain scores were analyzed by ANOVA with treatment, age, and surgical time as fixed factors. RESULTS Glasgow pain scores were higher at 24 hours postsurgery in dogs treated with robenacoxib (2.18 ± 0.29) compared with those treated with meloxicam (0.68 ± 0.41, P = .04). Two dogs treated with meloxicam and 7 dogs treated with robenacoxib required rescue analgesia. Regardless of the treatment, the overall GPS was lower at 18 and 24 hours postsurgery when the surgical time was >40 minutes compared with surgical times ≤40 minutes, but surgical site inflammation was likely a confounding factor in this finding. Glasgow pain score was not affected by patient age. CONCLUSION Meloxicam was more effective than robenacoxib at controlling pain in the population of dogs reported here. CLINICAL SIGNIFICANCE Preoperative administration of meloxicam effectively controls pain for 24 hours after combined laparoscopic ovariectomy and laparoscopic-assisted gastropexy, but rescue analgesia may be required.
Collapse
Affiliation(s)
| | | | | | - Carla Bresciani
- Department of Veterinary Science, University of Parma, Parma, Italy
| | | | - Alberto Sabbioni
- Department of Veterinary Science, University of Parma, Parma, Italy
| | - Fabio Leonardi
- Department of Veterinary Science, University of Parma, Parma, Italy
| |
Collapse
|
15
|
Bailey KL, Johnson M, Travers CJ, Fox-Alvarez WA. Biomechanical analysis of unidirectional knotless suture loop weld integrity after passage through a cadaveric body wall. Vet Surg 2018; 48:431-436. [PMID: 30370567 DOI: 10.1111/vsu.13122] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2018] [Revised: 09/23/2018] [Accepted: 09/24/2018] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To evaluate the integrity of the welded end loop on unidirectional knotless suture after transabdominal passage in a canine cadaver. STUDY DESIGN Ex vivo biomechanical study. STUDY POPULATION Four variations of unidirectional knotless suture and 1 canine cadaver. METHODS Welded end loop on strands consisted of 0 Quill polydioxanone (QP; n = 22), 0 Quill monoderm (QM; n = 23), 2-0 V-Loc 90 (V9; n = 12), and 2-0 V-Loc 180 (V18; n = 12). Half of the suture strands in each group were passed percutaneously through an insufflated cadaveric body wall, and the remaining half served as intact controls. A linear testing machine was used to load the sutures to failure. Modes of and loads to failure were compared within and between suture types. RESULTS Loads to failure did not differ between sutures passed through the body wall and their controls when the loop remained intact. Sutures V9, V18, and QM sustained higher loads to failure compared with QP. All Quill suture lines failed at the weld during testing. Thirty-three percent of QP sutures failed at the weld during initial passage through the body wall. V-Loc sutures failed at the suture-apparatus interface, within the welded loop, or a combination. CONCLUSION Passing suture through a cadaveric body wall did not affect the integrity of the welded end loop of any of the unidirectional knotless sutures tested here when the loop remained intact. CLINICAL SIGNIFICANCE Unidirectional knotless suture (V9, V18 and QM) can be safely passed through a canine body wall for use in laparoscopic procedures. The use of QP in this manner cannot be recommended.
Collapse
Affiliation(s)
- Kristin L Bailey
- Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida
| | - Matthew Johnson
- Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida
| | - Colin J Travers
- College of Engineering, University of Florida, Gainesville, Florida
| | - W Alexander Fox-Alvarez
- Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida
| |
Collapse
|
16
|
Formaggini L, Degna MT. A Prospective Evaluation of a Modified Belt-Loop Gastropexy in 100 Dogs with Gastric Dilatation-Volvulus. J Am Anim Hosp Assoc 2018; 54:239-245. [PMID: 30040446 DOI: 10.5326/jaaha-ms-6596] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Gastropexy is a surgical technique performed to prevent and decrease the recurrence rate of gastric dilatation and volvulus (GDV). The objective of this prospective, a descriptive cohort study on 100 client-owned dogs who were presented with GDV, is to describe a modified belt-loop gastropexy and determine its intraoperative complications and long-term efficacy. The transversus abdominis muscle was used to make an oblique belt-loop. A seromuscular antral fold, instead of a seromuscular antral flap, was passed through the belt-loop, and then, the passed portion of the antral fold was sutured to the dissected edge of the abdominal wall. Intraoperative complications related to gastropexy were recorded, and the incidence of GDV recurrence was determined a minimum of 1 yr postoperatively via telephone with the referring veterinarians and the owners. There were no intraoperative complications related to the modified belt-loop gastropexy technique. Based on follow-up conversations, none of the dogs presented signs of GDV recurrence during the follow-up period. Based on the results, there is strong clinical evidence that a modified belt-loop gastropexy prevents recurrence of GDV in dogs surviving an acute episode.
