Back to Search Start Over

ONLAY VERSUS SUBLAY TECHNIQUES FOR INCISIONAL HERNIA REPAIR: 30-DAY POSTOPERATIVE OUTCOMES

Authors :
Eduardo Ferreira Martins
Marcos Dal Vesco Neto
Pedro Klanovichs Martins
Lucas Dos Santos Difante
Lara Luz de Miranda Silva
Henrique Rasia Bosi
Bernardo Silveira Volkweis
Leandro Totti Cavazzola
Source :
ABCD: Arquivos Brasileiros de Cirurgia Digestiva, Vol 35 (2022)
Publication Year :
2022
Publisher :
Colégio Brasileiro de Cirurgia Digestiva, 2022.

Abstract

ABSTRACT BACKGROUND: The development of an incisional hernia is a common complication following laparotomy. It also has an important economic impact on healthcare systems and social security budget. The mesh reinforcement of the abdominal wall was an important advancement to increase the success of the repairs and reduce its long-term recurrence. The two most common locations for mesh placement in ventral hernia repairs include the premuscular (onlay technique) and retromuscular planes (sublay technique). However, until now, there is no consensus in the literature about the ideal location of the mesh. AIM: The aim of this study was to compare the two most common incisional hernia repair techniques (onlay and sublay) with regard to the complication rate within the first 30 days of postoperative care. METHOD: This study analyzes 115 patients who underwent either onlay or sublay incisional hernia repairs and evaluates the 30-day postoperative surgical site occurrences and hernia recurrence for each technique. RESULTS: We found no difference in the results between the groups, except in seroma formation, which was higher in patients submitted to the sublay technique, probably due to the lower rate of drain placement in this group. CONCLUSION: Both techniques of mesh placement seem to be adequate in the repair of incisional hernias, with no major difference in surgical site occurrences.

Details

Language :
English, Portuguese
ISSN :
01026720
Volume :
35
Database :
Directory of Open Access Journals
Journal :
ABCD: Arquivos Brasileiros de Cirurgia Digestiva
Publication Type :
Academic Journal
Accession number :
edsdoj.fa689860ea4511b7153f35a9b053f4
Document Type :
article
Full Text :
https://doi.org/10.1590/0102-672020220002e1692