The February 2009 Surgical Views column, "Laparoscopic-Assisted and Laparoscopic Prophylactic Gastropexy: Indications and Techniques," by Drs. Jeffrey Runge, Philipp Mayhew, and Clarence Rawlings, describes minimally invasive techniques that can be used as alternatives to open surgical gastropexy. These three videos, contributed by Dr. Mayhew, show some aspects of those techniques.
Video 1: Laparoscopic-Assisted Gastropexy
This video shows the stomach wall being exteriorized with the use of DuVall forceps, followed by stay suture placement. The initial suturing of the seromuscular layer of the stomach wall to the transversus abdominis muscle is also shown. This video has been edited and speeded up and does not depict the entire procedure.
Video 2: Laparoscopic Gastropexy: Incision
This video shows the incisions that are made within the transversus abdominis and seromuscular layer of the stomach before suturing. This video has been edited and speeded up and does not depict the entire procedure.
Video 3: Laparoscopic Gastropexy: Suturing
This video depicts part of the suturing of the gastropexy using laparoscopic needle holders. Note that the lateral wall of the gastropexy has already been sutured. This video has been edited and speeded up and does not depict the entire procedure.
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Laparoscopic Gastropexy: Incision