Onlay Mesh Repair of Incisional Hernia Is Effective With Low Recurrence and Complications

Abstract

BACKGROUND Incisional hernia after abdominal surgery is a well-known complication. Controversy still exists with respect to the choice of hernia repair technique. Aims and Objectives-To study the complications and recurrence of onlay mesh repair for incisional hernia in rural population of South India. MATERIALS AND METHODS 32 consecutive patients undergoing open incisional hernia repair with onlay mesh technique between May 2012 and Dec 2017 at a single institution were included in the study. Patients were followed up and examined by a consultant surgeon in the outpatient clinic, if there was a suspicion of an incisional hernia recurrence. Design-A prospective observational study. RESULTS The study included 32 patients with 100% follow-up. The median follow-up was 29.5 months (range 6-72). Recurrence of hernia was observed in 1 of 32 patients (3.13%). Surgical site infections (SSI) are highest complications observed (9.38%). The overall complication rate was 31.25%. CONCLUSION This study with a long follow-up showed open incisional repair with onlay mesh has low recurrence. Surgical site infection (SSI) is the commonest complication observed.

Buttressing Sutures at the Center of the Mesh May Reduce the Probability of Recurrence in Onlay Incisional Hernia Repair: A Single-Center Study

“…There is no consensus on the type and technique of sutures for fascial closure in mesh-based incisional hernia repair. The use of mesh, whether in an onlay, inlay, or sublay position, has been reported to be effective in reducing recurrence rates [ 6 ]. Additionally, to avoid mesh complications such as migration, various techniques are recommended for mesh fixation [ 7 ].…”