Abstract

To compare the efficacy of Preperitoneal and Onlay mesh repair of Ventral Hernia. Methodology: It was a prospective, observational and comparative study. 50 patients presenting with ventral hernia admitted to Kamineni institute of medical sciences, Narketpally, were preoperatively assessed clinically and by ultrasonography to confirm the diagnosis. 26 patients underwent Onlay and 24 patients underwent Preperitoneal mesh repair after obtaining Informed consent and satisfying the inclusion & exclusion criteria. Results: The age in the study ranged from 22 years to 65 years’ age group. More than 50% patients were between 31-60 age groups. In our study out of 28 cases with incisional hernia, 9 cases (32.14%) had under gone Hysterectomy(TAH), 2 Tubectomy (7.14%),6 LSCS (21.44%), 2 open appendectomies (7.14%), 7 laparotomy(25%),1 oophorectomy (3.57%), 1 psoas abscess (3.57%). The smallest defect measured 1 x 0.5 cm and the largest defect measured 7 x 4 cm in this study. 24 Patients underwent Pre-peritoneal mesh repair and 26 patients underwent onlay mesh repair. Mean duration of surgery in Onlay Mesh repair (60 – 100mins) was 77.08 mins compared to that in Pre-Peritoneal Mesh repair was 95.63mins (70 – 125 mins). Recurrence was observed only in one patient with Onlay mesh repair. Conclusion: The study concluded that Preperitoneal mesh repair is a good alternative to Onlay mesh repair that may be applicable to all forms of ventral hernias.

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