A Comparative Study of Onlay and Pre-Peritoneal Mesh Repair in Incisional Hernia

Abstract

Background: Aim: To compare preperitoneal mesh repair vs onlay mesh repair in incisional hernia surgery. Subjects and Methods: Ninety- eight adult patients age ranged 18-58 years of either gender of incisonal hernia were recruited. Demographic, preoperative, operative, perioperative, postoperative and follow-up data were collected. Patients were divided into two groups of 49 each. Group I patients underwent onlay repair and group II underwent preperitoneal repair. Adverse event and Carolinas Comfort Scale (CCF) was also recorded. Results: In group I and group II, mean Carolinas comfort scale at 2nd week was 42 and 46, at 2nd month was 34 and 29 and at 6th month was 20 and 16. Peri- operative adverse events were days of retain drain in 3 and 1, wound infection in 2, seroma in 2 and 1, peritonitis in 1. Post- operative complications were sinus formation in 2 and 1, mesh rejection in 1, recurrence in 1 and mesh migration in 1 and enterocutaneous fistula in 0 and 1. A significant difference was observed (P< 0.05). Conclusion: The preperitoneal repair was found to have better patient compliance and satisfaction with regard to occurrence of complications.