Collapse
Affiliation(s)
- Luca Formaggini
- From Clinica Veterinaria Lago Maggiore, Dormelletto, Italy (L.F.); and Ospedale Veterinario Gregorio VII, Rome, Italy (M.T.D.)
| | - Matteo Tommasini Degna
- From Clinica Veterinaria Lago Maggiore, Dormelletto, Italy (L.F.); and Ospedale Veterinario Gregorio VII, Rome, Italy (M.T.D.)
| |
Collapse
|
17
|
Keeshen TP, Case JB, Runge JJ, Singh A, Mayhew PD, Steffey MA, Culp WTN. Outcome of laparoscopic ovariohysterectomy or ovariectomy in dogs with von Willebrand disease or factor VII deficiency: 20 cases (2012–2014). J Am Vet Med Assoc 2017; 251:1053-1058. [DOI: 10.2460/javma.251.9.1053] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
18
|
Balsa IM, Culp WTN, Drobatz KJ, Johnson EG, Mayhew PD, Marks SL. Effect of Laparoscopic-assisted Gastropexy on Gastrointestinal Transit Time in Dogs. J Vet Intern Med 2017; 31:1680-1685. [PMID: 28940749 PMCID: PMC5697196 DOI: 10.1111/jvim.14816] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2017] [Revised: 05/25/2017] [Accepted: 07/24/2017] [Indexed: 12/04/2022] Open
Abstract
Background Prophylactic gastropexy has been promoted as a means of preventing gastric volvulus during gastric dilatation and volvulus (GDV) syndrome. Little is known about the impact of gastropexy on gastrointestinal transit time. Hypothesis Laparoscopic‐assisted gastropexy (LAG) will not alter gastrointestinal transit times when comparing gastric (GET), small and large bowel (SLBTT), and whole gut transit times (TTT) before and after surgery. Animals 10 healthy client‐owned large‐breed dogs. Methods Prospective clinical trial. Before surgery, all dogs underwent physical examination and diagnostic evaluation to ensure normal health status. Dogs were fed a prescription diet for 6 weeks before determination of gastrointestinal transit with a wireless motility capsule. LAG was then performed, and dogs were fed the diet for 6 additional weeks. Measurement of transit times was repeated 6 weeks after surgery. Results Ten dogs of various breeds at‐risk for GDV were enrolled. No complications were encountered associated with surgery or capsule administration. There were no significant differences in GET 429 [306–1,370] versus 541 [326–1,298] (P = 0.80), SLBTT 1,243 [841–3,070] versus 1,540 [756–2,623] (P = 0.72), or TTT 1,971 [1,205–3,469] versus 1,792 [1,234–3,343] minutes (median, range) (P = 0.65) before and after LAG. Conclusions and Clinical Importance An effect of LAG on gastrointestinal transit time was not identified, and wireless motility capsule can be safely administered in dogs after LAG.
Collapse
Affiliation(s)
- I M Balsa
- Departments of Veterinary Surgical and Radiological Sciences, (Balsa, Culp, Johnson, Mayhew), and Medicine and Epidemiology (Marks), School of Veterinary Medicine, University of California-Davis, Davis, CA
| | - W T N Culp
- Departments of Veterinary Surgical and Radiological Sciences, (Balsa, Culp, Johnson, Mayhew), and Medicine and Epidemiology (Marks), School of Veterinary Medicine, University of California-Davis, Davis, CA
| | - K J Drobatz
- Department of Clinical Sciences, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA
| | - E G Johnson
- Departments of Veterinary Surgical and Radiological Sciences, (Balsa, Culp, Johnson, Mayhew), and Medicine and Epidemiology (Marks), School of Veterinary Medicine, University of California-Davis, Davis, CA
| | - P D Mayhew
- Departments of Veterinary Surgical and Radiological Sciences, (Balsa, Culp, Johnson, Mayhew), and Medicine and Epidemiology (Marks), School of Veterinary Medicine, University of California-Davis, Davis, CA
| | - S L Marks
- Department of Clinical Sciences, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA
| |
Collapse
|
19
|
Coleman KA, Monnet E. Comparison of laparoscopic gastropexy performed via intracorporeal suturing with knotless unidirectional barbed suture using a needle driver versus a roticulated endoscopic suturing device: 30 cases. Vet Surg 2017; 46:1002-1007. [PMID: 28921666 DOI: 10.1111/vsu.12722] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2016] [Revised: 04/06/2017] [Accepted: 05/01/2017] [Indexed: 12/16/2022]
Abstract
OBJECTIVE To compare two suturing techniques for prophylactic laparoscopic gastropexy in healthy dogs. STUDY DESIGN Retrospective case series. ANIMALS Thirty healthy client-owned dogs from breeds predisposed to gastric dilation volvulus. METHODS Medical records of dogs presented for prophylactic laparoscopic gastropexy performed with knotless unidirectional barbed suture were reviewed. Dogs were grouped based on the device used for suturing, consisting of an endoscopic needle driver (END) vs an endoscopic suturing device (ESD). Signalment, weight, surgery time, number of suture bites per side of gastropexy, and intraoperative complications were compared between groups. RESULTS The END group consisted of 10 dogs, with a median age of 1.09 years (range 0.5-2.67), weight of 41.5 kg (range 25-66), surgical time of 49.5 minutes (range 35-77), and a median of 5 suture bites per side (range 4-6). The ESD group included 20 dogs, with a median age of 1.75 years (range 0.6-8.75, P = .0944), weight was 37.5 kg (range 20-62, P = .5823), surgical time of 55 minutes (range 30-76, P = .808), and a median of 6 suture bites for the first side (range 4-7, P = .072) and 7 for the second side (range 4-8, P = .003). No major complications and no conversion to open celiotomy occured in either group. Minor complications occurred in 3 dogs in the ESD group, all related to device dysfunction and suture breakage. CONCLUSION Laparoscopic gastropexy may be performed effectively with either of these suturing techniques.
