English

Abstract

BRIEF RESUME OF INTENDED WORK: Ventral hernia in the anterior abdominal wall includes both spontaneous and, most commonly, incisional hernias after an abdominal operation. . Hernia recurrence is distressing to patient and embarrassing to surgeons. Mesh repair can be pre- peritoneal or onlay. Controversy exists among the surgeons regarding the use of type of either meshoplasty, due to differences in ease in performing the surgery, time of surgery, complications occurring in the post operative period and the recurrence. Only few institution do preperitoneal mesh repair due to the need of skilled surgeon, so we are comparing onlay and preperitoneal mesh repair. AIMS AND OBJECTIVES OF THE STUDY: To compare outcome of onlay and preperitoneal mesh repair in the management of ventral hernia. MATERIALS AND METHODS: METHOD OF COLLECTION OF DATA Patient admitted with ventral hernia are included in the study with details of cases, clinical examination and symptoms are included in the study after confirming the diagnosis by ultrasonography and are divided randomly into onlay and preperitoneal group with 25 patient in each group. Patient are followed for six months to study the outcome reccurence. PERIOD OF STUDY : November 2014 to April 2015 TYPE OF STUDY : Randomized control study. SOURCE OF DATA : Patient diagnosed as ventral hernia in department of general surgery, Royapettah hospital and kilpauk medical college hospital. 50 of them are to be selected on basis of non probability (purposive) sampling method. INCLUSION CRITERIA : Patient with ventral hernia including • Umbilical hernia, • Paraumblical hernia, • Epigastric hernia • Incisional hernia. EXCLUSION CRITERIA : Patient admitted with • Groin hernia , • Divarication of recti, • Recurrent hernia, • Patient medically unfit for surgery, • Obstructed and strangulated hernias. CONCLUSION : By analyzing the outcome of seroma, wound infection, flap necrosis and recurrence in both groups the final result will be submitted in my dissertation.