Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Outcomes of Two Specific Surgical Methods for Repairing Incisional Hernias: Open Retromuscular Mesh Placement (Sublay) and Onlay Mesh Placement
C. Shashidhara Naik, Niyaz Ahmed, M.S. Aishwarya and Shaik Mohammed Akram
Page: 410-412 | Received 20 Aug 2024, Published online: 01 Nov 2024
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Abstract
Incisional hernia (IH) is the only hernia considered to be truly iatrogenic. It is defined as the diffuse protrusion of the peritoneum and abdominal cavity contents through a weak/poor scar of an operation or an accidental wound. Incisional hernia is a significant complications after laparotomy and can result in bowel strangulation, enterocutaneous fistula and affects quality of life. After documenting medical histories and obtaining informed consent, patients will undergo clinical examinations and necessary tests. They will be randomly assigned to two groups: one receiving onlay mesh placement and the other sublay mesh placement. Patients will be monitored for complications during their hospital stay and will have follow-up reviews at 1, 3 and 6 months to check for hernia recurrence. Sublay mesh repair is superior to onlay mesh repair for ventral incisional hernia, with fewer complications such as seroma formation, surgical site infections, and recurrences. Although onlay mesh repair is quicker and easier, it has more complications. Sublay repair involves more pain due to the extensive dissection required. The study reported no recurrences or hematomas during the follow-up period.
How to cite this article:
C. Shashidhara Naik, Niyaz Ahmed, M.S. Aishwarya and Shaik Mohammed Akram. Outcomes of Two Specific Surgical Methods for Repairing Incisional Hernias: Open Retromuscular Mesh Placement (Sublay) and Onlay Mesh Placement.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.11.410.412
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.11.410.412