Comparison of prosthetic mesh repair and tissue repair in the emergency management of incarcerated para-umbilical hernia: a prospective randomized study

Abdel-Baki, Nabil A.; Bessa, Samer S.; Abdel-Razek, A

doi:10.1007/s10029-007-0189-4

Cited by 81 publications

(109 citation statements)

References 15 publications

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“…However, the recurrence rate was 19.0% in the suture repair group, and no recurrences in the prosthetic repair group were reported (P<0.05). Using the mesh repair technique for emergency surgery of incarcerated Paraumbilical hernia is a safe method and leads to superior results, in terms of recurrence, compared with conventional suture repair 10 .…”

Section: Discussionmentioning

confidence: 99%

Factors Indicative of Recurrence Paraumbilical Hernia: Experience at a Tertiary Care Hospital in Dhaka City

Khalil¹,

Saha²,

Islam³

et al. 2018

J Curr Adv Med Res

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Background: Paraumbilical hernia has gained little attention from surgeons in comparison with other types of abdominal wall hernias (inguinal, postoperative); however, the primary suture for paraumbilical hernia is associated with a recurrence rate of 19.0 to 54.0%. Objective: The aim of this study was to analyze the results of the paraumbilical hernia repair and to assess the independent risk factors influencing paraumbilical hernia recurrence. Methodology: A retrospective analysis of patients who underwent surgery for paraumbilical hernia in the department of surgery, Dhaka Medical College Hospital from 2012 to 2015 was performed. Age, sex, hospital stay, hernia size, patient's body mass index, and postoperative complications were analyzed. Postoperative evaluation included pain and discomfort in the abdomen and hernia recurrence rate. Hernia recurrence was diagnosed during the patients' visit to a surgeon. Two surgical methods were used to repair paraumbilical hernia: open suture repair technique (keel technique) and open mesh repair technique (onlay technique). Every operation was chosen individually by the surgeon. Results: Ninety-seven patients (31 males and 66 females) with paraumbilical hernia were examined. The rate of postoperative complications was 5.2%. The complete patient's recovery time after surgery was 2.4±3.4 months. Fourteen patients (20.9%) complained of pain or discomfort in the abdomen, and 7(10.4%) patients had ligature fistula after the surgery. Forty-five patients (67.2%) did not have any complaints after surgery. The recurrence rate after paraumbilical hernia repair was 8.9%. The recurrence rate was higher when hernia size was >2cm (9% for <2 cm vs 10.5% for >2 cm) and patient's BMI was >30 kg/m 2 (8.6% for <30 vs 10.7% for >30). Conclusion: In conclusion significant independent risk factors are found for paraumbilical hernia recurrence.

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Section: Discussionmentioning

confidence: 99%

Factors Indicative of Recurrence Paraumbilical Hernia: Experience at a Tertiary Care Hospital in Dhaka City

Khalil¹,

Saha²,

Islam³

et al. 2018

J Curr Adv Med Res

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“…Seven of the included studies were prospective studies [6][7][8][18][19][20][21]. Four of them were graded level II evidence [6,7,19,20], one level III-1 [18], and two studies were graded level III-2 evidence [8,21].…”

Section: Description Of the Studiesmentioning

confidence: 99%

“…Four of them were graded level II evidence [6,7,19,20], one level III-1 [18], and two studies were graded level III-2 evidence [8,21]. Some of the remaining retrospective studies were also graded level III-2 evidence [9,10,[22][23][24][25][26][27][28][29] or level IV [30][31][32].…”

Section: Description Of the Studiesmentioning

confidence: 99%

“…However, in contrast to all other primary hernias, there is no consensus whether the repair of umbilical and epigastric hernias should be mesh-based. Several randomized controlled trials (RCTs) as well as various cohort studies and a systematic review have pointed out the superiority of mesh over sutures in terms of recurrences [6][7][8][9][10][11]. Complication rates and postoperative pain after mesh repair are investigated for inguinal hernias, but are not reviewed for umbilical and epigastric hernias [12].…”

Section: Introductionmentioning

confidence: 99%

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A Collective Review on Mesh-Based Repair of Umbilical and Epigastric Hernias

2013

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In accordance with the tension-free principles for other hernias, umbilical and epigastric hernia repair should probably be mesh-based. The number of randomized studies is increasing, most of them showing significantly less recurrences with the use of a mesh. Different devices are available and are applicable by several approaches. The objective of this review was to evaluate recent literature for the different types of mesh for umbilical and epigastric hernia repair and recurrences after mesh repair. A multidatabase search was conducted to reveal relevant studies since 2001 reporting mesh-based repair of primary umbilical/epigastric hernia and their outcomes in adult patients. A total of 20 studies were included, 15 of them solely involved umbilical hernias, whereas the remaining studies included epigastric hernias as well. A median of 124 patients (range, 17-384) was investigated per study. Three quarters of the included studies had a follow-up of at least 2 years. Six studies described the results of laparoscopic approach, of which one reported a recurrence rate of 2.7 %; in the remaining studies, no recurrences occurred. Two comparative studies reported a lower incidence of complications and postoperative pain after laparoscopic repair compared to open repair. Seventeen studies reported results of open techniques, of which seven studies showed no recurrence. Other studies reported recurrence rates up to 3.1 %. A wide range of complication rates were reported (0-33 %). This collective review showed acceptable recurrence rates for mesh-based umbilical and epigastric hernia repair. A wide range of devices was investigated. A tendency toward more complications after laparoscopic repair was found compared to open repair.

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“…Several studies have pointed out the superiority of mesh over sutures to avoid the recurrence [5,6].…”

Section: Introductionmentioning

confidence: 99%

Repair of Ventral Hernia by Pre-Peritoneal and Pre- Posterior Rectus Sheath Insertion of Prolene Mesh

Helmy¹,

Makhlouf²,

Hanna³

2017

Surgery Curr Res

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Background: Early treatment of hernia is very important to reduce the risk of obstruction and or strangulation. Ventral hernias include umbilical, epigastric, and incisional hernias and represent 10-15% of all primary hernias. Conventionally, theses hernias are treated by suture repair with a substantial rate of recurrence and this increase the demand for a better technique of repair. There is no exact protocol or consensus on how the repair should be carried out.

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Comparison of prosthetic mesh repair and tissue repair in the emergency management of incarcerated para-umbilical hernia: a prospective randomized study

Abstract: Use of prosthetic repair for emergency management of incarcerated PUH is safe and leads to superior results, in terms of recurrence, compared with conventional tissue repair. The presence of non-viable intestine cannot, furthermore, be regarded as a contraindication for prosthetic repair.

Cited by 81 publications

References 15 publications

Factors Indicative of Recurrence Paraumbilical Hernia: Experience at a Tertiary Care Hospital in Dhaka City

Factors Indicative of Recurrence Paraumbilical Hernia: Experience at a Tertiary Care Hospital in Dhaka City

A Collective Review on Mesh-Based Repair of Umbilical and Epigastric Hernias

Repair of Ventral Hernia by Pre-Peritoneal and Pre- Posterior Rectus Sheath Insertion of Prolene Mesh

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