Читать книгу Small Animal Surgical Emergencies - Группа авторов - Страница 228

Two additional techniques, gastrocolopexy and incorporating gastropexy, have been described. The proposed benefit of these techniques is that they are simpler and quicker to perform than other methods. However, it has not been shown that anesthesia or surgical time is associated with outcome in dogs with GDV and the authors do not believe that these techniques provide an advantage over other methods in most circumstances [7, 23]. Both have potential drawbacks [45, 78, 79]. However, one study reported the long‐term results of incorporating gastropexy in 203 dogs with GDV [80]. Recurrence of clinical signs of gastric dilatation or GDV occurred in 13 dogs (6.4%) at a median follow‐up of 20 months (range 3–50 months). In addition, 13 dogs (6.4%) subsequently underwent exploratory celiotomy without apparent issues due to the gastropexy. Nevertheless, the authors would not recommend the routine use of incorporating gastropexy or gastrocolopexy.

Following gastric repositioning and gastropexy, the abdomen is lavaged and closed in a routine fashion. Provided that all aspects of preoperative stabilization and anesthesia are appropriate, anesthesia and surgical time have not been associated with mortality [7, 23].