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Results of Right-Sided Prophylactic Gastropexy Via a Grid Approach
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Gastric torsion remains a common problem in certain dog breeds and still belongs to the most common reasons for death. Many dog owners ask for prophylactic surgery to protect their pet. Is this minimalinvasive technique not only quick and easy but also effective? It seems so.
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A new technique is described for a prophylactic incisional gastropexy via a right-sided grid approach (i.e., minilaparotomy).
A pilot study showed comparable tensile strength between a traditional ventral midline approach and the grid approach.
Six client-owned dogs were selected for the procedure.
Four weeks postoperatively, a barium gastrogram was performed to assess stomach/gastropexy position.
Complications included a seroma and postoperative discomfort.
This technique should be considered for any at-risk breed that is not overweight.
The right-sided grid approach to a prophylactic gastropexy was less invasive than a ventral midline approach and resulted in a stable gastropexy at 4 weeks postoperatively in five of six dogs.
Source: Sonja M. Steelman-Szymeczek, Martha E. Stebbins, Elizabeth M. Hardie (2003): Clinical Evaluation of a Right-Sided Prophylactic Gastropexy Via a Grid Approach. In: Journal of the American Animal Hospital Association 39:397-402 (2003)
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