Long-Term Outcome and Complications Following Prophylactic Laparoscopic-Assisted Gastropexy in Dogs

Vet Surg. 2016 Nov;45(S1):O77-O83. doi: 10.1111/vsu.12568. Epub 2016 Oct 5.

Abstract

Objective: To characterize the short- and long-term outcome (>12 months), complications, and owner satisfaction following prophylactic laparoscopic-assisted gastropexy (LAG) in dogs.

Study design: Retrospective study.

Animals: Client-owned dogs (n = 49).

Methods: Dogs that underwent prophylactic LAG at 2 veterinary academic hospitals were studied. Surgical time, anesthesia time, concurrent intra- and extra-abdominal procedures, and intraoperative and postoperative complications were recorded following review of medical records. Veterinarian and/or owner follow-up was obtained to determine outcome and satisfaction with LAG.

Results: Five of 49 dogs (10%) experienced complications related to abdominal access during LAG. Four percent (2/49) of dogs experienced an intraoperative complication. Follow-up information was available for 89% of dogs (44/49). Four dogs died of causes unrelated to LAG or gastric dilatation volvulus (GDV) in the follow-up period. Two dogs experienced major postoperative complications requiring additional veterinary intervention. Thirty percent (13 dogs) experienced a minor postoperative self-limiting wound-related complication. Median follow-up time was 698 days (range, 411-1825). No dogs experienced GDV. One hundred percent of dog owners were satisfied with LAG, would repeat the procedure in a future pet, and would recommend the procedure to a friend or family member.

Conclusion: LAG was an effective procedure for prevention of GDV and was associated with high client satisfaction in this cohort of dogs. A moderate rate of postoperative wound complications occurred that were minor and self-limiting in nature.

MeSH terms

  • Animals
  • Dog Diseases / surgery*
  • Dogs
  • Female
  • Gastric Dilatation / surgery
  • Gastric Dilatation / veterinary*
  • Gastropexy / adverse effects
  • Gastropexy / veterinary*
  • Intraoperative Complications / epidemiology
  • Intraoperative Complications / etiology
  • Intraoperative Complications / veterinary*
  • Male
  • Ontario
  • Postoperative Complications / epidemiology
  • Postoperative Complications / etiology
  • Postoperative Complications / veterinary*
  • Prince Edward Island
  • Prophylactic Surgical Procedures / adverse effects
  • Prophylactic Surgical Procedures / veterinary*
  • Retrospective Studies
  • Stomach Volvulus / surgery
  • Stomach Volvulus / veterinary*
  • Treatment Outcome