{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T16:11:09Z","timestamp":1768407069415,"version":"3.49.0"},"reference-count":34,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T00:00:00Z","timestamp":1738540800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Vet. Sci."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Total laparoscopic gastropexy (TLG) has become increasingly popular due to its minimally invasive nature, requiring only three ports and no additional skin incisions aside from those for port placement. However, a notable limitation of TLG is the difficulty and time required for intracorporeal suturing. To address this challenge, we investigated a new technique\u2014modified laparoscopic-assisted percutaneous gastropexy (mLAPG)\u2014in canine cadavers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials &amp;amp; methods<\/jats:title><jats:p>Twelve canine cadavers were divided into mLAPG (<jats:italic>n<\/jats:italic>\u202f=\u202f6) and TLG (<jats:italic>n<\/jats:italic>\u202f=\u202f6) groups. mLAPG was performed using a knotless barbed suture with two ports, and TLG was performed using a single-layer continuous barbed suture. Both methods employed a suture length of 3\u202fcm and four suture bites. The total surgical time (TST) and gastropexy suturing time (GST) were recorded. Upon completion of the procedure, the stomach and body wall, including pexy site, were collected to evaluate the maximum load to failure of the gastropexies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No significant differences were observed in the TST between the mLAPG (61.83\u202f\u00b1\u202f4.80\u202fmin) and TLG (65.33\u202f\u00b1\u202f12.05\u202fmin) groups (<jats:italic>p<\/jats:italic>\u202f=\u202f0.538). The GST showed no significant difference between the mLAPG group (31.33\u202f\u00b1\u202f3.13\u202fmin) and the TLG group (37.5\u202f\u00b1\u202f7.06\u202fmin) (<jats:italic>p<\/jats:italic>\u202f=\u202f0.095). The mLAPG group (35.86\u202f\u00b1\u202f8.24\u202fN) had a significantly higher maximum load to failure than the TLG group (24.04\u202f\u00b1\u202f7.16\u202fN) (<jats:italic>p<\/jats:italic>\u202f=\u202f0.024).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results of this study suggest that the mLAPG, with its minimal invasiveness, absence of an intracorporeal suturing process, and high tensile strength can be clinically applied for gastropexy in dogs. However, further clinical trials are warranted to further validate this technique and confirm its effectiveness.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fvets.2024.1509728","type":"journal-article","created":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T06:36:51Z","timestamp":1738564611000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Description and biomechanical evaluation of the modified laparoscopic-assisted percutaneous gastropexy technique in dogs"],"prefix":"10.3389","volume":"11","author":[{"given":"Dong Woo","family":"Kim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ho Hyun","family":"Kwak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junhyung","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heung Myong","family":"Woo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,2,3]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"317","DOI":"10.1016\/j.cvsm.2021.11.004","article-title":"Updated information on gastric dilatation and volvulus and gastropexy in dogs","volume":"52","author":"Rosselli","year":"2022","journal-title":"Vet Clin North Am Small Anim Pract"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"152","DOI":"10.5326\/JAAHA-MS-6879","article-title":"Simplified minimally invasive surgical approach for prophylactic laparoscopic gastropexy in 21 cases","volume":"55","author":"Deroy","year":"2019","journal-title":"J Am Anim Hosp Assoc"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"932","DOI":"10.1111\/j.1532-950X.2013.12043.x","article-title":"Evaluation of two novel self-anchoring barbed sutures in a prophylactic laparoscopic gastropexy compared with intracorporeal tied knots","volume":"42","author":"Spah","year":"2013","journal-title":"Vet Surg"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1053\/j.tcam.2014.09.001","article-title":"Gastropexy for prevention of gastric dilatation-volvulus in dogs: history and techniques","volume":"29","author":"Allen","year":"2014","journal-title":"Top Companion Anim Med"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"O95","DOI":"10.1111\/vsu.12570","article-title":"Laparoscopic gastropexy using knotless unidirectional suture and an articulated endoscopic suturing device: seven cases","volume":"45","author":"Coleman","year":"2016","journal-title":"Vet Surg"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1002","DOI":"10.1111\/vsu.12722","article-title":"Comparison of laparoscopic gastropexy performed via intracorporeal suturing with knotless unidirectional barbed suture using a needle driver versus a roticulated endoscopic suturing device: 30 cases","volume":"46","author":"Coleman","year":"2017","journal-title":"Vet Surg"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"177","DOI":"10.2460\/javma.236.2.177","article-title":"Evaluation of short-and long-term complications after endoscopically assisted gastropexy in dogs","volume":"236","author":"Dujowich","year":"2010","journal-title":"J Am Vet Med Assoc"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"255","DOI":"10.3390\/ani11020255","article-title":"Outcomes and complications in a case series of 39 total laparoscopic prophylactic gastropexies using a modified technique","volume":"11","author":"Giaconella","year":"2021","journal-title":"Animals"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"e113","DOI":"10.1002\/vetr.113","article-title":"Comparison of total laparoscopic gastropexy with the ethicon securestrap fixation device versus knotless barbed suture in 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cannulas","volume":"239","author":"Case","year":"2011","journal-title":"J Am Vet Med Assoc."}],"container-title":["Frontiers in Veterinary Science"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fvets.2024.1509728\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T06:36:54Z","timestamp":1738564614000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fvets.2024.1509728\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,3]]},"references-count":34,"alternative-id":["10.3389\/fvets.2024.1509728"],"URL":"https:\/\/doi.org\/10.3389\/fvets.2024.1509728","relation":{},"ISSN":["2297-1769"],"issn-type":[{"value":"2297-1769","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,3]]},"article-number":"1509728"}}