Collapse
Affiliation(s)
- Kristin A Coleman
- Department of Clinical Sciences, Colorado State University, Fort Collins, Colorado
| | - Eric Monnet
- Department of Clinical Sciences, Colorado State University, Fort Collins, Colorado
| |
Collapse
|
20
|
Haraguchi T, Kimura S, Itoh H, Nishikawa S, Hiyama M, Tani K, Iseri T, Itoh Y, Nakaichi M, Taura Y, Itamoto K. Comparison of postoperative pain and inflammation reaction in dogs undergoing preventive laparoscopic-assisted and incisional gastropexy. J Vet Med Sci 2017; 79:1524-1531. [PMID: 28717065 PMCID: PMC5627322 DOI: 10.1292/jvms.17-0103] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
This study compared the effects of postoperative pain and inflammation reaction after preventive laparoscopic-assisted gastropexy (LAG) and incisional gastropexy (IG) in 10 clinically normal Beagles. Surgical time, incision
length, visual analog scale (VAS) score, University of Melbourne Pain Scale (UMPS) score, and plasma C-reactive protein (CRP), plasma cortisol (COR), and serum interleukin-6 (IL-6) levels were evaluated. The VAS and UMPS scores
and COR and IL-6 levels were recorded at 0.5, 1, 2, 4, 8, 12, 18 and 24 hr after surgery. CRP level was recorded at 12, 24 and 48 hr after surgery. The VAS and UMPS scores showed no significant intergroup differences. Compared to
IG, LAG had significantly lower surgical time (45 ± 9.91 min vs 64 ± 5.30 min; P<0.05), incision length (46 ± 8.21 mm vs 129 ± 19.49 mm; P<0.05), CRP level (12 hr after surgery; 4.58 ± 1.58
mg/dl vs 12.4 ± 1.34 mg/dl; P<0.01), and COR level (1 hr after surgery; 10.79 ± 3.07 µg/dl vs 15.9 ± 3.77
µg/dl; P<0.05). IL-6 levels showed no significant intergroup differences at any time point. However, LAG resulted in lower IL-6 levels than did IG at all postoperative time
points. Neither procedure resulted in significant surgical complications. LAG produced lower surgical stress than did IG, suggesting that LAG is a safe, minimally invasive, and highly useful technique for preventing canine gastric
dilatation-volvulus. Nevertheless, since this study used experimental models, its usefulness should be evaluated in future cases.
Collapse
Affiliation(s)
- Tomoya Haraguchi
- Laboratory of Veterinary Medical Center, Joint Faculty of Veterinary Medicine, Yamaguchi University, 1677-1 Yoshida, Yamaguchi 753-8515, Japan
| | - Shiho Kimura
- Laboratory of Veterinary Medical Center, Joint Faculty of Veterinary Medicine, Yamaguchi University, 1677-1 Yoshida, Yamaguchi 753-8515, Japan
| | - Harumichi Itoh
- Laboratory of Veterinary Medical Center, Joint Faculty of Veterinary Medicine, Yamaguchi University, 1677-1 Yoshida, Yamaguchi 753-8515, Japan
| | - Shimpei Nishikawa
- Laboratory of Veterinary Medical Center, Joint Faculty of Veterinary Medicine, Yamaguchi University, 1677-1 Yoshida, Yamaguchi 753-8515, Japan
| | - Masato Hiyama
- Laboratory of Veterinary Surgery, Joint Faculty of Veterinary Medicine, Yamaguchi University, 1677-1 Yoshida, Yamaguchi 753-8515, Japan
| | - Kenji Tani
- Laboratory of Veterinary Surgery, Joint Faculty of Veterinary Medicine, Yamaguchi University, 1677-1 Yoshida, Yamaguchi 753-8515, Japan
| | - Toshie Iseri
- Laboratory of Veterinary Radiology, Joint Faculty of Veterinary Medicine, Yamaguchi University, 1677-1 Yoshida, Yamaguchi 753-8515, Japan
| | - Yoshiki Itoh
- Laboratory of Veterinary Radiology, Joint Faculty of Veterinary Medicine, Yamaguchi University, 1677-1 Yoshida, Yamaguchi 753-8515, Japan
| | - Munekazu Nakaichi
- Laboratory of Veterinary Radiology, Joint Faculty of Veterinary Medicine, Yamaguchi University, 1677-1 Yoshida, Yamaguchi 753-8515, Japan
| | - Yasuho Taura
- Laboratory of Veterinary Surgery, Joint Faculty of Veterinary Medicine, Yamaguchi University, 1677-1 Yoshida, Yamaguchi 753-8515, Japan
