A comparative study of onlay and retrorectus mesh placement in incisional hernia repair
Introduction: Incisional hernia after abdominal surgery is a well-known complication and the incidence of incisional hernias continues to be 2-11% after laparotomy. The repair of incisional hernia has always been a challenge to the surgeon. Various operative techniques for the repair of incisional h...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2013-01-01
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| Series: | Medical Journal of Dr. D.Y. Patil University |
| Subjects: | |
| Online Access: | http://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2013;volume=6;issue=3;spage=258;epage=262;aulast=Kharde |
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| author | Kundan Kharde Bharat Bhushan Dogra Sunil Panchabhai Karan V. S. Rana Srihari Sridharan Sai Kalyan |
| author_facet | Kundan Kharde Bharat Bhushan Dogra Sunil Panchabhai Karan V. S. Rana Srihari Sridharan Sai Kalyan |
| author_sort | Kundan Kharde |
| collection | DOAJ |
| description | Introduction: Incisional hernia after abdominal surgery is a well-known complication and the incidence of incisional hernias continues to be 2-11% after laparotomy. The repair of incisional hernia has always been a challenge to the surgeon. Various operative techniques for the repair of incisional hernia are in practice; however, the management is not standardized. The retro-rectus mesh placement or the sub-lay technique, popularized by Rives and Stoppa in Europe, has been reported to be quite effective, with low recurrence rates (0-23%) and minimal complications. Aims and Objective: The purpose of this study was to compare the traditional on-lay mesh and retro-rectus mesh placement in incisional hernia repairs in terms of time taken for surgery, early complications (wound infections, Mesh extrusion), and Delayed complications (Recurrence). Materials and Methods: This is a prospective study which was conducted in the surgical department of our hospital. A total of 50 cases were included in this study. Of these cases, 25 cases were operated by the on-lay mesh method and 25 by retro-rectus mesh placement. Only the patients with midline hernias up to 10 cm in diameter were included in the study. Result: The operative time for retro-rectus mesh placement was insignificantly higher than that of on-lay mesh repair, whereas, complications like superficial Surgical site infection SSI were identical in both the study groups, but deep SSI leading to infection of mesh was higher in on-lay mesh repair. The recurrence rate was found to be 4% in on-lay mesh repair and 0% in retro-rectus mesh repair. Conclusion: The follow-up period in this study was 6months; hence, late recurrences were not taken into account. However, the low rate of local complications and the low recurrence rate indicate that retro-rectus mesh repair has an advantage over traditional on-lay repair. |
| first_indexed | 2024-04-13T02:26:44Z |
| format | Article |
| id | doaj.art-832ec132916f49049a17c38b0799200e |
| institution | Directory Open Access Journal |
| issn | 0975-2870 |
| language | English |
| last_indexed | 2024-04-13T02:26:44Z |
| publishDate | 2013-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Medical Journal of Dr. D.Y. Patil University |
| spelling | doaj.art-832ec132916f49049a17c38b0799200e2022-12-22T03:06:45ZengWolters Kluwer Medknow PublicationsMedical Journal of Dr. D.Y. Patil University0975-28702013-01-016325826210.4103/0975-2870.114650A comparative study of onlay and retrorectus mesh placement in incisional hernia repairKundan KhardeBharat Bhushan DograSunil PanchabhaiKaran V. S. RanaSrihari SridharanSai KalyanIntroduction: Incisional hernia after abdominal surgery is a well-known complication and the incidence of incisional hernias continues to be 2-11% after laparotomy. The repair of incisional hernia has always been a challenge to the surgeon. Various operative techniques for the repair of incisional hernia are in practice; however, the management is not standardized. The retro-rectus mesh placement or the sub-lay technique, popularized by Rives and Stoppa in Europe, has been reported to be quite effective, with low recurrence rates (0-23%) and minimal complications. Aims and Objective: The purpose of this study was to compare the traditional on-lay mesh and retro-rectus mesh placement in incisional hernia repairs in terms of time taken for surgery, early complications (wound infections, Mesh extrusion), and Delayed complications (Recurrence). Materials and Methods: This is a prospective study which was conducted in the surgical department of our hospital. A total of 50 cases were included in this study. Of these cases, 25 cases were operated by the on-lay mesh method and 25 by retro-rectus mesh placement. Only the patients with midline hernias up to 10 cm in diameter were included in the study. Result: The operative time for retro-rectus mesh placement was insignificantly higher than that of on-lay mesh repair, whereas, complications like superficial Surgical site infection SSI were identical in both the study groups, but deep SSI leading to infection of mesh was higher in on-lay mesh repair. The recurrence rate was found to be 4% in on-lay mesh repair and 0% in retro-rectus mesh repair. Conclusion: The follow-up period in this study was 6months; hence, late recurrences were not taken into account. However, the low rate of local complications and the low recurrence rate indicate that retro-rectus mesh repair has an advantage over traditional on-lay repair.http://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2013;volume=6;issue=3;spage=258;epage=262;aulast=KhardeIncisional herniaonlay repairretrorectus mesh repair |
| spellingShingle | Kundan Kharde Bharat Bhushan Dogra Sunil Panchabhai Karan V. S. Rana Srihari Sridharan Sai Kalyan A comparative study of onlay and retrorectus mesh placement in incisional hernia repair Medical Journal of Dr. D.Y. Patil University Incisional hernia onlay repair retrorectus mesh repair |
| title | A comparative study of onlay and retrorectus mesh placement in incisional hernia repair |
| title_full | A comparative study of onlay and retrorectus mesh placement in incisional hernia repair |
| title_fullStr | A comparative study of onlay and retrorectus mesh placement in incisional hernia repair |
| title_full_unstemmed | A comparative study of onlay and retrorectus mesh placement in incisional hernia repair |
| title_short | A comparative study of onlay and retrorectus mesh placement in incisional hernia repair |
| title_sort | comparative study of onlay and retrorectus mesh placement in incisional hernia repair |
| topic | Incisional hernia onlay repair retrorectus mesh repair |
| url | http://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2013;volume=6;issue=3;spage=258;epage=262;aulast=Kharde |
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