34th Annual Scientific Meeting proceedings

Introduction
Gastric dilatation and volvulus (GDV) occurs commonly in large adult dogs, with a reported mortality of 10-27%. Prophylactic gastropexy techniques are now performed by laparoscopy. Interest in minimally invasive techniques has increased in an effort to decrease pain and potential morbidity associated with the more invasive open approach. The objective of this prospective study was to describe the surgical technique and clinical outcome of laparoscopic gastropexy for treatment of gastric dilatation and volvulus in dogs.

Materials and methods
Dogs with GDV were enrolled in the study as soon as owner consent was obtained. Following a minimum of 90-minute resuscitation, surgery was performed using a three-port technique. A laparoscopic right-sided gastropexy was performed after repositioning the stomach (if necessary). If laparoscopy failed, the procedure was converted into a laparotomy approach. One-month survival time was recorded.

Results
14 dogs were enrolled in this study. Survival rate was 85.7%. Only one conversion to a laparotomy approach was needed. Of the 14 dogs treated, 8 dogs had a 180° rotation of the stomach at the time of the surgery. Follow-up was available for 12 dogs, with no reports of major complications such as gastric dilatation or gastric dilatation-volvulus.

Discussion/Conclusion
Based on this report, laparoscopic gastropexy was feasible. Survival rate was similar to reported rates. Complications encountered were not specific to the technique. Laparoscopic repositioning of the stomach and ensuing gastropexy warrants further investigations in a larger population.