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Rosselli D. Updated Information on Gastric Dilatation and Volvulus and Gastropexy in Dogs. Vet Clin North Am Small Anim Pract 2022. [DOI: 10.1016/j.cvsm.2021.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Buote NJ. Updates in Laparoscopy. Vet Clin North Am Small Anim Pract 2022; 52:513-529. [DOI: 10.1016/j.cvsm.2021.12.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Lacitignola L, Crovace AM, Fracassi L, Di Bella C, Madaro L, Staffieri F. Comparison of total laparoscopic gastropexy with the Ethicon Securestrap fixation device versus knotless barbed suture in dogs. Vet Rec 2021; 188:e113. [PMID: 33835588 DOI: 10.1002/vetr.113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2019] [Revised: 12/14/2020] [Accepted: 10/01/2021] [Indexed: 11/09/2022]
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.
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Affiliation(s)
- Luca Lacitignola
- Dipartimento Dell'Emergenze e trapianti di Organo, sez. Cliniche Veterinarie e P.a., Università degli Studi di Bari "Aldo Moro", Bari, Italy
| | - Alberto Maria Crovace
- Scienze mediche di base, neuroscienze e organi di senso, Università degli Studi di Bari "Aldo Moro", Apulia, Italy
| | - Laura Fracassi
- Dottorato di Ricerca in "Trapianti di Tessuti ed Organi e Terapie Cellulari", Bari, Italy
| | - Caterina Di Bella
- Dottorato di Ricerca in "Trapianti di Tessuti ed Organi e Terapie Cellulari", Bari, Italy
| | - Letizia Madaro
- Dipartimento Dell'Emergenze e trapianti di Organo, sez. Cliniche Veterinarie e P.a., Università degli Studi di Bari "Aldo Moro", Bari, Italy
| | - Francesco Staffieri
- Dipartimento Dell'Emergenze e trapianti di Organo, sez. Cliniche Veterinarie e P.a., Università degli Studi di Bari "Aldo Moro", Bari, Italy
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Giaconella V, Grillo R, Giaconella R, Properzi R, Gialletti R. Outcomes and Complications in a Case Series of 39 Total Laparoscopic Prophylactic Gastropexies Using a Modified Technique. Animals (Basel) 2021; 11:255. [PMID: 33498478 DOI: 10.3390/ani11020255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [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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Lacitignola L, Fracassi L, Di Bella C, Zizzo N, Passantino G, Tinelli A, Crovace AM, Staffieri F. Absorbable fixation straps for laparoscopic gastropexy in dogs. Vet Surg 2020; 50 Suppl 1:O78-O88. [PMID: 33175434 DOI: 10.1111/vsu.13543] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Revised: 10/06/2020] [Accepted: 10/17/2020] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To evaluate the feasibility and efficacy of laparoscopic absorbable fixation straps (AFS) for laparoscopic gastropexy in dogs. STUDY DESIGN Cadaveric and prospective clinical study. ANIMALS Five dog cadavers for the cadaveric study; 12 dogs for the clinical study. METHODS The pyloric antrum was affixed to the abdominal wall laparoscopically by applying a series of straps. The cadaveric study assessed potential challenges during the procedure and stomach mucosal penetration. For the clinical study, the total duration of surgery, time to complete the gastropexy, and the number of straps used were recorded. Ultrasound evidence of adhesion, complications, and weight were monitored at 7, 30, and 90 days after surgery. Owner satisfaction was evaluated at the 6-month follow-up. RESULTS The total duration of surgery was 25.8 minutes (range, 19-39; SD, 6.7), and the time to complete the gastropexy was 10.1 minutes (range, 7-19; SD, 3.9). The linear regression analysis revealed an inverse correlation between the time to complete the gastropexy and the order of the surgeries (r2 = 0.75, P < .05). No complications were recorded. Ultrasound examination was used to confirm gastropexy at all follow-ups. CONCLUSION Laparoscopic gastropexy with AFS was performed in both cadavers and clinical animals with minimal complications. Persistent adhesion was demonstrated during ultrasound evaluations and in one postmortem evaluation. CLINICAL SIGNIFICANCE This novel laparoscopic technique can be employed safely, effectively, and reasonably quickly, and the learning curve is expected to be relatively short.
