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KMID : 1033020160060010009
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Journal of Hemiology: Diagnosis and Treatment of Hernias
2016 Volume.6 No. 1 p.9 ~ p.13
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Sublay Mesh Technique for Ventral Hernia Repair
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Kwak Ji-Hoon
Chung Min
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Abstract
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Purpose: Although ventral hernia repair with mesh is a treatment of choice, this technique increases the infection rate and seroma formation, which in turn lead to recurrence of ventral hernia. There are four locations of mesh for ventral hernia repair: onlay, inlay, sublay and intraperitoneal onlay. Each technique has its own advantages and specific complications. There is no consensus on the ideal location for mesh placement in ventral hernia repair; however, the sublay mesh technique has a lower recurrence rate and infection rate. This study was performed to identify the efficacy and usefulness of the sublay technique.
Methods: Electrical medical record system was used to collect data of sublay techniques performed. All repairs were done by one surgeon.
Results: The study period was between February 2005 and July 2016. A total of 370 cases of ventral hernia repair were performed. Sublay technique was used in 76 cases: 25 male and 51 female. The average age of patients was 62 years. The most frequent hernia type was incisional hernia (47 cases, 61.8%). Several subtypes of sublay technique were employed, of which the retrorectal technique was the most frequently used. Laparoscopic repair was performed in 4 cases of TEP (totally extraperitoneal) and 1 case of TAPP (transabdominal preperitoneal). Plain polypropylene mesh was the most frequently used. Small bowel was the commonly occurring content of the hernia sac, and recurrence was the most repeated complication.
Conclusion: Sublay technique is safer than other ventral hernia repair techniques. It had a lower infection and recurrence rate. This technique can use for clean contaminated wounds.
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KEYWORD
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Ventral hernia repair, Abdominal wall reconstruction
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