Читать книгу Small Animal Surgical Emergencies - Группа авторов - Страница 213

Surgical treatment of GDV consists of several distinct steps that must be performed to ensure the best outcome for the dog:

 Decompression and repositioning of the stomach.

 Assessment of gastric and splenic viability.

 Resection of devitalized tissue.

 Gastropexy.

The dog is aseptically prepared for surgery and a standard midline laparotomy is performed. The incision should be as long as necessary to allow adequate inspection and manipulation of the stomach and to perform a gastropexy. Care should be taken on incising the linea alba to prevent inadvertent trauma to the stomach which may be compressed against the ventral body wall. Abdominal retractors (e.g., Balfour) are invaluable in increasing exposure and facilitating surgery.