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Title: | A COMPARATIVE STUDY OF ONLAY AND SUBLAY MESH REPAIR IN THE MANAGEMENT OF INCISIONAL HERNIAE |
Authors: | SUNIL MATHEW |
Keywords: | Incisional Hernia (IH), Mesh placement, Onlay, sublay (Rives Stopa Technique), Seroma, Recurrence |
Issue Date: | Apr-2021 |
Publisher: | SDUAHER |
Abstract: | INTRODUCTION: Incisional hernia (IH)is the only hernia considered to be truly iatrogenic. It is defined as the diffuse protrusion of the peritoneum, and abdominal cavity contents through a weak / poor scar of an operation or an accidental wound.Incisional hernia is a significant complications after laparotomy and can result in bowel strangulation, enterocutaneous fistula and affects quality of life. These hernias enlarge over time and make the repair difficult. Hence elective repair is indicated to avoid these complications. AIM: The aim of this present study is to compare and analyze the result of two methods of surgical/operative treatment of IH that is open retromuscular mesh mesh placement (sublay) and onlay mesh placement in terms of difficulty in facial closure ,post operative pain,seroma formation, hematoma formation and surgical site infection and recurrence over a period of 3 months. METHODS: 30 patients presenting with incisional hernia admitted to Department of General Surgery R.L. Jalappa Hospital, Tamaka, Kolar, in between the study period of December 2018 to June 2020 were preoperatively Examined clinically and evaluated by USG to confirm the diagnosis. 15 patients in each group underwent Rives Stopa Technique (sublay) and onlay polypropylene mesh placement after obtaining proper informed consent and satisfying the inclusion & exclusion criteria. xiii RESULT: We observed seroma formation and infection in 6.66 %, 6.66%, patients respectively on onlay mesh placement group and in 3.33% ,3.33% patients respectively in sublay mesh placement group. No recurrence was noted in any of the group during the follow up period of three months. Based on these results we observed superior and better results in sublay(Rives Stopa Technique) mesh placement in incisional hernia repair(surgery). CONCLUSION: Seroma formation, SSI and recurrence is foundd to be more commonly associated with onlay mesh placement compared to sublay(Rives Stopa Technique) mesh placement . No recurrence and haematoma was encountered in any of the group in the current study during the follow up period. Finally to conclude “sublay mesh placement is superior to onlay mesh placement” |
URI: | http://172.16.4.202:8080/xmlui/handle/123456789/8117 |
Appears in Collections: | Surgery |
Files in This Item:
File | Description | Size | Format | |
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DR SUNIL MATHEW MAIN.pdf | 2.14 MB | Adobe PDF | View/Open |
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