Читать книгу Small Animal Surgical Emergencies - Группа авторов - Страница 217

Areas of gastric ischemia or necrosis are treated with a partial gastrectomy and primary closure. This can be performed with an open resection by hand or with the use of surgical stapling devices. Prior to resection, the stomach is packed off from the rest of the abdomen with moist laparotomy sponges in case of spillage of gastric contents. Stay sutures using 2‐0 or 3‐0 polypropylene are placed in healthy stomach wall to allow manipulation during resection and closure. Gastric resection has been significantly associated with the development of hypotension, peritonitis, DIC, sepsis and arrhythmias [9].

Figure 8.8 Intraoperative images of gastric necrosis at exploratory laparotomy in two dogs with gastric dilatation and volvulus. (a) Gastric necrosis of the greater curvature, note the purple and black stomach wall. (b) Severe gastric necrosis of the greater curvature; note the extensive white/gray and black areas of the stomach wall.