Читать книгу Gastrointestinal Surgical Techniques in Small Animals - Группа авторов - Страница 74

Gastrostomy tubes are frequently placed during a laparotomy. A purse‐string suture with 3‐0 monofilament absorbable suture is placed in the wall of the body of the stomach close to the junction with the fundus between the lesser and the greater curvature (Figure 4.7a–f).

A #11 blade is then used to penetrate the abdominal wall from the skin surface. The blade is introduced caudal to the last rib lateral to the rectus abdominalis muscle. A large size forceps grabs the blade in the abdominal cavity. The blade is withdrawn from the abdominal wall with the forceps. The forceps then grabs the feeding tube and pulls it inside the abdominal cavity. A puncture is made in the center of the purse‐string in the wall of the stomach. The gastrostomy tube is then introduced in the lumen of the stomach and the purse‐string is tightened. If a Foley catheter has been used, the balloon is inflated with 5 ml of saline. Four pexy sutures are placed between the wall of the stomach and the transverse abdominalis muscle around the gastrostomy tube. A 3‐0 monofilament absorbable suture is used for the pexy sutures. A Chinese finger‐trap suture with 2‐0 nylon is placed on the skin to secure the tube.

The laparotomy is closed in a routine fashion.