Comparative Analysis of Onlay and Sublay Mesh Repair Techniques in Umbilical Hernia Surgery

Umbilical hernia repair is a common surgical procedure, with the use of prosthetic mesh proven to reduce recurrence rates compared to traditional stitch repair. Two popular mesh techniques are onlay and sublay repairs, each with unique advantages and disadvantages. Onlay repair involves placing the mesh over the hernia, while sublay repair positions the mesh underneath. This study aims to compare these two techniques in adult patients undergoing umbilical hernia surgery, with the goal of improving care and providing evidence-based decisions in clinical practice. Patients participating in this study will undergo either onlay or sublay mesh repair for their umbilical hernia. The study will record details such as demographic characteristics, hernia features, and operative specifics. Primary outcome measures include postoperative complication rates and hernia recurrence, while secondary measures include operative time, length of hospital stay, and early postoperative morbidity. Patients will be followed postoperatively according to standard clinical practice to assess surgical outcomes. The results are expected to provide valuable comparative data on the safety and effectiveness of both techniques.