Improving Prosthetic Hernioplasty Techniques in The Surgical Management of Anterior Abdominal Wall Hernias
Keywords:
anterior abdominal wall hernia, hernioplasty, mesh implant, onlay, sublay, postoperative complicationsAbstract
This article presents the findings of a comparative clinical study evaluating the efficacy of different prosthetic hernioplasty techniques for anterior abdominal wall hernias. A total of 114 patients were enrolled and allocated to two cohorts: the first underwent the conventional onlay technique, while the second received an enhanced sublay repair with retromuscular mesh placement. The results demonstrate that sublay hernioplasty is associated with a significantly lower incidence of postoperative complications (seroma, surgical-site infection), a shorter length of hospital stay, and a trend toward reduced hernia recurrence. The proposed technique can therefore be recommended as an effective alternative to traditional onlay hernioplasty
Downloads
Metrics
References
Bittner R., Montgomery M.A., Arregui M.E., et al. Update of guidelines on laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia (International Endohernia Society) // Surgical Endoscopy. – 2015. – Vol. 29, №2. – P. 289–321.
den Hartog F.P.J., Sneiders D., Darwish E.F. et al. Favorable outcomes after retro rectus (Rives Stoppa) mesh repair for non complex ventral hernia: a systematic review and meta analysis // Annals of Surgery. 2022; 276(1): 55 65. DOI: 10.1097/SLA.0000000000005422
Elhadidi A., Shetiwy M., Al Katary M. Comparative analysis of laparoscopic, retro muscular, and open mesh repair techniques for ventral and incisional hernias: a comprehensive review and meta analysis // Updates in Surgery. 2025; 77(1): 217 229. DOI: 10.1007/s13304 024 02049 1
Eriksen J.R., Rosenberg J., Bisgaard T. Surgical treatment for incisional hernia // Ugeskrift for Laeger. – 2010. – Vol. 172, №50. – P. 3457–3460.
Hassan F., Gaurav K., Kumar K. et al. A comparative study of elective sublay versus onlay repair for non complex incisional hernia: postoperative complications in a tertiary hospital in Ranchi, India // Cureus. 2024; 16(5): e59593. DOI: 10.7759/cureus.59593
Henriksen N.A., Bisgaard T., Assaadzadeh S., et al. Randomized clinical trial on the long-term recurrence rates after incisional hernia repair with onlay versus sublay mesh position // British Journal of Surgery. – 2017. – Vol. 104, №5. – P. 519–528.
Holihan J.L., Nguyen D.H., Nguyen M.T., et al. Mesh location in open ventral hernia repair: a systematic review and network meta-analysis // World Journal of Surgery. – 2016. – Vol. 40, №1. – P. 89–99.
Muysoms F.E., Antoniou S.A., Bury K., et al. European Hernia Society guidelines on the closure of abdominal wall incisions // Hernia. – 2015. – Vol. 19, Suppl. 1. – P. S1–S24.
Omarov N., Uymaz D.S., Kaya M. et al. Outcomes of component separation technique versus no component separation in large ventral hernia repair: a multicenter retrospective cohort study // Annals of Surgical Treatment and Research. 2024; 107(3): 178 185. DOI: 10.4174/astr.2024.107.3.178
Sanders D.L., Pawlak M.M., Simons M.P. et al. Midline incisional hernia guidelines: the European Hernia Society // British Journal of Surgery. 2023; 110(2): 123 166. DOI: 10.1093/bjs/znad284
Simons M.P., Aufenacker T., Bay-Nielsen M., et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients // Hernia. – 2009. – Vol. 13, №4. – P. 343–403.
Wang M., Chen W., Chu X. Totally extraperitoneal sublay vs intraperitoneal onlay mesh for small to medium ventral hernia: quality of life analysis // Scientific Reports. 2025; 15: 3179
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

