Paramedian incisional complications after prophylactic laparoscopy-assisted gastropexy in 411 dogs.
Journal
Veterinary surgery : VS
ISSN: 1532-950X
Titre abrégé: Vet Surg
Pays: United States
ID NLM: 8113214
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
received:
29
04
2019
revised:
16
09
2019
accepted:
21
09
2019
pubmed:
10
12
2019
medline:
4
11
2020
entrez:
10
12
2019
Statut:
ppublish
Résumé
To determine the frequency and types of paramedian incisional complications after prophylactic laparoscopy-assisted gastropexy (LAG) in dogs and to evaluate potential risk factors for complications. Multi-institutional retrospective study. Client-owned dogs (N = 411). Records for dogs that underwent single-incision-port laparoscopy-assisted gastropexy (SIPLAG) or multiple-port laparoscopy-assisted gastropexy (MPLAG) at five veterinary referral hospitals were reviewed. Information regarding signalment, surgical procedures, perioperative care, and incisional complications was collected. Follow-up information was obtained by review of medical records and/or communication with owners. Potential risk factors for complications were examined statistically. Paramedian incisional complications were observed in 78 of 411 (19%) dogs. The most common complication was seroma formation, which occurred in 51 (12.4%) dogs. Surgical site infections were observed in 16 (3.9%) dogs, and dehiscence or development of excessive scar tissue at the incision site were each observed in nine (2.2%) dogs. Complications resolved with conservative treatment in 75 of 78 (96.2%) dogs and with surgical treatment in three of 78 (3.8%) dogs. The odds of complications were approximately twice as high in dogs undergoing SIPLAG than in dogs undergoing MPLAG (odds ratio, 2.03; P = .006). Minor paramedian incisional complications, particularly seroma formation, were frequently observed after LAG. Most complications were successfully managed conservatively. Single-incision-port laparoscopy-assisted gastropexy was associated with a higher complication rate compared with MPLAG. Owners should be informed that there is a relatively high rate of minor paramedian incisional complications after LAG. The risk of complications appears to be higher for SIPLAG than for MPLAG.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
O148-O155Informations de copyright
© 2019 The American College of Veterinary Surgeons.
Références
Glickman LT, Glickman NW, Schellenberg DB, Raghavan M, Lee, TL. Incidence of and breed-related risk factors for gastric dilatation-volvulus in dogs. J Am Vet Med Assoc. 2000;216:40-45.
Glickman LT, Glickman NW, Pérez CM, Schellenberg DB, Lantz GC. Analysis of risk factors for gastric dilatation and dilatation-volvulus in dogs. J Am Vet Med Assoc. 1994;204:1465-1471.
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;207:460-464.
Beck JJ, Staatz AJ, Pelsue DH, et al. Risk factors associated with short-term outcome and development of perioperative complications in dogs undergoing surgery because of gastric dilatation-volvulus: 166 cases (1992-2003). J Am Vet Med Assoc. 2006;229:1934-1939.
Benitez ME, Schmiedt CW, Radlinsky MG, Cornell KK. Efficacy of incisional gastropexy for prevention of GDV in dogs. J Am Anim Hosp Assoc. 2013;49:185-189.
Rawlings CA, Foutz TL, Mahaffey MB, Howerth EW, Bement S, Canalis C. A rapid and strong laparoscopic- assisted gastropexy in dogs. Am J Vet Res. 2001;62:871-875.
Mayhew PD, Brown DC. Prospective evaluation of two intracorporeally sutured prophylactic laparoscopic gastropexy techniques compared with laparoscopic-assisted gastropexy in dogs. Vet Surg. 2009;38:738-746.
Spah CE, Elkins AD, Wehrenberg A, et al. Evaluation of two novel self-anchoring barbed sutures in a prophylactic laparoscopic gastropexy compared with intracorporeal tied knots. Vet Surg. 2013;42:932-942.
Imhoff DJ, Cohen A, Monnet E. Biomechanical analysis of laparoscopic incisional gastropexy with intracorporeal suturing using knotless polyglyconate. Vet Surg. 2015;44:39-43.
Coleman KA, Adams S, Smeak DD, Monnet E. Laparoscopic gastropexy using knotless unidirectional suture and an articulated endoscopic suturing device: seven cases. Vet Surg. 2016;45:O95-O101.
