Muhammad Ismail, Shahid Khan, Mukhtiar Ali, Bayazeed, Asif Imran, Abbas Ali.
Efficacy and safety between sublay and onlay mesh repair for para-umbilical hernia in Mardan Medical Complex, Mardan.
Pak J Surg Jan ;37(2):70-5.

Objective: To compare the efficacy and safety between sublay and onlay mesh repair for paraumbilical hernia. Setting: Surgical Department, Mardan Medical Complex, Mardan from June 2017 to May 2019 Study design: Randomized controlled trial Material and Methods: In this study a total of 126 (63 in each group) patients were observed. The patients were randomly allocated in two groups by lottery method. Patients in group-A was subjected to Sublay mesh repair procedure and patients in group-B was subjected to Onlay mesh repair procedure for para-umbilical hernia repair. Post-operatively all patients were kept under observations for 2-4 days in ward and observed for complications by an expert general surgeon. Post-operatively all patients were followed at 10 days, 3 months and 6th month to confirm efficacy and safety of the procedure. Results: The mean age of patients in Group-A was 30 years 2.16 and 32 years +- 3.71 in Group-B. In group-A 48% patients were male and 52% patients were female where as in group B 45% patients were male and 55% patients were female. More over Sublay mesh repair was effective in 82% patients on the bases of recurrence while this procedure was safe in 90% cases on the bases of complications where as onlay mesh repair was effective in 90% patients cases on the bases of recurrence while this procedure was safe in 93% cases on the bases of complications. Conclusion: Onlay mesh repair technique is more effective, quick and safe as compared to sublay mesh repair technique for the treatment of para-umbilical hernia.

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