• 1. Runge JJ, Mayhew PD. Evaluation of single port access gastropexy and ovariectomy using articulating instruments and angled telescopes in dogs. Vet Surg 2013; 42: 807813.

    • Search Google Scholar
    • Export Citation
  • 2. Islam A, Castellivi AO, Tesfay ST, et al. Early surgeon impressions and technical difficulty associated with laparoscopic single-site surgery: a Society of American Gastrointestinal and Endoscopic Surgeons learning Center Study. Surg Endosc 2011; 25: 25972603.

    • Search Google Scholar
    • Export Citation
  • 3. KARL STORZ GmbH and Co KG. ENDOCONE, a novel port for single portal laparoscopic surgery. Tuttlingen, Germany: KARL STORZ GmbH and Co KG, 2010. Available at: www.cempitaly.com/images/endocone.pdf. Accessed Jun 9, 2014.

    • Search Google Scholar
    • Export Citation
  • 4. Liatsikos E, Kallidonis P, Do M, et al. LESS nephrectomy: technique and outcomes. Arch Esp Urol 2012; 65: 294302.

  • 5. Case JB, Ellison G. Single incision laparoscopic-assisted intestinal surgery (SILAIS) in 7 dogs and 1 cat. Vet Surg 2013; 42: 629634.

    • Search Google Scholar
    • Export Citation
  • 6. Rawlings CA Mahaffey MB, Bement S, et al. Prospective evaluation of laparoscopic-assisted gastropexy in dogs susceptible to gastric dilatation. J Am Vet Med Assoc 2002; 221: 15761581.

    • Search Google Scholar
    • Export Citation
  • 7. Brockman DJ, Washabau RJ, Drobatz KJ. Canine gastric dilatation/volvulus syndrome in a veterinary critical care unit: 295 cases (1986–1992). J Am Vet Med Assoc 1995; 207: 460464.

    • Search Google Scholar
    • Export Citation
  • 8. Evans KM, Adams VJ. Mortality and morbidity due to gastric dilatation-volvulus syndrome in pedigree dogs in the UK. J Small Anim Pract 2010; 51: 376381.

    • Search Google Scholar
    • Export Citation
  • 9. Glickman LT, Glickman NW, Schellenberg DB, et al. Incidence of and breed-related risk factors for gastric dilatation-volvulus in dogs. J Am Vet Med Assoc 2000; 216: 4045.

    • Search Google Scholar
    • Export Citation
  • 10. Culp WTN, Mayhew PD, Brown DC. The effect of laparoscopic versus open ovariectomy on postsurgical activity in small dogs. Vet Surg 2009; 38: 811817.

    • Search Google Scholar
    • Export Citation
  • 11. Mayhew PD, Brown DC. Prospective evaluation of two intracorporeally sutured prophylactic laparoscopic gastropexy techniques compared with laparoscopic-assisted gastropexy in dogs. Vet Surg 2009; 38: 738746.

    • Search Google Scholar
    • Export Citation
  • 12. Yim GW, Jung YW, Paek J, et al. Transumbilical single-port access versus conventional total laparoscopic hysterectomy: surgical outcomes. Am J Obstet Gynecol 2010; 203: 26.e126.e6.

    • Search Google Scholar
    • Export Citation
  • 13. Fanfani F, Fagotti A, Scambia G, et al. Laparoendoscopic single site surgery for total hysterectomy. Int J Gynaecol Obstet 2010; 109: 7677.

    • Search Google Scholar
    • Export Citation
  • 14. Rivier P, Furneaux R, Viguier E. Combined laparoscopic ovariectomy and laparoscopic-assisted gastropexy in dogs susceptible to gastric dilatation-volvulus. Can Vet J 2011; 52: 6266.

    • Search Google Scholar
    • Export Citation
  • 15. Coisman JG, Case JB, Clark ND, et al. Efficacy of decontamination and sterilization of a single-use single-incision laparoscopic surgery port. Am J Vet Res 2013; 74: 934938.

    • Search Google Scholar
    • Export Citation
  • 16. Chan ACW, Ip M, Koehler A, et al. Is it safe to reuse disposable laparoscopic trocars? An in vitro testing. Surg Endosc 2000; 14: 10421044.

    • Search Google Scholar
    • Export Citation
  • 17. Roth K, Heeg P, Reichl R. Specific hygiene issues relating to re-processing and reuse of single-use devices for laparoscopic surgery. Surg Endosc 2002; 16: 10911097.

    • Search Google Scholar
    • Export Citation
  • 18. Manassero M, Leperlier D, Vallefuoco R, et al. Laparoscopic ovariectomy in dogs using a single-port multiple-access device. Vet Rec 2012; 171: 69.

    • Search Google Scholar
    • Export Citation

Advertisement

Elective gastropexy with a reusable single-incision laparoscopic surgery port in dogs: 14 cases (2012–2013)

Mandy Stiles DVM1, J. Brad Case DVM, MS2, and James Coisman DVM, MS3
View More View Less
  • 1 Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO 80523.
  • | 2 Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL 32610.
  • | 3 Fort Belvoir Veterinary Center, 10015 Theote Rd, Fort Belvoir, VA 22060.

Abstract

OBJECTIVE To describe the technique, clinical findings, and short-term outcome in dogs undergoing laparoscopic-assisted incisional gastropexy with a reusable single-incision surgery port.

DESIGN Retrospective case series.

ANIMALS 14 client-owned dogs.

PROCEDURES Medical records of dogs referred for elective laparoscopic gastropexy between June 2012 and August 2013 were reviewed. History, signalment, results of physical examination and preoperative laboratory testing, surgical procedure, duration of surgery, postoperative complications, duration of hospital stay, and short-term outcome were recorded. All patients underwent general anesthesia and were positioned in dorsal recumbency. After an initial limited laparoscopic exploration, single-incision laparoscopic-assisted gastropexy was performed extracorporeally in all dogs via a conical port placed in a right paramedian location. Concurrent procedures included laparoscopic ovariectomy (n = 4), gastric biopsy (2), and castration (7). Short-term outcome was evaluated.

RESULTS Median duration of surgery was 76 minutes (range, 40 to 90 minutes). Intraoperative complications were minor and consisted of loss of pneumoperitoneum in 2 of 14 dogs. A postoperative surgical site infection occurred in 1 dog and resolved with standard treatment. Median duration of follow-up was 371 days (range, 2 weeks to 1.5 years). No dogs developed gastric dilation–volvulus during the follow-up period, and all owners were satisfied with the outcome.

CONCLUSIONS AND CLINICAL RELEVANCE Results suggested that single-incision laparoscopic-assisted gastropexy with a reusable conical port was feasible and effective in appropriately selected cases. Investigation of the potential benefits of this reusable port versus single-use devices for elective gastropexy in dogs is warranted.

Supplementary Materials

    • Supplementary Video S1 (MP4 13263 kb)

Contributor Notes

Address correspondence to Dr. Case (caseb@ufl.edu).