Prevalence of adult paraumbilical hernia. Assessment by high-resolution sonography: a hospital-based study

Bedewi, Mohamed Abdelmohsen; El-Sharkawy, Mohamed S.; Boukai, Ahmad Amer Al; Al-Nakshabandi, Nizar A.

doi:10.1007/s10029-011-0863-4

Cited by 62 publications

(36 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Patients included were adults of a mean age of 56 years close to the mean age of paraumbilical hernia reported by Bedewi et al [13]. The majority of the patients had at least one associated comorbidity, yet less than 20% of them had high ASA grade.…”

Section: Discussionmentioning

confidence: 99%

Outcomes following repair of incarcerated and strangulated ventral hernias with or without synthetic mesh

et al. 2017

View full text Add to dashboard Cite

BackgroundThe use of synthetic mesh for ventral hernia repair under contaminated conditions is a controversial issue due to the considerable risk of surgical site infection (SSI). This study aimed to review the outcomes of repair of incarcerated and strangulated ventral hernias with or without synthetic mesh in compliance with established clinical guidelines regarding the incidence of SSI and hernia recurrence.MethodsThe records of patients with complicated ventral hernias who were treated with or without synthetic mesh repair were reviewed. Variables collected included the characteristics of patients and of ventral hernias, type of repair, and incidence of SSI and recurrence.ResultsOne hundred twenty-two patients (56 males) of a mean age of 56 years were included. Fifty-two (42.6%) and 70 (57.4%) patients presented with incarcerated and strangulated ventral hernias, respectively. Sixty-six (54%) patients were treated with on-lay mesh repair, and 56 (46%) were managed with suture repair. Twenty-one patients required bowel resection. SSI was detected in eight (6.5%) patients. There was no significant difference between both groups regarding the incidence of SSI (7.5% for mesh group vs 5.3% for suture group). Recurrence occurred in seven patients. Median follow-up period was 24 months. The suture repair group had a significantly higher incidence of recurrence than the mesh group. Diabetes mellitus, previous recurrence, and intestinal resection were significant predictors for SSI.ConclusionFollowing established guidelines, synthetic mesh repair of incarcerated and strangulated ventral hernias attained lower recurrence rate, comparable incidence of SSI, and higher rate of seroma formation than suture repair.Trial registrationResearch Registry, researchregistry1891

show abstract

Section: Discussionmentioning

confidence: 99%

Outcomes following repair of incarcerated and strangulated ventral hernias with or without synthetic mesh

et al. 2017

View full text Add to dashboard Cite

show abstract

“…No matter the reasoning, our detected high rate of radiographic hernias does align with some prior studies (20, 21). A study utilizing high- resolution ultrasound, for example, to determine the prevalence of paraumbilical hernias among adult patients in a tertiary care hospital presenting for non-abdominal wall complaints detected an approximately 25% rate (22). Our data, in light of high incisional hernia rates, highlights the need for preoperative risk modification and operative intervention for high-risk patients.…”

Section: Discussionmentioning

confidence: 99%

External Validation of the HERNIAscore: An Observational Study

Cherla

Moses

Mueck

et al. 2017

Journal of the American College of Surgeons

View full text Add to dashboard Cite

Background The HERNIAscore is a ventral incisional hernia (VIH) risk assessment tool that utilizes only preoperative variables and predictable intraoperative variables. The aim of this study was to validate and modify, if needed, the HERNIAscore in an external dataset. Study Design This was a retrospective observational study of all patients undergoing resection for gastrointestinal malignancy 2011–2015 at a safety-net hospital. Primary outcome was clinical postoperative VIH. Patients were stratified into low, medium, and high risk based on HERNIAscore. A Revised HERNIAscore was formed with the addition of prior abdominal surgery as a categorical variable. Cox regression of incisional hernia with stratification by risk class was performed. Incidence rates of clinical VIH formation within each risk class were also calculated. Results 247 patents were enrolled. On Cox regression, in addition to the three variables of the HERNIAscore (BMI, incision length, and COPD), prior abdominal surgery was also predictive of VIH. The Revised HERNIAscore demonstrated improved predictive accuracy for clinical VIH. While the original HERNIAscore effectively stratified the risk of developing an incisional radiographic VIH, the Revised HERNIAscore provided a statistically significant stratification for both clinical and radiographic VIHs in this patient cohort. Conclusion We have externally validated and improved the HERNIAscore. The Revised HERNIAscore utilizes BMI, incision length, COPD, and prior abdominal surgery to predict risk of post-operative incisional hernia. Future research should assess methods to prevent incisional hernias in moderate-to-high risk patients.

show abstract

“…[36][37][38] Whatever the definition, the incidence of primary midline hernias in the adult population is most likely variable among geographic regions, and probably has to do with many factors, such as the incidence of birth defects of the abdominal wall, and issues known to affect the acquisition and consequence of midline abdominal wall hernias, such as obesity, aortic aneurysm disease, access to surgical care, and HIV disease. [39][40][41][42] Radiological and physical examination screening can find umbilical hernias in 23% to 50% of the adult population in some countries, and up to 90% of pregnant women.…”

Section: Epidemiologymentioning

confidence: 98%

“…This study was performed at King Saud University in Riyadh, Saudi Arabia, over a 2-year period and included 302 patients. 37 A physical examination study was conducted in Nigeria by the division of pediatric Surgery at the University of Texas Southwestern Medical Center. 38 A noted that 49% of nonpregnant adults older than 18 had an "outie," defined as "any protrusion of the umbilical tip past the periumbilical skin," but only 8% had an umbilical hernia defined as "protrusion of at least 5 mm and diameter of at least 10 mm."…”

Section: Epidemiologymentioning

confidence: 99%

Repair of Umbilical and Epigastric Hernias

Earle

McLellan

2013

Surgical Clinics of North America

View full text Add to dashboard Cite

Prevalence of adult paraumbilical hernia. Assessment by high-resolution sonography: a hospital-based study

Abstract: High-resolution US is an efficient tool for detecting the presence of paraumbilical hernias and accurately verifying not only their content, but also the possible associated complications.

Cited by 62 publications

References 12 publications

Outcomes following repair of incarcerated and strangulated ventral hernias with or without synthetic mesh

Outcomes following repair of incarcerated and strangulated ventral hernias with or without synthetic mesh

External Validation of the HERNIAscore: An Observational Study

Repair of Umbilical and Epigastric Hernias

Contact Info

Product

Resources

About