A Study for Clinical Outcomes of Open Hernia Repair with Onlay Premuscular Meshplasty in a Primary/ Recurrent/ Re Recurrent Hernia: A Single Centre Experience

Background: Hernias, whether primary or recurrent, remain a significant surgical challenge, particularly in resource-limited settings. The choice of repair techniques and mesh placement critically influences postoperative outcomes and recurrence risk. This study evaluates the clinical outcomes of open onlay premuscular meshplasty and hybrid repairs in primary, recurrent, and recurrent hernias. Methodology: A retrospective observational study of 53 adults who underwent open or hybrid abdominal wall hernia repair with mesh between April 2013 and January 2025 was conducted. Patients with incomplete data, major concurrent surgeries, or immunocompromised states were excluded. Demographic, intraoperative, and postoperative data were analyzed using IBM SPSS Statistics 26. Continuous variables were expressed as mean ± SD, and categorical variables as frequencies or percentages. Statistical tests included Chi-square, Fisher’s exact, Student’s t-test, and ANOVA, with p < 0.05 considered significant. Mean follow-up was 12 months. Results: The mean patient age was 48.62 ± 15.00 years (range 18 to 78 years), with 33 (62.26%) females and 19 (35.85%) males. The mean BMI was 32.03 ± 6.02 (p = 0.021). Primary hernias comprised 28 (52.82%), recurrent 11 (20.76%), and recurrent 14 (26.42%) (p = 0.037). Most repairs were open in 47 (88.68%), using 30×30 cm mesh in 27 (50.94%) (p = 0.029). Mean hospital stay was 2.09 ± 1.12 days, and mean drain duration was 9.56 ± 7.34 days. Complications were minimal, with wound complications in 3 (5.66%). No mesh infections, recurrences, or mortality occurred during follow-up. Conclusion: Standardized open and hybrid mesh repair techniques demonstrated favorable short-term and 12-month outcomes with low complication rates, excellent cosmetic results, and zero recurrence.