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, 25% SSI, 3.1% wound dehiscence, but no recurrence. p values were 0.44, 0.038,
0.31, and 0.31 respectively. These results indicate that Mesh repair has a small reduction in
recurrence rate 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. |
