A study on comparison of retro-muscular pre-fascial placement of mesh versus other methods of mesh repair of ventral hernias

Abstract

Introduction: Ventral hernias repair are most routinely performed procedure in daily life of general surgeons. The objective of the present study is to compare the outcome of retro-muscular repair over other methods of ventral hernia repair. Methodology: 90 diagnosed cases of ventral hernias were randomly split into two groups A (retro-muscular meshplasty) and B (onlay, inlay & underlay meshplasty). The comparison across groups was carried out in terms of operation length, postoperative pain, wound complications, length of hospital stay & recurrence. Results: No difference was found between the groups regarding age, gender, type and classification of hernia. Operation length was 110 min in retro-muscular repair and 90min in onlay and 114 min underlay method. Statistically difference was seen between these groups. Among complications recurrence, seroma, mesh infection and wound complications were seen in group B. Postoperative pain and well being score were better in retro-muscular group. Conclusions: Retro-muscular meshplasty have more advantage compare to other open methods in ventral hernia repair. Retro-muscular meshplasty is still most appropriate method in open ventral hernia repair