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Onlay versus Sublay Mesh Repair for Ventral Hernia

Received: 6 August 2015     Accepted: 7 August 2015     Published: 8 September 2015
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Abstract

Introduction: Ventral hernia repair is among the most common surgical operations performed worldwide and the two operative techniques most frequently used in case of ventral hernia are the onlay and sublay repair. However, it remains unclear which technique is superior. The aim of this study was to compare the outcome of the onlay versus sublay mesh repair for ventral hernia. Patients and Methods: A total of 200 patients with paraumbilical, epigastric and supraumbilical incisional hernias were divided into main two groups; A; onlay mesh repair and B; sublay mesh repair. End Points:The primary end point of the study was recurrence of the hernia, defined as a clinically detectable characteristic swelling and diagnosed by the two authors. The secondary end points were operative time, drainage time, seroma formation and purulent wound infection. Results: The mean operative time for onlay repair was 67.04 ± 13.19 minutes while in sublay group was 93.26 ± 24.94 minutes ranged from 60 to 140 minutes. As regard the drainage time, the mean total time in days was 7.47 ± 1.7 days in onlay repair while in sublay group was 4.5 ± 1.1 days. Seroma formation after suction drain removal was observed in 6% patients in group A and in 2% in group B. Purulent wound infection was observed in 8% and 4% patients in group A and B respectively treated with dressing and proper antibiotic according to culture tests. Disease recurrence was observed in 8 % and 3 % patients of group A and B respectively. Conclusion: Sublay mesh repair is a good alternative to onlay mesh repair that may be applicable to all forms of ventral hernia. The mesh related overall complication rate is low such as drainage time, seroma formation and wound infection as well as the low recurrence rate. The authors concluded for trials on sublay mesh repair with a large number of cases and a longer period of follow-up.

Published in Journal of Surgery (Volume 4, Issue 1-1)

This article belongs to the Special Issue Abdominal Surgery: Toward the Best

DOI 10.11648/j.js.s.2016040101.11
Page(s) 1-4
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Mesh Repair, Ventral Hernia, Onlay, Sublay

References
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[3] Forbes SS, Eskicioglu C, McLeod RS, Oakrainec A. Meta-analysis of randomized controlled trials comparing open and laparoscopic ventral and incisional hernia repair with mesh. Br J Surg 2009; 96: 851-8.
[4] Timmermans L, de Goede B, van Dijk SM, Kleinrensink GJ, Jeekel J, Lange JF. Meta-analysis of sublay versus onlay mesh repair in incisional hernia surgery. Am J Surg. 2014 Jun;207(6):980-8.
[5] Strâmbu V, Radu P, Brătucu M, Garofil D, Iorga C, Iorga R, Popa F. Rives technique, a gold standard for incisional hernias -- our experience. Chirurgia (Bucur). 2013 Jan-Feb;108(1):46-50.
[6] Petro CC, Posielski NM, Raigani S, Criss CN, Orenstein SB, Novitsky YW. Risk factors for wound morbidity after open retromuscular (sublay) hernia repair. Surgery. 2015 Jun 20. pii: S0039-6060(15)00371-2. doi: 10.1016/j.surg.2015.05.003. [Epub ahead of print]
[7] Hameed F, Ahmed B, Ahmed A, Dab RH, Dilawaiz. Incisional Hernia Repair by Preperitoneal (Sublay) Mesh Implantation. A P M C, 2009;3 (1): January-June27-31
[8] Ibrahim AH, El-Gammal AS, Mohamed Heikal MM. Comparative study between 'onlay' and 'sublay' hernioplasty in the treatment of uncomplicated ventral hernia. Menoufia Med J 2015;28:11-6
[9] Goda El-Santawy HM, El-Sisy AA, El-Gammal AS, El-Kased AF, Sultan HM. Evaluation of retromuscular mesh repair technique for treatment of ventral incisional hernia. Menoufia Med J 2014;27:226-9
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[15] Jat MA, Memon MR, Rind GH. SQA Shah. Comparative evaluation of “Sublay” versus “Inlay” meshplasty in incisional and ventral hernias. Pak J Surg 2011; 27(1):54-58
[16] LehrSC,and Schuricht AL. A Minimally Invasive Approach For Treating Postoperative Seromas After Incisional Hernia Repair. JSLS. 2001 Jul-Sep; 5(3): 267–271.
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  • APA Style

    Aly Saber, Emad K. Bayumi. (2015). Onlay versus Sublay Mesh Repair for Ventral Hernia. Journal of Surgery, 4(1-1), 1-4. https://doi.org/10.11648/j.js.s.2016040101.11

