Abstract

Abdul Saleem M.* and T. V. Haridas

ABSTRACT

Objective: To evaluate sublay vs onlay meshplasty in ventral hernias and tocompare postoperative complications and recurrences. Patients and Methods: Across sectional study was done in year 2019 -2020, 60 Patients diagnosed as ventralhernias in Department of General Surgery, Govt. Medical College, Thrissur wereincluded in the study. Full history, clinical examination was done for the patients.Group A Onlay and Group B Sublay - 30 each meshplasty was done. Results: Westudied 60 patients, out of which 29 males and 31 females from various age groupbetween 20 to 90. Out of which 29 belongs between 50 to 70 age group. Here themost common ventral hernia was incisional hernia 23 in number and least wasepigastric 6 in number. In our study group 30 cases underwent sublay and 30 casesunderwent onlay meshplasty. Wound infection was found in 12 cases. Out of these,9(30%) were in a onlay group and 3(10%) were in sublay group. These patientswere treated with appropriate antibiotics and regular dressing. The most commoncomplication observed was seroma more than 30ml after 7 days in patients. Out ofpatients, 3(10%) were in onlay and 1 (3%) in sublay mesh repair group. Recurrencewas the most common and important late complication after hernia repair.Conclusion: Sublay mesh repair is a good alternative to onlay mesh repair. thatmay be applicable to all forms of ventral hernia as the mesh related overallcomplications are less compared to onlay meshplasty.