Chapter 10: Table of Contents
Incisional Gastropexy
Gastropexy is performed prophylactically to prevent gastric dilation volvulus (GDV) in dogs at high risk or to prevent recurrence after an episode of GDV. Although numerous gastropexy techniques have been described and the various tensile strengths studied, incisional gastropexy is the preferred technique because it is easy to perform, has fewer complications than other techniques such as the circumcostal belt loop gastropexy and has good outcomes.
After the stomach has been derotated and examined for necrosis, it should be pexied (anchored) to the right side of the abdominal cavity to prevent recurrence. Placing a stay suture in the stomach can facilitate manipulation and can help reduce tension while the pexy is created.