TPW 9.07 Meta-analysis on Sublay versus Onlay Mesh Repair for Ventral Abdominal Wall hernias

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ID: 324059
2026
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Abstract
Abstract Background Ventral abdominal wall hernias can cause pain, restrict daily activities for patients and carries an incarceration risk. Repair of these hernias are associated of post-operative wound complications and recurrence rate. This meta-analysis reviews randomised controlled trials to ascertain the ideal mesh placement to reduce these risks in incisional ventral hernia (IVH) repairs. Method Standard electronic databases were used to conduct a literature search by two independent reviewers in November 2025. The articles were screened and data extracted, then analysed using RevMan 5.4. Results A total of six randomised controlled trials, totalling 592 patients, were included. In the random effects model analysis, operative time was less for onlay IVH repair compared to sublay IVH repair (P=0.05). However, sublay IVH repair was associated with reduced post-operative seroma rate (P<0.00001) and total complications (P<0.00001). Recurrence rate was less in sublay IVH repair, but this was not statistically significant (P<0.08). There was no significant difference with length of stay (P=0.4), post-operative haematoma (P=0.82) or surgical site infections (P=0.27) between the two groups. Conclusion Sublay IVH repair is associated with reduced post-operative seroma rates, recurrence and total complications.
Reference Key
openalex_W7172507775 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Winnie Lam, Yasser Mohamed, Mukhil Rajendran, Mirza K Baig, Goldie Khera, Muhammad S Sajid
Journal the british journal of surgery
Year 2026
DOI
10.1093/bjs/znag087.406
URL
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