Prospective Study on Rate of Complication of Different Anatomical Location of Mesh Repair in Hernia

Abstract

Background: Hernia repair is carried out on many people every year. Most of these surgeries involve mesh implants which when results in serious complications, the need to identify the factors affecting the complications arises. The anatomical location of mesh is found to be one of the factors that can reduce the occurrence of major complications i.e. hernia recurrence. The location of the mesh affects the incorporation of mesh with the tissues, the tensile strength of the abdominal wall and the repair and immune reaction between the tissue and the mesh. The aimed to compare various anatomic locations of mesh and their impact on mesh repair of hernia surgery. To determine the ideal anatomical location of mesh repair in hernia surgery with respect to overall complications

Methods: Data of 192 patients with hernia admitted between April 2022 and June 2023 was collected from 10 different hospitals. The patients were equally randomized and subjected to mesh repair with different mesh location.

Result: Sublay – Retromuscular mesh location showed the lowest risk of Infection, Recurrence, Seroma/Hematoma and Overall complications. Inlay mesh location showed the highest risk of Infection, Recurrence, Seroma/Hematoma and Overall complications.

Conclusion: Sublay – Retromuscular mesh location is the most recommended approach due to the lowest risk of Infection, Recurrence, Seroma/Hematoma and Overall complications. Inlay mesh location is the least recommended approach due to the highest risk of Infection, Recurrence, Seroma/Hematoma and Overall complications.