Veterinary surgery : VS最新文献

{"title":"A comparison of outcomes between laparoscopic and open adrenalectomies in dogs.","authors":"Colin J Taylor,&nbsp;Eric Monnet","doi":"10.1111/vsu.13565","DOIUrl":"https://doi.org/10.1111/vsu.13565","url":null,"abstract":"<p><strong>Objective: </strong>To compare short- and long-term outcomes of dogs with adrenal tumors treated by adrenalectomy with laparoscopy or laparotomy.</p><p><strong>Study design: </strong>Retrospective study of dogs that underwent adrenalectomy with laparoscopy or laparotomy.</p><p><strong>Sample population: </strong>Fourteen dogs treated with laparoscopic adrenalectomy (LA) and twenty-six dogs treated with open midline adrenalectomy (OA).</p><p><strong>Methods: </strong>Dogs treated with LA were matched with 1 or 2 dogs treated with OA on the basis of histological nature, size, and side of the tumor. Intraoperative complications, postoperative complications, and long-term survival were compared between LA and OA.</p><p><strong>Results: </strong>Intraoperative hypotension occurred in 2 of 14 (14.3%) dogs in the LA group and in 16 of 26 (61.5%) dogs in the OA group (P = .007). The surgical time was 69.8 ± 21.8 minutes for the LA group and 108.6 ± 42 minutes for the OA group (P = .0003). The hospitalization time was 39.3 ± 14.9 hours for the LA group and 46.3 ± 25.1 hours for the OA group (P = .1453). The 1- and 2-year survival rates were 77% and 77%, respectively, for the LA group and 77% and 66%, respectively, for the OA group (P = .6144).</p><p><strong>Conclusion: </strong>Laparoscopic adrenalectomy was associated with a shorter surgical time and a reduced incidence of hypotension compared with open adrenalectomy in this case-matched study. Short- and long-term outcomes were not affected by the surgical technique used to complete the adrenalectomy.</p><p><strong>Clinical significance: </strong>Laparoscopy can be recommended for adrenalectomy in dogs; however, appropriate case selection is required.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"O99-O107"},"PeriodicalIF":1.8,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/vsu.13565","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38796744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resorbable self-locking device for canine lung lobectomy: A clinical and experimental study.","authors":"Kumiko Ishigaki,&nbsp;Odd Viking Höglund,&nbsp;Kazushi Asano","doi":"10.1111/vsu.13623","DOIUrl":"https://doi.org/10.1111/vsu.13623","url":null,"abstract":"OBJECTIVE To test the feasibility of a resorbable self-locking device for sealing of lung tissue in lung lobectomy in experimental dogs and dogs with pulmonary mass, and to study its resorption with CT. STUDY DESIGN Experimental study and clinical case series. ANIMALS Five beagles in the experimental group; six canine patients with a pulmonary mass in the clinical group. METHODS In both groups, an intercostal incision into thorax was performed. A resorbable self-locking device, LigaTie, was applied at the hilum of left cranial lobe in the experimental group and the affected lobe in the clinical group. Each lobe was removed by cutting the tissue just distal to the device. Video-assisted thoracic surgery was used in the experimental group; postoperative diagnostic imaging was repeated monthly until the device was not apparent on CT. RESULTS Application of LigaTie was feasible for lung lobectomy in all dogs. The device enabled en bloc ligation of the hilum of the affected lobe including the pulmonary arteries and veins and lobular bronchus. No air leakage from the resection stump was observed in any dog. Trace of the device on CT images gradually decreased and was undetectable at 4 months postoperatively in experimental dogs. CONCLUSION This study suggested that the resorbable self-locking device may be used for sealing of airways in complete lung lobectomy. CLINICAL RELEVANCE The resorbable self-locking device is suggested to be useful for canine lung lobectomy and may facilitate thoracoscopic lung lobectomy. Further investigations on its clinical application in small animal surgery are warranted.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"O32-O39"},"PeriodicalIF":1.8,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/vsu.13623","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25450628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of needle arthroscopy, traditional arthroscopy, and computed tomography for the evaluation of medial coronoid disease in the canine elbow.","authors":"Rebecca A Hersh-Boyle,&nbsp;Po-Yen Chou,&nbsp;Amy S Kapatkin,&nbsp;Mathieu Spriet,&nbsp;Barbro Filliquist,&nbsp;Tanya C Garcia,&nbsp;Denis J Marcellin-Little","doi":"10.1111/vsu.13581","DOIUrl":"https://doi.org/10.1111/vsu.13581","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the diagnostic value of still images of needle arthroscopy (SNAR), still images of traditional arthroscopy (STAR), and computed tomography (CT) to diagnose medial coronoid process (MCP) pathology.