A Comparative Study of Onlay and Pre-Peritoneal Open Mesh Repair in the Management of Umbilical Hernia in Adults.

Aims And Objectives Of The Study The main aims and objectives of this study is to: 1. To evaluate the outcome of onlay and pre-peritoneal open mesh repair in umbilical hernias in adults regarding operative time, ease of procedure, hospital stay, complications and recurrence if any Patients diagnosed with umbilical hernia in surgery depart Methods ment at Government General Hospital (RIMS) hospital Ongole from May 2021 to April 2023 with a follow up for 10 Months. After a Methodology: dmission, patients fullling the inclusion & exclusion criteria were taken into study after obtaining written informed consent. 60 cases were divided into two groups for onlay and pre-peritoneal mesh repair. Intra operative study was done regarding operative time (operated by the same surgeon through the course of study), ease of procedure and operative complications. Follow up was done to note the complications. The mean operative time Results was 38.6 minutes in onlay group and 62.3 minutes in preperitoneal group showing statistical signicance. The onlay group had 23.3% and 20% of seroma formation and wound infection respectively, while the pre-peritoneal group had 3.3% seroma formation and 3.3% wound infection showing statistical signicance. The study found that onlay repair had more complication rates like Conclusion seroma and wound infection compared to pre-peritoneal mesh repair. Even though time taken for onlay repair was less, increased complications limit its use.