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      Is the surgical site infection rate higher in sublay or onlay mesh repair of incisional hernia?

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          Abstract

          A best evidence topic has been constructed using a described protocol. The three-part question addressed was: In mesh repair of incisional hernia, which technique has a lower rate of surgical site infection (SSI), Sublay or Onlay? The best evidence showed that there is no statistically significant difference in the rate of SSI among the two techniques.

          Highlights

          • IMesh repair of incisional hernia.

          • Surgical site infection (SSI).

          • Onlay vs Sublay.

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          Most cited references10

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          One-year follow-up after incisional hernia treatment: results of a prospective randomized study

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            Randomized prospective comparison of long-term results of onlay and sublay mesh repair techniques for incisional hernia.

            Incisional hernia is a significant problem after laparotomy, and there is still no consensus on an ideal treatment method. The aim of this study was to compare the results of onlay and sublay mesh repair techniques.
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              Mesh-Reinforced Ventral Hernia Repair

              Long-term (5-year) recurrence rates are comparable between onlay vs retrorectus mesh-reinforced ventral hernia repairs.
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                Author and article information

                Contributors
                Journal
                Ann Med Surg (Lond)
                Ann Med Surg (Lond)
                Annals of Medicine and Surgery
                Elsevier
                2049-0801
                21 January 2021
                February 2021
                21 January 2021
                : 62
                : 200-202
                Affiliations
                [a ]University Hospitals Plymouth NHS Trust, Plymouth, UK
                [b ]Northumbria Healthcare NHS Foundation Trust, Northumbria, UK
                [c ]Imam Abdulrahman Alfaisal Hospital, Riyadh, Saudi Arabia
                Author notes
                []Corresponding author. rashid.ibrahim@ 123456nhs.net
                Article
                S2049-0801(21)00030-3
                10.1016/j.amsu.2021.01.028
                7843358
                33537129
                a6b4c3f4-476d-4b1d-bf26-f372d91d2285
                © 2021 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.

                This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

                History
                : 8 December 2020
                : 10 January 2021
                : 11 January 2021
                Categories
                Best Evidence Topic

                incisional hernia,onlay,surgical site infection,sublay,wound infection

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