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    ACS Style

    Aly Saber; Emad K. Bayumi. Onlay versus Sublay Mesh Repair for Ventral Hernia. J. Surg. 2015, 4(1-1), 1-4. doi: 10.11648/j.js.s.2016040101.11

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    AMA Style

    Aly Saber, Emad K. Bayumi. Onlay versus Sublay Mesh Repair for Ventral Hernia. J Surg. 2015;4(1-1):1-4. doi: 10.11648/j.js.s.2016040101.11

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  • @article{10.11648/j.js.s.2016040101.11,
      author = {Aly Saber and Emad K. Bayumi},
      title = {Onlay versus Sublay Mesh Repair for Ventral Hernia},
      journal = {Journal of Surgery},
      volume = {4},
      number = {1-1},
      pages = {1-4},
      doi = {10.11648/j.js.s.2016040101.11},
      url = {https://doi.org/10.11648/j.js.s.2016040101.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.s.2016040101.11},
      abstract = {Introduction: Ventral hernia repair is among the most common surgical operations performed worldwide and the two operative techniques most frequently used in case of ventral hernia are the onlay and sublay repair. However, it remains unclear which technique is superior. The aim of this study was to compare the outcome of the onlay versus sublay mesh repair for ventral hernia. Patients and Methods: A total of 200 patients with paraumbilical, epigastric and supraumbilical incisional hernias were divided into main two groups; A; onlay mesh repair and B; sublay mesh repair. End Points:The primary end point of the study was recurrence of the hernia, defined as a clinically detectable characteristic swelling and diagnosed by the two authors. The secondary end points were operative time, drainage time, seroma formation and purulent wound infection. Results: The mean operative time for onlay repair was 67.04 ± 13.19 minutes while in sublay group was 93.26 ± 24.94 minutes ranged from 60 to 140 minutes. As regard the drainage time, the mean total time in days was 7.47 ± 1.7 days in onlay repair while in sublay group was 4.5 ± 1.1 days. Seroma formation after suction drain removal was observed in 6% patients in group A and in 2% in group B. Purulent wound infection was observed in 8% and 4% patients in group A and B respectively treated with dressing and proper antibiotic according to culture tests. Disease recurrence was observed in 8 % and 3 % patients of group A and B respectively. Conclusion: Sublay mesh repair is a good alternative to onlay mesh repair that may be applicable to all forms of ventral hernia. The mesh related overall complication rate is low such as drainage time, seroma formation and wound infection as well as the low recurrence rate. The authors concluded for trials on sublay mesh repair with a large number of cases and a longer period of follow-up.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Onlay versus Sublay Mesh Repair for Ventral Hernia
    AU  - Aly Saber
    AU  - Emad K. Bayumi
    Y1  - 2015/09/08
    PY  - 2015
    N1  - https://doi.org/10.11648/j.js.s.2016040101.11
    DO  - 10.11648/j.js.s.2016040101.11
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 1
    EP  - 4
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.s.2016040101.11
    AB  - Introduction: Ventral hernia repair is among the most common surgical operations performed worldwide and the two operative techniques most frequently used in case of ventral hernia are the onlay and sublay repair. However, it remains unclear which technique is superior. The aim of this study was to compare the outcome of the onlay versus sublay mesh repair for ventral hernia. Patients and Methods: A total of 200 patients with paraumbilical, epigastric and supraumbilical incisional hernias were divided into main two groups; A; onlay mesh repair and B; sublay mesh repair. End Points:The primary end point of the study was recurrence of the hernia, defined as a clinically detectable characteristic swelling and diagnosed by the two authors. The secondary end points were operative time, drainage time, seroma formation and purulent wound infection. Results: The mean operative time for onlay repair was 67.04 ± 13.19 minutes while in sublay group was 93.26 ± 24.94 minutes ranged from 60 to 140 minutes. As regard the drainage time, the mean total time in days was 7.47 ± 1.7 days in onlay repair while in sublay group was 4.5 ± 1.1 days. Seroma formation after suction drain removal was observed in 6% patients in group A and in 2% in group B. Purulent wound infection was observed in 8% and 4% patients in group A and B respectively treated with dressing and proper antibiotic according to culture tests. Disease recurrence was observed in 8 % and 3 % patients of group A and B respectively. Conclusion: Sublay mesh repair is a good alternative to onlay mesh repair that may be applicable to all forms of ventral hernia. The mesh related overall complication rate is low such as drainage time, seroma formation and wound infection as well as the low recurrence rate. The authors concluded for trials on sublay mesh repair with a large number of cases and a longer period of follow-up.
    VL  - 4
    IS  - 1-1
    ER  - 

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Author Information
  • Port-Fouad General Hospital, Port-Fouad, Egypt

  • General Surgery, Medical Academy Named After S.I. Georgiesky of Crimea Federal University, Crimea, Russia

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