METHOD OF TRANSGASTRAL GASTROPEXY IN DOGS Russian patent published in 2019 - IPC A61D99/00 

FIELD: veterinary science.

SUBSTANCE: invention relates to veterinary medicine, in particular to surgical methods of fixing the stomach in the abdominal cavity, can be used to exclude the development of recurrence of the stomach turn in dogs and the prevention of this disease. In the method, the stomach is fixed to the abdominal wall. Lay the animal on the operating table, perform anesthesia, prepare the abdominal wall for surgical intervention. In the esophagus enter a gastroscopy, perform an internal examination of the stomach, assess its condition. With the use of diaphanoscopy, the optimal zone of gastric pexy is searched from the side of the abdominal wall in the right hypochondrium, the gastric wall in the area of the ventral wall of the antrum of the stomach is gastroscopically illuminated by a narrow, directed beam of light, perform external palpation of the intended zone of the pectus on the ventral abdominal wall with simultaneous control of the protrusion of the gastric wall from the action of the finger in the stomach through the gastroscope. Label the intended zone of the pectus from the side of the abdominal wall and from the side of the gastric wall. Under the control of the gastroscope, the first puncture of the abdominal wall and the adjacent gastric wall with a tubular needle is performed. Needle is inserted into the lumen of the stomach. Next to the first puncture, a second puncture is made with a needle with a grip loop. Under the control of the gastroscope, the introduction of the thread into the loop-grip is performed. Capture and withdraw the end of the thread along with the needle with a loop-grip outward. Thread is threaded through the ventral abdominal wall with the formation of nodes on the aponeurosis. Form 6 U-shaped seams, along the perimeter of the zone of pexy. From the stomach dissect the muscular and serous layer of the gastric wall along the central part of the marked zone of the pexy using a monopolar electrode. Dissect the parietal peritoneum and the muscular aponeurotic layer of the ventral abdominal wall. Sew incision is cut, postoperative punctures are treated.

EFFECT: tissues are minimally traumatized (point punctures with a needle 1 1/5 mm in diameter), there are no incisions and seams on the wall of the abdominal cavity, there is no contact of the abdominal cavity with the external environment, which minimizes the risk of infection and complications.

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