ONLAY VERSUS SUBLAY TECHNIQUES FOR INCISIONAL HERNIA REPAIR: 30-DAY POSTOPERATIVE OUTCOMES
ABSTRACT BACKGROUND: The development of an incisional hernia is a common complication following laparotomy. It also has an important economic impact on healthcare systems and social security budget. The mesh reinforcement of the abdominal wall was an important advancement to increase the success of the repairs and reduce its long-term recurrence. The two most common locations for mesh placement in ventral hernia repairs include the premuscular (onlay technique) and retromuscular planes (sublay technique). However, until now, there is no consensus in the literature about the ideal location of the mesh. AIM: The aim of this study was to compare the two most common incisional hernia repair techniques (onlay and sublay) with regard to the complication rate within the first 30 days of postoperative care. METHOD: This study analyzes 115 patients who underwent either onlay or sublay incisional hernia repairs and evaluates the 30-day postoperative surgical site occurrences and hernia recurrence for each technique. RESULTS: We found no difference in the results between the groups, except in seroma formation, which was higher in patients submitted to the sublay technique, probably due to the lower rate of drain placement in this group. CONCLUSION: Both techniques of mesh placement seem to be adequate in the repair of incisional hernias, with no major difference in surgical site occurrences.
Main Authors: | , , , , , , , |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Colégio Brasileiro de Cirurgia Digestiva
2022
|
Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202022000100336 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
id |
oai:scielo:S0102-67202022000100336 |
---|---|
record_format |
ojs |
spelling |
oai:scielo:S0102-672020220001003362022-11-09ONLAY VERSUS SUBLAY TECHNIQUES FOR INCISIONAL HERNIA REPAIR: 30-DAY POSTOPERATIVE OUTCOMESMartins,Eduardo FerreiraDal Vesco Neto,MarcosMartins,Pedro KlanovichsDifante,Lucas Dos SantosSilva,Lara Luz de MirandaBosi,Henrique RasiaVolkweis,Bernardo SilveiraCavazzola,Leandro Totti Hernia Abdominal Wall Hernia, Ventral ABSTRACT BACKGROUND: The development of an incisional hernia is a common complication following laparotomy. It also has an important economic impact on healthcare systems and social security budget. The mesh reinforcement of the abdominal wall was an important advancement to increase the success of the repairs and reduce its long-term recurrence. The two most common locations for mesh placement in ventral hernia repairs include the premuscular (onlay technique) and retromuscular planes (sublay technique). However, until now, there is no consensus in the literature about the ideal location of the mesh. AIM: The aim of this study was to compare the two most common incisional hernia repair techniques (onlay and sublay) with regard to the complication rate within the first 30 days of postoperative care. METHOD: This study analyzes 115 patients who underwent either onlay or sublay incisional hernia repairs and evaluates the 30-day postoperative surgical site occurrences and hernia recurrence for each technique. RESULTS: We found no difference in the results between the groups, except in seroma formation, which was higher in patients submitted to the sublay technique, probably due to the lower rate of drain placement in this group. CONCLUSION: Both techniques of mesh placement seem to be adequate in the repair of incisional hernias, with no major difference in surgical site occurrences.info:eu-repo/semantics/openAccessColégio Brasileiro de Cirurgia DigestivaABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) v.35 20222022-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202022000100336en10.1590/0102-672020220002e1692 |
institution |
SCIELO |
collection |
OJS |
country |
Brasil |
countrycode |
BR |
component |
Revista |
access |
En linea |
databasecode |
