These patients will need to undergo a surgical procedure to decompress and return the stomach to its normal position within the abdominal cavity. The surgeon will need to assess the stomach and spleen for viability and in some cases a splenectomy will be indicated as may a partial gastrectomy id irreversible tissue damage has occurred.
A gastropexy is usually performed to prevent any reoccurrence of the condition. Recurrence rates are documented to be as high as 80% when a gastropexy is not performed.
It is paramount that the veterinary nurse is ready to go into theatre as soon as the triage phone call has been taken.
Pre operative clipping is not normally recommended as it has shown to significantly increase bacterial load on the skin resulting in increased risk of SSI rates. There is also some research that has shown that the longer an area of skin has been clipped for directly correlates to the rate of skin infection. In the GDV patient this is out weighed with the increased risks associated with anaesthesia and pre operative clipping should be performed as much as possible.
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