Abstract

Over the years, surgeons tried the placement of mesh at different locations like On-lay, Under-lay, Sub-lay and pre-peritoneal, retroperitoneal intraperitoneal, Inter-muscular, etc. with each procedure having its advantages and disadvantages. Many materials were tried, including nylon, dacron, Teflon, ivalon, velour-lined silicone and, polytetrafluoroethylene (PTFE) the last having the advantage of fewer adhesions. Aim of the Study: To comparison Onlay and retro rectus procedures with regards to the duration of surgery, postoperative complications like seroma, wound infection, wound dehiscence, and also the period of postoperative stay in the hospital. Patients & Method: A Prospective comparative study done on 50 cases in the Department of General Surgery, GGH, Kadapa from July 2022 to July 2023. Results: The mean age of cases in Group A is 40.48 years. The mean age of patients in Group B is 44.08 years. The male to female ratio in the study was 1:1.27. The mean Operative Time in Group A was 1.93 Hrs, and that in Group B was 2.98Hrs. Nine patients (36%) in group A and one patient (4%) in group B had seroma formation. Eight patients (32%) in group A and one patient (4%) in group B had a wound infection. The mean Hospital Stay in Group A was 5.44 Days, and Group B was 4.88 days. No short-term recurrences were noted in either of the two groups when followed for six months. Conclusion: Retrorectus mesh repair is an excellent alternative to Onlay mesh repair that may apply to incisional hernia. The mesh-related overall complication rate like seroma wound infections and hospital stay is less than Onlay mesh repair.

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