Bridging General And Plastic Surgery in abdominal wall hernia repair: A Retrospec-tive Comparative Study Of Mesh-Based Techniques Versus Component Separation At Sheikh Zayed Medical College And Hospital, Rahim Yar Khan, South Punjab.

Abstract

Objective: This study compares the effectiveness and safety of standard mesh-based abdominal wall repair with com-ponent separation techniques with or without mesh. Out study is based on to look the following parameters like surgical recurrence rates, postoperative complications, aesthetic results, and patient satisfaction in this study.
Methodology: This retrospective comparative study that carried out during January 2021 to December 2025 includes total 120 adult patients that by divided into 2 groups (Group A & Group B). Each group having 60 patients. Group A pa-tients received a mesh-based repair, while Group B patients underwent component separation, with or without mesh.
Results: Regarding results of study, Group B had less recurrence rate (8.3% compared to 16.7%, p=0.031) and fewer overall complications (58.3% compared to 71.7%, p=0.036). Patients in group B also reported increased satisfaction, with an average score of 7.9 out of 10 versus 6.4 in group A (p=0.008).
Conclusion: Our studies results shows that there is fewer recurrence rates and higher patients satisfaction in In compo-nent separation techniques at South Punjab tertiary care setting. General and Plastic Surgeons should work together for better outcome.
Keywords: abdominal wall hernia; mesh repair; component separation; ventral hernia; South Punjab; Pakistan; surgical outcomes.