Barış Sevinç1, Ahmet Okuş2, Serden Ay2, Nergis Aksoy3, Ömer Karahan4. 1. Department of General Surgery, Medical Park Uşak Hospital, Uşak, Turkey. 2. Department of General Surgery, Karatay University School of Medicine, Konya, Turkey. 3. Department of General Surgery, Konya Training and Research Hospital, Konya, Turkey. 4. Department of General Surgery, Uşak University School of Medicine, Uşak, Turkey.
Abstract
OBJECTIVE: Incisional hernia is a significant problem after laparotomy, and there is still no consensus on an ideal treatment method. The aim of this study was to compare the results of onlay and sublay mesh repair techniques. MATERIAL AND METHODS: In this randomized prospective trial, 100 patients were divided into two groups: onlay and sublay groups. Recurrences were evaluated by performing a physical examination. RESULTS: The median follow-up was 37.1 (26.6 to 46.5) months. In the onlay group, the mean operation time was significantly shorter. However, in terms of postoperative pain and wound complications, the sublay group had significantly better results. The recurrence rates were found to be similar in both groups (6% in the onlay group and 2% in the sublay group). CONCLUSION: In the treatment of incisional hernia, sublay mesh repair is superior to onlay mesh repair in terms of postoperative pain and wound complications. Both techniques have similar recurrence rates.
OBJECTIVE: Incisional hernia is a significant problem after laparotomy, and there is still no consensus on an ideal treatment method. The aim of this study was to compare the results of onlay and sublay mesh repair techniques. MATERIAL AND METHODS: In this randomized prospective trial, 100 patients were divided into two groups: onlay and sublay groups. Recurrences were evaluated by performing a physical examination. RESULTS: The median follow-up was 37.1 (26.6 to 46.5) months. In the onlay group, the mean operation time was significantly shorter. However, in terms of postoperative pain and wound complications, the sublay group had significantly better results. The recurrence rates were found to be similar in both groups (6% in the onlay group and 2% in the sublay group). CONCLUSION: In the treatment of incisional hernia, sublay mesh repair is superior to onlay mesh repair in terms of postoperative pain and wound complications. Both techniques have similar recurrence rates.
Authors: Jacobus W A Burger; Roland W Luijendijk; Wim C J Hop; Jens A Halm; Emiel G G Verdaasdonk; Johannes Jeekel Journal: Ann Surg Date: 2004-10 Impact factor: 12.969
Authors: T S de Vries Reilingh; D van Geldere; Blam Langenhorst; D de Jong; G J van der Wilt; H van Goor; R P Bleichrodt Journal: Hernia Date: 2003-10-28 Impact factor: 4.739
Authors: John Scott Roth; Gary J Anthone; Don J Selzer; Benjamin K Poulose; Richard A Pierce; James G Bittner; William W Hope; Raymond M Dunn; Robert G Martindale; Matthew I Goldblatt; David B Earle; John R Romanelli; Gregory J Mancini; Jacob A Greenberg; John G Linn; Eduardo Parra-Davila; Bryan J Sandler; Corey R Deeken; Jasenka Verbarg; Jennifer L Salluzzo; Guy R Voeller Journal: Ann Med Surg (Lond) Date: 2020-12-15