Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
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.
How to cite this article:
V.B. Gowtham Srinivas, K.L. Harish, Channanna Chidamber Rao and R. Bharathi. Comparative Study of Onlay Hernioplasy and Sublay Hernioplasty of Ventral Hernia.
DOI: https://doi.org/10.36478/makrjms.2024.12.923.930
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2024.12.923.930