Umbilical Hernia Repair: Analysis after 934 Procedures

Carro, José Luis Porrero; Cano-Valderrama, Óscar; Marcos, Alberto; Bonachia, Oscar; Ramos, Beatriz; Alcaide, Benito; Villar, Sol; Sánchez-Cabezudo, Carlos; Quirós, Esther; Alonso, Marı́a Teresa; Castillo, M. J.

doi:10.1177/000313481508100925

Cited by 19 publications

(11 citation statements)

References 4 publications

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“…[25][26][27] This study finds that most of the recurrence after both open suture or mesh repairs occur in two year of surgery and this is very similar to study of Ngnyen MT et al 29 While many other studies have compared recurrence rates in various procedures of open ventral hernia repair but there subjects and follow-up period were too small to persuade the connotation of recurrence. 29 Ngnyen MT, et al and Porrero JI, et al found in their studies that suture repair is appropriate for small primary ventral hernia with acceptable recurrence rates of less than 10%, while our study finds higher rates of recurrence (18.7%) 29,30 and this makes to think that the size of defect should not be more than 3 cm in simple suture repair. Generally in open ventral hernia repair, there are higher rates of post-operative SSI, which varies from technique to technique and mesh positions.…”

Section: Discussioncontrasting

confidence: 44%

Clinical Outcomes of Open Ventral Hernia Repair in a Public Sector Hospital

Shah

Memon²,

Jamali³

et al. 2017

Annals KEMU

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Objective: This prospective study was designed to see the outcomes in two different types of surgical repairs (suture or mesh) of primary ventral hernia.Methods: A total of 70 adult patients under went for elective primary ventral hernia suture or mesh repair at surgical unit-I of Peoples Medical College Hospital Nawabshah and Surgical Unit-I from March-2010 to Feb-2016 were included in this study on the basis of inclusion – exclusion criteria. Patient’s demographic characteristics, operative details, post-operative out-comes (complications and recurrence) were studied.Results: A total number of 70 consecutive patients having primary ventral hernia under went for an elective open repair either with suture (32/45.7%) or synthetic mesh (38/54.3%) were evaluated in this study. Among these patients 52 (74.2%) and 18 (25.8%) were female and male respectively, with mean age of 51.5 ± 12. A total of 3(7.89%) patients had recurrence with Mesh Repair and 06(18.75%) with suture repair at 3 years follow-up, p-value = 0.176.Conclusion: The mesh repair in ventral hernia has low wound complications and less recurrence of the hernia when compared with suture technique.

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Section: Discussioncontrasting

confidence: 44%

Clinical Outcomes of Open Ventral Hernia Repair in a Public Sector Hospital

Shah

Memon²,

Jamali³

et al. 2017

Annals KEMU

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“…Reoperation rate after suture/non-mesh repair may be 1.2–4.8% and after mesh 1–4.8% [ 17 , 18 , 19 ]. The cause for reoperation, e.g.…”

Section: Discussionmentioning

confidence: 99%

Trocar umbilical hernia repair by open suture repair and open suture–mesh repair in an ambulatory setting in comparison to recurrent and primary umbilical hernia repair

Holzheimer¹,

Gaschütz

2020

Journal of Surgical Case Reports

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Reports on the ambulatory open repair of umbilical trocal hernias are missing. Patients with trocar, primary and recurrent umbilical hernia open suture and open suture–mesh repair with prospective follow-up were retrospectively evaluated. Patients received perioperative antibiotic prophylaxis, preemptive analgesia and modified anesthesia. In total, 171 patients with umbilical hernia (51 years, female 14%; male 86%) were treated with open suture (n = 29; 17%) and suture–mesh (n = 142; 83%) repair. In total, 10% of patients were treated for trocar hernia (late onset), 5% for recurrent hernia and 85% for a primary umbilical hernia. In total, 29% of trocar hernia repairs had minor complications associated with obesity (40%) and comorbidity (80%). Age, suture and suture–mesh repair were not associated with complications. According to guidelines for umbilical hernia repair open flat mesh may be useful in the treatment of trocar hernia.

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“…However, the umbilical hernia ring is generally smaller. Porrero et al [ 26 ] reported that the mean defect size of 934 umbilical hernias was 1.9 cm (1.78–1.93). We believe that for umbilical hernias smaller than 3 cm, this method is safe, reliable, and convenient.…”

Section: Discussionmentioning

confidence: 99%

Retrospective analysis of smaller than 3-cm umbilical hernia repair with the lightweight macroporous mesh

Xie

Song

et al. 2018

Medicine

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There is evidence that mesh repair for primary umbilical hernias results in fewer recurrences and similar wound complication rates compared to tissue repair. Various devices and surgical approaches are used in umbilical hernia repair. The ULTRAPRO PLUG (UPP) has been adopted for inguinal hernias and femoral hernias with excellent results. However, there are few reports on the use of UPP for umbilical hernia repair. Thus, the aim of this study was to evaluate efficacy and safety in the treatment of smaller than 3-cm umbilical hernias using the UPP.The medical records of 123 patients who underwent umbilical hernia repair using the UPP between October 2011 and September 2017 were reviewed. All patients were followed-up after 1 month and later in 2018. Demographics, surgical information, and immediate postoperative and long-term complications were assessed.Out of 123 patients, there were 37 male and 86 female patients with a mean age of 50.6 years. The median duration of hernia surgery was 20.5 min (range, 12–34), and 109 (88.6%) patients underwent day surgery. The median defect diameter was 1.4 cm (range, 0.5–3). No mortality or major complications occurred during the perioperative period. Long-term follow-up data were available for 107 (87.0%) patients. The median follow-up duration was 33 months (range, 5–76 months). Early postoperative complications included 1 case of seroma, 2 cases of fat liquefaction, and 1 case of superficial surgical site infection. During follow-up, there were 2 recurrences, 1 case of chronic mesh infection, and 2 patients with chronic postoperative pain.The ULTRAPRO PLUG offers a simple and quick means of repairing smaller than 3-cm umbilical hernias with lower recurrence rates and fewer postoperative complications.

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Umbilical Hernia Repair: Analysis after 934 Procedures

Cited by 19 publications

References 4 publications

Clinical Outcomes of Open Ventral Hernia Repair in a Public Sector Hospital

Clinical Outcomes of Open Ventral Hernia Repair in a Public Sector Hospital

Trocar umbilical hernia repair by open suture repair and open suture–mesh repair in an ambulatory setting in comparison to recurrent and primary umbilical hernia repair

Retrospective analysis of smaller than 3-cm umbilical hernia repair with the lightweight macroporous mesh

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