Comparison of Onlay Versus Sublay Mesh Placement in Incisional Hernia Repair: A Prospective Study
Journal Title: New Indian Journal of Surgery - Year 2018, Vol 9, Issue 6
Abstract
Background: Incisional hernia is a common surgical condition with a reported incidence of 2-11% of patients subjected to abdominal operations. Aim: This is a prospective study to compare the differences in the post-operative events of the onlay mesh repair and the sublay mesh repair in our setup. Methods: This is a prospective study of 60 cases of incisional hernia that were operated in the department of general surgery, Govt. medical college, Omandurar govt. estate, Chennai, India from Dec 2017 to June 2018. Patient’s history, clinical findings, investigations, operative findings, operative procedures and postoperative complications were all recorded in a proforma specially prepared. All patients underwent open mesh repair. Randomsation was done, as every other case was alternately proceeded with onlay and sublay mesh placement. Patients were followed up for immediate post-operative complications. The two groups were compared using appropriate statistical tests. Results: Most of the patients presented with incisional hernia in the infraumbilical region. Both the groups had 30 patients each. Operative time and pain score was significantly higher in the sublay group; whereas the drainage volume and duration and the incidences of seroma, superficial surgical site infection and flap necrosis were higher in the onlay group. Conclusion: Even though, the operative time and the pain score were significantly higher in the sublay group, theoretically, it is considered as a superior technique of mesh placement. The study showed that the post-operative complications were higher in the onlay group.
Authors and Affiliations
Antony Sagaya Inba Sekar
Keywords
Related Articles
- EP ID EP548278
- DOI 10.21088/nijs.0976.4747.9618.12
- Views 97
- Downloads 0
Blunt Trauma Abdomen in Surgical Emergency: A Retrospective Study
Background: Abdominal trauma from Blunt injury is found in most of the patients with polytrauma. For diagnosing Blunt abdominal trauma, we have to keep high index of suspicion and through physical examination and invest...
Application of Caprini Index in Burn Patients for DVT Prophylaxis: Our Experience
Objective: Venous thromboembolism (VTE)/ Deep venous thrombosis (DVT) is one of the major causes of morbidity in burn patients. There are various prophylactic measures been described for preventing VTE/DVT. We report our...
Efficacy of Ultrasound Guided Hydrostatic Reduction of Intussusceptions in Children
Aim: To study the efficacy of hydrostatic reduction of childhood intussusception using normal saline under US guidance. Materials and Methods: This prospective study was conducted over a period of 3 years from February 2...
Study of the Efficacy of Triple Assessment in the Diagnosis of Thyroid Nodule
Background and Objectives: The management of thyroid nodules is multi-disciplinary and involves surgeons, pathologists, endocrinologists and radiologists. Here, we conducted a prospective correlational study of 50 patien...
Clinical Study and Management of Scrotal Swellings in Adults
Scrotal swellings are one of the commonest surgical problems. Different scrotal swellings may be present, but many a times patients hesitate to come early and may come with late complications. Objectives of the Study: 1....