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Abstract

This article presents the findings of a comparative clinical study evaluating the efficacy of different prosthetic hernioplasty techniques for anterior abdominal wall hernias. A total of 114 patients were enrolled and allocated to two cohorts: the first underwent the conventional onlay technique, while the second received an enhanced sublay repair with retromuscular mesh placement. The results demonstrate that sublay hernioplasty is associated with a significantly lower incidence of postoperative complications (seroma, surgical-site infection), a shorter length of hospital stay, and a trend toward reduced hernia recurrence. The proposed technique can therefore be recommended as an effective alternative to traditional onlay hernioplasty