Comparative Study between "Onlay" Versus "Retrorectus" Hernioplasty in Management of Uncomplicated Venteral Hernias
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 73, Issue 4
Abstract
<strong>Background: </strong>Hernias of the anterior abdominal wall, or ventral hernias have a various types that can be categorized into either congenital or acquired, also can be categorized according to various locations into primary ventral hernias (true ventral- non incisional hernias) which include two subtypes lateral ventral hernia, and midline ventral hernias. <strong>Objective: </strong>The aim of the study was to compare between two techniques of mesh placement in uncomplicated ventral hernias, onlay (mesh on external oblique) versus sublay (mesh in the retromuscular space), regarding the operative technique and the postoperative complications.<strong> Patients and Methods: </strong>In this study, a comparative study between two methods of surgical treatment for ventral hernia was made. The study included 40 adult patients with uncomplicated ventral hernia divided randomly into two groups according to the surgical technique used for the repair, without any specific criteria used in selection for any technique as follows<strong>:</strong> Group A (Onlay mesh repair): Twenty patients were operated by placing the mesh above the anterior rectus sheath and the external oblique muscle. Group B (Sublay “Reteromuscular” mesh repair): Twenty patients were operated by placing the mesh in the retro- muscular space. <strong>Results: </strong>In this study no significant difference found between both methods as regarding: Age and gender, type of ventral hernia. Duration of the operative procedure. Amount of intra-operative blood loss. Postoperative hospital stay. Hernia recurrence.<strong> Conclusion: </strong>Sublay (Retromuscular) mesh repair is a good alternative to onlay mesh repairs, this study advocates this method of ventral hernia repair as it is applicable to all sites of ventral hernia, the mesh is mostly hidden and anchored behind the rectus sheath, the complication rate is low and there is a low recurrence rate and finally We suggest carrying out more trials on the retromuscular mesh repair technique to include a bigger number of cases and a longer period of follow up.
Authors and Affiliations
Eman Helal
Keywords
Related Articles
- EP ID EP584497
- DOI 10.12816/ejhm.2018.15105
- Views 142
- Downloads 0
Overview of Allopurinol Decisions in Primary Care: A Narrative Review
<span>Background: </span><span>Allopurinol is a type of drug called a xanthine oxidase inhibitor. It functions by lowering the production of uric acid in the body. It can be found in the kind of an oral tablet. Generalis...
The Awareness of The Risk of Chronic Use of Steroid Causing Cataract in Tabuke City, Saudi Arabia,2017
<strong>Background:</strong> Cataracts could result in very dangerous consequences including worldwide blindness which imposes a great economic burden on people and health authorities. <strong>Objectives:</strong> Evalua...
Detection of Cytotoxin-Associated and Vacuolating Cytotoxin Genotypes of Helicobacter pylori in Patients with Peptic Inflammatory/Ulcerative Disorders
<span>Background: </span><span>Helicobacter pylori </span><span>is a Gram negative, spiral, rod-shaped, and flagellated bacteria that colonizes the human gastric mucosa and can cause a strong inflammatory state and lesio...
Prophylactic Oral Nifedipine to Reduce Preterm Delivery: A Randomized Controlled Trial in Women at High Risk
<span>Objective: </span><span>to evaluate </span><span>the efficacy of prophylactic nifedipine versus placebo in reducing spontaneous preterm delivery in asymptomatic women at high risk for preterm delivery.<br /> </span...
Predictors of Diabetes Mellitus Type 2 Control Abdullah Talal Almalki and Faisel Ahmed Albalawi
Background: successful treatment of patients with type 2 diabetes mellitus (DM) is achieved by having a HbA1C of<7%. Objectives: to determine the factors that affect successful control of diabetes mellitus type 2 at Diab...