A retrospective comparative study of preperitoneal vs onlay mesh repair in cases of ventral hernia at tertiary care institute.

Dr.Manubhai V. Pipalia; Dr. Ronak Rajubhai Chavada

Volume : VIII, Issue : XII, December - 2019

A retrospective comparative study of preperitoneal vs onlay mesh repair in cases of ventral hernia at tertiary care institute.

Dr. Manubhai V. Pipalia, Dr. Ronak Rajubhai Chavada

Abstract :

Background: A ventral hernia is an abnormal protrusion of intra abdominal or preperitoneal content through the anterior abdominal wall fascia and muscle defect. Hernioplasty with prosthetic mesh is surgical treatment modality for all types of ventral hernia.There are various anatomic planes where mesh can be put. This study was planned to compare preperitoneal repair and onlay mesh repair in terms regarding their outcome. Methods: This is a retrospective study with total number of 112 cases of ventral hernia with prosthetic meshplasty was done. In all cases clinical history, preoperative examination findings, intraoperative and post operative findings were noted. All data was categorised according to where mesh was put intra–operatively in anatomical plane of preperitoneal or onlay. Statistical analysis of all data was done and outcome was measured. Results: Mean operative time was less in onlay hernioplasty than preperitoneal hernioplasty but over all complications were high in onlay hernioplasty.Preperitoneal hernioplasty method had lowest complications rate. Conclusions: Preperitoneal hernioplasty is better choice than onlay hernioplasty.