title: Total laparoscopic gastropexy using 1 simple continuous barbed suture line in 63 dogs.
abstract: OBJECTIVE
  To describe the use and outcome of a single, simple continuous, barbed suture line for prophylactic, total laparoscopic gastropexy in dogs.
  
  
  METHODS
  Multi-center, retrospective case series.
  
  
  METHODS
  Sixty-three client-owned dogs.
  
  
  METHODS
  Medical records of dogs undergoing total laparoscopic gastropexy using a barbed suture at 4 academic veterinary hospitals from 2011-2015 were reviewed. Data collected included signalment, procedure time, procedure-associated complications, short-term complications, and long-term outcome. All procedures were performed under general anesthesia in dorsal to dorsal-left oblique recumbency. Laparoscopic ports were placed on ventral midline in 1 of 3 port configurations, and 5 mm laparoscopic needle drivers were used for intracorporeal sutured gastropexy with unidirectional barbed suture. The gastropexy was positioned just caudal to the 13th rib, 2-4 cm lateral to the rectus abdominis muscle.
  
  
  RESULTS
  Sixty-three dogs underwent total laparoscopic gastropexy with a single, simple continuous, barbed suture line. Median gastropexy surgery time was 70 minutes (interquartile range [IQR] 60-90 minutes). One dog sustained splenic laceration from Veress needle penetration during initial abdominal insufflation. Short term (>24 hours to 6 months postoperative) complications included incisional seroma formation (n = 2) and suture reaction (n = 1). Long term (>6 months postoperative) complications included intermittent regurgitation and chronic diarrhea in 1 dog. Fifteen dogs had postoperative ultrasound and all had intact gastropexy sites.
  
  
  CONCLUSIONS
  Total laparoscopic barbed gastropexy using a single, simple continuous, barbed suture line in dogs is safe and results in an intact gastropexy long term.
authors.affiliation: Department of Clinical Studies, Matthew J. Ryan Veterinary Hospital at the University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: Joel D
authors.initials: JD
authors.lastname: Takacs
authors.affiliation: Department of Clinical Studies, Companion Animal Hospital at the Ontario Veterinary College, Guelph, Ontario, Canada.
authors.forename: Ameet
authors.initials: A
authors.lastname: Singh
authors.affiliation: Department of Small Animal Clinical Sciences, Small Animal Hospital at the University of Florida, Gainesville, Florida.
authors.forename: J Brad
authors.initials: JB
authors.lastname: Case
authors.affiliation: Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis, Davis, California.
authors.forename: Philipp D
authors.initials: PD
authors.lastname: Mayhew
authors.affiliation: Department of Clinical Studies, Matthew J. Ryan Veterinary Hospital at the University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: Michelle A
authors.initials: MA
authors.lastname: Giuffrida
authors.affiliation: Department of Clinical Studies, Matthew J. Ryan Veterinary Hospital at the University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: Ana V
authors.initials: AV
authors.lastname: Caceres
authors.affiliation: Department of Small Animal Clinical Sciences, Small Animal Hospital at the University of Florida, Gainesville, Florida.
authors.forename: W Alexander
authors.initials: WA
authors.lastname: Fox-Alvarez
authors.affiliation: Department of Clinical Studies, Matthew J. Ryan Veterinary Hospital at the University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: Jeffrey J
authors.initials: JJ
authors.lastname: Runge
mesh_terms: D000818:Animals; D004283:Dog Diseases / Q000601:surgery*; D004285:Dogs; D005260:Female; D059485:Gastropexy / Q000662:veterinary*; D010535:Laparoscopy / Q000662:veterinary; D008297:Male; D011183:Postoperative Complications / Q000662:veterinary; D012189:Retrospective Studies; D013277:Stomach Volvulus / Q000601:surgery / Q000662:veterinary*; D013536:Suture Techniques / Q000662:veterinary*; D016896:Treatment Outcome; D014481:United States