rev-scielo-br |
tag |
revista |
region |
America del Sur |
libraryname |
SciELO |
language |
English |
format |
Digital |
author |
Martins,Eduardo Ferreira Dal Vesco Neto,Marcos Martins,Pedro Klanovichs Difante,Lucas Dos Santos Silva,Lara Luz de Miranda Bosi,Henrique Rasia Volkweis,Bernardo Silveira Cavazzola,Leandro Totti |
spellingShingle |
Martins,Eduardo Ferreira Dal Vesco Neto,Marcos Martins,Pedro Klanovichs Difante,Lucas Dos Santos Silva,Lara Luz de Miranda Bosi,Henrique Rasia Volkweis,Bernardo Silveira Cavazzola,Leandro Totti ONLAY VERSUS SUBLAY TECHNIQUES FOR INCISIONAL HERNIA REPAIR: 30-DAY POSTOPERATIVE OUTCOMES |
author_facet |
Martins,Eduardo Ferreira Dal Vesco Neto,Marcos Martins,Pedro Klanovichs Difante,Lucas Dos Santos Silva,Lara Luz de Miranda Bosi,Henrique Rasia Volkweis,Bernardo Silveira Cavazzola,Leandro Totti |
author_sort |
Martins,Eduardo Ferreira |
title |
ONLAY VERSUS SUBLAY TECHNIQUES FOR INCISIONAL HERNIA REPAIR: 30-DAY POSTOPERATIVE OUTCOMES |
title_short |
ONLAY VERSUS SUBLAY TECHNIQUES FOR INCISIONAL HERNIA REPAIR: 30-DAY POSTOPERATIVE OUTCOMES |
title_full |
ONLAY VERSUS SUBLAY TECHNIQUES FOR INCISIONAL HERNIA REPAIR: 30-DAY POSTOPERATIVE OUTCOMES |
title_fullStr |
ONLAY VERSUS SUBLAY TECHNIQUES FOR INCISIONAL HERNIA REPAIR: 30-DAY POSTOPERATIVE OUTCOMES |
title_full_unstemmed |
ONLAY VERSUS SUBLAY TECHNIQUES FOR INCISIONAL HERNIA REPAIR: 30-DAY POSTOPERATIVE OUTCOMES |
title_sort |
onlay versus sublay techniques for incisional hernia repair: 30-day postoperative outcomes |
description |
ABSTRACT BACKGROUND: The development of an incisional hernia is a common complication following laparotomy. It also has an important economic impact on healthcare systems and social security budget. The mesh reinforcement of the abdominal wall was an important advancement to increase the success of the repairs and reduce its long-term recurrence. The two most common locations for mesh placement in ventral hernia repairs include the premuscular (onlay technique) and retromuscular planes (sublay technique). However, until now, there is no consensus in the literature about the ideal location of the mesh. AIM: The aim of this study was to compare the two most common incisional hernia repair techniques (onlay and sublay) with regard to the complication rate within the first 30 days of postoperative care. METHOD: This study analyzes 115 patients who underwent either onlay or sublay incisional hernia repairs and evaluates the 30-day postoperative surgical site occurrences and hernia recurrence for each technique. RESULTS: We found no difference in the results between the groups, except in seroma formation, which was higher in patients submitted to the sublay technique, probably due to the lower rate of drain placement in this group. CONCLUSION: Both techniques of mesh placement seem to be adequate in the repair of incisional hernias, with no major difference in surgical site occurrences. |
publisher |
Colégio Brasileiro de Cirurgia Digestiva |
publishDate |
2022 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202022000100336 |
work_keys_str_mv |
AT martinseduardoferreira onlayversussublaytechniquesforincisionalherniarepair30daypostoperativeoutcomes AT dalvesconetomarcos onlayversussublaytechniquesforincisionalherniarepair30daypostoperativeoutcomes AT martinspedroklanovichs onlayversussublaytechniquesforincisionalherniarepair30daypostoperativeoutcomes AT difantelucasdossantos onlayversussublaytechniquesforincisionalherniarepair30daypostoperativeoutcomes AT silvalaraluzdemiranda onlayversussublaytechniquesforincisionalherniarepair30daypostoperativeoutcomes AT bosihenriquerasia onlayversussublaytechniquesforincisionalherniarepair30daypostoperativeoutcomes AT volkweisbernardosilveira onlayversussublaytechniquesforincisionalherniarepair30daypostoperativeoutcomes AT cavazzolaleandrototti onlayversussublaytechniquesforincisionalherniarepair30daypostoperativeoutcomes |
_version_ |
1756399005560995840 |