Biomechanical Analysis of Laparoscopic Incisional Gastropexy With Intracorporeal Suturing Using Knotless Polyglyconate. Issue 1 (11th March 2014)

• Record Type: Journal Article
• Authors: Imhoff, Darren J.; Cohen, Andrea; Monnet, Eric
• Is Part Of: Veterinary surgery. Volume 44:Issue 1(2015)
• Page Start: 39
• Page End: 43
• Publication Date: 2014-03-11
• Subjects: Veterinary surgery -- Periodicals; Veterinary Medicine -- Periodicals; Surgery -- Periodicals; Societies, Medical -- Periodicals; 636.0897
• DOI: 10.1111/j.1532-950X.2014.12177.x
• Languages: English
• ISSNs: 0161-3499

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="vsu12177-sec-0001" sec-type="section"> <title>Objective</title> <p>To evaluate load to failure of laparoscopic incisional gastropexy performed with intracorporeal suturing using knotless polyglyconate (KP).</p> </sec> <sec id="vsu12177-sec-0002" sec-type="section"> <title>Study Design</title> <p>Cadaveric study.</p> </sec> <sec id="vsu12177-sec-0003" sec-type="section"> <title>Animals</title> <p>Canine cadavers (n = 12).</p> </sec> <sec id="vsu12177-sec-0004" sec-type="section"> <title>Methods</title> <p>Laparoscopic incisional gastropexy using 2 strands of KP was performed in 6 canine cadavers and by an open approach in 6 cadavers. Length of the gastropexy, number of suture bites on each side of the gastropexy, and number of inadvertent full thickness gastric suture bites were recorded. Load to failure was measured.</p> </sec> <sec id="vsu12177-sec-0005" sec-type="section"> <title>Results</title> <p>There was no significant difference in mean (±SD) gastropexy load to failure for the open (46.3 ± 19.6 N) and laparoscopic (69.0 ± 26.0 N) approaches (<italic>P</italic> = .123). No significant differences between laparoscopic and open approaches were detected for mean stomach (3.1 ± 0.1 cm; 3.0 ± 0.2 cm; <italic>P</italic> = .353) or abdominal wall (3.1 ± 0.2 cm; 3.0 ± 0.2 cm; <italic>P</italic> = .553) incision lengths. There was no significant difference between groups for number of suture bites medially (<italic>P</italic> = .448) or laterally (<italic>P</italic> = .363). There were 3 instances of a single gastric intraluminal suture for the laparoscopic group and none for the open approach (<italic>P</italic> = .023).</p> </sec> <sec id="vsu12177-sec-0006" sec-type="section"> <title>Conclusion</title> <p>Incisional gastropexy performed with laparoscopic intracorporeal suturing and KP has a load to failure that is comparable with an open method. Load to failure was similar to reported values for open incisional gastropexy with knotless glycomer 631.</p> </sec> </abstract>