Tuesday, December 30, 2014

1159. Hernia repair mesh in human and canine surgery




Dec 31, 2014.

 1159. Hernia repair mesh in human and canine surgery





omyra mesh sold
www.abdominalwallhealth.com

2 types of mesh.
Normal mesh causes intestinal adhesions from $80 --- intestinal obstruction -- strangulation  -- death.
Adhesive prevention mesh  $900 (10 cm x 15 cm).

Human hernias
USE OF ADHESION PREVENTION MESH
Incisional hernias (after surgery) 
Umbilical hernias


USE OF NORMAL MESH
Inguinal hernia

METHOD
see  www.abdominalwallhealth.com

1. The plug method (mesh cut diagonally half way and formed into a cone or funnel to close the hole) is NO longer used in human medicine. It requires the expensive adhesion prevention mesh. It has been described in a veterinary hernia repair book published by Europeans. .

VETERINARY SURGERY
1. The adhesion prevention mesh must be used if there is contact with the intestines for very large perineal hernias.

2. In hernias where the sides can be stitched up, use the normal mesh to cover the muscles after stitching. There must be a 3-cm margin to account for shrinkage of the mesh. For example, a perineal hernial opening of 12 cm x 12 cm will need a mesh size of 15 cm x 15 cm.

3. Plug method is no longer used in human surgery according to B Braun sales rep Alex.

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