| | - Kazuhito Itamoto
- Laboratory of Veterinary Medical Center, Joint Faculty of Veterinary Medicine, Yamaguchi University, 1677-1 Yoshida, Yamaguchi 753-8515, Japan
| |
Collapse
|
21
|
Takacs JD, Singh A, Case JB, Mayhew PD, Giuffrida MA, Caceres AV, Fox-Alvarez WA, Runge JJ. Total laparoscopic gastropexy using 1 simple continuous barbed suture line in 63 dogs. Vet Surg 2016; 46:233-241. [DOI: 10.1111/vsu.12601] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2016] [Revised: 05/26/2016] [Accepted: 07/25/2016] [Indexed: 12/13/2022]
Affiliation(s)
- Joel D. Takacs
- Department of Clinical Studies; Matthew J. Ryan Veterinary Hospital at the University of Pennsylvania; Philadelphia Pennsylvania
| | - Ameet Singh
- Department of Clinical Studies; Companion Animal Hospital at the Ontario Veterinary College; Guelph Ontario Canada
| | - J. Brad Case
- Department of Small Animal Clinical Sciences; Small Animal Hospital at the University of Florida; Gainesville Florida
| | - Philipp D. Mayhew
- Department of Surgical and Radiological Sciences; School of Veterinary Medicine, University of California; Davis Davis California
| | - Michelle A. Giuffrida
- Department of Clinical Studies; Matthew J. Ryan Veterinary Hospital at the University of Pennsylvania; Philadelphia Pennsylvania
| | - Ana V. Caceres
- Department of Clinical Studies; Matthew J. Ryan Veterinary Hospital at the University of Pennsylvania; Philadelphia Pennsylvania
| | - W. Alexander Fox-Alvarez
- Department of Small Animal Clinical Sciences; Small Animal Hospital at the University of Florida; Gainesville Florida
| | - Jeffrey J. Runge
- Department of Clinical Studies; Matthew J. Ryan Veterinary Hospital at the University of Pennsylvania; Philadelphia Pennsylvania
| |
Collapse
|
22
|
Coleman KA, Adams S, Smeak DD, Monnet E. Laparoscopic Gastropexy Using Knotless Unidirectional Suture and an Articulated Endoscopic Suturing Device: Seven Cases. Vet Surg 2016; 45:O95-O101. [PMID: 27731517 DOI: 10.1111/vsu.12570] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2016] [Accepted: 09/01/2016] [Indexed: 12/19/2022]
Abstract
OBJECTIVE To describe a technique for laparoscopic incisional gastropexy using an articulated endoscopic suturing device with knotless unidirectional barbed suture in healthy large breed dogs. STUDY DESIGN Prospective case series. ANIMALS Healthy client-owned dogs presented for prophylactic gastropexy and weighing >20 kg (n=7). METHODS Incisional gastropexy was performed using a single port access system with an articulated endoscopic suturing device. An additional 5 mm cannula was placed in the right caudal abdomen. A 2-0 knotless unidirectional barbed suture was used to complete the gastropexy with 2 separate simple continuous suture lines. All dogs underwent a focal abdominal ultrasound to evaluate the gastropexy site 3-12 months postoperatively. RESULTS Median weight of the dogs was 33.5 kg (range, 20-51 kg) and the median age was 2 years (range, 0.6-8.5 years). Median surgical time was 60 minutes (range, 39-88). The articulated suturing device malfunctioned twice. On abdominal ultrasound between 3 and 12 months, all gastropexy sites were intact. No motion was detected between the stomach and body wall during distal antral contractions or respiratory motion and a focal thickening of the gastric wall was present in dog. No complications were reported in the postoperative periods as of the 2 week suture removal visit or as of the time of their ultrasound appointment. CONCLUSION This technique using an endoscopic articulated suturing device with a knotless unidirectional barbed suture provides a feasible technique to perform laparoscopic gastropexy.
