Shahida Parveen Afridi, Rameez Ahmed Siddiqui, Akram Rajput.
Complications of Onlay and Sublay Mesh Plasty in Ventral Abdominal Hernia Repair.
J Surg Pak Jan ;20(2):48-51.

Objective: To find out the frequency of seroma, wound infection and wound disruption in patients of ventral abdominal hernia operated with onlay and sublay mesh plasty. Study design: Cross sectional study. Place & Duration of study: Department of General Surgery Dow University of Health Sciences & Civil Hospital Karachi, from January 2010 – December 2014. Methodology: Ventral abdominal hernia patients were selected randomly for the procedure of onlay and sublay mesh plasty. Fifty patients each were operated with either of the techniques. Postoperatively patients were observed for the complications; seroma, wound infection and wound dehiscence. All patients were followed for a period of two weeks. Results: A total of one hundred patients were enrolled. Fifty of them had onlay and fifty underwent sublay mesh plasty for ventral abdominal hernia. There were 18 (18%) males and 82 (82%) females with male to female ratio of 1:4.5. Minimum age was 22 year and maximum 55 year. There were 55 (55%) para umbilical hernia, 14 (14%) umbilical, 14 (14%) epigastric and 17 (17%) incisional hernia. Maximum number of cases of wound infection were noted in onlay mesh plasty group (n=16, 16%) while in sublay group only six (6%) had this complication. Conclusion: Sublay mesh plasty technique for ventral abdominal hernia repair had less frequency of complications.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com