Mesh Incisional Hernioplasty

Single‐port laparoscopic incisional hernia repair in a horse

“…It has 2 reduction caps that allow insertion of 5–12 mm instruments or laparoscopes, and it is sufficiently large (without reduction caps) to allow the insertion of the rolled‐up mesh into the abdomen. The placement of only one trocar on the linea alba instead of multiple ports lateral to the hernia (as reported by Caron) (Caron and Mehler ; Caron ) can reduce pain and seroma formation at the trocar site by avoiding passage through muscles and damage to abdominal‐wall vessels.…”

“…The major drawbacks of operative laparoscopes are the need for long (42-45 cm) instruments, the simultaneous movement of the instrument with the laparoscope, and the coaxial telescope viewing axis and instrument working axis, which prevent triangulation. In equine laparoscopy, because of the dimensions of the cases, long instruments are usually recommended (Caron 2012) and thus are part of a typical equine laparoscopic set. Only a short period of adaptation is needed to master the simultaneous movement of laparoscope and instrument (Lee et al 2012), while the coaxial view and working direction may be ideal (Rhee et al 2014).…”

“…In horses, anchoring of the mesh using full-thickness sutures through the abdominal wall at 4-5 cm intervals has been considered a quick and adequate method (Rijkenhuizen 2005;Caron 2012). Staples or tacks are other options for mesh fixation (Gandini and Giusto 2014), but serious complications, such as adhesions and intestinal lesions (Karahasanoglu et al 2004;Heltmeier and Groebli 2013), have been reported without significant reduction in abdominal pain (Reynvoet et al 2014).…”