Collapse
Affiliation(s)
- Kristin A Coleman
- Department of Clinical Sciences, Colorado State University, Fort Collins, Colorado
| | - Sean Adams
- Department of Environmental and Radiological Health Science, Colorado State University, Fort Collins, Colorado
| | - Daniel D Smeak
- Department of Clinical Sciences, Colorado State University, Fort Collins, Colorado
| | - Eric Monnet
- Department of Clinical Sciences, Colorado State University, Fort Collins, Colorado
| |
Collapse
|
23
|
Loy Son NK, Singh A, Amsellem P, Kilkenny J, Brisson BA, Oblak ML, Ogilvie AT. Long-Term Outcome and Complications Following Prophylactic Laparoscopic-Assisted Gastropexy in Dogs. Vet Surg 2016; 45:O77-O83. [DOI: 10.1111/vsu.12568] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2015] [Accepted: 08/14/2016] [Indexed: 12/29/2022]
Affiliation(s)
- Natasha K. Loy Son
- Department of Clinical Studies; Ontario Veterinary College, University of Guelph; Guelph Ontario Canada
| | - Ameet Singh
- Department of Clinical Studies; Ontario Veterinary College, University of Guelph; Guelph Ontario Canada
| | - Pierre Amsellem
- Department of Companion Animals; Atlantic Veterinary College, University of Prince Edward Island; Charlottetown Prince Edward Island Canada
| | - Jessica Kilkenny
- Department of Clinical Studies; Ontario Veterinary College, University of Guelph; Guelph Ontario Canada
| | - Brigitte A. Brisson
- Department of Clinical Studies; Ontario Veterinary College, University of Guelph; Guelph Ontario Canada
| | - Michelle L. Oblak
- Department of Clinical Studies; Ontario Veterinary College, University of Guelph; Guelph Ontario Canada
| | - Adam T. Ogilvie
- Department of Clinical Studies; Ontario Veterinary College, University of Guelph; Guelph Ontario Canada
| |
Collapse
|
24
|
Abstract
Recently, a new platform of abdominal access, called single-port surgery, has emerged in human and veterinary laparoscopy. The single-port platform enables all laparoscopic instruments, including the telescope, to pass individually through the same abdominal incision. Recently, there have been several published reports documenting the efficacy and safety of single-port procedures in veterinary patients. This article discusses the common single-port devices and instrumentation, as well as procedures now routinely offered in veterinary minimally invasive surgery.
Collapse
|
25
|
Boucher C, Coetzee GL. Hiatal hernia in a five‐month‐old Bulldog. VETERINARY RECORD CASE REPORTS 2016. [DOI: 10.1136/vetreccr-2015-000253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Charles Boucher
- Companion Animal Clinical StudiesUniversity of PretoriaPretoriaGautengSouth Africa
| | - Gert Louis Coetzee
- Companion Animal Clinical StudiesUniversity of PretoriaPretoriaGautengSouth Africa
| |
Collapse
|
26
|
Culp WTN, Balsa IM, Kim SY, Glaiberman CB, Grimes M, Mayhew PD, Johnson EG, Palm CA, Garcia TC, Kass PH. Description and Biomechanical Comparison of a Percutaneous Radiologic Gastropexy Technique in a Canine Cadaver Model. Vet Surg 2016; 45:456-63. [PMID: 27087643 DOI: 10.1111/vsu.12475] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2014] [Accepted: 10/04/2015] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To describe a novel percutaneous radiologic gastropexy (PRG) technique in a canine model and to biomechanically compare this technique to open incisional gastropexy (OIG) and laparoscopic-assisted incisional gastropexy (LAG). STUDY DESIGN Randomized ex vivo biomechanical study. ANIMALS Canine cadavers. METHODS Fifteen cadavers were randomized to 1 of 3 surgical interventions: OIG, LAG, and PRG. For the PRG procedure, the stomach was distended with air, and a preloaded T-fastener device was utilized to attach the stomach to the body wall with fluoroscopic-guidance. The procedural times of the 3 techniques were recorded. After completion of the procedure, the stomach and body wall overlying the stomach wall were harvested and the maximum tensile strength of the gastropexies was determined. RESULTS The maximal tensile strength was not significantly different between groups. The total procedural time for the PRG procedure (5 minutes) was significantly shorter than both OIG (28 minutes) and LAG (20 minutes) procedures. CONCLUSION The PRG technique described in this study demonstrated a similar maximal tensile strength to commonly employed gastropexy techniques (OIG and LAG) in an acute canine model. Additionally, the PRG procedure was significantly faster to perform. The clinical relevance of this technique will be determined by further study to assess the applicability and efficacy of this procedure in clinical patients by determining the likelihood of adhesion development and the ability of the adhesion to prevent gastric volvulus.
