Vol. 10, Special Issue 6 (2021)

Author(s):
Patil AS, Prarthana R, Tharasingh DL, Jayashree P and Pugashetti BK

Abstract:
Large Ventral abdominal hernias are one of the infrequently encountered and difficult to treat surgical conditions in cattle under field conditions and hernioplasty with polypropylene mesh is considered as gold standard. In developing countries, cost of the prosthesis is a significant factor in health care delivery. A clinical trial on 12 cattle, suffering from large ventral abdominal hernia operated by tension free hernioplasty technique was undertaken using conventional standard Polypropylene mesh (Group I, n=6) and autoclave sterilized Mosquito Nylon Net (MNN) Mesh (Group-II, n=6) and to evaluate and compare the safety, complications, recurrence rate and the cost benefit. The mean follow up period of the patients was 3 months. Post-operatively, all the animals showed uneventful recovery with minimal postoperative complications in both the groups. Post-operatively, there was inflammatory swelling and formation of edema at the surgical site in all the animals. The incidence of seroma formation in group I was 33.33% (n=2) whereas in group II it was 50% (n=3) which resolved in 3-5 days with conservative treatment. None of the group animals suffered the superficial or deep infections and recurrence. The cost of MNN mesh was approximately Rs 50/animal and that of Polypropylene varied depending upon size from Rs 1520.00 (10cm X 15cm) to Rs 5520.00 (30cm X 30cm). To conclude autoclave sterilized MNN is a safe and very cost effective alternative to commercial Polypropylene mesh.