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Laparoscopic Mesh Incisional Hernioplasty in Five Horses

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To report a technique for incisional hernioplasty in horses using laparoscopic placement of a prosthetic mesh. Study Design

Case series. Animals

Horses (n=5) with ventral median abdominal incisional hernia. Methods

A telescope and 2 instrument portals were established bilaterally, lateral to and distant from the hernia margins. After exposure of the internal rectus sheath by removal of retroperitoneal fat with endoscopic scissors and monopolar cautery, a prosthetic mesh was introduced into the abdomen and secured intraperitoneally using transfascial sutures with or without supplemental endoscopic hernia fixation devices. Results

Successful placement of the prostheses was achieved without major intra- or postoperative complications. Repairs were intact in all horses (follow-up range: 6–23 months) without evidence of adhesion formation. Cosmetic results compared favorably with those typically achieved using conventional, open hernioplasty techniques. Conclusion

Incisional hernia repair in horses can be successfully achieved with a laparoscopic intraperitoneal mesh onlay technique. Clinical Relevance

Laparoscopic mesh hernioplasty has promise as a safe and effective method for repair of incisional hernias in horses.
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Document Type: Research Article

Affiliations: Departments of Large Animal Clinical Sciences and Small Animal Clinical Sciences, Michigan State University, East Lansing, MI

Publication date: 2009-04-01

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