Background: Hernia derived from the Latin word, is a protrusion of a viscus or part of a viscus through an abnormal opening in the walls of its containing cavity. Objectives of present study were to evaluate sublay Vs onlay meshplasty in incisional and ventral hernia and to compare and determine duration of operation and hospital stay, post-operative complications and recurrences.Methods: The study was conducted at Dr. D. Y. Patil Medical College and Hospital, DPU University, for a period of 2 years (from July 2015 - September 2017) and is a prospective and comparative randomized type of study using 100 cases (Group A Onlay and Group B Sublay - 50 each). The study was approved by the Institute’s Ethics Committee.Results: 100 patients were operated in our study. In group B, the mean operative time [70.72±18.56], and in group A mean operative time (50.96±12.61). The duration of hospital stay was an of average 7.62±1.78 days in group B, and an average hospital stay of 8.84±1.89 in group A. Suture site infection was18%. group A (26%) and group B (12%). Seroma was seen in 5 patients, group A (8 %) and in group B (2%). Flap necrosis was 8% in group A and in 6% in group B. 10 patients had wound dehiscence, group A (14%) and group B (6%). 4 patients were reported with mesh infection (6%) in group A and (2%) in group B. Recurrence was 1% group A.Conclusions: Sublay meshplasty is good alternative to onlay meshplasty that may be applicable to all forms of ventral and incisional hernias. The mesh related complication rate and recurrence was found to be minimal.

INTRODUCTIONThe post-operative wound complications can be defined as any negative outcome as perceived either by the surgeon or by the patient.1 These complications can be encountered after any surgery, but the key to success is the early detection and the prompt management. Surgical site infections and wound and tissue dehiscence are wellknown postoperative complications in abdominal surgery. The severity of these complications embraces mild cases needing local wound care and antibiotics to serious cases with multiple reoperations and a high mortality rate. In most cases, such complications prolong hospitalization, with a substantial increase in cost of care. ABSTRACT Background:The post-operative wound complications can be defined as any negative outcome as perceived either by the surgeon or by the patient. Objectives were to study the early and late post-operative wound complication of patients undergoing emergency and elective abdominal surgery, to find out and compare the incidence of postoperative wound complications following emergency and elective abdominal surgery and to find out and compare the factors associated with wound complications following elective and emergency abdominal surgery. Methods: The study was conducted at Dr. D. Y. Patil Medical College and Hospital, DPU University, for a period of 2 years (from July 2015-September 2017) and is a prospective type of study using 100 cases (Group A: Elective and Group B: Emergency abdominal surgeries -50 each). The study was approved by the Institute's Ethics Committee. Results: 100 patients were operated in our study. The type of collection from surgical site was seropurulent in 4 (8%) patients and purulent in 1 (2%) patient of Group A whereas it was seropurulent in 5 (10%) patients and purulent in 1 (2%) patient of Group B. The type of collection in Closed Suction Drain was Serous in 12 (24%) patients, Serosanguineous in 10 (20%) patients and Seropurulent in 1 (2%) patient of Group A whereas it was Serous in 13 (26%) patients, Serosanguineous in 10 (20%) patients and Seropurulent in 1 (2%) patient of Group B. The postoperative hospital stay for majority of the patients in Group A was ≤10 days (82%) while it was 11-14 days for Group B (54%). Conclusions: Possible complications following elective surgery and those following urgent/emergency surgery, a debatable issue was the possibility of significant differences between them. The emergency laparotomies are also more common than elective laparotomies especially at peripheral centers. These findings suggest that wound complications do occur in elective abdominal surgeries. These can be reduced to a certain extent by careful case selection, improving Hb levels prior to surgery, using adequate prophylaxis and better surgical practices.

Background: Chronic non healing ulcers are a challenge to the patient and health care professional. They require special care and intensive treatment often for prolonged periods. These ulcers do not generally heal with conventional types of treatment within a reasonable time period and need special types of treatment like collagen particles, vacuum dressing, chemical debridement etc. The aim of the study was to compare the effect of sterile collagen particles with saline dressings in treatment of chronic non healing ulcers.Methods: 30 test subjects were dressed using sterile collagen particles and 30 controls using saline gauze on day 2 and every 3rd day. The condition of the ulcer was followed up using the Bates-Jensen wound assessment score (BJWA score).Results: BJWA score was significantly lesser at 4th week in test group. The p value was 0.00021. Test group mean score was 17.23 and for control group it was 21.467. BJWA score was significantly lesser even at 8th week in Test group. The p value was 0.00026. Test group mean score was 12.47 and control group it was 17.43. This signifies that healing rate is better in test group compared to control group.Conclusions: Comparing the components in BJWA score we can conclude from our study that; collagen dressings are superior to saline dressing in all type of ulcers and irrespective of gender and age of a person. The best response was seen in non diabetic ulcer without Saphenofemoral incompetence who are non smokers.