A Comparitive Study of Open Vs Laparoscopic Repair in Umbilical and Para Umbilical Hernias
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 3
Abstract
Background: The incidence of umbilical hernias has been reported to be as high as 2% in the adult population and comprises 10% of all hernia repairs performed annually.(1) Umbilical hernias in infants are congenital and are common. It is due to leukocyte adhesion molecule deficiency. They close spontaneously in most cases by the age of 2 years. Those that persist after the age of 5 years are frequently repaired surgically. Umbilical hernias in adults are largely acquired. These hernias are more common in women and in patients with conditions that result in increased intra-abdominal pressure, such as pregnancy, obesity, ascites, or chronic abdominal distension. Materials and methods: This study was a prospective observational study, conducted on 156 patients during a period of 19 months, including all the patients of umbilical and paraumbilical hernia operated in RANGARAYA MEDICAL COLLEGE , KAKINADA within the study period. Results: The laparoscopic umbilical / paraumbilical hernia repair is a better alternative to open hernia repair in view of less post-operative pain, surgical site complications, hospital stay and early return to normal activity, preservation of umbilicus, with better cosmetic value even though it requires longer operative time and recurrence rates are almost similar in both the procedures.
Authors and Affiliations
Dr P. Venkata Buddha, Dr G. Padmini
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