{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T13:40:26Z","timestamp":1741354826935,"version":"3.38.0"},"reference-count":27,"publisher":"American Veterinary Medical Association (AVMA)","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2023,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>To compare the acute strength (failure load and work to failure) of standard incisional gastropexy (SIG) and modified incisional gastropexy (MIG).<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>ANIMALS<\/jats:title>\n<jats:p>37 pig cadavers.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>PROCEDURES<\/jats:title>\n<jats:p>Stomachs and right abdominal walls were harvested from pigs euthanized for reasons unrelated to this study. The tissues were stored in lactated Ringer\u2019s solution overnight in a 5 \u00b0C cooler. Matching body wall and stomach tissue pairs were randomized and divided into 2 groups, on which either SIG or MIG was performed the following day. The MIG technique was identical to SIG except 2 additional simple interrupted sutures, 1 cranial and 1 caudal to the continuous suture line, were placed full thickness into the stomach to ensure engagement of the submucosa. After gastropexy, the samples underwent biomechanical testing. Information regarding change in position and load was generated by the MTESTQuattro software. Mode of failure was examined after the procedure was complete.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>The MIG had higher failure load and work to failure compared to SIG. All failures were caused by gastric tissue tearing.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CLINICAL RELEVANCE<\/jats:title>\n<jats:p>The MIG is biomechanically superior to SIG and may provide more security than SIG during healing. However, clinical study is needed to ascertain if there is a difference in gastropexy failure and complications between these 2 techniques.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/javma.23.03.0141","type":"journal-article","created":{"date-parts":[[2023,7,18]],"date-time":"2023-07-18T12:07:10Z","timestamp":1689682030000},"page":"1345-1350","source":"Crossref","is-referenced-by-count":1,"title":["Addition of two full-thickness simple interrupted sutures to standard incisional gastropexy increases gastropexy biomechanical strength"],"prefix":"10.2460","volume":"261","author":[{"given":"Yi","family":"Pan","sequence":"first","affiliation":[{"name":"Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia, MO"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F. A.","family":"Mann","sequence":"additional","affiliation":[{"name":"Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia, MO"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colette","family":"Wagner-Mann","sequence":"additional","affiliation":[{"name":"Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia, MO"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. A.","family":"Winholtz","sequence":"additional","affiliation":[{"name":"Department of Mechanical and Aerospace Engineering, College of Engineering, University of Missouri, Columbia, MO"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"issue":"2","key":"ref1","series-title":"J Am Anim Hosp Assoc","first-page":"97","article-title":"A retrospective study of factors influencing survival following surgery for gastric dilatation-volvulus syndrome in 306 dogs","volume":"46","author":"Mackenzie G","year":"2010","unstructured":"Mackenzie G, Barnhart M, Kennedy S, DeHoff W, Schertel E. A retrospective study of factors influencing survival following surgery for gastric dilatation-volvulus syndrome in 306 dogs. J Am Anim Hosp Assoc. 2010;46(2):97-102. doi:10.5326\/0460097"},{"issue":"1","key":"ref2","series-title":"J Vet Emerg Crit Care (San Antonio)","first-page":"36","article-title":"Evaluation of initial plasma lactate values as a predictor of gastric necrosis and initial and subsequent plasma lactate values as a predictor of survival in dogs with gastric dilatation-volvulus: 84 dogs (2003-2007)","volume":"21","author":"Green TI","year":"2011","unstructured":"Green TI, Tonozzi CC, Kirby R, Rudloff E. Evaluation of initial plasma lactate values as a predictor of gastric necrosis and initial and subsequent plasma lactate values as a predictor of survival in dogs with gastric dilatation-volvulus: 84 dogs (2003-2007). J Vet Emerg Crit Care (San Antonio). 