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Research Paper | General Surgery | Vietnam | Volume 12 Issue 11, November 2023 | Rating: 5.4 / 10

Short-Term Outcomes of Sublay Mesh for Ventral Hernia Repair

Tran Phung Dung Tien | Nguyen Ngoc Huan | Lam Viet Trung

Abstract: Background: Ventral hernia is a prevalent condition in clinical settings. Many surgeons face difficulties in managing ventral hernia, which can be treated by various methods of abdominal wall reconstruction, such as open and laparoscopic approaches. Different techniques of mesh placement for open abdominal wall reconstruction have been proposed, such as onlay, sublay, inlay and IPOM. The sublay technique is reported to have a low recurrence rate and a low incidence of postoperative complications for open abdominal wall reconstruction. However, the sublay technique is not widely adopted. The aim of this study is to assess the feasibility, safety, and early outcomes of this technique. Methods: This paper presents a retrospective analysis of 35 patients who underwent sublay ventral hernia repair at Cho Ray Hospital between June 2022 and February 2023. The early postoperative outcomes of these patients were assessed within 30 days after the surgery. Results: The study population consisted of 35 patients with a female-to-male ratio of 3:1 and a mean age of 56.2 years. The types of ventral hernia were epigastric (11.5%), umbilical (51.4%) and incisional (37.1%). The body mass index (BMI) of the patients was categorized into normal (18-24) in 51.4% of cases, overweight (>25) in 20% of cases and obese (>30) in 28.6% of cases. The size of the hernia sac ranged from small (< 4 cm) in 62.9% of cases to medium (4 ? 10 cm) in 37.1% of cases, with no large (>10 cm) cases. The mean operative time was 90 minutes, and the mean hospital stay was 3 days. The only postoperative complication was seroma formation in one case (2.9%). No cases of bleeding, wound infection or bowel injury were observed. Conclusions: Sublay meshplasty in ventral hernia is feasible, safe and effective.

Keywords: ventral hernia, sublay, retrorectus sublay mesh

Edition: Volume 12 Issue 11, November 2023,

Pages: 258 - 260