부산대학교 도서관

Objective: This study aims to compare the results of sublay hernioplasty and onlay mesh hernioplasty in incisional hernia repair in patients. Introduction: Incisional hernia is a common complication in patients undergoing surgeries of abdomen. A wide range of careful procedures have been created, running from stitching strategies to different kinds of prosthetic work fix and different options available for mesh repair which are onlay, inlay and sublay. Materials and Methods: A retrospective study was carried out on 100 patients who underwent incisional hernia repair with sublay hernioplasty or onlay hernioplasty between July 2016 and June 2020 in District Head Quarter (DHQ), Teaching Hospital, Gujranwala. The patients were divided into two equal groups (groups A and B). Patients in group-A were treated with sublay repair, whereas patients in group-B were treated with onlay repair. All patients underwent a pre-operative assessment and post-operative follow-up. Outpatient clinical notes, discharge summary, operative notes, and laboratory data were reviewed. Results: Sublay hernioplasty end up being bett er option than onlay hernioplasty. There was a statistically significant difference between the two groups regarding post-operative wound infection, seroma and hematoma. There was statistically significant difference between two groups as regards post-operative recurrence. Conclusion: Sublay mesh repair showed excellent short-term results, with minimal morbidity. It resulted in fewer post-operative complications and no recurrence. Compared with the onlay technique (in the literature) sublay mesh repair is a gold standard treatment for incisional hernia repair. [ABSTRACT FROM AUTHOR]