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Dr. Ehab Mahrous Orabi :: Publications:

Primary ventral hernia repair; mini-component separation technique versus onlay mesh repair
Authors: Hussein G Elgohary, Ehab M Oraby, Mostafa Baiuomy
Year: 2017
Keywords: Ventral hernia, hernia repair, component separation, mini-component separation
Journal: The Egyptian Journal of Surgery
Volume: April
Issue: Not Available
Pages: Not Available
Publisher: Wolters Kluwer Health - Medknow
Local/International: International
Paper Link: Not Available
Full paper Ehab Mahrous Orabi_my hernia paper 3.docx
Supplementary materials Not Available

Introduction: Although the frequency of ventral herniorrhaphy, it is somewhat surprising that the question of optimal choice of repair is not yet settled. The published data of numerous studies revealed results with big differences. Objectives: The aim of this study to compare the results of mini-component separation technique repair of primary ventral hernia cases with onlay mesh repair. Patients and Methods: This prospective randomized controlled study was carried out on 64 consecutive adult patients with primary ventral hernia. Patients were divided randomly into two groups. Group A was treated by mini-component separation technique. Group B was treated by suture repair reinforced with onlay polypropylene mesh. Results: Group A repair demonstrated 9.4 % seroma rate, 6.3% surgical site infection rate (SSI) without any wound dehiscence, but recurrence rate was 3.1%. Group B repair demonstrated 15.6 % seroma rate, 18.8% SSI, 3.1% wound dehiscence, but no recurrence. These results indicates that Mesh repair has a small reduction in recurrence rates compared with mini-component separation technique for primary ventral hernias, but an increased risk of SSO (seroma, SSI and wound dehiscence). Conclusion: The repair of primary ventral hernia cases can be made simple without foreign body implantation by holding the concept of component separation technique to allow for tension free midline fascial closure. We prefer to retain mesh repair for these cases with big defects or complex cases that need either mesh reinforcement or even bridging of the defect.

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