DOI: http://dx.doi.org/10.18203/2349-2902.isj20183728

The comparison of mesh and sutured repair for adult umbilical hernia: a prospective study

Shwetank Agarwal, Ajay Kumar

Abstract


Background: Umbilical hernia is the commonest of all the abdominal hernias. The current study was planned to evaluate the outcome of Mayo's tension free mesh repair to sutured repair in umbilical hernias.

Methods: The prospective study was piloted on 110 patients who underwent umbilical hernia repair over a period of 1-year period in the department of General Surgery. The patients were divided into two groups – Group A comprises 68 patients and group 2 consists of 42 patients in which suturing, and mesh repair was done respectively. The patients were then grouped in Suture group or Mesh group as per the procedure done and 1 year follow up was done. The complications and the duration of hospital stay in both groups was recorded.

Results: The mean age of the subjects was 52.8±12.1 years.  The ratio of male to female was 7:4. Seven patients (10.3%) developed recurrence following sutured repair compared to none following mesh repair (P<0.05). Five patients (5.3%) developed wound infection following suture repair compared to none in the mesh group (P<0.05). Two patients had hematoma while 1 had seroma in suture group, both haematomas occurred in patients who underwent the Mayo repair.

Conclusions: According to present results mesh repair is the preferred technique of manoeuvre in umbilical hernias. Mesh repair for umbilical hernias is in effect and concomitant with negligible morbidity.


Keywords


Mesh, Sutured repair, Umbilical hernia

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References


Fitzgibbons RJ Jr, Greenburg AG. editors. Nyhus and condon’s hernia. 5th edition. Philadelphia: Lippincott, Williams & Wilkins; 2002.

Muschaweck U. Umbilical and epigastric hernia repair. Surg Clin North Am. 2003;83(5):1207-21.

Mayo WJ. An operation for the radical cure of umbilical hernia. Ann Surg. 1901;34:276-80.

Courtney CA, Lee AC, Wilson C, O’Dwyer PJ. Ventral hernia repair: a study of current practice. Hernia. 2003;7:44-6.

Arroyo A, Garcia P, Perez F, Andreu J, Candela F, Calpena R. Randomised clinical trial comparing suture and mesh repair of umbilical hernia in adult. Br J Surg. 2011;88:1321-3.

Sinha SN, Keith T. Mesh plug repair for paraumbilical hernia. Surgeon. 2004;2:99-102.

Kurzer M, Belsham PA, Kark A. Tension-free mesh repair of umbilical hernia as a day case using local anaesthesia. Hernia. 2004;8:104-7.

Manzar S. Hernia other than inguinal at Nawabshah. Pak J Surg. 1993;9:79-81.

Soliman SM. Anchorage overlapping repair of incisional hernia. JR Coll Surg Edinb. 1989;34:140-2.

Askar OM. A new concept of aetiology and surgical repair of paraumbilical and epigastric hernia. Ann R Coll Surg England. 1978;6:42-8.

Bringman S, Ramel S, Nyberg B. Introduction of herniorraphy. Eur J Surg. 2000;166:310-2.

Sanjay P, Reid TD, Davies EL, Arumugam PJ, Woodward A. Retrospective comparison of mesh and sutured repair for adult umbilical hernias. Hernia. 2005;9:248-51.

Kingsnorth AN, Shahid MK, Valliattu AJ, Hadden RA, Porter CS. Open onlay mesh repair for major abdominal hernias with selective use of components separation Fibrin sealant. World J Sur. 2008;32:26-30.

Celdran A, Bazire P, Gracia-Urena MA, Marijuan JL. Hernioplasty a tension free repair for umbilical hernia. Br J Surg. 1995;82:371-2.

Anjum S, Saeed I, Nazir S. Para-umbilical hernia, mesh versus non-mesh repair. Pak J Health Med Sci. 2012;6:721-9.

Ameen I, Javeed A, Moeen. Comparison of Mayos repair with mesh repair for para-umbilical hernias in adults. Annals. 2012;8:247-9.