Is prosthetic umbilical hernia repair bound to replace primary herniorrhaphy in the adult patient?

Arroyo, Antonio; Pérez, F.; Serrano, Pilar; Costa, David J.; Oliver, Israel; Ferrer, Roser; Lacueva, Javier; Calpena, Rafael

doi:10.1007/s10029-002-0076-y

Cited by 47 publications

(21 citation statements)

References 10 publications

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“…The different surgical methods employed in the repair of UH and PUH are open anatomical repair, open mesh repair with different sites of mesh placement (onlay, sublay, and inlay), laparoscopic intraperitoneal onlay mesh repair (IPOM), and open IPOM. The recurrence rate (19% to 54%) is greater in anatomical suturing than in mesh repair (5)(6)(7). The different sites of deployment of mesh have advantages and disadvantages.…”

Section: Introductionmentioning

confidence: 99%

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

2018

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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...

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Section: Introductionmentioning

confidence: 99%

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

2018

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“…The primary suture for umbilical hernia resulted in recurrence rates of 19-54% (1)(2)(3). The use of different kind of meshes for hernia repair can reduce this rate.…”

Section: Introductionmentioning

confidence: 99%

Umbilical hernia: Factors indicative of recurrence

Venclauskas¹,

Šilanskaitė²,

Kiudelis³

2008

Medicina

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“…The paraumbilical hernia is a common surgical problem mainly encountered in the 5th and 6th decades of life [1][2][3] . The paraumbilical defect is observed in more than 90% of elderly patients.…”

Section: Discussionmentioning

confidence: 99%

“…Postoperative complications such as wound seroma and hematoma occur in 5.6% to 42% of cases using the meshes for paraumbilical hernia repair 2,9 . It can be the reason of postoperative wound infection, suppuration, and hernia recurrence 2 .…”

Section: Discussionmentioning

confidence: 99%

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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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Is prosthetic umbilical hernia repair bound to replace primary herniorrhaphy in the adult patient?

Cited by 47 publications

References 10 publications

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

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

Umbilical hernia: Factors indicative of recurrence

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

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