A COMPARATIVE STUDY OF INLAY AND ONLAY MESH REPAIR IN INCISIONAL HERNIA

Volume : VII, Issue : VII, July - 2018

Nikhil Gawde, Kumar Premjeet Madhukar, Lakin Vira

INTRODUCTION A hernia is defined as a protrusion of contents from abdominal cavity through anatomical, preformed route, whereas an

incisional hernia is defined as protrusion of abdominal viscera through a route formed after trauma induced by cutting (surgical incision,

Laparoscopic trocar puncture, stab wounds).1 With the increase in the number of abdominal operations, the number of incisional hernias has also

increased considerably. It is a common complication of abdominal surgery, reported in up to 11% of patients and in up to 23% of those who develop

postoperative wound infection.2 Obesity, advanced age, malnutrition, ascites, pregnancy and conditions that increase intra–abdominal pressure are

factors that predispose to the development of an incisional hernia.3

In this study, we have made an attempt to conduct a clinical study of 60 cases, selected at random and admitted to a General Hospital in Bangalore

over 3 years from April 2014 to March 2017. Particular attention has been paid to study the clinical presentation and risk factors associated and the

outcomes of different surgical techniques of mesh repair for Incisional hernia i.e a comparative study of inlay and onlay mesh repair.