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Affiliation(s)
- Luca Lacitignola
- Dipartimento Dell'Emergenze e trapianti di Organo, sez Cliniche Veterinarie e PA, Università degli studi di Bari, Valenzano, Bari, Italy
| | - Laura Fracassi
- Dipartimento Dell'Emergenze e trapianti di Organo, sez Cliniche Veterinarie e PA, Università degli studi di Bari, Valenzano, Bari, Italy
| | - Caterina Di Bella
- Scuola di Bioscienze e Medicina Veterinaria, Università degli Studi di Camerino, Camerino, Italy
| | - Nicola Zizzo
- Dipartimento di Medicina Veterinaria, sez Anatomia Patologica, Università degli studi di Bari, Valenzano, Bari, Italy
| | - Giuseppe Passantino
- Dipartimento di Medicina Veterinaria, sez Anatomia Patologica, Università degli studi di Bari, Valenzano, Bari, Italy
| | - Antonella Tinelli
- Dipartimento di Medicina Veterinaria, sez Anatomia Patologica, Università degli studi di Bari, Valenzano, Bari, Italy
| | - Alberto Maria Crovace
- Scuola di Bioscienze e Medicina Veterinaria, Università degli Studi di Camerino, Camerino, Italy
| | - Francesco Staffieri
- Dipartimento Dell'Emergenze e trapianti di Organo, sez Cliniche Veterinarie e PA, Università degli studi di Bari, Valenzano, Bari, Italy
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Aiolfi A, Sozzi A, Sanzi M, Bona D. Rare case of barbed suture-induced oesophageal granuloma. ANZ J Surg 2020; 91:E399-E400. [PMID: 33166424 DOI: 10.1111/ans.16425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Revised: 10/18/2020] [Accepted: 10/20/2020] [Indexed: 11/27/2022]
Affiliation(s)
- Alberto Aiolfi
- Department of Biomedical Science for Health, Division of Minimally Invasive Surgery, University of Milan, Sant'Ambrogio hospital, Milan, Italy
| | - Andrea Sozzi
- Department of Biomedical Science for Health, Division of Minimally Invasive Surgery, University of Milan, Sant'Ambrogio hospital, Milan, Italy
| | - Marcello Sanzi
- Department of Biomedical Science for Health, Division of Minimally Invasive Surgery, University of Milan, Sant'Ambrogio hospital, Milan, Italy
| | - Davide Bona
- Department of Biomedical Science for Health, Division of Minimally Invasive Surgery, University of Milan, Sant'Ambrogio hospital, Milan, Italy
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Fracassi L, Crovace AM, Staffieri F, Lacitignola L. Biomechanical evaluation of an absorbable fixation strap for use in total laparoscopic gastropexy in dogs. Am J Vet Res 2020; 81:594-599. [PMID: 32584176 DOI: 10.2460/ajvr.81.7.594] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
OBJECTIVE To compare load-to-failure results for laparoscopic absorbable fixation straps (AFSs) deployed at various angles and for AFSs versus absorbable knotless (barbed) suture when used in simulated total laparoscopic gastropexy (TLG) in specimens from cadaveric dogs. SAMPLE 30 stomach and abdominal body wall specimens. PROCEDURES Specimens were assigned to 1 of 3 groups for use in simulated TLG constructs for comparisons of load-to-failure results for single AFSs deployed at 30°, 60°, or 90° (AFS-angle group; n = 10) or for a gastropexy span of 4 to 5 cm achieved with 3-0 absorbable knotless (barbed) monofilament suture applied in a simple continuous pattern (TLG-1; 10) versus 8 AFSs applied with a deployment angle > 30° (TLG-2; 10). A 1-way ANOVA was used to compare results among AFS deployment angles (30°, 60°, or 90°) and between TLG-1 and TLG-2. RESULTS Mean ± SD load to failure for the AFS-angle group was significantly higher for the AFS deployment angles of 60° (8.00 ± 3.90 N) and 90° (12.71 ± 8.00 N), compared with 30° (5.17 ± 1.90 N). However, no substantial difference was detected in the mean ± SD load to failure for TLG-1 (39.18 ± 7.1 N) versus TLG-2 (31.43 ± 10.86 N). CONCLUSIONS AND CLINICAL RELEVANCE Results of the present study supported the potential use of AFSs in gastropexy in dogs; however, prospective clinical research with adequate long-term follow-up is warranted before recommendations can be made.
