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ABSTRACT

Objective: The study was conducted to assess short and especially long term (2-years) outcome of ventral hernia repair by onlay mesh hernioplasty.

Study Design: Observational / descriptive study

Place and Duration of Study: This study was conducted at the department of surgery, Pak Red Crescent Teaching Hospital, affiliated with Pak Red Crescent Medical & Dental College, Lahore from 12-Mar-2013 to 30-Nov-2015. Materials and Methods: A total of 117 adult patients with ventral hernia, irrespective of sex was included in this by convenient sampling. On lay mesh hernioplasty was done. Patients were scheduled for follow-up visits. Minimum follow-up was two years, thus providing sufficient time to assess for recurrence, chronic pain and other complications. The data of all patients were collected for age, sex, operation time, complication, postoperative hospital stay and analyzed with SPSS ver. 21.

Results: Out of 117 patients 94 (80.34%) were female and 23 (19.65%) were male. Mean age of the patients was 38.56 ± 9.73 years. The mean operating time was 40.12 ± 6.40 minutes. The mean hospital stay was 2 days. Commonest postoperative complication was seroma noted in 2 patients (1.71%) had followed by superficial surgical site infection 1 patient (0.85%). In short term follow up 6 patients (5.13%) complained of occasional ache or pain following exertion. Three patients were lost in long term follow-up. Rest of the 114 patients (97.43%) on long term follow-up did not show any persistent pain. However, recurrence was noted in two female patients (1.17%).

Conclusion: The onlay tension free mesh repair is relatively easy to learn, simple to perform with promising long-term results.

Key Words: Ventral Hernia, Onlay Mesh hernioplasty, Para-umblical, Epigastric.

Citation of articles: Hussain A, Imran A, Ahmad A. Long Term Outcome of Ventral Hernia Repair by Onlay Mesh Hernioplasty. Med Forum 2017;28(12):48-51.