Comparative Study of Onlay and Pre-Peritoneal Mesh Repair in the Management of Ventral Hernias
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 3
Abstract
Introduction: Ventral hernias is major problem in surgical practice and occurs in up to 11% of patients undergoing laparotomy. Argument for the ideal surgical procedure for placing mesh continues to be unsolved. Hence there is need of study to evaluate better technique between two most commonly used methods to repair ventral hernia by two methods onlay and sublay. Aims and Objective: To compare complications of onlay and pre-peritoneal Mesh Repair in ventral hernias. Materials and Methods: In this study 80 patients presenting with ventral hernia between July 2015 and July 2017 in our institute are included. Randomization done as even registration no will undergo onley mesh repair and odd registration no will undergo pre-peritoneal mesh repair. Results: Mean duration of surgery in onlay Mesh repair was 50 min and that in pre-peritoneal mesh repair was 70 min. Seroma formation was seen 4 (13.33%) patients of pre-peritoneal mesh repair and 7(23.33%) patient of onlay Mesh repair. Wound infection was seen 1(3.33%) patients of pre-peritoneal mesh repair and 5(16.67%) patient of onlay Mesh repair. Chronnic pain was seen 2(6.66%) patients of pre-peritoneal mesh repair and 6(26.87%) patient of onlay Mesh repair. Recurrence was observed only in patients with onlay mesh repair in 3 patients (10.0%) . Conclusion: Onlay mesh repair is more associated with complication and recurrance than pre-peritoneal mesh repair. According to this study pre-peritoneal mesh repair is superior to onlay mesh repair.
Authors and Affiliations
Ritesh Dhanbhar
Keywords
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