</p><p><strong>Study design: </strong>Prospective clinical trial.</p><p><strong>Animals: </strong>Dogs (n = 17) presented for evaluation of elbow dysplasia.</p><p><strong>Methods: </strong>For each case, two SNAR and STAR images of the MCP were reviewed independently and in random order by three board-certified surgeons. Computed tomographic images were reviewed by one board-certified radiologist. Reviewers were blinded to surgical and clinical findings. Surgical findings from real-time TAR with palpation were used as the gold standard. Receiver operating characteristic (ROC) curves and concordance statistics tests for the diagnostic accuracy of MCP fissure, MCP fragment, medial compartment condition, and cartilage score were calculated.</p><p><strong>Results: </strong>Images of 27 elbows joints were reviewed. For MCP fissure detection, areas under the ROC curves for CT (0.84), STAR (0.73), and SNAR (0.57) did not differ. For the detection of MCP fragment, STAR had a larger area under the ROC curve (0.93) compared with SNAR (0.74, P = .015) and CT (0.54, P < .001). Still images of TAR and SNAR had comparable concordance for cartilage score (0.80 and 0.77, respectively) and medial compartment pathology (0.80 and 0.73, respectively).</p><p><strong>Conclusion: </strong>Still images of NAR, STAR, and CT had similar diagnostic value to identify MCP fissures. Still images of TAR was superior to SNAR and CT to identify MCP fragments.</p><p><strong>Clinical significance: </strong>The diagnostic accuracy of SNAR varied on the basis of the coronoid lesion being evaluated.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"O116-O127"},"PeriodicalIF":1.8,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/vsu.13581","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25360121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arthroscopic removal of a solitary osteochondroma interfering with the podotrochlear apparatus in a foal.","authors":"Machiel P Ysebaert,&nbsp;Jessica P Johnson,&nbsp;Ghazanfar Abbas,&nbsp;Paulo Henrique Cavalcante,&nbsp;Rodney King,&nbsp;Masa Oikawa,&nbsp;Sarah Puchalski,&nbsp;Florent David","doi":"10.1111/vsu.13522","DOIUrl":"https://doi.org/10.1111/vsu.13522","url":null,"abstract":"<p><strong>Objective: </strong>To report the diagnostics, surgical treatment, and outcome of a juvenile foal with solitary osteochondroma (SO) interfering with the podotrochlear apparatus.</p><p><strong>Study design: </strong>Case report ANIMAL: One 36-day-old Arabian colt.</p><p><strong>Methods: </strong>Clinical, radiographic, ultrasonographic, computed tomographic, and histopathologic examinations were required to characterize and treat an SO located at the palmar aspect of the diaphysis of the second phalanx of the left forelimb. This SO caused severe distal interphalangeal joint (DIPJ) inflammation, marked interference with the podotrochlear apparatus, and associated lameness.</p><p><strong>Results: </strong>Despite the small size of the foal's foot, complete resection of the SO was possible via palmar DIPJ arthroscopy by using motorized equipment. Full resolution of the lameness was achieved within 3 months of surgery.</p><p><strong>Conclusion: </strong>Atypical SO located on the palmar aspect of the second phalanx can cause marked nonseptic inflammation of the DIPJ and interference with the podotrochlear apparatus and should be considered among the differential diagnoses for severe lameness in juvenile foals. Arthroscopic resection of the SO led to an excellent outcome.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"O128-O137"},"PeriodicalIF":1.8,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/vsu.13522","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38681276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of laparoscopic liver lobectomy in dogs.","authors":"Aleisha E Michael,&nbsp;J Brad Case,&nbsp;Federico Massari,&nbsp;Michelle A Giuffrida,&nbsp;Philipp D Mayhew,&nbsp;Jose L Carvajal,&nbsp;Penny J Regier,&nbsp;Jeffrey J Runge,&nbsp;Ameet Singh","doi":"10.1111/vsu.13566","DOIUrl":"https://doi.org/10.1111/vsu.13566","url":null,"abstract":"<p><strong>Objective: </strong>To determine the feasibility of laparoscopic liver lobectomy (LLL) in dogs by using canine cadavers and to describe the clinical application in dogs with liver disease.</p><p><strong>Study design: </strong>Ex vivo experiment and descriptive case series.</p><p><strong>Sample population: </strong>Twelve canine cadavers and six client-owned dogs.</p><p><strong>Methods: </strong>Cadavers underwent LLL with an endoscopic stapler. The percentage of liver lobe resected was determined by volume. The distance from the staple line to hilus was measured. Medical records of dogs undergoing LLL were reviewed.