2011;21(1):36-44. doi:10.1111\/j.1476-4431.2010.00599.x"},{"issue":"3","key":"ref3","series-title":"J Vet Emerg Crit Care (San Antonio)","first-page":"247","article-title":"Myoglobin as a prognostic indicator for outcome in dogs with gastric dilatation-volvulus","volume":"19","author":"Adamik KN","year":"2009","unstructured":"Adamik KN, Burgener IA, Kovacevic A, Schulze SP, Kohn B. Myoglobin as a prognostic indicator for outcome in dogs with gastric dilatation-volvulus. J Vet Emerg Crit Care (San Antonio). 2009;19(3):247-253. doi:10.1111\/j.1476-4431.2009.00421.x"},{"issue":"9","key":"ref4","series-title":"J Am Vet Med Assoc","first-page":"1334","article-title":"Evaluation of lidocaine treatment and risk factors for death associated with gastric dilatation and volvulus in dogs: 112 cases (1997-2005)","volume":"230","author":"Buber T","year":"2007","unstructured":"Buber T, Saragusty J, Ranen E, Epstein A, Bdolah-Abram T, Bruchim Y. Evaluation of lidocaine treatment and risk factors for death associated with gastric dilatation and volvulus in dogs: 112 cases (1997-2005). J Am Vet Med Assoc. 2007;230(9):1334-1339. doi:10.2460\/javma.230.9.1334"},{"issue":"12","key":"ref5","series-title":"J Am Vet Med Assoc","first-page":"1934","article-title":"Risk factors associated with short-term outcome and development of perioperative complications in dogs undergoing surgery because of gastric dilatation-volvulus: 166 cases (1992-2003)","volume":"229","author":"Beck JJ","year":"2006","unstructured":"Beck JJ, Staatz AJ, Pelsue DH,  Risk factors associated with short-term outcome and development of perioperative complications in dogs undergoing surgery because of gastric dilatation-volvulus: 166 cases (1992-2003). J Am Vet Med Assoc. 2006;229(12):1934-1939. doi:10.2460\/javma.229.12.1934"},{"key":"ref6","series-title":"Gastrointestinal Surgical Techniques in Small Animals","first-page":"165","article-title":"Gastropexy","author":"Smeak DD","year":"2020","unstructured":"Smeak DD. Gastropexy. In: Monnet E, Smeak DD, eds. Gastrointestinal Surgical Techniques in Small Animals. Wiley Blackwell; 2020:165-178. doi:10.1002\/9781119369257.ch23"},{"issue":"3","key":"ref7","series-title":"Top Companion Anim Med","first-page":"77","article-title":"Gastropexy for prevention of gastric dilatation-volvulus in dogs: history and techniques","volume":"29","author":"Allen P","year":"2014","unstructured":"Allen P, Paul A. Gastropexy for prevention of gastric dilatation-volvulus in dogs: history and techniques. Top Companion Anim Med. 2014;29(3):77-80. doi:10.1053\/j.tcam.2014.09.001"},{"issue":"3","key":"ref8","series-title":"J Am Anim Hosp Assoc","first-page":"185","article-title":"Efficacy of incisional gastropexy for prevention of GDV in dogs","volume":"49","author":"Benitez ME","year":"2013","unstructured":"Benitez ME, Schmiedt CW, Radlinsky MG, Cornell KK. Efficacy of incisional gastropexy for prevention of GDV in dogs. J Am Anim Hosp Assoc. 2013;49(3):185-189. doi:10.5326\/JAAHA-MS-5849"},{"issue":"3","key":"ref9","series-title":"J Am Anim Hosp Assoc","first-page":"253","article-title":"A prospective study of survival and recurrence following the acute gastric dilatation-volvulus syndrome in 136 dogs","volume":"34","author":"Glickman LT","year":"1998","unstructured":"Glickman LT, Lantz GC, Schellenberg DB, Glickman NW. A prospective study of survival and recurrence following the acute gastric dilatation-volvulus syndrome in 136 dogs. J Am Anim Hosp Assoc. 1998;34(3):253-259. doi:10.5326\/15473317-34-3-253"},{"issue":"2","key":"ref10","series-title":"J Am Anim Hosp Assoc","first-page":"147","article-title":"Recurrence of gastric dilatation-volvulus after incisional gastropexy in a Rottweiler","volume":"42","author":"Hammel SP","year":"2006","unstructured":"Hammel SP, Novo RE. Recurrence of gastric dilatation-volvulus after incisional gastropexy in a Rottweiler. J Am Anim Hosp Assoc. 