Novel Technique Combining Tissue and Mesh Repair for Umbilical Hernia in Adults
- 1 Department Of Surgery, Dr. D. Y. Patil Medical College, Navi Mumbai, India
- 2 Department Of Surgery, Dr. D. Y. Patil Medical College, Navi Mumbai, India
Abstract
Introduction: Umbilical hernia in adults poses a challenge to the surgeon. Understanding the anatomical and pathological intricacies of the hernia is pivotal in evolving a good repair. A multitude of repairs have been tried for repair of umbilical hernias. However none of them have withstood the test of time. Objective: The study aims at evolving a technique which provides mesh reinforced anatomical reconstruction of the defect. Materials and Methods: 20 patients underwent a combination repair for umbilical hernia. The results were tabulated and analysed. Results: None of the 20 patients developed any recurrence. Conclusion: A combined mesh reinforcement of tissue repair is advocated for umbilical hernias in adults.
- Lau, H. and Patil, M.G. (2003) Umbilical Hernia in Adults. Surgical Endoscopy, 17, 2016-2020.
- Ponten, J.E., lenders, B.J., Charbon, J.A., Van de Poll, T.L., Heemskerk, J., Martinse, I.S., Konsten, J.L. and Mienhuis, S.W. (2014) Mesh or Patch for Hernia on Epigastric and Umbilical Sites (MORPHEUS Trial): Study Protocol for a Multicentre Patient Blinded Randomized Controlled Trial. BMC Surgery, 14, 33. http://dx.doi.org/10.1186/1471-2482-14-33
- Christofferson, M.W., Helgstrand, F., Rosenberg, J., Kehlet, H. and Bisgaard, T. (2013) Lower Reoperation Rate for Recurrence after Mesh versus Sutured Elective Repair in Small Umbilical and Epigastric Hernias. A Nationwide Register Study. World Journal of Surgery, 37, 2548-2552. http://dx.doi.org/10.1007/s00268-013-2160-0
- Read, R.C. (2002) Ventral Herniation in Adults. In: Zuidema, G.D. and Yeo, C.J. Eds., Shakelford’s Surgery of the Alimentary Tract. 5th Edition, W.B. Sauders Company, Philadelphia, 150-164.
- Eryilmez, R., Sahin, M. and Tekelioglu, H. (2006) Which Repair in Umbilical Hernia of Adults: Primary or Mesh? International Surgery, 91, 258-261.
- Gonzalez, R., Mason, E., Duncan, J., Wilson, R. and Ramshaw, B.J. (2003) Laparoscopic versus Open Umbilical Hernia Repair. Journal of the Society of Laparoendoscopic Surgeons, 7, 323-328.
- Mason, R.J., Moazzez, A., Sohn, H.J., Berne, T.V. and Katkhouda, N. (2011) Laparoscopic versus Open Anterior Abdominal Wall Hernia Repair: 30 Day Morbidity and Mortality Using the ACS-NSQIP Database. Annals of Surgery, 254, 641-652. http://dx.doi.org/10.1097/SLA.0b013e31823009e6
- Berger, R.L., Li, L.T., Hicks, S.C. and Liang, M.K. (2014) Suture versus Preperitoneal Polypropylene Mesh for Elective Umbilical Hernia Repair. Journal of Surgical Research. (Epub ahead of print).
- Nguyen, M.T., Berger, R.L., Hicks, S.C., Davila, J.A., Li, L.T., Kao, L.S. and Liang, M.K. (2014) Comparison of Outcome of Synthetic Mesh vs. Suture Repair of Elective Primary Ventral Herniorrhaphy: A Systematic Review and Meta-Analysis. JAMA Surgery, Epub ahead of print.
- Aslani, N. and Brown, C.J. (2010) Does Mesh Offer an Advantage over Tissue in the Open Repair of Umbilical Hernias? A Systematic Review and Meta-Analysis. Hernia, 14, 455-462. http://dx.doi.org/10.1007/s10029-010-0705-9
- Vychnevskaia, K., Mucci-Hennekinne, S., Casa, C., Brachet, D., Meunier, K., Briennon, X., Hammy, A. and Arnand, J.P. (2010) Intraperitoneal Mesh Repair of Small Ventral Abdominal Wall Hernias with a Ventralex Hernia Patch. Digestive Surgery, 27, 433-435. http://dx.doi.org/10.1159/000318783