Collapse
Affiliation(s)
- William T N Culp
- Department of Surgical and Radiological Sciences, Davis, California
| | - Ingrid M Balsa
- Department of Surgical and Radiological Sciences, Davis, California
| | - Sun Y Kim
- Department of Surgical and Radiological Sciences, Davis, California
| | | | - Millie Grimes
- Department of Surgical and Radiological Sciences, Davis, California
| | - Philipp D Mayhew
- Department of Surgical and Radiological Sciences, Davis, California
| | - Eric G Johnson
- Department of Surgical and Radiological Sciences, Davis, California
| | - Carrie A Palm
- Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California-Davis, Davis, California
| | - Tanya C Garcia
- Department of Anatomy, Physiology and Cell Biology, School of Veterinary Medicine, University of California-Davis, Davis, California
| | - Philip H Kass
- Department of Population Health and Reproduction, School of Veterinary Medicine, University of California-Davis, Davis, California
| |
Collapse
|
27
|
Balsa IM, Culp WTN, Johnson EG, Glaiberman CB, Grimes M, Mayhew PD, Palm CA. Efficacy of Two Radiologic-Assisted Prophylactic Gastropexy Techniques. Vet Surg 2016; 45:464-70. [DOI: 10.1111/vsu.12457] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2015] [Accepted: 10/16/2015] [Indexed: 12/20/2022]
Affiliation(s)
- Ingrid M. Balsa
- Department of Surgical and Radiological Sciences; University of California-Davis; Davis California
| | - William T. N. Culp
- Department of Surgical and Radiological Sciences; University of California-Davis; Davis California
| | - Eric G. Johnson
- Department of Surgical and Radiological Sciences; University of California-Davis; Davis California
| | | | - Millie Grimes
- Department of Surgical and Radiological Sciences; University of California-Davis; Davis California
| | - Philipp D. Mayhew
- Department of Surgical and Radiological Sciences; University of California-Davis; Davis California
| | - Carrie A. Palm
- Department of Medicine and Epidemiology; School of Veterinary Medicine, University of California-Davis; Davis CA
| |
Collapse
|
28
|
Round S, Popovitch C. Prophylactic Gastropexy Incorporating a Gastrotomy Incision in Dogs: A Retrospective Study of 21 Cases (2011-2013). J Am Anim Hosp Assoc 2016; 52:115-8. [PMID: 26808434 DOI: 10.5326/jaaha-ms-6285] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
The objective of this retrospective study was to report any complications associated with incorporating a gastrotomy incision into a right-sided incisional prophylactic gastropexy. The medical records of dogs that underwent a gastrotomy for the removal of gastric foreign material and had a prophylactic right-sided incisional gastropexy performed at the gastrotomy site between April 2011 and February 2013 were reviewed. Two wk postoperative recheck examination and suture removal reports were reviewed and owners were contacted via phone and e-mail for long-term follow-up. In total, 21 cases were reviewed, 19 with long-term follow-up. No complications of the surgery were reported. We concluded that a prophylactic right-sided incisional gastropexy could successfully be performed incorporating the gastrotomy site without significant complications.
Collapse
Affiliation(s)
- Sarah Round
- From the Veterinary Specialty and Emergency Center, Levittown, PA
| | | |
Collapse
|
29
|
Ullmann B, Seehaus N, Hungerbühler S, Meyer-Lindenberg A. Gastric dilatation volvulus: a retrospective study of 203 dogs with ventral midline gastropexy. J Small Anim Pract 2015; 57:18-22. [DOI: 10.1111/jsap.12406] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2014] [Revised: 08/21/2015] [Accepted: 09/02/2015] [Indexed: 11/27/2022]
Affiliation(s)
- B. Ullmann
- Small Animal Clinic; University of Veterinary Medicine; Bünteweg 9 D-30559 Hanover Germany
| | - N. Seehaus
- Small Animal Clinic; University of Veterinary Medicine; Bünteweg 9 D-30559 Hanover Germany
| | - S. Hungerbühler
- Small Animal Clinic; University of Veterinary Medicine; Bünteweg 9 D-30559 Hanover Germany
| | - A. Meyer-Lindenberg
- Clinic of Small Animal Surgery and Reproduction; Ludwig-Maximilians-Universität; Veterinärstr. 13 D-80539 Munich Germany
| |
Collapse
|
30
|
Abstract
Laparoscopic-assisted procedures allow a balance between the improved patient recoveries often associated with smaller incisions and the need for appropriate visualization of visceral organs/identification of lesions. The organ systems of small animal veterinary patients that are highly amenable to laparoscopic-assisted procedures include the urinary bladder, the gastrointestinal tract, and the reproductive tracts. Laparoscopic-assisted procedures are especially beneficial in the approach to luminal organs, allowing the organ incision to be exteriorized through the body wall, protecting the peritoneal cavity from contamination from luminal contents. Procedure-specific morbidities and patient selection should be considered when choosing between assisted laparoscopic and open approaches.
Collapse
Affiliation(s)
- Michele A Steffey
- Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California Davis, 1 Shields Avenue, Davis, CA 95616, USA.
