Laparoscopic Gastropexy

Question 1

Imhoff, Vet Surg, 2015:
Open vs laparoscopic incisional gastropexy with intracorporeal suturing using knotless polyglyconate

There were no significant differences in mean gastropexy load to failure or mean stomach or abdominal wall incision length for the open vs laparoscopic approaches - true or false?

Answer 1

Imhoff, Vet Surg, 2015:

True

Question 2

Stiles, JAVMA, 2016:
Use of a reusable single-incision laparoscopic surgery port

1. Intra-op complication rate?
2. Post-op SSI rate?

Answer 2

Stiles, JAVMA, 2016:

1. Intra-op complication rate: 14%
2. Post-op SSI rate: 7%

Question 3

Son, Vet Surg, 2016:

1. What % of dogs experienced complications related to abdominal access?
2. Intra-op complication rate?
3. Minor and major post-op complication rates?

Answer 3

Son, Vet Surg, 2016:

1. 10% of dogs experienced complications related to abdominal access
2. Intra-op complication rate: 4%
3. Post-op complication rates: 30% minor, 4% major

Question 4

Balsa, JVIM, 2017:

Effect(s) of laparoscopic-assisted gastropexy on GI transit time?

Answer 4

Balsa, JVIM, 2017:

There were no significant differences in gastric emptying time, small and large bowel transit times, or total transit time before and after laparoscopic-assisted gastropexy

Question 5

Coleman and Monnet, Vet Surg, 2017:
Intracorporeal suturing with knotless unidirectional barbed suture using a needle driver vs a reticulated endoscopic suturing device

1. Difference in surgical time between the 2 devices?
2. Minor complication rates between the 2 devices?

Answer 5

Coleman and Monnet, Vet Surg, 2017:

1. No difference in surgical time between the 2 devices
2. Minor complication rates: 0% using the needle driver vs 15% using the endoscopic suturing device (device dysfunction and suture breakage)

Question 6

Takacs, Vet Surg, 2017:
Use of 1 simple continuous barbed suture line

1. What % of dogs sustained splenic laceration from Veress needle penetration during initial abdominal insufflation?
2. Short-term vs long-term complication rates?

Answer 6

Takacs, Vet Surg, 2017:

1. 2% sustained splenic laceration from Veress needle penetration during initial abdominal insufflation
2. Complication rates: 5% short-term vs 2% long-term