Onlay versus sublay mesh repair for ventral hernia

N, Raghuveer M; Muralidhar, Suraj; Shetty, Harshavardhan; Veena, V. S.

doi:10.18203/2349-2902.isj20180432

Cited by 7 publications

(5 citation statements)

References 7 publications

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“…Since these complications were generally wound complications and seroma, it is thought that they were attributable to the more extensive dissection in the abdominal wall for exposure of the anterior rectus sheath and the anterior abdominal wall fascia for mesh placement in the onlay position. The lower recurrence rate in the sublay group was also found in other studies 1% vs 0% by Dhaigude BDet al and 4.35 % vs 8.51% by Raghuveer MNet al 3,13 .…”

Section: Discussionsupporting

confidence: 83%

“…other studies also supported shorter hospital stay and early drain removal for patients who underwent sublay repair. 3,4,8,10,13,14 Conclusion From our study on a small sample size we can conclude that Sublay mesh repair might be considered to be a better alternative to onlay mesh repair in terms of less seroma formation, less wound infection, early drain removal, less hospital stay and most importantly fewer recurrences, though it takes longer operative time.…”

Section: Discussionmentioning

confidence: 80%

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Comparison of Onlay versus Sublay Mesh Repair in Ventral Hernia : Our Experience in a Peripheral Hospital

Pervin

Nuruzzaman

Sultana³

et al. 2021

J. Surg. Sci.

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Background: Mesh repair is the standard procedure of choice for the ventral hernia repair. The common techniques for this surgery are onlay and sublay repair. But the superior technique between the two is yet to be established objectives. Objectives: We conducted this study to compare the results of Onlay with Sublay mesh repair for the treatment of ventral hernia. Methods: This comparative study was conducted at the department of Surgery, Shaheed Tajuddin Ahmad Medical College Hospital, Gazipur from April 2018 to April 2019. 20 patients withclinically diagnosed ventral hernia were randomized into two groups. The patients in group A had onlay mesh repair while those of group B hadsublay mesh repair. Comparison between the two methods were made in terms of operative time, technical ease, early post operative events specially drain & complication, hospital stay, recurrence. Result: Twenty patients between 20 to 70 years of age among whom 6 are male and 14 are female with different types of ventral hernia including paraumbilical, umbilical, epigastric and incisional, except with defect more than 15 cm were studied. The sublay repair took significantly longer operative time (p = .023). Onlay repair group had more seroma formation, wound infection and recurrence, though not statistically significant. Patients who underwent sublay repair had early removal of drains (3.7 ± .823 days vs 6 ± .738 days) which was significant (p= .000). At the same time sublay repair group had significantly shorter hospital stay than the onlay group (4.5 ± 1.900 days vs 6 ± 1.354 days, p= .023). Conclusion: Sublay repair seems to be a better alternative than onlay repair of Ventral hernia. Randomised controlled trial with larger case numbers is needed to validate the result. Journal of Surgical Sciences (2020) Vol. 24 (2) : 61-65

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 80%

Comparison of Onlay versus Sublay Mesh Repair in Ventral Hernia : Our Experience in a Peripheral Hospital

Pervin

Nuruzzaman

Sultana³

et al. 2021

J. Surg. Sci.

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“…4,5 General surgeons face a huge difficulty due to the high recurrence rate, high cost, and high morbidity associated with incisional hernia surgery. 6 Despite the frequent necessity for surgical repair, physicians continue to struggle to obtain ideal results, and surgical failure is alarmingly prevalent (10-30%). 3 True recurrence rates are almost certainly overstated.…”

Section: Introductionmentioning

confidence: 99%

“…4 Recurrence, the hernia surgeon's greatest nightmare, escalates healthcare costs and adds further financial hardship on patients. 6 Given that a ventral hernia is caused by the biological issue of stable scar tissue development, mesh techniques are currently the leading therapies for hernia repair. 7 In order to prevent recurrences, facial autografts, prosthetic materials, and various meshes were all employed to assist the repair.…”

Section: Introductionmentioning

confidence: 99%

“…Several studies suggest that the sublay method is significantly more effective than the onlay, with lower recurrence and complication rates. 5,6 This study's major goal was to compare the early and late results of onlay and sublay mesh repair procedures. Suture surgeries have a high recurrence rate, although mesh deployment can reduce recurrence.…”

