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2018 ; 34
(1
): 17-20
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Randomized prospective comparison of long-term results of onlay and sublay mesh
repair techniques for incisional hernia
#MMPMID29756100
Sevinç B
; Oku? A
; Ay S
; Aksoy N
; Karahan Ö
Turk J Surg
2018[]; 34
(1
): 17-20
PMID29756100
show ga
OBJECTIVE: Incisional hernia is a significant problem after laparotomy, and there
is still no consensus on an ideal treatment method. The aim of this study was to
compare the results of onlay and sublay mesh repair techniques. MATERIAL AND
METHODS: In this randomized prospective trial, 100 patients were divided into two
groups: onlay and sublay groups. Recurrences were evaluated by performing a
physical examination. RESULTS: The median follow-up was 37.1 (26.6 to 46.5)
months. In the onlay group, the mean operation time was significantly shorter.
However, in terms of postoperative pain and wound complications, the sublay group
had significantly better results. The recurrence rates were found to be similar
in both groups (6% in the onlay group and 2% in the sublay group). CONCLUSION: In
the treatment of incisional hernia, sublay mesh repair is superior to onlay mesh
repair in terms of postoperative pain and wound complications. Both techniques
have similar recurrence rates.