A comparative study of onlay and pre-peritoneal mesh repair in the management of ventral hernias in our hospital
Journal Title: Journal of the Indian Medical Association - Year 2019, Vol 117, Issue 5
Abstract
A Ventral hernia includes both spontaneous and incisional hernias after an abdominal operation. Meshplasty can be onlay (over anterior rectus sheath) or sublay (pre-peritoneal). Controversy exists regarding use of the type of either meshplasty, due to differences in ease in performing the surgery, time of surgery, complications occurring in post-operative period and recurrence. Aim of our study was to compare the outcome of onlay versus sublay mesh repair for ventral hernia. A total number of 180 patients with ventral hernias (with defect size <4 inches), admitted in surgery dept. in Smt SCL General Hospital & Sheth VS Hospital, Ahmedabad from July 2016 to June 2017, were divided into two groups; Aonlay mesh repair and B- sublay mesh repair. Patients were evaluated for operating time, postoperative seroma formation, wound infection, drain duration, post-op hospital stay and recurrence of symptoms. Among 180 patients, 90 patients underwent onlay and 90 patients underwent pre-peritoneal meshplasty. Out of 90 cases of onlay, only 28 cases took >1 hour for operating. Out of 90 cases of pre-peritoneal meshplasty, hospital stay was > 5 days for 11 cases and seroma was found in 3 cases and wound infection was found in 4 case and post-operative pain score was less in most cases. On analysis of results and five variables, pre-peritoneal mesh repair is comparatively good option even though duration of surgery is longer than onlay mesh repair.
Authors and Affiliations
Tapan A Shah, Yogendra S Modi, Mukesh S Suvera, Rajesh H Parmar, Khyati C Vaja, Jemish B Patel, Shireesh M Ninama, Sachi P Sankhala
Keywords
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