Retro rectus mesh repair for umbilical hernia in adults: a study of 50 cases
DOI:
https://doi.org/10.18203/2349-2902.isj20195603Keywords:
Umbilical hernia, Laparoscopic repair, Retro rectus mesh repairAbstract
Background: Umbilical hernia is one of the most commonly encountered hernia in surgical practice. A variety of repairs have been tried our ranging from open to laparoscopic. However controversy still persists as to which type of repair is the gold standard for umbilical hernia. Open technique comprises of the onlay mesh repair which is known to develop a variety of complications. Even laparoscopic approach also has failure rates as well as local complications. The aim of the study was to evaluate the surgical outcome of open retro rectus mesh repair for adult umbilical hernias.
Methods: 50 consecutive cases of umbilical hernia were repaired by open technique with retro rectus placement of mesh.
Results: There were no local complications or any recurrence in any of the fifty patients.
Conclusions: Retro rectus placement of mesh in open repair of umbilical hernia in adults is a safe and effective modality of treatment.
References
Courtney CA, Lee AC, Wilson C, O’Dwyer PJ. Ventral hernia repair: a study of current practice. Hernia. 2003;7:44-6.
Velasco M, Garcia-Ureña MA, Hidalgo M, Vega V, Carnero FJ. Current concepts on adult umbilical hernia. Hernia. 1999;3:233-9.
Arroyo A, García P, Pérez F, Andreu J, Candela F, Calpena R. Randomized clinical trial comparing suture and mesh repair of umbilical hernia in adults. Br J Surg. 2001;88:1321-3.
Berrevoet F, D’Hont F, Rogiers X, Troisi R, de Hemptinne B. Open intraperitoneal versus retromuscular mesh repair for umbilical hernias less than 3 cm diameter. Am J Surg. 2011;201:85-90.
Vagholkar K, Joy N, Chandrashekhar S, Rao P, Chitalia D, Sahoo A. Colonic incarceration in an adult umbilical hernia: case report and review of literature. Int Surg J. 2019;6(9):3371-4.
Sarela AI. Controversies in laparoscopic repair of incisional hernia. J Minim Access Surg. 2006;2:7-11.
Rhemtulla IA, Fischer JP. Retromuscular Sublay Technique for Ventral Hernia Repair. Semin Plast Surg. 2018;32(3):120-6.
Helgstrand F, Jørgensen LN, Rosenberg J, Kehlet H, Bisgaard T. Nationwide prospective study on readmission after umbilical or epigastric hernia repair. Hernia. 2013;17:487-92.
Vagholkar K, Pawanarkar A, Vagholkar S, Iyengar M, Pathan S. Incarcerated umbilical port site hernia. Int Surg J. 2016;3:1009-11.
Aslani N, Brown CJ. Does mesh offer an advantage over tissue in the open repair of umbilical hernias? A systematic review and meta-analysis. Hernia. 2010;14:455-62.
Courtney CA, Lee AC, Wilson C, O’Dwyer PJ. Ventral hernia repair: a study of current practice. Hernia. 2003;7:44-6.
Ramirez OM, Ruas E, Dellon AL. “Components separation” method for closure of abdominal-wall defects: an anatomic and clinical study. Plast Reconstr Surg. 1990;86(03):519-26.
