Comparison of total laparoscopic gastropexy with the Ethicon Securestrap fixation device versus knotless barbed suture in dogs.

Background: This study evaluated the feasibility and efficacy of a laparoscopic absorbable fixation device (Securestrap) in total laparoscopic gastropexy in dogs susceptible to gastric dilatation‐volvulus (GDV) compared to laparoscopic gastropexy performed with a barbed suture. We hypothesised that both techniques provide suitable gastropexy. Methods: The gastropexy was performed by straps (TLG‐SS group, n = 6) or with a barbed suture (TLG‐Vloc group, n = 6). The total surgery time, gastropexy time, the number of straps used and suture bites were recorded. Clinical and ultrasound investigations were performed during follow‐up. Results: The total surgery time was 30 minutes in the TLG‐SS, while it was 46.66 minutes in the TLG‐Vloc. In the TLG‐SS group, gastropexy time was 13 minutes, while 36.3 minutes in the TLG‐Vloc. The number of straps employed in TLG‐SS was 9, while seven bites were employed in TLG‐Vloc. Linear regression analysis of gastropexy time versus the number of procedures was highly correlated (r2 = 0.84) in the TLG‐SS. Complications, clinical and ultrasound findings did not differ between the two techniques at 90 days post‐surgery. Conclusion: TLG‐SS laparoscopic technique can be employed safely and effectively in less time and is associated with a relatively short learning curve, which could encourage the widespread use of prophylactic laparoscopic gastropexy. [ABSTRACT FROM AUTHOR]