Mesh repair of a large ventral hernia with interposition of omentum in a calf: a case report
G. Giusto, C. Bellino, M. Casalone, V. Caramello, F. Comino, M. Gandinihttps://doi.org/10.17221/272/2015-VETMEDCitation:Giusto G., Bellino C., Casalone M., Caramello V., Comino F., Gandini M. (2016): Mesh repair of a large ventral hernia with interposition of omentum in a calf: a case report. Veterinarni Medicina, 61: 590-593.
A one-month-old, Piedmontese female calf was admitted to the Department of Veterinary Sciences, University of Turin, for repair of a large ventral hernia. A large ventral hernia, approximately 20 cm long and 15 cm large was noticed extending from 3 cm caudal to the umbilicus down to the pubis. At ultrasonography the hernia content was represented by small intestine and omentum and no adhesions to the hernial sac could be detected. The hernial sac was composed by skin only. Because of the large dimensions of the defect and the economic value of the animal, surgical correction was recommended to the owner. A prosthetic implant with a polypropylene mesh was elected due to the dimension of the abdominal defect. The implant was placed intra-abdominally with the interposition of the omentum between the mesh and the underlying viscera. Two and six months after surgery follow-ups were performed and a positive outcome was confirmed. This is the first report of ventral hernia repair in large animals that combines the use of a tension-free polypropylene mesh with the interposition of the omentum between the viscera and the mesh. This procedure is safe, cost-effective and not associated with major complications.Keywords:
bovine; soft tissue surgery; herniorraphy; adhesion; polypropyleneReferences:
Baird Aubrey N. (2008): Umbilical Surgery in Calves. Veterinary Clinics of North America: Food Animal Practice, 24, 467-477 https://doi.org/10.1016/j.cvfa.2008.06.005Bernard C., Polliand C., Mutelica L., Champault G. (2007): Repair of giant incisional abdominal wall hernias using open intraperitoneal mesh. Hernia, 11, 315-320 https://doi.org/10.1007/s10029-007-0222-7CARON JOHN P., MEHLER STEVEN J. (2009): Laparoscopic Mesh Incisional Hernioplasty in Five Horses. Veterinary Surgery, 38, 318-325 https://doi.org/10.1111/j.1532-950X.2009.00511.xElce Y. A., Kraus B. M., Orsini J. A. (2005): Mesh hernioplasty for repair of incisional hernias of the ventral body wall in large horses. Equine Veterinary Education, 17, 252-256 https://doi.org/10.1111/j.2042-3292.2005.tb00385.xFinan K. R., Kilgore M. L., Hawn M. T. (2009): Open suture versus mesh repair of primary incisional hernias: a cost–utility analysis. Hernia, 13, 173-182 https://doi.org/10.1007/s10029-008-0462-1Kawcak CE, Stashak TS (1995): Predisposing factors, diagnosis, and management of large abdominal wall defects in horses and cattle. Journal of American Veterinary Medical Association 206, 607–611.Sorour Magdy A. (2014): Interposition of the omentum and/or the peritoneum in the emergency repair of large ventral hernias with polypropylene mesh. International Journal of Surgery, 12, 578-586 https://doi.org/10.1016/j.ijsu.2014.04.009Tirgari M. (1980): Ventral hernia in the sheep. Veterinary Record, 106, 7-9 https://doi.org/10.1136/vr.106.1.7Tulleners EP, Fretz PB (1983): Prosthetic repair of large abdominal wall defects in horses and food animals. Journal of American Veterinary Medical Association 182, 258–262.WHITFIELD-CARGILE C. M., RAKESTRAW P. C., HARDY J., COHEN N. D., DAVIS B. E. (2011): Comparison of primary closure of incisional hernias in horses with and without the use of prosthetic mesh support. Equine Veterinary Journal, 43, 69-75 https://doi.org/10.1111/j.2042-3306.2011.00377.xWilliams H. J., Gillespie A. V., Oultram J. W., Cripps P. J., Holman A. N. (): Outcome of surgical treatment for umbilical swellings in bovine youngstock. Veterinary Record, 174, 221-221 https://doi.org/10.1136/vr.101736Wintzer HJ (1962): Methods for surgical treatment of bovine abdominal hernias. Journal of American Veterinary Medical Association 141, 131–134.Witte S, Rodgerson D, Hunt R, Spirito MA (2008): Traumatic ventral herniation in foals as a complication of dystocia. Compendium Equine 3, 137–143.