Total laparoscopic gastropexy using 1 simple continuous barbed suture line in 63 dogs

Abstract

Total laparoscopic barbed gastropexy using a single, simple continuous, barbed suture line in dogs is safe and results in an intact gastropexy long term.

Simplified Minimally Invasive Surgical Approach for Prophylactic Laparoscopic Gastropexy in 21 Cases

“…2 All previously described laparoscopic gastropexy techniques have been performed with an incision in the seromuscular layer of the stomach and the transversus abdominis muscle with either laparoscopic Metzenbaum scissors or harmonic scalpel. 4,5,10,13,14 In the present study, no incision was performed before gastropexy. Previous studies reported a laparoscopic-assisted gastropexy technique that used monopolar electrosurgery to scarify the peritoneum at the intended gastropexy sites on the body wall and stomach, instead of making an incision through the seromuscular layer of the stomach and the transversus abdominis muscle.…”

“…1,3,6,7 Total laparoscopic gastropexies have been gaining popularity. [4][5][6][7][8][9][10][11][12][13][14] Total laparoscopic gastropexy has been demonstrated to be superior to both open-and laparoscopicassisted methods in terms of decreased postoperative pain. 4,5,10,13 Prophylactic gastropexy can be performed at the time of a routine surgery such as ovariectomy, castration, cryptorchidectomy, exploratory laparotomy for foreign body obstructions, and visceral organ biopsies.…”

“…11,12 The canine total laparoscopic gastropexy has previously been described using one or two simple continuous barbed suture lines between the incised seromuscular layer of the stomach and the transversus abdominis muscle. 4,5,9,13,14 Most gastropexies rely on healing of the sutured incisions, which creates permanent attachment. The incision should be carefully performed so that the submucosal layer of the stomach is not penetrated.…”

“…Instead of making an incision, the use of monopolar electrosurgery to abrade the peritoneum at the proposed gastropexy sites on the body wall and the stomach has also been reported. 9,14 The incisions or the abrasion of the peritoneum and the gastric wall add some surgical trauma and increase surgery time; however, little is known about the need for those.…”

The use of bidirectional barbed suture in the treatment of a complete common calcanean tendon rupture in a dog: Long‐term clinical and ultrasonographic evaluation

“…The successful use of knotless barbed suture has been reported in the veterinary literature for use in laparoscopic gastropexy, enterotomy, gastrotomy, and intradermal wound closure. [17][18][19][20][21][22][23][24][25] Quill ™ suture was introduced initially as a barbed monofilament suture made from polypropylene, nylon, or glycolic acid derivatives. The suture has a curved, diamond-pointed needle on each end of the strand.…”