Journal of AdvancedMedical and Dental Sciences Research

Aim: To investigate Onlay and sublay mesh repair techniques in incisional hernias. Material and Methods: Observational research was done in the surgical department. Patients who were clinically diagnosed with incisional hernia were part of this research. 100 instances were examined within the specified time. The patients were allocated into two groups at random. Group A underwent onlay mesh repair whereas Group B had sublay mesh repair. Results:The bulk of the 100 participants in the onlay group were between 31 and 40 years old. In other words, out of 21 participants in one group, 42% were between 31-40 years old, whereas in another group of 27 participants, 54% fell into the same age range. Both groups consisted mostly of individuals from the same age range. The proportion of men was 64% in the onlay group and 58% in the sublay group. The proportion of females was 36% in the onlay group and 42% in the sublay group. Postoperative complications such as seroma occurred in 14% and 10% of patients in the onlay and sublay groups, respectively. The incidence of seroma was higher in the onlay group compared to the sublay group (p<0.05).Postoperative complications such as deep surgical site infections occurred in 10% and 6% of patients in the onlay and sublay groups, respectively. The prevalence of deep surgical site infections was almost same in both groups (p>0.05).Postoperative hernia recurrence occurred in three cases in each group, with no significant difference between the groups (p>0.05).The average length of hospital stay in the onlay group was 8.52±1.8 days, whereas in the sublay group it was 0.071±1.35 days. The difference in mean days of hospitalization between both groups was determined to be statistically significant (p<0.001). The number of days spent in the hospital was lower in the sublay group compared to the onlay group. Conclusion: Sublay mesh repair has a reduced incidence of post-operative problems compared to onlay mesh repair, however more extensive investigations are needed to determine the superior approach.