ABSTRACT

Objective: To compare the outcome of the sublay with inlay mesh repair of para-umbilical hernia in terms of postoperative complication including recurrence and Hospital stay at tertiary care Hospital.

Material and methods: This comparative study has been conducted at general surgery department of Liaquat University Hospital Jamshoro, from Feb 2016 to Feb 2017. This study included 50 patients of para-umbilical hernia admitted through the outpatient and emergency. Patients were categorized in two groups. Patients of Group A underwent for inlay Mesh Repair (IMR) and patients of group B underwent Sublay Mesh Repair (SMR) of para-umbilical hernia. Outcome was assessed in terms of in terms of postoperative complication including recurrence and Hospital stay. Data was analyzed through 16th version of SPSS software. Chi-square test was applied and a p-value <0.05 was considered as significant.

Results: In this study most of the patients were found with age groups of 20-30 years and 51-60 years in both groups, and out of 30 cases females were seen in majority in both groups as 18 and 19 in group A and group B respectively (p=0933). Seroma was 12% in patients of IMR V/S 4% in patients of SMR group, hematoma was 12% in group IMR and 4% was in SMR group, wound infection was seen 8% in patients of IMR group and 12% in patients of SMR group. However recurrence was observed 4% in group A only and prolonged Hospital stay was seen 16% of group A and 4% in group B. outcome was significant statistically; P=(<0.05).

Conclusion: In the observation of this study, sublay pre-peritoneal meshplasty is effective and safe with lesser rate of complications and without recurrence as compared to inlay intra-peritoneal meshplasty.

Key words: Para-umbilical Hernia, IMR, SMR, Outcome