COMPARISON OF ONLAY VERSUS SUBLAY MESH REPAIR FOR VENTRAL ABDOMINAL HERNIAS. A RANDOMIZED CONTROLLED TRIAL

Objective: To compare onlay versus sublay mesh repair for ventral abdominal hernias in terms of mean operative team, frequency of post-operative wound infection, seroma formation and hematoma formation. Study Design: Randomized controlled trial. Place and Duration of Study: Department of Ge...

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Autores principales:	Taseer Ibrahim, Waqas Ahmed, Iftikhar Ahmed, Komal Mushtaq, Adee Hussain, Naveed Ahmed
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2018
Materias:	ventral hernia sublay onlay Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/e75131c001734bce873b4f12930da8f3
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spelling	oai:doaj.org-article:e75131c001734bce873b4f12930da8f32021-11-29T02:54:35ZCOMPARISON OF ONLAY VERSUS SUBLAY MESH REPAIR FOR VENTRAL ABDOMINAL HERNIAS. A RANDOMIZED CONTROLLED TRIAL0030-96482411-8842https://doaj.org/article/e75131c001734bce873b4f12930da8f32018-12-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2586/2113https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To compare onlay versus sublay mesh repair for ventral abdominal hernias in terms of mean operative team, frequency of post-operative wound infection, seroma formation and hematoma formation. Study Design: Randomized controlled trial. Place and Duration of Study: Department of General Surgery, Pak Emirates Military Hospital Rawalpindi, from Apr 2017 to Dec 2017. Material and Methods: A total of 78 patients (39 in each group) diagnosed as a case of ventral abdominal hernia meeting the inclusion and exclusion criteria were included in the study. Patients with complicated hernias, recurrent hernias and bleeding disorders were excluded. Group-A patients underwent mesh repair by the onlay method while group-B patients underwent mesh hernioplasty via the sublay technique. All patients were followed for wound infection, seroma formation and hematoma formation. Data was analyzed by SPSS ver. 23.0. Results: The mean operation time in group A was 46.10 ± 7.25 minutes while in group B, the mean operation time was 77.82 ± 9.97 minutes (p<0.001). The frequency of wound infection was 5.13% vs 0% (p=0.49) and hematoma formation was 5.13% vs 7.69% (p=0.999) between the two groups respectively which were statistically insignificant. However, seroma formation between the two groups was 23.08% vs 5.13%, which was statistically significant (p=0.023). Conclusion: Sublay mesh repair for ventral hernias is better than onlay mesh repair for ventral abdominal wall hernias in terms of frequency of complications. However, it requires a longer operative time.Taseer IbrahimWaqas AhmedIftikhar AhmedKomal MushtaqAdee HussainNaveed AhmedArmy Medical College Rawalpindiarticleventral herniasublayonlayMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 68, Iss 6, Pp 1700-1704 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	ventral hernia sublay onlay Medicine R Medicine (General) R5-920
spellingShingle	ventral hernia sublay onlay Medicine R Medicine (General) R5-920 Taseer Ibrahim Waqas Ahmed Iftikhar Ahmed Komal Mushtaq Adee Hussain Naveed Ahmed COMPARISON OF ONLAY VERSUS SUBLAY MESH REPAIR FOR VENTRAL ABDOMINAL HERNIAS. A RANDOMIZED CONTROLLED TRIAL
description	Objective: To compare onlay versus sublay mesh repair for ventral abdominal hernias in terms of mean operative team, frequency of post-operative wound infection, seroma formation and hematoma formation. Study Design: Randomized controlled trial. Place and Duration of Study: Department of General Surgery, Pak Emirates Military Hospital Rawalpindi, from Apr 2017 to Dec 2017. Material and Methods: A total of 78 patients (39 in each group) diagnosed as a case of ventral abdominal hernia meeting the inclusion and exclusion criteria were included in the study. Patients with complicated hernias, recurrent hernias and bleeding disorders were excluded. Group-A patients underwent mesh repair by the onlay method while group-B patients underwent mesh hernioplasty via the sublay technique. All patients were followed for wound infection, seroma formation and hematoma formation. Data was analyzed by SPSS ver. 23.0. Results: The mean operation time in group A was 46.10 ± 7.25 minutes while in group B, the mean operation time was 77.82 ± 9.97 minutes (p<0.001). The frequency of wound infection was 5.13% vs 0% (p=0.49) and hematoma formation was 5.13% vs 7.69% (p=0.999) between the two groups respectively which were statistically insignificant. However, seroma formation between the two groups was 23.08% vs 5.13%, which was statistically significant (p=0.023). Conclusion: Sublay mesh repair for ventral hernias is better than onlay mesh repair for ventral abdominal wall hernias in terms of frequency of complications. However, it requires a longer operative time.
format	article
author	Taseer Ibrahim Waqas Ahmed Iftikhar Ahmed Komal Mushtaq Adee Hussain Naveed Ahmed
author_facet	Taseer Ibrahim Waqas Ahmed Iftikhar Ahmed Komal Mushtaq Adee Hussain Naveed Ahmed
author_sort	Taseer Ibrahim
title	COMPARISON OF ONLAY VERSUS SUBLAY MESH REPAIR FOR VENTRAL ABDOMINAL HERNIAS. A RANDOMIZED CONTROLLED TRIAL
title_short	COMPARISON OF ONLAY VERSUS SUBLAY MESH REPAIR FOR VENTRAL ABDOMINAL HERNIAS. A RANDOMIZED CONTROLLED TRIAL
title_full	COMPARISON OF ONLAY VERSUS SUBLAY MESH REPAIR FOR VENTRAL ABDOMINAL HERNIAS. A RANDOMIZED CONTROLLED TRIAL
title_fullStr	COMPARISON OF ONLAY VERSUS SUBLAY MESH REPAIR FOR VENTRAL ABDOMINAL HERNIAS. A RANDOMIZED CONTROLLED TRIAL
title_full_unstemmed	COMPARISON OF ONLAY VERSUS SUBLAY MESH REPAIR FOR VENTRAL ABDOMINAL HERNIAS. A RANDOMIZED CONTROLLED TRIAL
title_sort	comparison of onlay versus sublay mesh repair for ventral abdominal hernias. a randomized controlled trial
publisher	Army Medical College Rawalpindi
publishDate	2018
url	https://doaj.org/article/e75131c001734bce873b4f12930da8f3
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COMPARISON OF ONLAY VERSUS SUBLAY MESH REPAIR FOR VENTRAL ABDOMINAL HERNIAS. A RANDOMIZED CONTROLLED TRIAL

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