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Bjørklund G, Semenova Y, Pivina L, Costea DO. Follow-up after bariatric surgery: A review. Nutrition 2020; 78:110831. [PMID: 32544850 DOI: 10.1016/j.nut.2020.110831] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2020] [Revised: 03/20/2020] [Accepted: 03/22/2020] [Indexed: 12/11/2022]
Abstract
Bariatric surgery is becoming increasingly popular in the treatment of severely obese patients who failed to lose weight with the help of non-surgical interventions. Such patients are at increased risk for premature death, type 2 diabetes, high blood pressure, gallstones, coronary heart disease, dyslipidemia, some cancers, anxiety, depression, and degenerative joint disorders. Although bariatric surgery appears to be the most effective and durable treatment option for obesity, it is associated with a number of surgical and medical complications. These include a range of conditions, of which dumping syndrome and malnutrition due to malabsorption of vitamins and minerals are the most common. To achieve better surgery outcomes, a number of postsurgical strategies must be considered. The aim of this review was to describe possible complications, ailments, and important moments in the follow-up after bariatric surgery. Adequate lifelong monitoring is crucial for the achievement of long-lasting goals and reduction of post-bariatric complications.
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Affiliation(s)
- Geir Bjørklund
- Council for Nutritional and Environmental Medicine (CONEM), Mo i Rana, Norway.
| | - Yuliya Semenova
- Semey Medical University, Semey, Kazakhstan; Council for Nutritional and Environmental Medicine Kazakhstan Environmental Health and Safety Research Group, Semey Medical University, Semey, Kazakhstan
| | - Lyudmila Pivina
- Semey Medical University, Semey, Kazakhstan; Council for Nutritional and Environmental Medicine Kazakhstan Environmental Health and Safety Research Group, Semey Medical University, Semey, Kazakhstan
| | - Daniel-Ovidiu Costea
- Faculty of Medicine, Ovidius University of Constanta, Constanta, Romania; 1st Surgery Department, Constanta County Emergency Hospital, Constanta, Romania
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Leonardi F, Properzi R, Rosa J, Boschi P, Paviolo S, Costa GL, Bendinelli C. Combined laparoscopic ovariectomy and laparoscopic-assisted gastropexy versus combined laparoscopic ovariectomy and total laparoscopic gastropexy: A comparison of surgical time, complications and postoperative pain in dogs. Vet Med Sci 2020; 6:321-329. [PMID: 32017474 PMCID: PMC7397895 DOI: 10.1002/vms3.249] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
The trend in laparoscopy is to develop easy and rapid techniques associated with reduced intraoperative complications and decreased postoperative pain. The aim of this study was to compare combined laparoscopic ovariectomy (OIE) and laparoscopic‐assisted incisional gastropexy (LAG) with combined laparoscopic OIE and total laparoscopic gastropexy (TLG) for surgical time, incidence of complications and postoperative pain. Twenty‐eight female dogs were randomly assigned to the LAG group (n = 14) or the TLG group (n = 14). All laparoscopic procedures were performed using a three‐port technique. The gastropexy was located 3 cm caudal to the 13th rib and 4 cm lateral to the rectus abdominis muscle. Surgical time (minutes [min]), intraoperative complications and postoperative complications were recorded. The Glasgow pain score (GPS) (short form) was calculated before surgery and at 1, 6, 12, 18 and 24 hr after extubation. Surgical time was significantly longer in the TLG group (48 ± 2 min) compared with the LAG group (39 ± 2 min). Minor postoperative complications occurred in both groups and included swelling (n = 2) and subcutaneous emphysema (n = 1). No significant differences regarding the GPS were recorded between groups. The GPS was significantly higher in both groups at 1 hr and 6 hr than before surgery. Two dogs in each group required rescue analgesia. Combined laparoscopic OIE and TLG require more time to perform than combined laparoscopic OIE and LAG. Neither procedure results in significant surgical complications. Postoperative pain for 24 hr was mild and comparable in both groups.
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Affiliation(s)
- Fabio Leonardi
- Department of Veterinary Science, University of Parma, Parma, Italy
| | | | - Jessica Rosa
- Department of Veterinary Science, University of Parma, Parma, Italy
| | | | - Silvia Paviolo
- Department of Veterinary Science, University of Parma, Parma, Italy
| | - Giovanna L Costa
- Department of Veterinary Science, University of Messina, Polo Universitario dell'Annunziata, Messina, Italy
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