A short term analysis of surgical management of umbilical and paraumbilical hernia
Varun Arunagiri, Ragumani Padmanabhan, Parimala Mayandi
Institute of General Surgery, Madras Medical College, Chennai, India
Keywords: Open mesh repair, IPOM, Open IPOM technique, laparoscopy
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 intraperitoneal onlay mesh repair compared to open mesh repair and the open intraperitoneal onlay mesh repair technique. Postoperative complications were insignificant for all three methods. Another advantage of the open intraperitoneal onlay mesh repair technique was a shorter postoperative hospital stay.
Cite this paper as: Arunagiri V, Padmanabhan R, Mayandi P. A short term analysis of surgical management of umbilical and paraumbilical hernia. Turk J Surg 2018; 34: 21-23.
Ethics committee approval was received for this study from the ethics committee of Institute of General Surgery, Madras Medical College.
Written informed consent was obtained from patients who participated in this study.
Concept - V.A.; Design - V.A.; Supervision- R.P.; Resource - R.P.; Materials - V.A.; Data Collection and/or Processing - V.A.; Analysis and/or Interpretation - V.A.; Literature Search - V.A.; Writing Manuscript - P.M.; Critical Reviews - R.P.; Other- P.M.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.