| |
Collapse
|
31
|
Gonzalez-Gasch E, Monnet E. Comparison of Single Port Access Versus Multiple Port Access Systems in Elective Laparoscopy: 98 Dogs (2005-2014). Vet Surg 2015; 44:895-9. [DOI: 10.1111/vsu.12373] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
| | - Eric Monnet
- Colorado State University; Fort Collins Colorado
| |
Collapse
|
32
|
Runge JJ, Mayhew PD, Case JB, Singh A, Mayhew KN, Culp WTN. Single-port laparoscopic cryptorchidectomy in dogs and cats: 25 cases (2009–2014). J Am Vet Med Assoc 2014; 245:1258-65. [DOI: 10.2460/javma.245.11.1258] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
33
|
Allen P, Paul A. Gastropexy for Prevention of Gastric Dilatation-Volvulus in Dogs: History and Techniques. Top Companion Anim Med 2014; 29:77-80. [DOI: 10.1053/j.tcam.2014.09.001] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
|
34
|
Affiliation(s)
- P. D. Mayhew
- Department of Surgical and Radiological Sciences, School of Veterinary Medicine; University of California-Davis; Davis CA 95616 USA
| |
Collapse
|
35
|
Spah CE, Elkins AD, Wehrenberg A, Jaffe MH, Baird DK, Naughton JF, Payton ME. Evaluation of two novel self-anchoring barbed sutures in a prophylactic laparoscopic gastropexy compared with intracorporeal tied knots. Vet Surg 2013; 42:932-42. [DOI: 10.1111/j.1532-950x.2013.12043.x] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2012] [Accepted: 06/17/2013] [Indexed: 11/29/2022]
Affiliation(s)
- Chad E. Spah
- VCA Advanced Veterinary Care Center; Fishers; IN
| | - A. D. Elkins
- VCA Advanced Veterinary Care Center; Fishers; IN
| | | | | | | | | | - Mark E. Payton
- Department of Statistics, Oklahoma State University; Stillwater; OK
| |
Collapse
|
36
|
Runge JJ, Mayhew PD. Evaluation of single port access gastropexy and ovariectomy using articulating instruments and angled telescopes in dogs. Vet Surg 2013; 42:807-13. [DOI: 10.1111/j.1532-950x.2013.12036.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2012] [Accepted: 11/16/2012] [Indexed: 01/08/2023]
Affiliation(s)
- Jeffrey J. Runge
- Department of Clinical Studies; University of Pennsylvania; Philadelphia; PA
| | - Philipp D. Mayhew
- Department of Surgical and Radiological Sciences; University of California-Davis; Davis; CA
| |
Collapse
|
37
|
Benitez ME, Schmiedt CW, Radlinsky MG, Cornell KK. Efficacy of Incisional Gastropexy for Prevention of GDV in Dogs. J Am Anim Hosp Assoc 2013; 49:185-9. [DOI: 10.5326/jaaha-ms-5849] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Incisional gastropexy (IG) is routinely performed as either a prophylactic procedure to prevent occurrence of gastric dilatation-volvulus (GDV) or at the time of surgical correction of GDV to prevent recurrence. Despite its common use, the long-term efficacy of the IG procedure has not been reported. The hypothesis of this study was that IG performed either during surgical treatment of GDV or as a prophylactic measure would effectively prevent GDV. Medical records of 61 dogs undergoing IG following either gastric derotation for treatment of GDV or as a prophylactic procedure were evaluated retrospectively. Median follow-up time for all dogs was 717 days (range, 49–2,511 days). Of the 61 dogs, 27 had prophylactic IG performed. The remaining 34 dogs presented for GDV and had an IG performed during surgical treatment of GDV. No dog experienced GDV after IG. Recurrence of gastric dilatation (GD) alone was noted in 3 of 34 patients (8.8%) undergoing IG during surgery for GDV and in 3 of 27 patients (11.1%) treated prophylactically with IG. This study confirmed the efficacy of IG for the long-term prevention of GDV in dogs.
Collapse
Affiliation(s)
- Marian E. Benitez
- Department of Small Animal Medicine and Surgery, University of Georgia Veterinary Teaching Hospital, Athens, GA
| | - Chad W. Schmiedt
- Department of Small Animal Medicine and Surgery, University of Georgia Veterinary Teaching Hospital, Athens, GA
| | - MaryAnn G. Radlinsky
- Department of Small Animal Medicine and Surgery, University of Georgia Veterinary Teaching Hospital, Athens, GA
| | - Karen K. Cornell
- Department of Small Animal Medicine and Surgery, University of Georgia Veterinary Teaching Hospital, Athens, GA
| |
Collapse
|
38
|
Whittemore JC, Mitchell A, Hyink S, Reed A. Diagnostic Accuracy of Tissue Impedance Measurement Interpretation for Correct Veress Needle Placement in Canine Cadavers. Vet Surg 2013; 42:613-22. [DOI: 10.1111/j.1532-950x.2013.01107.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2011] [Accepted: 12/01/2011] [Indexed: 01/29/2023]
Affiliation(s)
- Jacqueline C. Whittemore
- Department of Small Animal Clinical Sciences at the College of Veterinary Medicine; University of Tennessee; Knoxville, Tennessee
| | - Amanda Mitchell
- Department of Small Animal Clinical Sciences at the College of Veterinary Medicine; University of Tennessee; Knoxville, Tennessee
| | - Sara Hyink
- Department of Small Animal Clinical Sciences at the College of Veterinary Medicine; University of Tennessee; Knoxville, Tennessee
| | - Ann Reed
- Office of Information Technology; University of Tennessee; Knoxville, Tennessee
| |
Collapse
|
39
|
