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An alternative approach to gastric resection is to invaginate the affected portion of the stomach [54]. Simply, the affected area is folded inwards and healthy tissue is sutured together over it. The tissue should be sutured with two layers of a simple continuous or inverting suture pattern using synthetic absorbable material (e.g., polydioxanone). With time, the affected portion of the stomach undergoes further necrosis, is sloughed into the gastric lumen and is digested. The potential advantage of this technique is that it is technically easier and quicker than a partial gastrectomy and the technique does not enter the gastric lumen. In an experimental study of eight dogs with devitalization of a portion of gastric wall treated with invagination, 50% suffered gastric hemorrhage and melena [54]. These complications were also reported in a clinical patient with GDV and gastric necrosis that was treated with invagination [55]. This dog suffered significant hemorrhage 21 days following the procedure. For this reason, the authors would recommend partial gastrectomy over invagination in all instances. However, invagination may be a useful technique for inexperienced surgeons or when there are significant time limitations due to instability of the dog under anesthesia.