Outcome of Onlay Mesh Repair for Paraumbilical Hernia: An Experience From a Peripheral Hospital in India.

Aim To know the outcome of onlay mesh repair for paraumbilical hernias that were operated on in a newly established peripheral hospital, mainly emphasizing immediate and delayed postoperative complications. Methods This is a retrospective study on 40 patients who were treated by onlay mesh repair at our institution.  Results Of the 40 subjects who underwent onlay repair, only 10% had developed minor wound-related complications in terms of superficial wound infection and 7.5% developed wound collections (seroma). No instances of recurrence were observed during the study period. Conclusion Onlay mesh repair is a relatively easy, quick, and effective procedure with acceptable rates of minor wound complications and also very low/no recurrence rates. It is associated with a low incidence of early wound-related complications. The study did not observe any recurrences within the study period. However, long-term follow-up is needed to determine late recurrence rates. The onlay technique of mesh repair, which is less time-consuming and has acceptable complication rates, provides significant benefits to patients, particularly in peripheral hospitals with limited healthcare resources.