Hanifi EROL, Nuri YAVRU, Kurtuluş PARLAK, Mustafa ARICAN

Köpeklerde laparoskopik destekli gastropeksi ile klasik gastropeksi operasyonunun karşılaştırılması

Amaç: Profilaktik gastropeksi özellikle büyük ırk köpeklerde gastrik dilatasyon volvulus (GDV)'un önlenmesi için yapılan cerrahi bir uygulamadır. Bu çalışmada, GDV'nin profilaksisinde etkili olan klasik gastropeksi ile laparoskopik destekli gastropeksi yöntemleri iyileşmedeki etkileri ve uygulanma kolaylığı açısından karşılaştırıldı.Gereç ve Yöntem: Araştırma materyalini 12 adet köpek oluşturdu. Köpeklerin ağırlıkları ortalama 20-30 kg olarak belirlendi. Köpekler iki gruba ayrıldı. 1. Gruptaki köpeklere klasik gastropeksi (ventral orta hat gastropeksi) yöntemi uygulandı. 2. Gruptaki köpeklere ise laparoskopik destekli gastropeksi operasyonu uygulandı. Biyokimyasal analizler ve kan gazı muayeneleri için preoperatif dönem ve postoperatif 9. günde kan alınarak incelendi. Ultrasonografik muayeneler 5-7.5 MHz'lik konveks problar ile gerçekleştirildi. Postoperatif dönem 9. günde köpeklere direkt ve indirekt radyografik muayeneler yapıldı.Bulgular: Post-operatif olarak köpeklerin, 9 gün süreyle operasyon sonunda günlük kontrolleri yapıldı. Sonuçlar, her iki operatif tekniğin hızlı ve kolay uygulanabilirliğini ortaya koydu. Klasik gastropeksi için ortalama operasyon süresinin 20 dakika olduğu belirlenirken, laparoskopi grubunda bu sürenin 41.5 dakika ortalamasında olduğu belirlendi. Her iki cerrahi müdahalenin sonucunda post-operatif bakımda dikişlerin alınmasına kadar komplikasyonla karşılaşılmadı. Ultrasonografik muayenede, her iki grup için gastrik peristaltik kontraksiyonlar postoperatif 7. günde sayıldı. Klasik gastropeksi ve laparoskopik gastropekside 4-5 kontraksiyon ortalaması bulundu. Radyolojik muayene, midenin lokalizasyonu, ölçüsü, şekli, içeriği, gastrik rugal ve duvarda herhangi patolojik bir durum ile karşılaşılmadı.Öneri: Çalışma sonunda laparoskopik gastropeksi ve klasik gastropeksinin acil cerrahi müdahalelerde ve profilaktik amaç için uygulanabileceği önerildi.

Comparison of laparoscopic supported gastropexy and classic gastropexy operation on dogs

Aim: Prophylactic gastropexy is an applicated for prevention in large breed dogs, especially gastric dilatation volvulus (GDV)'s surgery. In this study, ventral midline gastropexy and laparoscopic gastropexy which are effect of prophylaxis of GDV were compared for prognosis and surgical intervention.Materials and Methods: The study material consisted of 12 dogs. Average weight of 20-30 kg dogs, respectively. The dogs were divided into two groups. The dogs in group 1 classic gastropexy method were applied. Laparoscopically assisted gastropexy was applied in dogs in group 2. Biochemical analysis and blood gas have been investigated for examination in the preoperative and postoperative period by the 9th day. Ultrasonographic examinations were performed with convex probe 5-7.5 MHz. Direct and indirect radiographic examinations were performed of postoperative period by 9th days.Results: Post-operatively, dogs, daily controlled for 9 days after the operation. The results of both operative techniques revealed fast and easy applicability. The average operating time for the classic gastropexy was 20 minutes. Laparoscopic group which time 41.5 minutes was determined to be average. There were no complications of both techniques of post-operative care. Postoperative gastric peristaltic contractions were counted on day 7 by ultrasonography for both groups. Classic laparoscopic supported gastropexy and found an average of 4-5 contraction. Radiologic examination of the stomach, location, size, shape, content, and rugal gastric wall were encountered with any pathological condition.Conclusions: At the end of the study, both techniques, laparoscopic and conventional gastropexy can be applied for emergency surgery and prophylactic interventions.

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