Omentopexy for the repair of diaphragmatic defect and adhesion assessment of viscera to propylene mesh- an experimental study in rabbits

Davoodabadi, A. and Hosseinpour, M. and Golestani, N. (2011) Omentopexy for the repair of diaphragmatic defect and adhesion assessment of viscera to propylene mesh- an experimental study in rabbits. Indian Journal of Thoracic and Cardiovascular Surgery, 27 (3). pp. 128-131.

Full text not available from this repository.
Official URL: https://www.scopus.com/inward/record.uri?eid=2-s2....
DOI: UNSPECIFIED

Abstract

Background: The use of synthetic mesh for the repair of major congenital diaphragmatic hernia may cause visceral adhesion to the prosthesis and ongoing complications. In the present study, the use of propylene mesh for the repair of diaphragmatic hernia and the role of omentopexy in elimination of visceral adhesion to repair site has been evaluated. Materials and methods: This experimental study was carried out on 20 adult New Zealand rabbits (approximate age-6 months). They were randomly assigned to two equal groups. In one group, after laparatomy a defect (size: 1 � 1 cm) was created on the diaphragm. The defect was then repaired using sterile propylene mesh and 4/0 nylon suture. In the other group, omentum was fixed on the mesh using a 4/0 nylon suture. After 30 days the two groups were operated and the visceral adhesion to repair site was compared using the Mazuji scale. Results: Nine (90) out of 10 rabbits with propylene mesh repair had visceral adhesion to the repair site. On classifying the grade of adhesion among the cases, one, three, four and two rabbits were assigned the "0", "I", "II", and "III" grades respectively. On the other hand, out of 10 rabbits, in which the diaphragm was repaired by propylene mesh and additional omentopexy, only 4 (40) showed visceral adhesion (grade "I") to the site of repair. The rest of animals displayed no adhesions (P = 0. 019). Conclusions: Omentopexy appears to reduces visceral adhesion to propylene mesh in the repair of diaphragmatic defects, so in intra-abdominal operations where propylene mesh is used, supplemental omentopexy is recommended. © 2011 Indian Association of Cardiovascular-Thoracic Surgeons.

Item Type: Article
Additional Information: cited By 0
Subjects: Surgery
Divisions: Faculty of Medicine > Clinical Sciences > Department of Surgery
Depositing User: editor . 2
Date Deposited: 27 Feb 2017 09:41
Last Modified: 28 Feb 2017 14:35
URI: http://eprints.kaums.ac.ir/id/eprint/816

Actions (login required)

View Item View Item