Onlay versus Sublay Mesh hernioplasty in management of incisional Hernia Comparative prospective study (Short term outcomes)

Comparison between Short term outcomes (advantages and disadvantages) of sublay and onlay techniques in management of incisional hernia regarding :

• Short term complications (superficial skin infection, seroma formation , recurrence and chronic abdominal discomfort.)
• operative time , hospital stay , difficulty of technique.

Inclusion Criteria:

• Surgically Fit patients
• Patients presented with incisional Hernias
• Age between 18 to 60 years
• Cicatrized incisional hernia involving both muscle cutting and muscle splitting incisions

Exclusion Criteria:

• Surgically unfit patients
• Irreducible, obstructed, strangulated hernias
• Other Ventral hernias that not related to surgical incision.
• Huge hernias with wide abdominal wall defect and retracted abdominal wall muscles.

Any patient presenting with incisional hernia for elective hernioplasty that is Surgically Fit and match inclusion critiria