Indian Journal of Public Health Research & Development
Year : 2019, Volume : 10, Issue : 2
First page : ( 327) Last page : ( 331)
Print ISSN : 0976-0245. Online ISSN : 0976-5506.
Article DOI : 10.5958/0976-5506.2019.00310.3

Evaluation of “Sublay” and “Onlay” Mesh Hernioplasty Techniques of Ventral Hernial Repair

Al-Tai Ali Hussein*

Department of Maxillofacial Surgery, College of Dentistry, Kerbala University, Iraq

*Corresponding author: Dr. Ali Hussein Al-Tai, E-mail: taeeali24@yahoo.com

Online published on 8 March, 2019.

Abstract

Ventral abdominal hernias are common surgical conditions that can be presented as emergency and elective cases. Repairing ventral hernias have always been a huge challenge to the surgeons. Mesh hernioplasty was considered as a gold standard to prevent or minimize the incidence of recurrence, but a question arises where should the the mesh sublay or onlay be placed? This research compares the procedures and outcomes of both onlay and sublay techniques in ventral hernia repair. A prospective study of was conducted at the surgical unit of Al-Imam Al-Hussein Medical City on 120 patients submitted for ventral hernias repair. Cases were registered in a year starting from 1st January 2015 to 1st January 2016) and followed up till January 2017. Study population was divided into two groups: 60 patients under group A that included patients who had undergone onlay mesh repair and another 60 patients as group B who were treated with sublay mesh repair. Data collected from both the groups included operation time, placement, and duration needed for drain removal, wound infection, and recurrence rate. Quarterly follow-up for 2 years was performed. Data were analyzed using SPSS 18.0 software; Fisher's exact test was considered as appropriate for analyzing statistical significance; p < 0.05 was considered to be statistically significant. The research outcomes indicated postoperative complications such as seroma formation in two patients (3.33%) from the sublay group, whereas 12 (20%) from the onlay group. Wound infection was found in one patient (1.66%) in the sublay group whereas in 6 (10%) patients in the onlay group. No septic mesh was removed in the sublay treated group, whereas one mesh was removed in the onlay type. In the onlay group recurrence was found in 4 patients (6.66%), whereas there was no recurrence in the sublay group. To conclude the sublay mesh hernioplasty is a better alternative to onlay mesh hernioplasty for all forms of ventral hernia cases.

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Keywords

Sublay, onlay, mesh repair, ventral hernia, umbilical hernia.

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