</p><p><strong>Results: </strong>In cadavers ≤15 kg, left lateral lobectomy completeness was 87.3% (84.6%-96.6%), and remaining median (interquartile range) hilar length was 1 cm (0.25-1.75). Left medial lobectomy completeness was 72.5% (66.7%-80%), and remaining hilar length was 1.6 cm (0.47-1.75). Central division resection completeness was 68.3% (60%-92.9%), and remaining hilar length was 2.7 cm (0.8-5). Laparoscopic liver lobectomy was not feasible for right division lobes and in cadavers >15 kg. Five dogs with peripheral quadrate or left lateral lobe masses underwent stapled, partial laparoscopic lobectomy (30%-90%). One dog underwent stapled, left lateral lobectomy (90%) after open procedure conversion. Histopathological diagnoses included hepatocellular carcinoma (3), nodular hyperplasia (1), biliary cyst adenoma (1), and fibrosis (1).</p><p><strong>Conclusion: </strong>Laparoscopic liver lobectomy of the left and central divisions is feasible in cadavers ≤15 kg with an endoscopic stapler. Partial LLL of the left and central divisions is feasible in select dogs with liver disease.</p><p><strong>Clinical significance: </strong>Laparoscopic liver lobectomy may be a viable alternative to laparotomy in small-to-medium size dogs with peripheral liver masses of the left and central divisions.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"O89-O98"},"PeriodicalIF":1.8,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/vsu.13566","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25361271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ligation of the ligamentum arteriosum and aberrant left subclavian artery in five dogs in which persistent right aortic arch had been diagnosed.","authors":"Penny J Regier,&nbsp;J Brad Case,&nbsp;W Alexander Fox-Alvarez","doi":"10.1111/vsu.13575","DOIUrl":"https://doi.org/10.1111/vsu.13575","url":null,"abstract":"<p><strong>Objective: </strong>To determine and report the diagnosis, treatment, and outcome in dogs with persistent right aortic arch (PRAA) with an aberrant left subclavian artery (ALS) that underwent thoracoscopic surgery.</p><p><strong>Animals: </strong>Dogs with PRAA and an ALS (n = 5).</p><p><strong>Study design: </strong>Short case series.</p><p><strong>Methods: </strong>Medical records were reviewed from 2014 to 2019. Dogs that underwent thoracoscopy for PRAA with an ALS at an academic referral hospital were included. Signalment, clinical signs, diagnostic imaging, surgical approach, complications, and short- and long-term outcomes were recorded.</p><p><strong>Results: </strong>Persistent right aortic arch with an ALS was identified in five dogs. Dogs initially underwent a three-port intercostal thoracoscopic approach, and an intercostal thoracotomy was performed in converted cases. In all five dogs, the ligamentum arteriosum (LA) and ALS were divided; three were performed by a thoracoscopy alone. Two cases were converted because of poor exposure (1) and requirement to temporary occlude an ALS (1). The ALS was ligated and divided in all dogs without apparent negative effects. No intraoperative or postoperative complications occurred. Four dogs had resolution of regurgitation, three of which required diet modification. One dog had reported regurgitation when it was excited. Median follow-up was 188 days (range, 150-1133).</p><p><strong>Conclusion: </strong>Ligation and division of both the LA and the ALS in all dogs in this case series was safe and allowed for improvement in clinical signs and good to excellent long-term outcomes. In addition, both thoracoscopy and thoracotomy were used safely and successfully for ligation and transection of the LA and ALS in all dogs.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"O26-O31"},"PeriodicalIF":1.8,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/vsu.13575","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38867654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of a laparoscopic abdominal simulator assessment to test readiness for laparoscopic ovariectomy in live dogs.","authors":"Emily D French,&nbsp;Dominique J Griffon,&nbsp;Philip H Kass,&nbsp;Maria A Fahie,&nbsp;Paul Gordon-Ross,&nbsp;Ohad Levi","doi":"10.1111/vsu.13604","DOIUrl":"https://doi.org/10.1111/vsu.13604","url":null,"abstract":"<p><strong>Objective: </strong>To predict readiness for laparoscopic ovariectomy of live dogs on the basis of performance on a high-fidelity laparoscopic abdominal simulator and to determine interrater reliability of the assessment.</p><p><strong>Study design: </strong>Experimental study.</p><p><strong>Sample population: </strong>Seventeen fourth-year veterinary students.</p><p><strong>Methods: </strong>After a standardized laparoscopic training course, each participant performed a laparoscopic ovariectomy with a simulator. This performance was scored in real time by two evaluators using a rubric. Participants achieving a score of 112 of 160 performed a laparoscopic ovariectomy in a live dog, supervised by an instructor in the room. Two evaluators scored video recordings of each procedure using the rubric. Participants' opinions about the simulator were collected with a survey.