A COMPARATIVE STUDY OF POSTOPERATIVE HOSPITAL STAY BETWEEN ONLAY AND SUBLAY MESH REPAIR IN THE TREATMENT OF VENTRAL HERNIAS

Ventral hernias can be congenital or acquired and are usually due to previous surgical procedures, trauma, and weaknesses in the abdominal musculature resulting in discomfort, functional impairment. Repair aims at minimizing the risk of recurrence while avoiding complications such as infection, chronic pain, or poor cosmetic outcomes. Mesh repair has emerged as a cornerstone in the treatment of ventral hernias. Despite the widespread adoption of mesh repairs, there remains questions about technique of mesh placement, and factors including the size and location of the hernia, patient characteristics, surgeon preference, and the perceived risk of complications such as infection or mesh migration and post operative hospital stay.in the current study we aim to nd the post operative stay in both the groups. Objective- To compare the duration of hospital stay in sublay and onlay mesh repair in the treatment of ventral hernias. Methodology – in this prospective study 50 patients were taken onlay and 50 patients were taken in sublay group. Patients with post laparotomy midline incisions, recurrent hernia and primary hernias were included .Any patient with strangulated or obstructed hernia or with local signs of inammation; patients unwilling to participate were excluded. A written informed consent was taken. SPSS 25 was used for statistical analysis. Results - Onlay mesh repair is associated with a signicantly longer postoperative stay (mean of 3.84 days) compared to Sublay repair (mean of 2.68 days), with a p-value of 0.0157 indicating statistical signicance.