DOI: 10.5176/2382-5685_VETSCI15.27
Authors: Hirra Anjum, Shehla Gul Bokhari*, Muhammad Arif Khan, Muhammad Avais, Zia Ullah Mughal, Hafiz Kashif Shahzad, Farah Ijaz, Mazhar Iqbal Siddiqui, Imdad Ullah Khan, Ayesha Safdar Chaudhry, Sadaf Aslam, Hamid Akbar, Muhammad Asif, Muhammad Kashif Maan, Mumtaz Ali Khan, Aamir Noor, Wajid Ali Khan, Azmat Ullah and Muhammad Abid Hayat and Raheela Akhtar
Abstract:
In this study, efficacy of prolene-vicryl composite mesh was assessed against the conventional non-absorbable prolene mesh, for ventral hernia repair in dogs. Evaluation parameters included adhesion formation and mesh shrinkage as short term complications. Eight healthy mongrel dogs were selected and randomly divided into two groups, A and B. In both groups, an experimental laparotomy was performed and the posterior rectus sheath and peritoneum were sutured, while, a defect of 5x5 cm was created in the rectus muscle belly and anterior rectus sheath. For sublay hernioplasty, the mesh (Prolene mesh in group A; Prolene-vicryl composite mesh in group B), was implanted over the posterior rectus sheath. Post-operatively, pain associated with implant placement was significantly lesser (P<0.001) in Group B. Similarly, mesh shrinkage was significantly lesser (21.42{6e6090cdd558c53a8bc18225ef4499fead9160abd3419ad4f137e902b483c465}, P<0.05) than the Prolene mesh Group A, in which mesh shrinkage was recorded up to 58.18{6e6090cdd558c53a8bc18225ef4499fead9160abd3419ad4f137e902b483c465}. Adhesion scoring, on the basis of a Diamond Scale, depicted dense adhesions requiring blunt dissection in Group A (Prolene), whereas no adhesions (n=2), or, only flimsy adhesions (n=2) were observed in the Prolene-Vicryl Composite Mesh Group B. Conclusively, Prolene-Vicryl Composite Mesh proved superior to the Prolene mesh regarding lesser mesh contraction, fewer adhesions and no short-term follow-up complications.
Keywords: Ventral Hernia; Hernioplasty; Mesh Contraction; Adhesions; Dogs.
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