![](https://focusandflourish.com/wp-content/uploads/2024/05/GDV-1175-1030x846.jpg)
Fully narrated surgical videos.
In depth guide and more.
Pre-operative diagnostics:
• Right lateral abdominal radiograph confirming the GDV.
Cardiovascular stabilization:
• I.V. fluids shock rate.
• Decompress the stomach.
Prepare for surgery:
• Have orogastric tube, pump and 2 buckets.
• Large abdominal shave.
• Prep the patient in lateral recumbency if possible.
• Ideally have the surgeon scrubbed and ready in the OR.
• Death is certain without intervention.
• The twist will not “undo” itself.
• Time is of the essence.
• The gastropexy can prevent the twist from occurring but the pet may still bloat.
• Consider potential risk factors for bloat (diet, stress, genetics).
![](https://focusandflourish.com/wp-content/uploads/2024/05/1-1030x687.png)
- Figure 1
![](https://focusandflourish.com/wp-content/uploads/2024/05/2-1030x687.png)
- Figure 2
![](https://focusandflourish.com/wp-content/uploads/2024/05/3-1030x687.png)
- Figure 3
![](https://focusandflourish.com/wp-content/uploads/2024/05/4-1030x687.png)
- Figure 4
![](https://focusandflourish.com/wp-content/uploads/2024/05/6-1030x687.png)
- Figure 5
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- Figure 6
• Laparotomy sponges
• Balfours (large)
• Extra hemostats (in case of splenectomy or gastric resection)
• Suction for abdominal lavage
• 2-0 PDSTM for the gastropexy
• Will very likely require overnight monitoring.
• Manage the pain.
• IV fluids (rate according to patient’s cardiovascular stability).
• Consider monitoring for arrhythmias.
• Consider GI motility modifying drugs.
• Consider esophageal and gastric protectants.
• Restricted activity until abdominal incision has healed.
The most difficult part about these cases is feeling confident that you are managing them properly.
This workshop offers a narrated video filled with the important information for stabilizing, sedating, anesthetizing and monitoring
these patients by Dr Nancy Brock.
Dr Sylvestre delivers information on how to prepare for surgery, how to decompress the stomach giving you tips and tricks
for making it work; and of course there are videos filled with detailed information on what to expect at surgery; what to do and what to look for, how to perform an incisional gastropexy and of course, how to stay out of trouble.
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