The outcome of Sublay vs Onlay mesh hernioplasty in obstructed paraumbilical hernia.

Objective: To compare the results of sublay mesh repair vs onlay mesh repair in patients with obstructed paraumbilical hernia in terms of post operative pain, wound infection and recurrence rates after 2 years. Study Design: Comparative prospective study. Period: 3 years from 1st January 2022 to 30th December 2024. Setting: department of General Surgery of CMA teaching and research hospital which is teaching hospital of Azra Naheed Medical College Lahore Pakistan. Methods: Sample size of this study is 112 patients and patients were divided into 2 groups Group A and Group B with 56 patients in each group. Inclusion criteria include all the patients with age between 18 years and 70 years diagnosed with obstructed paraumbilical hernia. Outcomes were measured in terms of post operative pain, wound infection, seroma hematoma formation and recurrence of hernia after 1 and 2 years. All the data was entered and processed by using SPSS 26. Results: The most common age group who presented with obstructed paraumbilical hernia is 40 to 49 years of age. post operative pain 24 hours surgery, wound infection after 48 hours of surgery, seroma/hematoma formation 24 hours of surgery and recurrence of hernia after 1 and 2 years is significantly higher in patients who underwent onlay mesh hernioplasty. Post operative pain has no significant relation with diabetic or BMI of patient while wound infection was more in diabetic patients. Conclusion: Sublay mesh hernioplasty is superior even for obstructed paraumbilical hernia as compared to onlay mesh repair.