A study on comparison of retromuscular prefascial placement of mesh versus other methods of mesh placement in repair of  ventral hernias.

Dr. Jaypalsinh Ashoksinh Gohil; Dr. Divyesh Jayeshkumar Pathak; Dr. Jenish Yogeshkumar Sheth

Volume : IV, Issue : IX, September - 2015

A study on comparison of retromuscular prefascial placement of mesh versus other methods of mesh placement in repair of ventral hernias.

Dr. Jaypalsinh Ashoksinh Gohil, Dr. Divyesh Jayeshkumar Pathak, Dr. Jenish Yogeshkumar Sheth

Abstract :

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 retromuscular repair over other methods of ventral hernia repair. 90 diagnosed cases of ventral hernias were randomly split into two groups A (retromuscular meshplasty) and B(onlay, inlay & underlay meshplasty). The comparison across groups were carried out in terms of operation length, postoperative pain, wound complications, length of hospital stay & recurrence. No difference was found between the groups regarding age, gender, type and classification of hernia. Operation length was 110min in retromuscular repair and 90min in onlay and 114min 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 retromuscular group. Retromuscular meshplasty have more advantage compare to other open methods in ventral hernia repair. Retromuscular meshplasty is still most appropriate method in open ventral hernia repair