Abstract
Background: Ventral hernia is due to a biological problem of stable scar tissue formation, mesh techniques today are the methods of choice for hernia repair. Ideal site of mesh placement is still debated. Methods: 100 cases of ventral hernia with defect size ≤ 4 inches were alternatively placed in onlay and inlay group. Observations were made with regards to duration and ease of operation, wound complications, hospital stay, activity and recurrence. Results: The mean total time for surgery in sublay group was 63.15 ± 15.0 minutes compared to 49.35 ± 8.29 minutes in onlay group (p< 0.001). The mean hospital stay in sublay was 6.8 ± 1.50 days whereas it was 4.6 ± 1.30 in onlay group (P<0.001). There was no recurrence in either of groups in two years follow up. Conclusion: Onlay placement of mesh is effective, quick and easy technique as compared to sublay placement.
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