Title of article :
Comparative efficacy of Prolene and Prolene-Vicryl composite mesh for experimental ventral hernia repair in dogs
Author/Authors :
Anjum ، H. - University of Veterinary and Animal Sciences , Bokhari ، S. G. - University of Veterinary and Animal Sciences , Khan ، M. A. - University of Veterinary and Animal Sciences , Awais ، M. - University of Veterinary and Animal Sciences , Mughal ، Z. U. - University of Veterinary and Animal Sciences , Shahzad ، H. K. - University of Veterinary and Animal Sciences , Ijaz ، F. - University of Veterinary and Animal Sciences , Siddiqui ، M. I. - University of Veterinary and Animal Sciences , Khan ، I. U. - University of Veterinary and Animal Sciences , Chaudhry ، A. S. - University of Veterinary and Animal Sciences , Akhtar ، R. - University of Veterinary and Animal Sciences , Aslam ، S. - University of Veterinary and Animal Sciences , Akbar ، H. - University of Veterinary and Animal Sciences , Asif ، M. - University of Veterinary and Animal Sciences , Maan ، M. K. - University of Veterinary and Animal Sciences , Khan ، M.A. - University of Veterinary and Animal Sciences , Noor ، A. - University of Veterinary and Animal Sciences , Khan ، W. A. - University of Veterinary and Animal Sciences , Ullah ، A. - University of Veterinary and Animal Sciences , Hayat ، M. A. - University of Veterinary and Animal Sciences
Abstract :
In this study, efficacy of two hernia mesh implants viz. conventional Prolene and a novel ProleneVicryl composite mesh was assessed for experimental ventral hernia repair in dogs. Twelve healthy mongrel dogs were selected and randomly divided into three groups, A, Band C (n=4). In all groups, an experimental laparotomy was performed; thereafter, the posterior rectus sheath and peritoneum were sutured together, while, a 5 × 5 cm defect was created in the rectus muscle belly and anterior rectus sheath. For sublay hernioplasty, the hernia mesh (Prolene: group A; ProleneVicryl composite mesh: group B), was implanted over the posterior rectus sheath. In group C (control), mesh was not implanted; instead the laparotomy incision was closed after a herniorrhaphy. Postoperative pain, mesh shrinkage and adhesion formation were assessed as short term complications. Postoperatively, pain at surgical site was significantly less (P0.001) in group B (composite mesh); mesh shrinkage was also significantly less in group B (21.42%, P0.05) than in group A (Prolene mesh shrinkage: 58.18%). Group B (composite mesh) also depicted less than 25% adhesions (Mean ± SE: 0.75 ± 0.50 scores, P≤0.013) when assessed on the basis of a Quantitative Modified Diamond scale; a Qualitative Adhesion Tenacity scale also depicted either no adhesions (n=2), or, only flimsy adhesions (n=2) in group B (composite mesh), in contrast to group A (Prolene), which manifested greater adhesion formation and presence of dense adhesions requiring blunt dissection. Conclusively, the ProleneVicryl composite mesh proved superior to the Prolene mesh regarding lesser mesh contraction, fewer adhesions and no shortterm followup complications.
Keywords :
Adhesion , Dog , Hernioplasty , Mesh contraction , Ventral hernia
Journal title :
Iranian Journal of Veterinary Research (IJVR)
Journal title :
Iranian Journal of Veterinary Research (IJVR)