Section: Introductionmentioning

confidence: 99%

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Comparison between Sublay & Onlay Mesh hernioplasty in Ventral Wall Abdominal Hernia Repair

Samee,

Sharif,

Abdullah Tahir

et al. 2023

PJMHS

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Background & Aim: Onlay and sublay repairs are the two surgical methods most commonly employed in ventral hernia patients. The repair of a ventral hernia is one of the most common surgical procedures performed globally. The results of simple ventral hernia onlay and sublay mesh repair methods were compared in this study to compare the results of onlay and sublay mesh ventral incisional hernia repair procedures. To investigate the frequency of seroma, wound infection, and wound disruption in patients with ventral abdominal hernias who had onlay and sublay mesh plasty. Incisional hernia (IH) is a very common surgical complication. Study design: Prospective Randomized Control Trial Place and duration of study: This study was done in department of General surgery at Central Park teaching Hospital, Lahore during a period of 4 months that span from October 2021 till January 2022. Methodology: This prospective research included 100 adults with primary or secondary uncomplicated ventral hernias. The onlay mesh repair procedure was used in both groups B (n = 50) and A (n = 50). We randomly assigned participants to one of two therapy groups using a computer-generated randomization process. The procedure's length, the length of the drain, the duration of any wound infections, the length of the post-op hospital stay, and any short-term recurrence were all noted. Results: When compared to the sublay group, the onlay group had a substantially shorter median operational time (52 vs. 91 min., respectively). However, in terms of wound complications and postoperative pain, the sublay group beat the control group significantly. Disease recurrence occurred in 8% and 3% of patients in groups A and B, respectively. Practical Implication: Sublay mesh repair, which is an alternative to onlay mesh repair, can be used to treat all types of ventral hernias. Conclusion: Sublay mesh repair, which is an alternative to onlay mesh repair, can be used to treat all types of ventral hernias. Mesh-related issues are associated with long drainage times, seroma development, wound infection, and recurrence. In terms of postoperative discomfort and wound complications, sublay mesh repair is preferred than onlay mesh repair for treating incisional hernias. The recurrence rates of the two procedures are comparable. Keywords: Ventral Hernia, Onlay Mesh Repair, Sublay Mesh Repair

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A comparative study in elective repair of large incisional hernias using on-lay mesh vs. sub-lay mesh: a meta-analysis

Hassan,

Kamel,

Awad

et al. 2024

Updates Surg

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Ventral abdominal wall incisional hernia is defined as a defect in the musculo-fascial layers of the abdominal wall in the region of the postoperative scar. There is a slight increase in the incidence of incisional hernia in the female gender. The higher percentage of incisional hernia in females might be due to laxity of abdominal wall muscles after multiple pregnancies and also an increased incidence of obesity in females. To assess incisional hernia repair using two different techniques: on-lay mesh and sub-lay mesh, as regards operative time, postoperative recurrence, wound infection, seroma, hematoma, and flap necrosis. Pubmed, Web of Science, and Scopus were searched on 15 March 2022. The keywords incisional hernia, sub-lay mesh on-lay mesh, retromuscular mesh, and polypropylene. According to our results, there is a statistical difference between onlay and sublay regarding intra-operative time as sublay mesh is more time-consuming. Regarding postoperative complications, there is no statistical difference in recurrence, seroma, hematoma, flap necrosis, and infection but there is a statistical difference regarding in hospital stay as patients with sub-lay repair stays less than only.

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Onlay versus sublay mesh repair for ventral hernia

Cited by 7 publications

References 7 publications

Comparison of Onlay versus Sublay Mesh Repair in Ventral Hernia : Our Experience in a Peripheral Hospital

Comparison of Onlay versus Sublay Mesh Repair in Ventral Hernia : Our Experience in a Peripheral Hospital

Comparison between Sublay & Onlay Mesh hernioplasty in Ventral Wall Abdominal Hernia Repair

A comparative study in elective repair of large incisional hernias using on-lay mesh vs. sub-lay mesh: a meta-analysis

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