A COMPARATIVE STUDY OF ONLAY AND RETRORECTUS MESH REPAIR IN INCISIONAL HERNIA
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 10
Abstract
BACKGROUND Incisional hernia is a frequent complication of abdominal surgery constituting about 10% to 20% of laparotomy. There are various factors responsible, like the patient characteristics and the underlying pathological process and iatrogenic factors, like the technique of wound closure and use of suture material. Here the emphasis has been laid on the type of prosthetic reinforced repair, choice of prosthetic material, suture selection, wound closure, use of closed suction drainage and preoperative and perioperative care. The aim of this study was to compare and analyse the merits and demerits of procedures of retrorectus mesh repair and onlay mesh repairs. MATERIALS AND METHODS This is a prospective study which was conducted in the surgical department of our hospital. A total of 50 cases were included in this study. Of these cases, 28 cases were operated by the on‑lay mesh method and 22 by retro‑rectus mesh placement. Polypropylene mesh was used in all 50 cases. RESULTS The operative time for retro‑rectus mesh placement was insignificantly higher than that of on‑lay mesh repair, whereas, complications like wound infection rate is about 10%. The recurrence rate was found to be 4% in on‑lay mesh repair and 0% in retro‑rectus mesh repair. CONCLUSION The low rate of local complications and the low recurrence rate indicate that retrorectus mesh repair has an advantage over traditional onlay repair.
Authors and Affiliations
Savitha S, Padmanabhan S. R
Keywords
Related Articles
- EP ID EP537643
- DOI 10.18410/jebmh/2018/181
- Views 54
- Downloads 0
PSEUDOMESOTHELIOMATOUS ADENOCARCINOMA RELATED PLEURAL EFFUSIONCONTEMPLATE THE DIFFERENTIAL!
PRESENTATION OF THE CASE Pseudomesotheliomatous adenocarcinoma is a variant of peripheral lung carcinoma that is characterized by extensive invasion of pleura which closely resembles malignant pleural mesothelioma clinic...
ROLE OF MRCP IN DIAGNOSING PANCREATICOBILIARY DISORDERS WITH SURGICAL AND HISTOPATHOLOGICAL CORRELATION- A PROSPECTIVE STUDY IN A TERTIARY CARE CENTRE, GGH, KAKINADA, ANDHRA PRADESH
BACKGROUND Magnetic Resonance Cholangiopancreatography (MRCP) was introduced in 1991 as a noninvasive method of imaging the biliary tree. Although, Endoscopic Cholangiopancreatography (ERCP) has been the mainstay for dia...
POST INFARCT LEFT VENTRICULAR ANEURYSMS: 5YEAR SURGICAL EXPERIENCE IN A RURAL CARDIAC CENTRE
This is a long term follow up of 54 patients with post infarct left ventricular aneurysm, operated over a period of 5 years, from 2005 to 2010, in a rural cardiac centre. This study aims at assessing efficacy of simple l...
CLINICAL AND LABORATORY PROFILE OF PATIENTS WITH IDIOPATHIC CD4 LYMPHOCYTOPENIA- A RARE CLINICAL ENTITY
BACKGROUND Since 1989, several investigators have reported unusual cases of severe opportunistic infections associated with CD4 lymphocytopenia in the absence of human immunodeficiency virus infection. The cause of this...
COMPARATIVE STUDY OF INTRAVENOUS INFUSION OF DEXMEDETOMIDINE VERSUS INTRATHECAL DEXMEDETOMIDINE IN SPINAL ANAESTHESIA WITH HEAVY BUPIVACAINE
BACKGROUND Dexmedetomidine, a highly selective α2-adrenoceptors agonist has recently been introduced in anaesthesia practice. It is currently being used for continuous intravenous sedation in the intensive care setting a...