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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]
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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.
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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
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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.
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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
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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.
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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.
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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
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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.
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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
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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
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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]
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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]
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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]
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Dujowich M, Reimer SB. Evaluation of an endoscopically assisted gastropexy technique in dogs. Am J Vet Res 2008; 69:537-41. [DOI: 10.2460/ajvr.69.4.537] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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