Paramedian incisional complications after prophylactic laparoscopy-assisted gastropexy in 411 dogs
dc.contributor.author | Baron, Jessica K. | |
dc.contributor.author | Casale, Sue A. | |
dc.contributor.author | Monnet, Eric | |
dc.contributor.author | Mayhew, Philipp D. | |
dc.contributor.author | Runge, Jeffrey J. | |
dc.contributor.author | Follette, Christelle M. | |
dc.contributor.author | Phipps, Kevin | |
dc.contributor.author | Powell, Margaret E. | |
dc.contributor.author | Reczynska, Alicja I. | |
dc.contributor.author | Squire, Nathan T. | |
dc.contributor.author | Barton, Bruce A. | |
dc.contributor.author | Berg, John | |
dc.date | 2022-08-11T08:10:35.000 | |
dc.date.accessioned | 2022-08-23T17:13:56Z | |
dc.date.available | 2022-08-23T17:13:56Z | |
dc.date.issued | 2019-12-08 | |
dc.date.submitted | 2020-01-16 | |
dc.identifier.citation | <p>Vet Surg. 2019 Dec 8. doi: 10.1111/vsu.13348. [Epub ahead of print] <a href="https://doi.org/10.1111/vsu.13348">Link to article on publisher's site</a></p> | |
dc.identifier.issn | 0161-3499 (Linking) | |
dc.identifier.doi | 10.1111/vsu.13348 | |
dc.identifier.pmid | 31814138 | |
dc.identifier.uri | http://hdl.handle.net/20.500.14038/46845 | |
dc.description.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. | |
dc.language.iso | en_US | |
dc.relation | <p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=31814138&dopt=Abstract">Link to Article in PubMed</a></p> | |
dc.relation.url | https://doi.org/10.1111/vsu.13348 | |
dc.subject | Veterinary Medicine | |
dc.title | Paramedian incisional complications after prophylactic laparoscopy-assisted gastropexy in 411 dogs | |
dc.type | Journal Article | |
dc.source.journaltitle | Veterinary surgery : VS | |
dc.identifier.legacycoverpage | https://escholarship.umassmed.edu/qhs_pp/1313 | |
dc.identifier.contextkey | 16249421 | |
html.description.abstract | <p>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.</p> <p>STUDY DESIGN: Multi-institutional retrospective study.</p> <p>ANIMALS: Client-owned dogs (N = 411).</p> <p>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.</p> <p>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).</p> <p>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.</p> <p>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.</p> | |
dc.identifier.submissionpath | qhs_pp/1313 | |
dc.contributor.department | Division of Biostatistics, Department of Quantitative Health Sciences |