Comparative study of efficacy and safety between sublay and onlay polypropelene mesh repair for incisional hernia of abdominal wall
Keywords:
efficacy, safety, sub-lay, onlay mesh repair, incisional herniaAbstract
To compare the efficacy and safety between sublay and onlay polypropylene mesh repair for incisional hernia of abdominal wall. Department of General Surgery from January 2018 to December 2021 in BHIMA BHOI MEDICAL COLLEGE OF WESTERN ODISHA. It is a randomized controlled trial. In this study a total of 144 (72 in each group) patients were observed. The patients were randomly allocated in two groups by random method. Patients in group-A was subjected to onlay polypropylene mesh open repair procedure and patients in group-B was subjected to sublay polypropylene mesh open repair procedure for incisional hernia repair in abdominal wall. Post-operatively all patients were kept under observations for 7-10 days in surgery ward and observed for complications if any. Post-operatively all patients were followed at 20 days, 2nd months, 6th month and 9 months to confirm the efficacy and safety of the procedure. The mean age of patients in Group-A was 30 years± 2.16 and 32 years ± 3.71 in Group-B. In group-A 28 patients were male and 44patients were female where as in group-B 27 patients were male and 45 patients were female.
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Guy Voller. Ventral abdominal hernia. Mastery of surgery 5th ed. 2007; vol 2. (2)
Bucknell TE, Cox PJ, Ellis H. Burst abdomen and incisional hernia: a prospective study of 1129 major laparotomies. BMJ 1982; 284:931-3.
Mudge M, Hughes LE. Incisional hernia: a 10-year prospective study of incidence and attitudes. Br J Surg 1985; 72:70-1
Morris PJ. Hernias of Th e Abdominal Wall. Cobb R, Mc Whinnie DL, Michie HR, Berry AR, Hands LJ, Savage A et al. Oxford Text Book Of Surgery I.1st Ed. New York: Oxford University Press. 1994.p.1397-417
Schwartz SI, Shires, Spencer, Daly, Fischer, Galloway, et al. Abdominal Wall Hernias. Wantz GE. Principles of Surgery. Vol II.7th ed. Mc Graw Hill: New York. 1999.p.1585-611.
Cuschieri A, Steele RJC, Moosa AR. Disorders Of Th e Abdominal Wall and Peritoneal Cavity. Essential Surgical Practice. 4th Ed. New York: Arnold Publications. 2002.p.143-82.
Langer S, Christiansen J. Long-term results after incisional hernia repair. Acta Chir Scand 1985; 151:217. 5. Read RC, Yoder G. Recent trends in the management of incisional herniation. Arch Surg 1989; 124:485-8
Williams NS, Bulstrode CJK, Connell PR. Hernias, Umbilicus and Abdominal Wall. Bailey& Love, Short Practice of Surgery. 25th ed. Arnold: London. 2008.p.968-90.
Ismaeil DA. Mesh repair of paraumbilical hernia, outcome of 58 cases. Annals of Medicine and Surgery. 2018 Jun 1; 30:28-31.
Naveen PG, Khan A. Laparoscopic repairs for anterior abdominal wall hernias. International Surgery Journal. 2019 Jan 28;6(2):349-54.
Holihan JL, Nguyen DH, Nguyen MT, Mo J, Kao LS, Liang MK. Mesh location in open ventral hernia repair: a systematic review and network meta-analysis. World journal of surgery. 2016 Jan 1;40(1):89-99.
Dhanbhar R, Dash N. Comparative Study of Onlay and Pre-Peritoneal Mesh Repair in the Management of Ventral Hernias. Journal of Medical Science and Clinical Research. 2018;6(03):391-5.
Saber A, Emad KB. Onlay versus sublay mesh repair for ventral hernia. J Surg. 2015 Sep 8;4(1-1):1-4. 14. Raghuveer MN, Murali Dhar S, Shett y H, Veena V. Onlay versus sublay mesh repair for ventral hernia. International Surgery Journal. 2018 Feb 26;5(3):823-6.
12. Nguyen MT et al Comparison of outcomes of synthetic mesh vs suture repair of elective primary ventral herniorrhaphy: a systematic review and meta-analysis. JAMA Surg 2014:149(5):415–421
Ferrando JM, Vidal J, Armengol M, Huguet P, Gill J, Manero JM et al. Early imaging of integration response to polypropylene mesh in abdominal wall by environmental scanning electron microscopy: Comparison of two placement techniques and correlation with tensiometric studies. World J Surg 2001; 25:840-7.
Robert M. Zollinger Jr, Robert M. Zollinger Sr. Zollinger’s Atlas of Surgical operations. Mc Graw Hill publications, eight edition 2003.p. 406-9.
Mehmud A. Tension free mesh hernioplasty: a review of 96 cases. JPMI 2004; 18:46 -51.
Winker MS, Gerharz E, Dietz UA. Overview and evolving strategies of ventral hernia repair. Urologe A 2008; 47:740 –7.
Godara R, Garg P, Raj H, Singla SL. Comparative Evaluation Of “Sublay” Versus “Onlay” Meshplasty In Ventral Hernias. Th e Internet Journal of Surgery. 2006 Volume 8 Number 1. DOI: 10.5580/ad9
Zarin M, Afridi MR, Saeed T, Muqim R, Aurangzeb M, Wazir MA. Out Come of Mesh Repair For Incisional Hernia. Pak J Med Sci.2008;24(2):213-16
Egea MA, Torralba JA, Girela E, Corral M, Bento M. Immediate, Early and Late Morbidity with Laparoscopic Ventral Hernia Repair And Tolerance To Composite Mesh. Surg Laparosc Endosc Percutan Tech.2004; 14:130.
de Vries Reilingh TS, Van Geldere D, Langenhorst B, de Jong D, Van der Wilt GJ, van Goor H, Bleichrodt RD. Repair of large midline incisional hernias with polypropylene mesh: comparison of three operative techniques. Hernia 2004;8 (1):56-9.
Iannitt i DA, Hope WW, Norton HJ, Lincourt AE, Millikan K, Fenoglio ME, Moskowitz M. Technique and Outcomes Of Abdominal Incisional Hernia Repair Using A Synthetic Composite Mesh: A Report Of 455 Cases. J Am Coll Surg. 2008;206(1):83-8.
Bara T, Bancu S, Fazakas GI, Azamfi rei L, Daniela P, Bara T. Reconstruction of incisional median hernia with retromuscular mesh and hernial sac. Magy Seb. 2007;60(3):136-9.
Rehman A, Nawaz A, Amanullah A, Ali M. Recent Trends In Th e Management Of Incisional Hernia. J Portgrad Med Inst. 2006; 20:292-6.
Iannitt i DA, Hope WW, Norton HJ, Lincourt AE, Millikan K, Fenoglio ME, Moskowitz M. Technique And Outcomes Of Abdominal Incisional Hernia Repair Using A Synthetic Composite Mesh: A Report Of 455 Cases. J Am Coll Surg. 2008;206(1):83-8
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