2006;42(2):147-150. doi:10.5326\/0420147"},{"key":"ref11","series-title":"Master\u2019s thesis","article-title":"A retrospective study of the recurrence rate of gastric-dilatation volvulus after incisional gastropexy in dogs","author":"Hoogzand J","year":"2016","unstructured":"Hoogzand J. A retrospective study of the recurrence rate of gastric-dilatation volvulus after incisional gastropexy in dogs. Master\u2019s thesis. Utrecht University; 2016."},{"key":"ref12","series-title":"Master\u2019s thesis","article-title":"Long term follow up after incisional gastropexy","author":"Theisens L","year":"2017","unstructured":"Theisens L. Long term follow up after incisional gastropexy. Master\u2019s thesis. Utrecht University; 2017."},{"issue":"1","key":"ref13","series-title":"Vet Med","first-page":"39","article-title":"Using a modified gastropexy technique to prevent recurrence of gastric dilatation-volvulus in dogs","volume":"96","author":"Degna MT","year":"2001","unstructured":"Degna MT, Formaggini L, Fondati A,  Using a modified gastropexy technique to prevent recurrence of gastric dilatation-volvulus in dogs. Vet Med. 2001;96(1):39-50."},{"key":"ref14","series-title":"Veterinary Surgery Small Animal","first-page":"1700","article-title":"Stomach","author":"Cornell K","year":"2018","unstructured":"Cornell K. Stomach. In: Johnston SA, Tobias KM, eds. Veterinary Surgery Small Animal. Elsevier; 2018:1700-1730."},{"key":"ref15","series-title":"R Foundation for Statistical Computing","article-title":"R: a language and environment for statistical computing","year":"2022","unstructured":"R: a language and environment for statistical computing. Version 4.2.0. R Foundation for Statistical Computing; 2022."},{"issue":"10","key":"ref16","series-title":"Can Vet J","first-page":"981","article-title":"Occurrence and recurrence of gastric dilatation with or without volvulus after incisional gastropexy","volume":"55","author":"Przywara JF","year":"2014","unstructured":"Przywara JF, Abel SB, Peacock JT, Shott S. Occurrence and recurrence of gastric dilatation with or without volvulus after incisional gastropexy. Can Vet J. 2014;55(10):981-984."},{"issue":"6","key":"ref17","series-title":"Vet Surg","first-page":"933","article-title":"Influence of length of incision and number of suture lines on the biomechanical properties of incisional gastropexy","volume":"48","author":"Webb RJ","year":"2019","unstructured":"Webb RJ, Monnet E. Influence of length of incision and number of suture lines on the biomechanical properties of incisional gastropexy. Vet Surg. 2019;48(6):933-937. doi:10.1111\/vsu.13262"},{"issue":"3","key":"ref18","series-title":"Vet Surg","first-page":"166","article-title":"Biomechanical evaluation of gastropexy techniques in the dog","volume":"12","author":"Levine SH","year":"1983","unstructured":"Levine SH, Caywood DD. Biomechanical evaluation of gastropexy techniques in the dog. Vet Surg. 1983;12(3):166-169. doi:10.1111\/j.1532-950X.1983.tb00733.x"},{"issue":"3","key":"ref19","series-title":"Vet Surg","first-page":"235","article-title":"Evaluation of percutaneous gastrostomy as a technique for permanent gastropexy","volume":"26","author":"Waschak MJ","year":"1997","unstructured":"Waschak MJ, Payne JT, Pope ER, Jones BD, Wagner-Mann CC. Evaluation of percutaneous gastrostomy as a technique for permanent gastropexy. Vet Surg. 1997;26(3):235-241. doi:10.1111\/j.1532-950x.1997.tb01491.x"},{"issue":"11","key":"ref20","series-title":"Am J Vet Res","first-page":"1020","article-title":"Biomechanical comparison of two percutaneous gastropexy techniques for securing percutaneous endoscopic gastrostomy tubes in canine cadavers","volume":"80","author":"Bishop BA","year":"2019","unstructured":"Bishop BA, Gallagher AE. Biomechanical comparison of two percutaneous gastropexy techniques for securing percutaneous endoscopic gastrostomy tubes in canine cadavers. Am J Vet Res. 2019;80(11):1020-1025. doi:10.2460\/ajvr.80.11.1020"},{"issue":"4","key":"ref21","series-title":"Vet Surg","first-page":"456","article-title":"Description and biomechanical comparison of a percutaneous radiologic gastropexy technique in a canine cadaver model","volume":"45","author":"Culp WT","year":"2016","unstructured":"Culp