Savitha S, Padmanabhan S. R
BACKGROUND Incisional hernia is a frequent complication of abdominal surgery constituting about 10% to 20% of laparotomy. There are various factors responsible, like the patient characteristics and the underlying pathological process and iatrogenic factors, like the technique of wound closure and use of suture material. Here the emphasis has been laid on the type of prosthetic reinforced repair, choice of prosthetic material, suture selection, wound closure, use of closed suction drainage and preoperative and perioperative care. The aim of this study was to compare and analyse the merits and demerits of procedures of retrorectus mesh repair and onlay mesh repairs. MATERIALS AND METHODS This is a prospective study which was conducted in the surgical department of our hospital. A total of 50 cases were included in this study. Of these cases, 28 cases were operated by the onâ??lay mesh method and 22 by retroâ??rectus mesh placement. Polypropylene mesh was used in all 50 cases. RESULTS The operative time for retroâ??rectus mesh placement was insignificantly higher than that of onâ??lay mesh repair, whereas, complications like wound infection rate is about 10%. The recurrence rate was found to be 4% in onâ??lay mesh repair and 0% in retroâ??rectus mesh repair. CONCLUSION The low rate of local complications and the low recurrence rate indicate that retrorectus mesh repair has an advantage over traditional onlay repair.
