Incisional hernias occur in 8-16% of horses after median celiotomy. Several factors can contribute to the development of a postoperative hernia, however the main one appears to be incisional drainage/infection. Diagnosis does not generally represent adiagnostic challenge -typically horses for which treatment is sought have a pendulous protuberance of the abdomen in the region of the previous celiotomy incision. Existing open repair techniques for incisional hernias are associated with complicationsparalleling those in human surgery including seroma, infection and recurrence. Minimally invasive techniques for treatment of incisional hernias in people were introduced in the 1990s and many regard laparoscopic repair as the procedure of choice to treat the condition. Laparoscopic mesh hernioplasty offers the potential for reduced duration of hospitalization, fewer soft tissue complications, and lower recurrence rates. It is possible that similar benefits may be realized with laparoscopic mesh incisional hernioplasty in horses.
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