WT, Balsa IM, Kim SY,  Description and biomechanical comparison of a percutaneous radiologic gastropexy technique in a canine cadaver model. Vet Surg. 2016;45(4):456-463. doi:10.1111\/vsu.12475"},{"issue":"suppl 1","key":"ref22","series-title":"Vet Surg","first-page":"39","article-title":"Biomechanical analysis of laparoscopic incisional gastropexy with intracorporeal suturing using knotless polyglyconate","volume":"44","author":"Imhoff DJ","year":"2015","unstructured":"Imhoff DJ, Cohen A, Monnet E. Biomechanical analysis of laparoscopic incisional gastropexy with intracorporeal suturing using knotless polyglyconate. Vet Surg. 2015;44(suppl 1):39-43. doi:10.1111\/j.1532-950X.2014.12177.x"},{"issue":"7","key":"ref23","series-title":"Am J Vet Res","first-page":"594","article-title":"Biomechanical evaluation of an absorbable fixation strap for use in total laparoscopic gastropexy in dogs","volume":"81","author":"Fracassi L","year":"2020","unstructured":"Fracassi L, Crovace AM, Staffieri F, Lacitignola L. Biomechanical evaluation of an absorbable fixation strap for use in total laparoscopic gastropexy in dogs. Am J Vet Res. 2020;81(7):594-599. doi:10.2460\/ajvr.81.7.594"},{"issue":"6","key":"ref24","series-title":"Cir Esp","first-page":"377","article-title":"Polypropylene and polydioxanone show similar biomechanical efficacy in midline closure [Polipropileno frente a polidioxanona: igual eficacia biomec\u00e1nica en cierres de la l\u00ednea media]","volume":"78","author":"Bell\u00f3n JM","year":"2005","unstructured":"Bell\u00f3n JM, Rodr\u00edguez M, Serrano N, Garc\u00eda-Honduvilla N, G\u00f3mez V, Buj\u00e1n J. Polypropylene and polydioxanone show similar biomechanical efficacy in midline closure [Polipropileno frente a polidioxanona: igual eficacia biomec\u00e1nica en cierres de la l\u00ednea media]. Cir Esp. 2005;78(6):377-381."},{"issue":"2","key":"ref25","series-title":"Korean J Vet Res","first-page":"49","article-title":"A comparison of leak pressures between esophageal to esophageal anastomosis and esophageal to jejunal anastomosis","volume":"60","author":"Cunningham DP","year":"2020","unstructured":"Cunningham DP, Middleton JR, Mann FA. A comparison of leak pressures between esophageal to esophageal anastomosis and esophageal to jejunal anastomosis. Korean J Vet Res. 2020;60(2):49-54. doi:10.14405\/kjvr.2020.60.2.49"},{"issue":"7","key":"ref26","series-title":"Am J Vet Res","first-page":"787","article-title":"Evaluation of leak pressure and closure time for double-layer esophagotomy closure with an interrupted or a continuous suture pattern","volume":"79","author":"Schenk AP","year":"2018","unstructured":"Schenk AP, Mann FA, Middleton JR, Aeschlimann KA. Evaluation of leak pressure and closure time for double-layer esophagotomy closure with an interrupted or a continuous suture pattern. Am J Vet Res. 2018;79(7):787-791. doi:10.2460\/ajvr.79.7.787"},{"issue":"5","key":"ref27","series-title":"Am J Vet Res","first-page":"576","article-title":"Comparison of enterotomy leak pressure among fresh, cooled, and frozen-thawed porcine jejunal segments","volume":"79","author":"Aeschlimann KA","year":"2018","unstructured":"Aeschlimann KA, Mann FA, Middleton JR, Belter RC. Comparison of enterotomy leak pressure among fresh, cooled, and frozen-thawed porcine jejunal segments. Am J Vet Res. 2018;79(5):576-580. doi:10.2460\/ajvr.79.5.576"}],"container-title":["Journal of the American Veterinary Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/261\/9\/javma.23.03.0141.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/261\/9\/javma.23.03.0141.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/261\/9\/javma.23.03.0141.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T13:01:55Z","timestamp":1741352515000},"score":1,"resource":{"primary":{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/261\/9\/javma.23.03.0141.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,1]]},"references-count":27,"journal-issue":{"issue":"9"},"URL":"https:\/\/doi.org\/10.2460\/javma.23.03.0141","relation":{},"ISSN":["0003-1488"],"issn-type":[{"type":"print","value":"0003-1488"}],"subject":[],"published":{"date-parts":[[2023,9,1]]}}}