Introduction: Apart from recurrence after ventral hernia repairs, other postoperative complications like seroma formation, hematoma, cellulitis, wound infection attributed largely to extensive dissection and tissue handling. Sublay technique has several advantages such as low rate of infection from subcutaneous tissues down to the mesh as it lies quite deep in the preperitoneal plane. Moreover the mesh implanted in the preperitoneal space unites and consolidates the anterior abdominal wall and also adheres to the posterior rectus sheath and renders it inextensible allowing no further herniation. The authors in this study tried to compare the pattern of wound complications and postoperative pain in sublay and onlay mesh repair for ventral hernia. Patients and Methods: A total of 200 patients with ventral hernias were enrolled and divided into main two groups; A and B. Group A patients were subjected to onlay mesh repair and Group B patients were subjected to sublay mesh repair. Operations were performed in Port-Fouad general hospital, Port-Fouad, Port-Said, Egypt and in the Al-Mahalla Al-Koubra general hospital, Al-Mahalla Al-Koubra, Egypt. End Points: The end points were of wound infection, mesh rejection and chronic postoperative pain. Results: There was no statistical difference between both groups regarding their demographic data such as age, sex, special habits and body mass index and co-morbidities. Patterns of mesh related wound complications as well as chronic postoperative pain were higher in onlay versus sublay repair with no statistical significance. Conclusion: sublay preperitoneal repair is a safe and an effective technique for ventral hernia surgery. Pattern of wound complications as postoperative wound infection, mesh removal and chronic pain are much less than when compared with the onlay maneuver.
| Published in |
Journal of Surgery (Volume 4, Issue 1-1)
This article belongs to the Special Issue Abdominal Surgery: Toward the Best |
| DOI | 10.11648/j.js.s.2016040101.15 |
| Page(s) | 19-23 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2015. Published by Science Publishing Group |
Ventral Hernia, Onlay, Sublay, Wound Complications
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APA Style
Aly Saber, Adel R. Al-Masry. (2015). Pattern of Wound Complications and Postoperative Pain in Sublay versus Onlay Mesh Repair for Ventral Hernia. Journal of Surgery, 4(1-1), 19-23. https://doi.org/10.11648/j.js.s.2016040101.15
ACS Style
Aly Saber; Adel R. Al-Masry. Pattern of Wound Complications and Postoperative Pain in Sublay versus Onlay Mesh Repair for Ventral Hernia. J. Surg. 2015, 4(1-1), 19-23. doi: 10.11648/j.js.s.2016040101.15
AMA Style
Aly Saber, Adel R. Al-Masry. Pattern of Wound Complications and Postoperative Pain in Sublay versus Onlay Mesh Repair for Ventral Hernia. J Surg. 2015;4(1-1):19-23. doi: 10.11648/j.js.s.2016040101.15
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Download@article{10.11648/j.js.s.2016040101.15,
author = {Aly Saber and Adel R. Al-Masry},
title = {Pattern of Wound Complications and Postoperative Pain in Sublay versus Onlay Mesh Repair for Ventral Hernia},
journal = {Journal of Surgery},
volume = {4},
number = {1-1},
pages = {19-23},
doi = {10.11648/j.js.s.2016040101.15},
url = {https://doi.org/10.11648/j.js.s.2016040101.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.s.2016040101.15},
abstract = {Introduction: Apart from recurrence after ventral hernia repairs, other postoperative complications like seroma formation, hematoma, cellulitis, wound infection attributed largely to extensive dissection and tissue handling. Sublay technique has several advantages such as low rate of infection from subcutaneous tissues down to the mesh as it lies quite deep in the preperitoneal plane. Moreover the mesh implanted in the preperitoneal space unites and consolidates the anterior abdominal wall and also adheres to the posterior rectus sheath and renders it inextensible allowing no further herniation. The authors in this study tried to compare the pattern of wound complications and postoperative pain in sublay and onlay mesh repair for ventral hernia. Patients and Methods: A total of 200 patients with ventral hernias were enrolled and divided into main two groups; A and B. Group A patients were subjected to onlay mesh repair and Group B patients were subjected to sublay mesh repair. Operations were performed in Port-Fouad general hospital, Port-Fouad, Port-Said, Egypt and in the Al-Mahalla Al-Koubra general hospital, Al-Mahalla Al-Koubra, Egypt. End Points: The end points were of wound infection, mesh rejection and chronic postoperative pain. Results: There was no statistical difference between both groups regarding their demographic data such as age, sex, special habits and body mass index and co-morbidities. Patterns of mesh related wound complications as well as chronic postoperative pain were higher in onlay versus sublay repair with no statistical significance. Conclusion: sublay preperitoneal repair is a safe and an effective technique for ventral hernia surgery. Pattern of wound complications as postoperative wound infection, mesh removal and chronic pain are much less than when compared with the onlay maneuver.},
year = {2015}
}
TY - JOUR T1 - Pattern of Wound Complications and Postoperative Pain in Sublay versus Onlay Mesh Repair for Ventral Hernia AU - Aly Saber AU - Adel R. Al-Masry Y1 - 2015/09/17 PY - 2015 N1 - https://doi.org/10.11648/j.js.s.2016040101.15 DO - 10.11648/j.js.s.2016040101.15 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 19 EP - 23 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.s.2016040101.15 AB - Introduction: Apart from recurrence after ventral hernia repairs, other postoperative complications like seroma formation, hematoma, cellulitis, wound infection attributed largely to extensive dissection and tissue handling. Sublay technique has several advantages such as low rate of infection from subcutaneous tissues down to the mesh as it lies quite deep in the preperitoneal plane. Moreover the mesh implanted in the preperitoneal space unites and consolidates the anterior abdominal wall and also adheres to the posterior rectus sheath and renders it inextensible allowing no further herniation. The authors in this study tried to compare the pattern of wound complications and postoperative pain in sublay and onlay mesh repair for ventral hernia. Patients and Methods: A total of 200 patients with ventral hernias were enrolled and divided into main two groups; A and B. Group A patients were subjected to onlay mesh repair and Group B patients were subjected to sublay mesh repair. Operations were performed in Port-Fouad general hospital, Port-Fouad, Port-Said, Egypt and in the Al-Mahalla Al-Koubra general hospital, Al-Mahalla Al-Koubra, Egypt. End Points: The end points were of wound infection, mesh rejection and chronic postoperative pain. Results: There was no statistical difference between both groups regarding their demographic data such as age, sex, special habits and body mass index and co-morbidities. Patterns of mesh related wound complications as well as chronic postoperative pain were higher in onlay versus sublay repair with no statistical significance. Conclusion: sublay preperitoneal repair is a safe and an effective technique for ventral hernia surgery. Pattern of wound complications as postoperative wound infection, mesh removal and chronic pain are much less than when compared with the onlay maneuver. VL - 4 IS - 1-1 ER -
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