Mesh repair of paraumblical hernia, outcome of 58 cases

Abstract

BackgroundAccording to the literature, defects in para-umbilical hernias up to 2 cm in diameter could be sutured primarily. For defects larger than 2 cm in dimeters, mesh repair is recommended. The aim of this study is to evaluate the outcome of para-umbilical hernia repair with proline mesh regardless of its size.MethodsIn this retrospective study, patients with para-umbilical hernia, who were managed by onlay mesh placement were presented, and followed for 1–6 years. Several variables were studied including patients' socio-demographic data, post-operative complications, morbidity and mortality.ResultsThe series includes 58 patients, the age ranged from 18 to 85 years with median age of 44 years and inter-quartile range of 13.5 years. Mean body mass index was (30.9 ± 4.2). From 49 female patients; 43 (87.8%) were multipara. Forty seven cases (81%) presented for the first time, and 11 cases (19%) had recurrent hernias. Twenty patients (34.5%) had hernia defect ≤2 cm, while 38 patients (65.5%) had hernia size >2 cm. Superficial surgical site infection was found in 6 patients (10.34%). Seroma was found in one female patient (1.72%). One patient (1.72%) had recurrent hernia after 19 months.ConclusionMesh onlay repair by open surgery can be applied to all sizes of para umbilical hernias, it has low recurrence rate and the rates of morbidity and recurrence are comparable with international standard.

Comparison of the Outcome of Drain Vs Pressure Dressing in Ventral Hernia Repair

“…Generally PUH and all other types of hernias are common in females than in males 3, 6,11 . The adipose tissue is different in both genders, which is considered to be the causative factor 6 .…”

Comparison of prosthetic mesh repair and tissue repair in the emergency management of incarcerated para-umbilical hernia.

“…Some studies have shown that prosthetic repair for incarcerated PUH in the emergency settings have yielded good outcomes. [11][12][13][14][15][16] Pre-peritoneal prosthetic mesh was inserted successfully into 35 patients with strangulated groin hernias by Pans et al 12 Polypropylene meshes was used successfully by Wysocki et al to treat strangulated inguinal and incisional hernias. 14 Patients received Lichtenstein treatment for incarcerated groin hernias in a later report by the same group.…”

“…6,7 In the elective care of PUH, reoccurrence is expressively reduced for prosthetic repairs compared to traditional repairs, according to a number of recent studies. [8][9][10][11] This has prompted some researchers to argue that the best course of action for treating PUH may be prosthetic repair. 8,9 In the elective care of PUH, recurrence is suggestively reduced for prosthetic repairs compared to conventional repairs, according to a number of recent studies.…”

“…8,9 In the elective care of PUH, recurrence is suggestively reduced for prosthetic repairs compared to conventional repairs, according to a number of recent studies. [8][9][10][11] This has prompted some writers to argue that the best course of action for treating PUH may be prosthetic repair. [8][9][10] A significant number of these hernias are present at our study location manifest with acute incarceration.…”

Hernio-Abdominoplasty Versus Hernioplasty of Incisional Hernia Associated with Pendulant Abdomen: A Comparative Study

“…Miniabdominoplasty is similar but with no umbilical reposition. Weakness of the linea Alba is common in obese multiparous women with pendulant abdomen, aggravated by incisional hernia especially, if developed in midline (6) .…”