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    Paramedian incisional complications after prophylactic laparoscopy-assisted gastropexy in 411 dogs

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    Authors
    Baron, Jessica K.
    Casale, Sue A.
    Monnet, Eric
    Mayhew, Philipp D.
    Runge, Jeffrey J.
    Follette, Christelle M.
    Phipps, Kevin
    Powell, Margaret E.
    Reczynska, Alicja I.
    Squire, Nathan T.
    Barton, Bruce A.
    Berg, John
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    UMass Chan Affiliations
    Division of Biostatistics, Department of Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2019-12-08
    Keywords
    Veterinary Medicine
    
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    Link to Full Text
    https://doi.org/10.1111/vsu.13348
    Abstract
    OBJECTIVE: 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. STUDY DESIGN: Multi-institutional retrospective study. ANIMALS: Client-owned dogs (N = 411). METHODS: 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. RESULTS: 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). CONCLUSION: 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. CLINICAL SIGNIFICANCE: 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.
    Source

    Vet Surg. 2019 Dec 8. doi: 10.1111/vsu.13348. [Epub ahead of print] Link to article on publisher's site

    DOI
    10.1111/vsu.13348
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/46845
    PubMed ID
    31814138
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    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1111/vsu.13348
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