MESH REPAIR

Objectives: Compare the complications of inlay versus sublay mesh repairin epigastric hernia. Study Design: Observational study. Setting: Surgical department ofmultiple hospitals and compares the results, JPMC, Civil Hospital Karachi and NaushahroFeroze. Period: March 2015 to February 2016. Methodology: 94 patients presenting withupper abdomen midline swellings aged between 25 to 60 years attended as outdoor patientat a tertiary care hospital. Patients associated with chronic obstructive pulmonary disease likeasthma, abdominal malignancies and cirrhosis with end stage liver disease, multiple hernia,patients with prior hernia repair with mesh and defects < 4cm were excluded. Results: Outof the 94 patients, the majority was found to be male. 61 (64.89%) males and 33 (35.10%)females. Mean age was found to be 41.57+4.54 years. Inlay mesh repair group observed highcomplications as compared to sublay mesh repair group. Wound Infection observed 4(8.5%) cases inlay mesh repair group and 2(4.25%) cases in sublay mesh repair group. SeromaInfection observed 3(6.38 %) cases inlay mesh repair group and 1(2.12 %) cases in sublay meshrepair group. Recurrence occurred inlay mesh repair group was observed in 2(4.25%) cases.Short Hospital stay was observed in sublay mesh repair group. Conclusion: We concludethat sublay mesh repair is a better alternative to only mesh repair for all forms of ventral herniacases.