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Comparison of primary closure of incisional hernias in horses with and without the use of prosthetic mesh support.
Abstract: Repair of incisional hernias in horses has been described previously; however, this report describes the outcome of primary closure of incisional hernias in a large number of horses and compares these results with those of mesh implantation. Objective: To report the perioperative care, complications and long-term outcome of primary closure of incisional hernias in horses and to compare these results with a second population of horses in which prosthetic mesh was used. Methods: Medical records of horses undergoing an incisional herniorrhaphy between 1998 and 2009 were reviewed. Information obtained included case details, factors from the initial surgery that contributed to the hernia formation, method of hernia repair and outcome. Comparisons between horses with and without mesh were made using logistic regression. Results: Thirty-eight horses with primary closure and 9 horses with mesh implantation met inclusion criteria. Long-term follow-up for cases in which a mesh was not used was available for 25 cases; of these, 21 horses (84%) had a normal cosmetic appearance and 4 (16%) had a visible defect. There was no significant difference between the 2 repair methods in terms of age, sex, breed, weight, size of the hernia, number of defects, timing of the repair or cosmetic outcome. Horses in which a mesh was used had significantly longer duration of surgery and hospitalisation, and were significantly more likely to develop post operative complications while having a longer duration of convalescence prior to return to use. Conclusions: Primary apposition of incisional hernias in horses without the use of mesh support appears to result in a good cosmetic outcome while avoiding the complications associated with mesh implantation in this population of horses. Conclusions: Surgical time, duration of hospitalisation, and post operative complications may be reduced by using this technique of primary repair and avoiding mesh implantation.
© 2011 EVJ Ltd.
Publication Date: 2011-08-04 PubMed ID: 21790757DOI: 10.1111/j.2042-3306.2011.00377.xGoogle Scholar: Lookup The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
- Case Reports
- Clinical Examination
- Clinical Findings
- Clinical Pathology
- Clinical Study
- Comparative Study
- Complications
- Disease Management
- Disease Treatment
- Equine Health
- Hernia
- Horses
- Hospitalization
- Longitudinal Study
- Post-Operative Period
- Retrospective Study
- Surgery
- Veterinary Medicine
- Veterinary Practice
- Veterinary Procedure
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
The article researches the use of prosthetic mesh for incisional hernia repair in horses versus primary closure without the mesh. The research found no significant cosmetic differences in both methods, but using the mesh led to more extended surgery and hospital stays, more postoperative complications, and longer recovery times.
Objective and Methods
- The research involved a comprehensive review of medical records of horses undergoing incisional herniorrhaphy, a surgical repair of an incisional hernia, between 1998 and 2009.
- The study aimed to observe and compare the outcomes of both primary closure and prosthetic mesh implantation in hernia repair on horses.
- It compiled data on details of each case, factors from the initial surgery that led to the hernia, the method of hernia repair, and the outcome.
- The comparison between horses treated with and without the mesh was made using logistic regression, a statistical method.
Results
- The research identified thirty-eight horses that underwent primary closure and nine that underwent mesh implantation that met the study’s criteria.
- Long-term follow-ups on horses without the use of mesh showed that 84% of the horses had a normal cosmetic appearance, while 16% had a visible defect.
- The study found no considerable difference between the two repair methods in terms of age, sex, breed, weight, the hernia’s size, number of defects, timing of the repair, or cosmetic outcome.
- However, horses where a mesh was used had a significantly longer surgery duration and hospital stay. These horses were also more likely to develop postoperative complications and had a longer convalescence period before they could return to function.
Conclusions
- The study suggests that the primary closure of incisional hernias in horses without the use of mesh support can produce a good cosmetic outcome while avoiding complications associated with mesh implantation in this horse population.
- The research also concludes that by using primary repair and avoiding mesh implantation, surgical time, duration of hospitalisation, and postoperative complications may be reduced.
Cite This Article
APA
Whitfield-Cargile CM, Rakestraw PC, Hardy J, Cohen ND, Davis BE.
(2011).
Comparison of primary closure of incisional hernias in horses with and without the use of prosthetic mesh support.
Equine Vet J Suppl(39), 69-75.
https://doi.org/10.1111/j.2042-3306.2011.00377.x Publication
Researcher Affiliations
- Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Texas A&M University, TX, USA. Canaanwhitfield@gmail.com
MeSH Terms
- Animals
- Female
- Hernia / etiology
- Hernia / veterinary
- Herniorrhaphy / instrumentation
- Herniorrhaphy / methods
- Herniorrhaphy / veterinary
- Horse Diseases / surgery
- Horses
- Male
- Postoperative Complications / therapy
- Postoperative Complications / veterinary
- Retrospective Studies
- Surgical Mesh / adverse effects
- Surgical Mesh / veterinary
Citations
This article has been cited 2 times.- Yadav I, Kumar R. Surgical repair of indirect inguinal hernia in bonnet macaque (Macaca radiata). Open Vet J 2022 Jul-Aug;12(4):434-438.
- Kolus CR, MacLeay JM, Hackett ES. Repair of an acquired diaphragmatic hernia with surgical mesh in a foal. Can Vet J 2017 Feb;58(2):145-148.
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