TY  - JOUR
T1  - Comparative Study of Onlay Hernioplasy and Sublay Hernioplasty of Ventral Hernia
AU - Srinivas, V.B. AU - Harish, K.L. AU - Rao, Channanna AU - Bharathi, R. 
JO  - Research Journal of Medical Sciences
VL  - 18
IS  - 12
SP  - 923
EP  - 930
PY  - 2024
DA  - 2001/08/19
SN  - 1815-9346
DO  - makrjms.2024.12.923.930
UR  - https://makhillpublications.co/view-article.php?doi=makrjms.2024.12.923.930
KW  - Hernioplasty
KW  - Ventral hernia
AB  - Ventral hernias provide a considerable clinical challenge, involving a
range of abdominal wall abnormalities characterised by the protrusion of
intra‐abdominal contents through a compromised or disrupted fascial
layer. These hernias encompass primary midline abnormalities, including
umbilical and epigastric hernias, along with incisional hernias that occur
as postoperative complications subsequent to abdominal surgery.
Incisional hernias occur in 2–20% of laparotomy cases, underscoring the
therapeutic significance of ventral hernia treatment in surgical practice.
This was a prospective observational study carried out in the Department
of General Surgery at PES Institute of Medical Sciences and Research
(PESIMSR), Kuppam, Andhra Pradesh. The research was conducted over
an 18‐month duration. The research encompassed patients hospitalised
in the General Surgery unit with a clinical diagnosis of ventral hernia. All
chosen individuals met the specified inclusion and exclusion criteria
detailed below. Patients were chosen using selective selection. A
minimum sample size of 30 was established based on prevalence
statistics from a prior study conducted at Fayoum University. Inclusion
criteria are patients aged 18 to 70 years, clinically diagnosed with a
ventral hernia, and admitted for surgical intervention. Seroma
development occurred more frequently in Group A (26.67%) than in
Group B (6.67%), with a statistically significant difference (p = 0.0376).
Chronic pain was reported more frequently in Group A (20.00%)
compared to Group B (3.33%), with statistical significance (p = 0.0443).
Infection was observed in 6.67% of patients in Group A, but Group B
exhibited no infections; yet, this disparity was not statistically significant
(p = 0.3132). Group A had a greater incidence of problems than Group B.
The sublay approach yielded superior overall outcomes. Patients who
received sublay repair exhibited a reduction in comorbidities, including
fluid accumulation and pain, demonstrated expedited recovery, and
encountered a lower likelihood of hernia recurrence. According to these
findings, sublay mesh repair seems to be the most efficacious and safer
alternative for ventral hernia repair.
ER  -