Just Ask the Expert: What's the best prophylactic gastropexy technique?
Dr. Newton welcomes surgery questions from veterinarians and veterinary technicians.
Q. Which technique should I use for prophylactic gastropexy at the time of spaying and neutering in dogs that I think will be at risk for developing gastric dilatation-volvulus (GDV)?
Incisional gastropexies are also a great choice in that they are quick and easy to perform. The only caveat would be to make absolutely sure the sutures are muscle layer to muscle layer when closing stomach to body wall. This ensures adequate adhesion formation. Also, be vigilant not to penetrate the mucosa of the stomach when making the gastric incision.
Rasmussen L. Stomach. In: Slatter D, ed. Textbook of small animal surgery, Volume 1. 3rd ed. Philadelphia, Pa: Elsevier, 2003;592-643.
Jenifer Newton, DVM, MS, DACVS