Mesh hernioplasty for repair of incisional hernias of the ventral body wall in large horses

Mesh repair of a large ventral hernia with interposition of omentum in a calf: a case report

“…In horses similar results have been obtained with sutures and mesh implantation in ventral hernia repair (Elce et al 2005;Whitfield-Cargile et al 2011), whereas in cattle mesh implantation has been associated with a higher complication rate in umbilical hernias (Kawcak and Stashak 1995). Nevertheless, simple repair with suture alone may not be effective in repairing large defects, and this could lead to recurrence of the hernia or muscle tearing (Tulleners and Fretz 1983;Elce et al 2005;Whitfield-Cargile et al 2011). In the case reported, the defect was large and a simple repair was not achievable due to the lack of sufficient tissue for safe anchoring of the sutures under tension.…”

“…This condition may lead the surgeon to prefer a mesh implant, although it is demanding in terms of surgical skills and time, more expensive and may lead to higher complication rated compared with suture repair (Williams et al 2014). In horses similar results have been obtained with sutures and mesh implantation in ventral hernia repair (Elce et al 2005;Whitfield-Cargile et al 2011), whereas in cattle mesh implantation has been associated with a higher complication rate in umbilical hernias (Kawcak and Stashak 1995). Nevertheless, simple repair with suture alone may not be effective in repairing large defects, and this could lead to recurrence of the hernia or muscle tearing (Tulleners and Fretz 1983;Elce et al 2005;Whitfield-Cargile et al 2011).…”

“…Trauma was the most probable cause in our case, as the hernia appeared 15 days after the birth of the animal. Although small abdominal wall defects can be treated with good results, the outcome for larger defects is variable, both in humans (Sorour 2014) and large animals (Elce et al 2005;Whitfield-Cargile et al 2011).…”

“…Generally, the prognosis of ventral hernia repair with a tension-free mesh implantation is associated with a fair-to-good prognosis even for defects up to 30 × 20 cm but complications such as wound infection, seromas, sinus formation, mesh extrusion, and fistula formation may arise (Tulleners and Fretz 1983;Elce et al 2005;Bernard et al 2007;Whitfield-Cargile et al 2011). Polypropylene mesh is one of the most commonly used prosthetic materials for large ventral hernia repair in large animals (Tulleners and Fretz 1983;Finan et al 2009).…”

Repair of abdominal wall hernias using acellular dermal matrix in goats

“…Acellular tissue matrices are biocompatible, slowly degraded upon implantation and are replaced and remodelled by the extracellular matrix proteins synthesised and secreted by ingrowing host cells (Pariente et al 2001). Elce et al (2005) reported a relatively high incidence of post-operative complications associated with retroperitoneal placement of a synthetic mesh material, such as tearing of the internal abdominal oblique muscle and incisional swelling and drainage. However, in the present study, no post-operative complications were observed after retroperitoneal placement of ADM in any animals at least up to 6 months after their repair.…”