Difference between revisions of "Small Animal Soft Tissue Surgery Q&A 02"
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[[Image:SA ST Sx 02.jpg|centre|500px]] | [[Image:SA ST Sx 02.jpg|centre|500px]] | ||
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Gastric dilatation-volvulus. | Gastric dilatation-volvulus. | ||
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|q2=Describe the initial presurgical therapy. | |q2=Describe the initial presurgical therapy. | ||
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Gastric decompression is achieved by passing a stomach tube, percutaneous needle trocarization or temporary gastrostomy. | Gastric decompression is achieved by passing a stomach tube, percutaneous needle trocarization or temporary gastrostomy. | ||
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|q3=Describe the surgical correction of the problem, and name different surgical techniques to prevent recurrence. | |q3=Describe the surgical correction of the problem, and name different surgical techniques to prevent recurrence. | ||
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The stomach is secured in a normal position by attaching the pyloric antral region to the adjacent right abdominal wall. Gastropexy techniques include tube gastrostomy and circumcostal, belt loop and incision gastropexy. | The stomach is secured in a normal position by attaching the pyloric antral region to the adjacent right abdominal wall. Gastropexy techniques include tube gastrostomy and circumcostal, belt loop and incision gastropexy. | ||
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</FlashCard> | </FlashCard> | ||
Revision as of 13:47, 29 September 2011
An eight-year-old St. Bernard is presented with signs of depression, abdominal distension and non-productive vomiting.
| Question | Answer | Article | |
| What is the most likely diagnosis? | Gastric dilatation-volvulus. |
[[|Link to Article]] | |
| Describe the initial presurgical therapy. | Initial treatment consists of gastric decompression and treatment of shock. Gastric decompression is achieved by passing a stomach tube, percutaneous needle trocarization or temporary gastrostomy. |
[[|Link to Article]] | |
| Describe the surgical correction of the problem, and name different surgical techniques to prevent recurrence. | A standard midline laparotomy is performed and the stomach is repositioned and decompressed. Stomach contents are removed using a large stomach tube or through a gastrotomy incision. The viability of the stomach is evaluated and non-viable parts are resected. The spleen is repositioned and inspected. Splenectomy is performed if viability is in doubt. The stomach is secured in a normal position by attaching the pyloric antral region to the adjacent right abdominal wall. Gastropexy techniques include tube gastrostomy and circumcostal, belt loop and incision gastropexy. |
[[|Link to Article]] | |
