Diaphragmatic repair with gastropexy
: The laparoscopic approach has advantages including reduced hospital stay, excellent visualisation of the defect even for obese patients and improved cosmesis.
When in doubt, ask your vet for any breed-specific symptoms and preventative steps you should be aware of, such as prophylactic gastropexy
for your giant-breed dog (see "A Different Tack," WDJ June 2016).
In refractory cases, endoscopic or surgical interventions, such as hemoclipping, Nissenfundoplication, or laparoscopic gastropexy
, may need to be performed.
Caption: Figure 1: (a) Intraoperative photographs of gastropexy
The patient proceeded to gastropexy
via open gastrostomy tube placement.
Treatment options include fundoplication or gastropexy
and thoracotomy, followed by manual reduction and esophageal myotomy.
After local anesthetic administration and gastropexy
, gastric body was punctured under fluoroscopic guidance.
Several surgical procedureshavebeendescribed, butthemost commonly performed procedure is open reduction with or without gastropexy
via interrupted circumcostal sutures was performed with 3-0 PDS to prevent recurrence of the intussusceptions.
Port devices have been described in a variety of applications in dogs, including exploratory laparoscopy, ovariectomy, ovariohysterectomy, cryptorchidectomy, gastropexy
, splenectomy, and thoracoscopy [5-10].
"For large caliber tubes we routinely performed a two-point gastropexy
using T fasteners (Cope gastrointestinal suture anchor set, Cook incorporated, Bloomington, IN, USA) (Fig.2)".
IV fluids and medications to combat shock are administered, then the veterinary team goes to work on shifting the stomach to its normal position and by performing a gastropexy