Prophylactic Gastropexy and Procedures
References: Ventral Gastropexy: JAVMA
The following are from Slatter - Textbook of Small Animal Surgery Vol. 1, 2nd Edition
Belt Loop Gastropexy, Circumcostal Gastropexy, Incisional Gastropexy, Tube Gastropexy
A more detailed description and image of each type of procedure is available via the links at the bottom of the page.

   Belt Loop Gastropexy  

Pros:
Fast, simple, strong.
Decreased risk of stomach leakage.
Stomach fixed to Right abdominal wall
Cons:
Requires more skill than incisional pexy

   Circumcostal Gastropexy  

Pros:
Strong
Decreased risk of stomach leakage
Stomach fixed to Right abdominal wall.
Cons:
Risk of pneumothorax
Risk of rib fracture
Requires more time to do
Procedure more difficult

   Incisional Gastropexy  

Pros:
Fast, simple
Stomach fixed to Right abdominal wall
Decreased risk of stomach leakage.
Cons:
More variation in healing and resultant strength
Relies on only a few sutures in place until adhesion forms.

   Ventral Gastropexy  

Pros:
Fast procedure
Decreased risk of stomach leakage
Cons:
Adhesions may impair future surgery if ever needed
Difficult procedure due to depth of the BH abdomen.

   Tube gastrotomy  

Pros:
Strong adhesions
Allows for release of built up gas/fluid post twisting
Cons:
Stomach has to be opened to insert tube
Risk of leakage
Special post-op management
Not as strong as other techniques
Premature failure of tube
Peritonitis, possible persistent fistula.

 Belt Loop Gastropexy 

 Circumcostal Gastropexy 

 Incisional Gastropexy 

 Ventral Gastropexy 

 Tube Gastrotomy

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