Takacs JD, Singh A, Case JB, et al. Total laparoscopic gastropexy using 1 simple continuous barbed suture line in 63 dogs. Vet Surg. 2017;46:233-241.
Coleman KA, Monnet E. Comparison of laparoscopic gastropexy performed via intracorporeal suturing with knotless unidirectional barbed suture using a needle driver versus a roticulated endoscopic suturing device: 30 cases. Vet Surg. 2017;46:1002-1007.
Rivier P, Furneaux R, Vigueir E. Combined laparoscopic ovariectomy and laparoscopic-assisted gastropexy in dogs susceptible to gastric dilatation-volvulus. Can Vet J. 2011;52:62-66.
Runge JJ, Mayhew PD. Evaluation of single port access gastropexy and ovariectomy using articulating instruments and angled telescopes in dogs. Vet Surg. 2013;42:807-813.
Stiles M, Case JB, Coisman J. Elective gastropexy with a reusable single-incision laparoscopic surgery port in dogs: 14 cases (2012-2013). J Am Vet Med Assoc. 2016;249:299-303.
Rawlings CA, Mahaffey MB, Bement S, Canalis C. Prospective evaluation of laparoscopic-assisted gastropexy in dogs susceptible to gastric dilatation. J Am Vet Med Assoc. 2002;11:1576-1581.
Loy Son NK, Singh A, Amsellem P, et al. Long-term outcome and complications following prophylactic laparoscopic-assisted gastropexy in dogs. Vet Surg. 2016;45:O77-O83.
Gonzalez-Gasch E, Monnet E. Comparison of single port access versus multiple port access systems in elective laparoscopy: 98 dogs (2005-2014). Vet Surg. 2015;44:895-899.
Mayhew PD, Freeman L, Kwan T, Brown DC. Comparison of surgical site infection rates in clean and clean-contaminated wounds in dogs and cats after minimally invasive versus open surgery: 179 cases (2007-2008). J Am Vet Med Assoc. 2012;240:193-198.
Vasseur PB, Levy J, Dowd E, Eliot J. Surgical wound infection rates in dogs and cats. Data from a teaching hospital. Vet Surg. 1988;17:60-64.
Brown DC, Conzemius MG, Shofer F, Swann H. Epidemiological evaluation of postoperative wound infections in dogs and cats. J Am Vet Med Assoc. 1997;210:1302-1306.
Evans HE, DeLahunta A. Miller's Anatomy of the Dog. 4th ed. Philadelphia, PA: Elsevier Health Sciences; 2003.
Petrovsky B, Monnet E. Evaluation of efficacy of repeated decontamination and sterilization of single-incision laparoscopic ports intended for 1-time use. Vet Surg. 2018;47:O52-O58.
Scharf VF, Dent B, Jacob ME, Moore B. Efficacy of vaporized hydrogen peroxide for repeated sterilization of a single-use single-incision laparoscopic surgery port. Vet Surg. 2019;48:O59-O65.
Coisman JG, Case JB, Clark ND, Wellehan JFX, Ellison GW. Efficacy of decontamination and sterilization of a single-use single-incision laparoscopic surgery port. Am J Vet Res. 2013;74:934-938.
Zhou H, Jin K, Zhang J, et al. Single incision versus conventional multiport laparoscopic appendectomy: a systematic review and meta-analysis of randomized controlled trials. Dig Surg. 2014;31:384-391.
Carter JT, Kaplan JA, Nguyen JN, Lin MYC, Rogers SJ, Harris HW. A prospective, randomized controlled trial of single-incision laparoscopic vs conventional 3-port laparoscopic appendectomy for treatment of acute appendicitis. J Am Coll Surg. 2014;218:950-959.
Karim MA, Ahmed J, Mansour M, Ali A. Single incision vs. conventional multiport laparoscopic cholecystectomy: a comparison of two approaches. Int J Surg. 2012;10:368-372.
SCARLESS Study Group. Single port/incision laparoscopic surgery compared with standard three-port laparoscopic surgery for appendectomy: a randomized controlled trial. Surg Endosc. 2015;29:77-85.
Balachandran B, Hufford TA, Mustafa T, Kochar K, Sulo S, Khorsand K. A comparative study of outcomes between single-site robotic and multi-port laparoscopic cholecystectomy: an experience from a tertiary care center. World J Surg. 2017;41:1246-1253.