Outcome of inlay ventralex hernia patch among patients with ventral hernia at Zagazig University Hospitals, Egypt

Background
Multiple techniques have been clarified for mesh placement in the hernia repair surgery, including onlay, sublay, and inlay positioning. Meshes with a dual layer have been developed to prevent the formation of adhesions of the viscera to the intraperitoneal mesh. So, the present investigation was conducted to compare the outcome of the ventral hernia repair using inlay ventralex hernia patch with the classic onlay prolene mesh.
Patients and method
s A randomized clinical trial was carried on 60 patients with a ventral hernia in the Department of General Surgery, Zagazig University Hospitals, Egypt, from January 2018 to January 2020. The patients were equally divided into two groups: group A with inlay ventralex hernia patch and group B with onlay prolene mesh.
Results
Regarding demographics and clinical presentation, no statistically difference was found between both groups, whereas there was a highly significant differences between group A and group B in the operative time, with mean of 35.4±0.25 and 50.2±0.14 min, respectively, with no significant difference between them in anesthesia type, defect size, and mesh size. On comparing the postoperative complications, a significant difference was found between them regarding wound seroma, wound infection, and postoperative pain. Moreover, a highly significant shorter hospital stay, time of return to work or normal activity, and mean postoperative follow-up were observed in group A.
Conclusion
The inlay ventralex hernia patch is an effective and easier technique and can also save the operative time with less postoperative complications and better outcomes as compared with the classic onlay prolene mesh. So, its use is considered cost-effective.