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dc.contributor.authorBaron, Jessica K.
dc.contributor.authorCasale, Sue A.
dc.contributor.authorMonnet, Eric
dc.contributor.authorMayhew, Philipp D.
dc.contributor.authorRunge, Jeffrey J.
dc.contributor.authorFollette, Christelle M.
dc.contributor.authorPhipps, Kevin
dc.contributor.authorPowell, Margaret E.
dc.contributor.authorReczynska, Alicja I.
dc.contributor.authorSquire, Nathan T.
dc.contributor.authorBarton, Bruce A.
dc.contributor.authorBerg, John
dc.date2022-08-11T08:10:35.000
dc.date.accessioned2022-08-23T17:13:56Z
dc.date.available2022-08-23T17:13:56Z
dc.date.issued2019-12-08
dc.date.submitted2020-01-16
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.issn0161-3499 (Linking)
dc.identifier.doi10.1111/vsu.13348
dc.identifier.pmid31814138
dc.identifier.urihttp://hdl.handle.net/20.500.14038/46845
dc.description.abstractOBJECTIVE: 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.isoen_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.urlhttps://doi.org/10.1111/vsu.13348
dc.subjectVeterinary Medicine
dc.titleParamedian incisional complications after prophylactic laparoscopy-assisted gastropexy in 411 dogs
dc.typeJournal Article
dc.source.journaltitleVeterinary surgery : VS
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/qhs_pp/1313
dc.identifier.contextkey16249421
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.submissionpathqhs_pp/1313
dc.contributor.departmentDivision of Biostatistics, Department of Quantitative Health Sciences


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