Description and biomechanical evaluation of the modified laparoscopic-assisted percutaneous gastropexy technique in dogs
BackgroundTotal laparoscopic gastropexy (TLG) has become increasingly popular due to its minimally invasive nature, requiring only three ports and no additional skin incisions aside from those for port placement. However, a notable limitation of TLG is the difficulty and time required for intracorpo...
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Frontiers Media S.A.
2025-02-01
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| Series: | Frontiers in Veterinary Science |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fvets.2024.1509728/full |
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| author | Dong Woo Kim Ho Hyun Kwak Ho Hyun Kwak Junhyung Kim Heung Myong Woo |
| author_facet | Dong Woo Kim Ho Hyun Kwak Ho Hyun Kwak Junhyung Kim Heung Myong Woo |
| author_sort | Dong Woo Kim |
| collection | DOAJ |
| description | BackgroundTotal laparoscopic gastropexy (TLG) has become increasingly popular due to its minimally invasive nature, requiring only three ports and no additional skin incisions aside from those for port placement. However, a notable limitation of TLG is the difficulty and time required for intracorporeal suturing. To address this challenge, we investigated a new technique—modified laparoscopic-assisted percutaneous gastropexy (mLAPG)—in canine cadavers.Materials & methodsTwelve canine cadavers were divided into mLAPG (n = 6) and TLG (n = 6) groups. mLAPG was performed using a knotless barbed suture with two ports, and TLG was performed using a single-layer continuous barbed suture. Both methods employed a suture length of 3 cm and four suture bites. The total surgical time (TST) and gastropexy suturing time (GST) were recorded. Upon completion of the procedure, the stomach and body wall, including pexy site, were collected to evaluate the maximum load to failure of the gastropexies.ResultsNo significant differences were observed in the TST between the mLAPG (61.83 ± 4.80 min) and TLG (65.33 ± 12.05 min) groups (p = 0.538). The GST showed no significant difference between the mLAPG group (31.33 ± 3.13 min) and the TLG group (37.5 ± 7.06 min) (p = 0.095). The mLAPG group (35.86 ± 8.24 N) had a significantly higher maximum load to failure than the TLG group (24.04 ± 7.16 N) (p = 0.024).ConclusionThe results of this study suggest that the mLAPG, with its minimal invasiveness, absence of an intracorporeal suturing process, and high tensile strength can be clinically applied for gastropexy in dogs. However, further clinical trials are warranted to further validate this technique and confirm its effectiveness. |
| format | Article |
| id | doaj-art-8b9546c1f47e4aab86f762ee6e651b70 |
| institution | Kabale University |
| issn | 2297-1769 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Veterinary Science |
| spelling | doaj-art-8b9546c1f47e4aab86f762ee6e651b702025-02-03T06:33:47ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692025-02-011110.3389/fvets.2024.15097281509728Description and biomechanical evaluation of the modified laparoscopic-assisted percutaneous gastropexy technique in dogsDong Woo Kim0Ho Hyun Kwak1Ho Hyun Kwak2Junhyung Kim3Heung Myong Woo4Department of Veterinary Surgery, College of Veterinary Medicine, Institute of Veterinary Science, Kangwon National University, Chuncheon, Republic of KoreaDepartment of Veterinary Surgery, College of Veterinary Medicine, Institute of Veterinary Science, Kangwon National University, Chuncheon, Republic of KoreaDepartment of Companion Animal Industry, College of Natural and Life Sciences, Daegu University, Gyeongsan, Republic of KoreaDepartment of Veterinary Surgery, College of Veterinary Medicine, Institute of Veterinary Science, Kangwon National University, Chuncheon, Republic of KoreaDepartment of Veterinary Surgery, College of Veterinary Medicine, Institute of Veterinary Science, Kangwon National University, Chuncheon, Republic of KoreaBackgroundTotal laparoscopic gastropexy (TLG) has become increasingly popular due to its minimally invasive nature, requiring only three ports and no additional skin incisions aside from those for port placement. However, a notable limitation of TLG is the difficulty and time required for intracorporeal suturing. To address this challenge, we investigated a new technique—modified laparoscopic-assisted percutaneous gastropexy (mLAPG)—in canine cadavers.Materials & methodsTwelve canine cadavers were divided into mLAPG (n = 6) and TLG (n = 6) groups. mLAPG was performed using a knotless barbed suture with two ports, and TLG was performed using a single-layer continuous barbed suture. Both methods employed a suture length of 3 cm and four suture bites. The total surgical time (TST) and gastropexy suturing time (GST) were recorded. Upon completion of the procedure, the stomach and body wall, including pexy site, were collected to evaluate the maximum load to failure of the gastropexies.ResultsNo significant differences were observed in the TST between the mLAPG (61.83 ± 4.80 min) and TLG (65.33 ± 12.05 min) groups (p = 0.538). The GST showed no significant difference between the mLAPG group (31.33 ± 3.13 min) and the TLG group (37.5 ± 7.06 min) (p = 0.095). The mLAPG group (35.86 ± 8.24 N) had a significantly higher maximum load to failure than the TLG group (24.04 ± 7.16 N) (p = 0.024).ConclusionThe results of this study suggest that the mLAPG, with its minimal invasiveness, absence of an intracorporeal suturing process, and high tensile strength can be clinically applied for gastropexy in dogs. However, further clinical trials are warranted to further validate this technique and confirm its effectiveness.https://www.frontiersin.org/articles/10.3389/fvets.2024.1509728/fulllaparoscopyminimally invasive surgeryprophylactic gastropexygastric dilatation and volvuluslaparoscopic gastropexybarbed suture |
| spellingShingle | Dong Woo Kim Ho Hyun Kwak Ho Hyun Kwak Junhyung Kim Heung Myong Woo Description and biomechanical evaluation of the modified laparoscopic-assisted percutaneous gastropexy technique in dogs Frontiers in Veterinary Science laparoscopy minimally invasive surgery prophylactic gastropexy gastric dilatation and volvulus laparoscopic gastropexy barbed suture |
| title | Description and biomechanical evaluation of the modified laparoscopic-assisted percutaneous gastropexy technique in dogs |
| title_full | Description and biomechanical evaluation of the modified laparoscopic-assisted percutaneous gastropexy technique in dogs |
| title_fullStr | Description and biomechanical evaluation of the modified laparoscopic-assisted percutaneous gastropexy technique in dogs |
| title_full_unstemmed | Description and biomechanical evaluation of the modified laparoscopic-assisted percutaneous gastropexy technique in dogs |
| title_short | Description and biomechanical evaluation of the modified laparoscopic-assisted percutaneous gastropexy technique in dogs |
| title_sort | description and biomechanical evaluation of the modified laparoscopic assisted percutaneous gastropexy technique in dogs |
| topic | laparoscopy minimally invasive surgery prophylactic gastropexy gastric dilatation and volvulus laparoscopic gastropexy barbed suture |
| url | https://www.frontiersin.org/articles/10.3389/fvets.2024.1509728/full |
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