TY - JOUR AU - Ibrahim, Taseer AU - Ahmed, Waqas AU - Ahmed, Iftikhar AU - Mushtaq, Komal AU - Hussain, Adee AU - Ahmed, Naveed PY - 2018/12/31 Y2 - 2024/03/29 TI - COMPARISON OF ONLAY VERSUS SUBLAY MESH REPAIR FOR VENTRAL ABDOMINAL HERNIAS. A RANDOMIZED CONTROLLED TRIAL JF - Pakistan Armed Forces Medical Journal JA - PAFMJ VL - 68 IS - 6 SE - Original Articles DO - UR - https://pafmj.org/PAFMJ/article/view/2586 SP - 1700-04 AB - <p><strong>Objective:</strong></p><p>To compare onlay versus sublay mesh repair for ventral abdominal hernias in terms of mean operative team, frequency of post-operative wound infection, seroma formation and hematoma formation.</p><p><strong>Study Design:</strong> Randomized controlled trial.</p><p><strong> Place and Duration of Study:</strong> Department of General Surgery, Pak Emirates Military Hospital Rawalpindi, from Apr 2017 to Dec 2017.</p><p><strong>Material and Methods:</strong></p><p>A total of 78 patients (39 in each group) diagnosed as a case of ventral abdominal hernia meeting the inclusion and exclusion criteria were included in the study. Patients with complicated hernias, recurrent hernias and bleeding disorders were excluded. Group-A patients underwent mesh repair by the onlay method while group-B patients underwent mesh hernioplasty via the sublay technique. All patients were followed for wound infection, seroma formation and hematoma formation. Data was analyzed by SPSS ver. 23.0.</p><p><strong>Results:</strong></p><p>The mean operation time in group A was 46.10 ± 7.25 minutes while in group B, the mean operation time was 77.82 ± 9.97 minutes (p&lt;0.001). The frequency of wound infection was 5.13% vs 0% (p=0.49) and hematoma formation was 5.13% vs 7.69% (p=0.999) between the two groups respectively which were statistically insignificant. However, seroma formation between the two groups was 23.08% vs 5.13%, which was statistically significant (p=0.023).</p><p><strong>Conclusion:</strong></p><p>Sublay mesh repair for ventral hernias is better than onlay mesh repair for ventral abdominal wall hernias in terms of frequency of complications. However, it requires a longer operative time. </p> ER -