Safety of Onlay versus Sublay Mesh Hernioplasty in the Management of Umbilical and Paraumbilical Hernias: A Quasi-Experimental Study

Muhammad Zargham Nasir Khan; Shehzad Ahmed Abbasi; Nauman Tasneem; Muhammad Nafe Bin Tahir; Syeda Rida Mashadi; Yaseen Wajid

doi:10.51253/pafmj.v76i4.12837

Authors

Muhammad Zargham Nasir Khan Department of General Surgery, PAF Hospital Mushaf, Sargodha Pakistan
Shehzad Ahmed Abbasi Department of General Surgery, PAF Hospital Mushaf, Sargodha Pakistan
Nauman Tasneem Department of General Surgery, PAF Hospital Mushaf, Sargodha Pakistan
Muhammad Nafe Bin Tahir Department of General Surgery, PAF Hospital Mushaf, Sargodha Pakistan
Syeda Rida Mashadi Department of General Surgery, PAF Hospital Mushaf, Sargodha Pakistan
Yaseen Wajid Department of General Surgery, PAF Hospital Mushaf, Sargodha Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76i4.12837

Keywords:

Outcomes, Recurrence, Seroma, Surgical Wound Infection, Ventral Hernia

Abstract

Objectives: To compare the outcomes of onlay versus sublay mesh hernioplasty for treatment of ventral hernia.

Study Design: Quasi-experimental study.

Place and Duration of Study: Department of General Surgery, PAF Hospital Mushaf, Sargodha Pakistan, from May 2023 to Aug 2024.

Methodology: One hundred fourteen patients with ventral (umbilical/para-umbilical) hernia were divided into Onlay group (A) and Sublay group (B). Outcomes were assessed and compared between the study groups. Data were analyzed using SPSS version 20.

Results: A total of 114 patients, divided into two groups of 57, were included. The mean age of patients was 37.20±5.74 years. There were 21(18.42%) male and 93(81.58%) female patients. Mean duration of operation in group A and B was 90.90±5.96 and 116.63±3.72 minutes, respectively (p<0.001). Mean hospitalization length was significantly shorter in the Sublay group (p<0.001). No statistically significant difference was observed between groups in terms of frequency of surgical wound infection (p=0.142), seroma formation (p=0.106), persistent pain (p=0.509) and hernia recurrence (p=0.113).

Conclusion: Both techniques of mesh placement are effective, but the Sublay technique provides much better outcomes in terms of shorter stay at the hospital.

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