A short term analysis of surgical management of umbilical and paraumbilical hernia

Abstract

Objective: Umbilical hernia and paraumbilical hernia are ventral herniae that occur in infants and adults. According to current evidence, mesh repair is the treatment of choice to avoid recurrence. The aim of this study is to analyze the surgical methods, the types of meshes used, and their benefits. Material and Methods:A retrospective analysis of patients diagnosed with umbilical hernia and paraumbilical hernia was performed. The patients' consent was obtained retrospectively. The various surgical techniques and different meshes used were analyzed. Forty-three patients were selected for the study. Of these, 23 patients underwent open mesh repair, 12 patients underwent laparoscopic intraperitoneal onlay mesh repair repair, and eight patients underwent open intraperitoneal onlay mesh repair repair. The duration of the surgery, mesh used, number of days of hospital stay, type of anesthesia, and postoperative complications were analyzed. Results:Of the 43 patients, the patients who underwent open intraperitoneal onlay mesh repair had shorter postoperative hospital stays compared to other methods (median=1 day; range=1 to 2 days). The duration of surgery was longer for laparoscopic intraperitoneal onlay mesh repair and open mesh repair compared to the open intraperitoneal onlay mesh repair technique (p<0.05). Conclusion:The open intraperitoneal onlay mesh repair technique had advantages over the other methods for small-defect umbilical hernia and paraumbilical hernia. The duration of surgery was long for laparoscopic intraperi- INTRODUCTIONUmbilical hernia (UH) and paraumbilical hernia (PUH) are ventral herniae that occur in the region of the umbilicus or around the umbilicus (1, 2). UH accounts for 10% of abdominal herniae (3). UH occurs in infants and children, while PUH occurs in adults. UH rarely occurs in adult patients with ascites, obesity, and massive abdominal distention from various causes. There are advantages to the management of UH and PUH using meshes MATERIAL AND METHODSA retrospective analysis of patients who underwent operations for UH and PUH at the Institute of General Surgery, Madras Medical College, was performed. Patients who underwent surgery for UH and PUH over a period of four months, from November 2015 to February 2016, were chosen for the study. Institutional ethical committee clearance was obtained to collect the data. Informed consent was obtained from the chosen patients. Fifty-four patients were diagnosed with UH and PUH. Of these, five patients underwent open anatomical suture repair operations as an emergency procedure and another six patients underwent open mesh repair with associated bowel pathology, for which bowel surgery was performed. Excluding these 11 cases, 43 patients with UH and PUH in whom different types of mesh were used were chosen for the study. All the patients were euthyroid before and after surgery. Of the 43 patients who underwent mesh repair, 23 patients underwent open mesh repair using Prolene mesh, 12 patients underwent laparoscopic IPOM using composite dual...

Shall we use a mesh in every patient undergoing repair surgery for umbilical hernia? a prospective study

“…The mean age of study subjects and female predominance in this study were in line with those reported from previous studies 6,9 . In our study, 39 patients (25.4%) had diabetes mellitus and 46 (30%) patients had hypertension.…”

“…52 (33.9%) patients in this study were obese (BMI≥30) Obesity has been reported at higher rates (67 to 76%) in other studies in the literature 9 . In another study, the mean BMI was reported as 30.4 kg/m 2 in patients who underwent suture-only repair, 36 kg/m 2 in patients who underwent open repair with mesh and 28.9 kg/m 2 in patients who underwent laparoscopic repair with mesh.…”

Comparative Study between H Shape Mesh Repair and Standard Tummy Tuck Procedure in Small Paraumblical Hernia with Diastasis of the Rectus Muscles

“…The main operative time reported with (group A) was (45.17 min) agree with (Arunagiri, et al [9] study and Elgohary, et al [8] study). Disagree with 4 studies (Ko¨hler, et al [14] study, Sallam, et al [7] study, Elgohary, et al [8] study and Chung, et al [17]…”

“…Main age of (group A) was 50.77 years and (group B) was 48.23 years agree with 5 studies (Sallam, et al [7] study, Elgohary, et al [8] study, Arunagiri, et al [9] study, Novitsky, et al [10] study and Cheesborough, et al [11] study). Disagree with 5 studies (Baig, et al [12] study, Nockolds, et al [13] study, Ko¨hler, et al [14] study, Petersson et al [15] study and Wiessner, et al [16] study).…”

“…Among gender of (group A) was 20 (66.7%) female and (group B) was 22 (73.3%) female as high female percentage agree with 7 studies (Cheesborough, et al [11] study, Sallam et al [7] study, Arunagiri, et al [9] study, Elgohary, et al [8] study, Baig, et al [12] study, Novitsky, et al [10] study and Petersson et al [15] study). Disagree with 3 studies (Nockolds, et al [13], Wiessner, et al [16] study and Ko¨hler, et al [14] study).…”