Arbaugh M, Case JB, Monnet E. Biomechanical Comparison of Glycomer 631 and Glycomer 631 Knotless for Use in Canine Incisional Gastropexy. Vet Surg 2012; 42:205-9. [DOI: 10.1111/j.1532-950x.2012.01051.x] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Melissa Arbaugh
- Department of Clinical Sciences, College of Veterinary Medicine; Colorado State University; Fort Collins; CO
| | - J. Brad Case
- Department of Clinical Sciences; University of Florida; Gainesville; FL
| | - Eric Monnet
- Department of Clinical Sciences, College of Veterinary Medicine; Colorado State University; Fort Collins; CO
| |
Collapse
|
40
|
Fiorbianco V, Skalicky M, Doerner J, Findik M, Dupré G. Right Intercostal Insertion of a Veress Needle for Laparoscopy in Dogs. Vet Surg 2012; 41:367-73. [DOI: 10.1111/j.1532-950x.2012.00961.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- Valentina Fiorbianco
- Clinic for Small Animal Surgery, Ophthalmology, Dentistry, Physiotherapy and Rehabilitation; Department of Small Animals and Horses; University of Veterinary Medicine; Vienna; Austria
| | - Monika Skalicky
- Institute of Pathophysiology; University of Veterinary Medicine Vienna; Vienna; Austria
| | - Judith Doerner
- Clinic for Small Animal Surgery, Ophthalmology, Dentistry, Physiotherapy and Rehabilitation; Department of Small Animals and Horses; University of Veterinary Medicine; Vienna; Austria
| | - Murat Findik
- Department of Obstetrics and Gynaecology; Faculty of Veterinary Medicine; Ondokuz Mayıs University; Samsun; Turkey
| | - Gilles Dupré
- Clinic for Small Animal Surgery, Ophthalmology, Dentistry, Physiotherapy and Rehabilitation; Department of Small Animals and Horses; University of Veterinary Medicine; Vienna; Austria
| |
Collapse
|
41
|
Secchi P, Filho HCK, Scussel Feranti JP, de Oliveira MT, Gottlieb J, Guedes RL, Colomé LM, Brun MV. Laparoscopic-assisted incisional colopexy by two portals access in a domestic cat with recurrent rectal prolapse. J Feline Med Surg 2012; 14:169-70. [PMID: 22314097 PMCID: PMC10822484 DOI: 10.1177/1098612x11429230] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/20/2011] [Indexed: 11/16/2022]
Abstract
A 2-year-old female mixed-breed cat weighing 2.7 kg presented with recurrent rectal prolapse. The following report describes its treatment by laparoscopic-assisted incisional colopexy using two portals. The procedure was effective and without trans- or postoperative complications. Recurrent prolapses did not recur in the 2 months of postoperative observation.
Collapse
Affiliation(s)
- Priscila Secchi
- Veterinary Hospital, Universidade de Passo Fundo, RS, Brazil
| | | | | | | | | | | | | | | |
Collapse
|
42
|
Mayhew PD. Complications of Minimally Invasive Surgery in Companion Animals. Vet Clin North Am Small Anim Pract 2011; 41:1007-21, vii-viii. [DOI: 10.1016/j.cvsm.2011.05.008] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
43
|
Affiliation(s)
- Philipp Mayhew
- School of Veterinary Medicine; University of California-Davis; Tupper Hall, Office 1418, One Shields Avenue Davis CA 95616 USA
| |
Collapse
|
44
|
Abstract
Laparoscopic procedures are gaining wider application in veterinary medicine. The following article contains description of indispensable equipment for performing surgical procedures with use of laparoscopic technique and reviews some laparoscopic procedures which found application in veterinary medicine.
Collapse
|
45
|
Mathon DH, Palierne S, Meynaud-Collard P, Layssol-Lamour C, Dulaurent- Ferrieres A, Colson A, Lacroix M, Bousquet-Melou A, Delverdier M, Autefage A. Laparoscopic-Assisted Colopexy and Sterilization in Male Dogs: Short-Term Results and Physiologic Consequences. Vet Surg 2011; 40:500-8. [DOI: 10.1111/j.1532-950x.2011.00835.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
46
|
Buote NJ, Kovak-McClaran JR, Schold JD. Conversion from Diagnostic Laparoscopy to Laparotomy: Risk Factors and Occurrence. Vet Surg 2010; 40:106-14. [DOI: 10.1111/j.1532-950x.2010.00759.x] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
|
47
|
Abstract
The development of endosurgical techniques for chelonians has reduced the need for more invasive approaches such as plastron osteotomy. Surgical access and manipulation of much of the coelomic viscera of chelonians can be accomplished using endoscopy. Endoscopic methods may be used to perform many chelonian reproductive surgical procedures, including oophorectomy, salpingotomy, salpingectomy, gender identification, and removal of ectopic eggs.
Collapse
Affiliation(s)
- Charles J Innis
- Animal Health Department, New England Aquarium, Central Wharf, Boston, MA 02110, USA.
| |
Collapse
|
48
|
Dujowich M, Keller ME, Reimer SB. Evaluation of short- and long-term complications after endoscopically assisted gastropexy in dogs. J Am Vet Med Assoc 2010; 236:177-82. [DOI: 10.2460/javma.236.2.177] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
49
|
MATHON DIDIERH, DOSSIN OLIVIER, PALIERNE SOPHIE, CREMOUX MATTHIEU, RODRIGUEZ HERIBERTO, MEYNAUD-COLLARD PATRICIA, STEINER JOERGM, SUCHODOLSKI JANS, LEFEBVRE HERVEP, AUTEFAGE ANDRE. A Laparoscopic-Sutured Gastropexy Technique In Dogs: Mechanical and Functional Evaluation. Vet Surg 2009; 38:967-74. [DOI: 10.1111/j.1532-950x.2009.00592.x] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
50
|
|