Comparison of Results of Dual Mesh Hernioplasty and Omental Interposition Polypropylene Mesh Hernioplasty in Incisional Hernias

Recently, with the improvement of dual meshes, that has no harm when in touch with the intraabdominal organs, intraperitoneal mesh hernioplasty techniques became more popular. Intraperitoneal repair can also be done by polypropylene mesh with interpositioning of the omentum. This study aims to compare the results of omental interposition mesh hernioplasty and intraperitoneal mesh hernioplasty. The study was conducted as a prospective observational study. In between January 2008 and January 2012, patients with incisional hernia were divided into two groups according to the suitability of the greater omentum as omental interposition mesh hernioplasty and intraperitoneal dual mesh hernioplasty. The median follow-up periods of all 49 patients were 17 (4-48) months. Operation time was significantly longer in the omental interposition mesh hernioplasty group (p < 0.05). Length of hospital stay, drain take off time, and the complication rates were similar in between the groups. The recurrence rates were also similar; however, in omental interposition mesh hernioplasty group, the cost was significantly lower (p < 0.05). Although omental interposition mesh hernioplasty technique takes more time, in cases that great omentum is suitable; this technique can be used safely with lower cost.