Umbilical Hernia: Mesh or Sutured Repair?
Journal Title: International Journal of Interdisciplinary and Multidisciplinary Studies (IJIMS) - Year 2016, Vol 3, Issue 4
Abstract
Adult umbilical and paraumbilical hernia repair is associated with a high recurrence rate of 10–30%. Mesh repair has been reported to be associated with low recurrence rates. This study aims to compare sutured repair with prosthetic mesh repair to evaluate recurrence and infection rates.Present retrospective study was conducted on 110 patients who underwent umbilical andparaumbilical hernia repair over a 3-year period (Jan 2012 –Dec2014) in a tertiary care hospital. Hernia was repaired as per hospital protocol, using a variety of techniques including simple interrupted suture repair, overlapping Mayo repair, polypropylene flat mesh repair and subsequently with a mesh plug fashioned from a flat mesh. The patients were then grouped in Suture group or Mesh group as per the procedure done and 1 year follow up was maintained. Both the groups were then compared for baseline parameters, wound complications and recurrence rates using SPSS ver. 21.0.A total of 110 patients were operated upon over the study period (Mesh repair – 42, Suture repair – 68). The mean age of the subjects was 51.7 +/- 12.0 years. No difference was observed between the groups on the basis of mean age, BMI and hospital stay. Seven patients (10.3%) developed recurrence following sutured repair compared to none following mesh repair (P< 0.05). Significantly lower rate of recurrence was observed after mesh repair compared with sutured repair. Our results suggest that mesh repair should be the preferred choice of operation in umbilical hernias.
Authors and Affiliations
Ashok Kumar Gupta, Rituraj
Keywords
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