Comparison of total laparoscopic gastropexy with the Ethicon Securestrap fixation device versus knotless barbed suture in dogs.

Abstract

BACKGROUND:

This study evaluated the feasibility and efficacy of a laparoscopic absorbable fixation device (Securestrap) in total laparoscopic gastropexy in dogs susceptible to gastric dilatation-volvulus (GDV) compared to laparoscopic gastropexy performed with a barbed suture. We hypothesised that both techniques provide suitable gastropexy.

METHODS:

The gastropexy was performed by straps (TLG-SS group, n = 6) or with a barbed suture (TLG-Vloc group, n = 6). The total surgery time, gastropexy time, the number of straps used and suture bites were recorded. Clinical and ultrasound investigations were performed during follow-up.

RESULTS:

The total surgery time was 30 minutes in the TLG-SS, while it was 46.66 minutes in the TLG-Vloc. In the TLG-SS group, gastropexy time was 13 minutes, while 36.3 minutes in the TLG-Vloc. The number of straps employed in TLG-SS was 9, while seven bites were employed in TLG-Vloc. Linear regression analysis of gastropexy time versus the number of procedures was highly correlated (r2 = 0.84) in the TLG-SS. Complications, clinical and ultrasound findings did not differ between the two techniques at 90 days post-surgery.

CONCLUSION:

TLG-SS laparoscopic technique can be employed safely and effectively in less time and is associated with a relatively short learning curve, which could encourage the widespread use of prophylactic laparoscopic gastropexy.

• Authors: Luca Lacitignola, Alberto Maria Crovace, Laura Fracassi, Caterina Di Bella, Letizia Madaro, Francesco Staffieri
• Journal: The Veterinary record (Vet Rec) Vol. 188 Issue 7 Pg. e113 (Apr 2021) ISSN: 2042-7670 [Electronic] England
• PMID: 33835588 (Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial, Veterinary)
• Copyright: © 2021 British Veterinary Association.

Topics

• Animals
• Dog Diseases (surgery)
• Dogs
• Feasibility Studies
• Female
• Gastropexy (methods, veterinary)
• Laparoscopy (methods, veterinary)
• Male
• Operative Time
• Suture Techniques (veterinary)
• Treatment Outcome