Tóth Ferenc, Schumacher Jim
College of Veterinary Medicine, The University of Minnesota, St Paul, Minnesota.
College of Veterinary Medicine, University of Tennessee, Knoxville, Tennessee.
Vet Surg. 2018 May;47(4):536-542. doi: 10.1111/vsu.12773. Epub 2018 Feb 5.
Repair of hernias of the abdominal wall of horses is often augmented by inserting a prosthetic mesh. In this review, we describe the various characteristics of prosthetic meshes used for hernia repair and present 2 systems that are used by surgeons in the human medical field to classify techniques of prosthetic mesh herniorrhaphy. Both of these classification systems distinguish between onlay, inlay, sublay, and underlay placements of mesh, based on the location within the abdominal wall in which the prosthetic mesh is inserted. We separate the published techniques of prosthetic mesh herniorrhaphy of horses using this classification system, ascribing names to the techniques of herniorrhaphy where none existed, and report the success rates and complications associated with each technique. By introducing a classification system widely used in the human medical field and illustrating each technique in a figure, we hope to clarify inconsistent nomenclature associated with prosthetic mesh herniorrhaphy performed by veterinary surgeons.
马腹壁疝修补术通常通过植入人工补片来加强。在本综述中，我们描述了用于疝修补的人工补片的各种特性，并介绍了人类医学领域外科医生用于对人工补片疝修补技术进行分类的2种系统。这两种分类系统均根据人工补片在腹壁内的植入位置，区分补片的覆盖、嵌入、衬于肌下和置于腹膜下放置方式。我们使用该分类系统对已发表的马人工补片疝修补技术进行分类，对尚无名称的疝修补技术进行命名，并报告每种技术的成功率和相关并发症。通过引入人类医学领域广泛使用的分类系统并以图表说明每种技术，我们希望澄清兽医外科医生进行的人工补片疝修补术相关的不一致命名。
