E ISSN: 2583-049X
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International Journal of Advanced Multidisciplinary Research and Studies

Volume 4, Issue 4, 2024

Comparative Review of Outcomes: On-lay versus sub-lay Mesh Repair in Ventral Abdominal Hernias



Author(s): Dr. Zarafshan Khan, Dr. Marwa Munir, Dr. Zeeshan Khan, Dr. Muhammad Hasnain Khan, Dr. Hira Shamim, Dr. Jamshid Khan

Abstract:

Objective: The following study has been conducted to define the post-operative outcomes of patients undergoing mesh hernioplasty with both on-lay and sub-lay techniques in ventral abdominal hernias.

Study Design: Randomized control Trial.

Study Setting: Department of Surgery, Khyber Teaching Hospital Peshawar.

Duration of Study: 1st August 2022 till 30th August 2023.

Subject and Methods: Patients were divided into two groups, A and B, using stratified randomization. Group A patients had on-lay repair done compared with group B where sub-lay technique was employed during mesh hernioplasty. Post-operative outcome assessment included surgical site infection (SSI) on the 7th day follow up in OPD. Data was collected by filling proformas, put into Microsoft excel sheet and transferred to SPSS version 23 for analysis.

Results: Patients were followed in the OPD on 7th post op day and it was observed that a total of 12 of patients had evidence of surgical site infection for both group A and B combined (10%) out of which 8 (6.67%) were in the on-lay group and 4 (3.33%) were in the sub-lay group. Post stratification chi-square test findings given in the description below.

Conclusion: Despite having a relatively higher number of SSIs in the on-lay group, the results depict no significant difference between the two techniques to provide convincing evidence as to which procedure is better.


Keywords: On-lay Repair, Sub-lay Repair, Mesh Hernioplasty

Pages: 1246-1248

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