Comparison of Sublay and Onlay Mesh Repair in Terms of Post-Operative Complications
Objective: To compare Sublay and Onlay mesh repair in terms of post-operative complications among patients undergoing hernioplasty. Study Design: Prospective comparative study. Place and Duration of Study: Surgical Department, Combined Military Hospital, Rawalpindi Pakistan, from Jan 2020 to...
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| Format: | Article |
| Language: | English |
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Army Medical College Rawalpindi
2023-06-01
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| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://www.pafmj.org/index.php/PAFMJ/article/view/7130 |
| _version_ | 1797690109139615744 |
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| author | Farukh Gulzar Khawaja Khalid Mahmood Uzma Javed Gul Asim Aslam Farhan Saeed Afsa Nayyar |
| author_facet | Farukh Gulzar Khawaja Khalid Mahmood Uzma Javed Gul Asim Aslam Farhan Saeed Afsa Nayyar |
| author_sort | Farukh Gulzar Khawaja |
| collection | DOAJ |
| description |
Objective: To compare Sublay and Onlay mesh repair in terms of post-operative complications among patients undergoing hernioplasty.
Study Design: Prospective comparative study.
Place and Duration of Study: Surgical Department, Combined Military Hospital, Rawalpindi Pakistan, from Jan 2020 to Jun 2021.
Methodology: This study was conducted on 300 patients who underwent hernioplasty for anterior abdominal wall hernias at our hospital. They were randomly divided into two groups before the surgery. Group-A received only mesh repair, while Group-B received subway repair. They were followed up for two weeks for any post-operative complications. Post-operative pain, seroma formation, hematoma formation and the presence of surgical site infection were compared in both groups.
Results: Out of 300 patients included in the final analysis, 189(63%) were male, and 111(37%) were female. About 163(54.4%) underwent subway repair, while 137(45.6%) underwent only repair. The commonest complication observed in patients was post-operative pain 68(22.7%), followed by surgical site infection 36(12%). Statistical analysis revealed that seroma formation, post-operative pain and surgical site infection were significantly observed more in patients undergoing only mesh repair than subway repair (p-value<0.05).
Conclusion: Post-surgical complications were commonly observed in patients within two weeks of surgery. In addition, patients undergoing Onlay mesh repair were more prone to have seroma formation, post-operative pain and surgical site infection than those undergoing Sublay repair.
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| first_indexed | 2024-03-12T01:54:50Z |
| format | Article |
| id | doaj.art-002832981e1a40e3aebcffadda942b73 |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-03-12T01:54:50Z |
| publishDate | 2023-06-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-002832981e1a40e3aebcffadda942b732023-09-08T06:02:49ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-06-0173310.51253/pafmj.v73i3.7130Comparison of Sublay and Onlay Mesh Repair in Terms of Post-Operative ComplicationsFarukh Gulzar Khawaja0https://orcid.org/0000-0003-0265-1301Khalid Mahmood1Uzma Javed Gul2Asim Aslam3Farhan Saeed4Afsa Nayyar5Combined military Hospital, RawalpindiDepartment of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanDepartment of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanDepartment of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanDepartment of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanDepartment of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan Objective: To compare Sublay and Onlay mesh repair in terms of post-operative complications among patients undergoing hernioplasty. Study Design: Prospective comparative study. Place and Duration of Study: Surgical Department, Combined Military Hospital, Rawalpindi Pakistan, from Jan 2020 to Jun 2021. Methodology: This study was conducted on 300 patients who underwent hernioplasty for anterior abdominal wall hernias at our hospital. They were randomly divided into two groups before the surgery. Group-A received only mesh repair, while Group-B received subway repair. They were followed up for two weeks for any post-operative complications. Post-operative pain, seroma formation, hematoma formation and the presence of surgical site infection were compared in both groups. Results: Out of 300 patients included in the final analysis, 189(63%) were male, and 111(37%) were female. About 163(54.4%) underwent subway repair, while 137(45.6%) underwent only repair. The commonest complication observed in patients was post-operative pain 68(22.7%), followed by surgical site infection 36(12%). Statistical analysis revealed that seroma formation, post-operative pain and surgical site infection were significantly observed more in patients undergoing only mesh repair than subway repair (p-value<0.05). Conclusion: Post-surgical complications were commonly observed in patients within two weeks of surgery. In addition, patients undergoing Onlay mesh repair were more prone to have seroma formation, post-operative pain and surgical site infection than those undergoing Sublay repair. https://www.pafmj.org/index.php/PAFMJ/article/view/7130ComplicationsHernioplastyOnlay meshSublay mesh |
| spellingShingle | Farukh Gulzar Khawaja Khalid Mahmood Uzma Javed Gul Asim Aslam Farhan Saeed Afsa Nayyar Comparison of Sublay and Onlay Mesh Repair in Terms of Post-Operative Complications Pakistan Armed Forces Medical Journal Complications Hernioplasty Onlay mesh Sublay mesh |
| title | Comparison of Sublay and Onlay Mesh Repair in Terms of Post-Operative Complications |
| title_full | Comparison of Sublay and Onlay Mesh Repair in Terms of Post-Operative Complications |
| title_fullStr | Comparison of Sublay and Onlay Mesh Repair in Terms of Post-Operative Complications |
| title_full_unstemmed | Comparison of Sublay and Onlay Mesh Repair in Terms of Post-Operative Complications |
| title_short | Comparison of Sublay and Onlay Mesh Repair in Terms of Post-Operative Complications |
| title_sort | comparison of sublay and onlay mesh repair in terms of post operative complications |
| topic | Complications Hernioplasty Onlay mesh Sublay mesh |
| url | https://www.pafmj.org/index.php/PAFMJ/article/view/7130 |
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