An evaluation of Aloe vera leaves gel with polypropylene mesh to repair of ventro -lateral abdominal hernia in rams

Abstract

The presented article was designed to evaluate using polypropylene mesh alone and using Aloe vera gel for hernioplasty in rams. Under the protocol of sedations, local anesthesia, and strict surgical preparations, the 10 cm of experimental ventrolateral abdominal hernias were surgically induced in twenty-four rams. The animals were divided into two equal groups. Hernioplasty was done with polypropylene mesh in both groups. The first group remained without treatment and was considered the control group. In the second group, after hernioplasty the Aloe vera leaf gel spread equally along the repaired area, then the skin and subcutaneous tissues closed routinely. Clinical, Ultrasonographic, and Laparoscopic examinations were done. Clinically, all operative animals completely subsided the hernia ring. Laparoscopically, the results indicated less degree of adhesion and inflammatory reaction were occurs in the treated group at 45 days post-surgery. Ultrasonographic investigation in the control group at 30 days post-surgery exhibited Wavy echogenic representing inflammatory effusion. It represented Hypoechoic at muscle mass and mesh at 45 days, whereas in the treated group, the subcutaneous tissue appeared normal echotexture with a clear mesh at 45 days post-treatment. In conclusion, compatibility occurs between the implant and the edges of the hernia ring without signs of rejection, less degree of adhesion, and the hernia opening completely closed. The Aloe vera gel had a beneficial effect during hernioplasty in the ram.