Current concepts on adult umbilical hernia

Velasco, Monica A. Solis; García-Ureña, Miguel Ángel; Hidalgo, Manuel; Vega, Valentín; Carnero, Francisco Javier

doi:10.1007/bf01194437

Cited by 45 publications

(25 citation statements)

References 24 publications

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“…One decade ago, there was no decisive evidence for mesh use in umbilical hernia repair [12,15]. However, Trigeminal neuralgia 1 recent papers present high-level evidences in favor of mesh repair [2,11].…”

Section: Discussionmentioning

confidence: 98%

“…The adequate selection of patients enables surgical repair under ambulatory conditions for some patients with local anesthesia and sedation. However, this is not indicated for very obese patients, hernias of very large size, on recurrent hernias, as the hernia content is difficult to reduce despite adequate local anesthesia'' [12]. There are also some indefinite statements, such as, ''Local anesthesia was used whenever possible'' [13].…”

Section: Discussionmentioning

confidence: 99%

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Prosthetic repair of umbilical hernias in adults with local anesthesia in a day-case setting: a comprehensive report from a specialized hernia center

Kulaçoğlu¹,

Yazicioglu²,

Ozyaylali³

2011

Hernia

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The repair of umbilical hernias with local anesthesia in a day-case setting is a good option, with low infection and recurrence rates. Most patients can be discharged early as planned. Separate doses and total volume of local anesthetic agents needed for umbilical hernia repair are clearly higher than those used in inguinal hernia repair. Patients with higher BMI, recurrent hernia, and defects larger than 3 cm may require higher local analgesic doses. The patient satisfaction is very good when the patients are provided with detailed information about day-surgery and local anesthesia.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Prosthetic repair of umbilical hernias in adults with local anesthesia in a day-case setting: a comprehensive report from a specialized hernia center

Kulaçoğlu¹,

Yazicioglu²,

Ozyaylali³

2011

Hernia

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“…Adult umbilical hernia is a relatively frequent condition with a prevalence of 2% and is most likely to occur in the fifth and sixth decades of life [1,2]. The vast majority of cases occur due to increased intra-abdominal pressure.…”

Section: Discussionmentioning

confidence: 99%

“…The vast majority of cases occur due to increased intra-abdominal pressure. Umbilical hernias in adults are three times more common in women than in men, more common in overweight persons with weak abdominal muscles, in patients with cirrhosis and in women during pregnancy or after giving birth to multiple newborns [1][2][3]. Umbilical hernias have a reported incarceration rate of 17.7% [4] and are responsible for 13% of all incarcerated hernias [5], therefore repair is proposed for the majority of the symptomatic and asymptomatic umbilical hernias.…”

mentioning

confidence: 99%

Laparoscopic correction of umbilical hernias using a transabdominal preperitoneal approach: results of a pilot study

et al. 2008

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“…The quality of the reconstruction was confirmed during follow-up. Even in this patient, who presented a high risk of complications (cirrhosis, recurrent hernia, partial strangulation, overweight), the short term postoperative period was particularly complication-free [Velasco 1999]. …”

Section: Discussionmentioning

confidence: 99%

Laparoscopic treatment of an umbilical hernia using a new composite mesh

Jarsaillon¹

2000

Hernia

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]Summary: A case is reported of a recurrent umbilical hernia treated using an intraperitoneal Parietex| Composite mesh through a laparoscopic approach. ~q Three trocars were inserted in the left flank. According to the size of the defects (3xscm), a 15 x locm composite mesh was selected. The edges of the defects and the shape and size of the mesh centered on the hernia were drawn on the anterior abdominal wall. A reference point was positioned 1 cm outside each angle of the mesh. After the hydrophilic and absorbable film had been hydrated, the mesh was rolled, the film inside, and introduced within the peritoneal cavity. The mesh was carefully oriented with the smooth side on the viscera, porous side towards the wall. A 2mm cutaneous incision was performed at each reference point. An absorbable suture was inserted in the cutaneous incision, routed through the wall and the mesh, and finally brought out through the same incision. Using such a method, a transparietal subcutaneous suture was obtained in each corner and the mesh could be perfectly centered on the defect. The 1 cm distance between each corner of the mesh and the emerging tip of the needle induced a moderate tension within the mesh which balanced the relaxation of the wall during the exsufflation of the pneumoperitoneum. The final fixation of the mesh was then obtained using non-absorbable metallic devices. Hospital discharge was after 2 days and the patient returned to a normal activity within to days. After a threemonth follow-up, no complication attributed to the laparoscopic approach or to the intraperJ.toneal position of the mesh had been reported.

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Current concepts on adult umbilical hernia

Cited by 45 publications

References 24 publications

Prosthetic repair of umbilical hernias in adults with local anesthesia in a day-case setting: a comprehensive report from a specialized hernia center

Prosthetic repair of umbilical hernias in adults with local anesthesia in a day-case setting: a comprehensive report from a specialized hernia center

Laparoscopic correction of umbilical hernias using a transabdominal preperitoneal approach: results of a pilot study

Laparoscopic treatment of an umbilical hernia using a new composite mesh

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