</p><p><strong>Results: </strong>All participants scored above the threshold (range, 126-151) and successfully completed laparoscopic ovariectomy in a live dog, with an average of 10 of 17 participants requiring verbal guidance and 5 of 17 participants requiring intervention from the instructor. Interrater concordance was excellent for the rubrics used to score performance on the simulator (R = 0.91) and in vivo (R = 0.81). All participants agreed that the simulator should be used to assess trainee readiness prior to surgery in a live dog.</p><p><strong>Conclusion: </strong>Participants achieving a score of at least 126 of 160 on the simulator were able to perform a laparoscopic ovariectomy in a live dog under supervision. The scoring system for the simulator had excellent interrater concordance.</p><p><strong>Clinical significance: </strong>This simulator and scoring system can be used in laparoscopic training programs to assess readiness for progression to the operative setting.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"O49-O66"},"PeriodicalIF":1.8,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/vsu.13604","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25397513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial.","authors":"","doi":"10.1111/vsu.13673","DOIUrl":"https://doi.org/10.1111/vsu.13673","url":null,"abstract":"Almost a year later, even as highly effective vaccines against COVID-19 have been developed and deployed, the pandemic continues to throw into high relief the many disparities among people and communities that exist in all societies and across the planet. Since early 2020, we have witnessed vaccine denial, violent protests and inequitable vaccine distribution, with online platforms and social media in the thick of it. [...]COVID-19 has not been just a health crisis;it has precipitated and exacerbated economic, political, technological ones well. Syn looks at information dissemination and communication strategies on social media by an organization that was central in health information: the United States Centers for Disease Control (CDC). The astonishing rapidity with which scientific publications and data were reviewed and disseminated and the sharing of information resulted in a large body of the literature that turned out to be crucial in tackling the pandemic (even as the pandemic exposed numerous problems in the scholarly communication process).","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"O4"},"PeriodicalIF":1.8,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/vsu.13673","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39278804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and videofluoroscopic outcomes of laparoscopic treatment for sliding hiatal hernia and associated gastroesophageal reflux in brachycephalic dogs.","authors":"Philipp D Mayhew,&nbsp;Ingrid M Balsa,&nbsp;Stanley L Marks,&nbsp;Rachel E Pollard,&nbsp;J Brad Case,&nbsp;William T N Culp,&nbsp;Michelle A Giuffrida","doi":"10.1111/vsu.13622","DOIUrl":"https://doi.org/10.1111/vsu.13622","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Study design: </strong>Prospective clinical trial.</p><p><strong>Animals: </strong>Eighteen client-owned dogs.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p><p><strong>Clinical relevance: </strong>In experienced hands, laparoscopic treatment of SHH and GER offers a minimally invasive alternative to open surgery.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"O67-O77"},"PeriodicalIF":1.8,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/vsu.13622","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25466799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Absorbable fixation straps for laparoscopic gastropexy in dogs.","authors":"Luca Lacitignola,&nbsp;Laura Fracassi,&nbsp;Caterina Di Bella,&nbsp;Nicola Zizzo,&nbsp;Giuseppe Passantino,&nbsp;Antonella Tinelli,&nbsp;Alberto Maria Crovace,&nbsp;Francesco Staffieri","doi":"10.1111/vsu.13543","DOIUrl":"https://doi.org/10.1111/vsu.13543","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the feasibility and efficacy of laparoscopic absorbable fixation straps (AFS) for laparoscopic gastropexy in dogs.</p><p><strong>Study design: </strong>Cadaveric and prospective clinical study.</p><p><strong>Animals: </strong>Five dog cadavers for the cadaveric study; 12 dogs for the clinical study.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p><p><strong>Clinical significance: </strong>This novel laparoscopic technique can be employed safely, effectively, and reasonably quickly, and the learning curve is expected to be relatively short.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"O78-O88"},"PeriodicalIF":1.8,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/vsu.13543","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38694716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}