Gastropexy is a surgical procedure commonly performed on animals, especially dogs, to prevent gastric dilatation-volvulus (GDV), also known as bloat. This condition occurs when the stomach twists on itself, leading to life-threatening consequences, including impaired blood flow, shock, and tissue death. Gastropexy helps in fixing the stomach to the abdominal wall to prevent it from rotating in the future. This can be done via laparoscopic assisted or through traditional surgical procedures.
Procedure Overview:
- Incision: The procedure begins with making an incision into the abdominal cavity to access the stomach.
- Stomach Attachment: The surgeon then sutures the stomach to the abdominal wall. This is usually done at the right side of the abdomen, where the stomach is most prone to twisting.
- Prevention of GDV: By anchoring the stomach to the abdominal wall, gastropexy prevents it from rotating, significantly reducing the risk of GDV in the future.
Indications:
- High-risk breeds: Large, deep-chested dog breeds like Great Danes, Doberman Pinschers, and Saint Bernards are particularly at risk for GDV. Gastropexy is often performed prophylactically (preventatively) in these breeds, especially if they are undergoing other abdominal surgeries or are already showing signs of bloat.
- Previous GDV episode: If a dog has had GDV in the past, gastropexy can be done as a preventative measure during corrective surgery to ensure the condition doesn’t recur.
Techniques Used:
- Incisional gastropexy: This involves making an incision in the abdominal wall and stomach, then suturing them together.
- Laparoscopic gastropexy: A minimally invasive method using small incisions and a camera to guide the surgery. This method offers quicker recovery times and reduced pain compared to the traditional approach.
Recovery:
- After gastropexy, animals generally need some time to recover from the anesthesia and the surgery itself.
- Activity may be restricted for a few weeks to allow healing, and pain management may be provided. We do offer laparoscopic assisted gastropexies for faster healing times.
- The procedure does not typically interfere with normal digestion or feeding.
Benefits:
- Prevention of GDV: The primary benefit of gastropexy is the significant reduction in the likelihood of gastric torsion (twisting) and the associated life-threatening consequences of bloat.
- Long-term health: Animals that have had gastropexy generally recover well and experience fewer emergencies related to GDV.
Risks:
- As with any surgery, there are potential risks, including infection, bleeding, and complications related to anesthesia.
- However, the procedure is generally considered safe when performed by an experienced veterinarian.
In summary, gastropexy is a valuable and life-saving procedure for animals prone to gastric dilatation-volvulus, offering a high success rate in preventing future episodes of GDV.
