Study on Outcome of Various Surgical Repair Modalities for Umbilical and Paraumbilical Hernia in Adults
Freddy Francis Tuscano, Varsha Nitin Bijwe, Chetan Balaji Sakore
A
BSTRACT
Background:
Umbilical and paraumbilical hernias account for 10% of total abdominal wall hernias. There are different surgical modalities for their repair, such as primary repair, sublay mesh repair, onlay mesh repair, Extended total extraperitoneal repair (ETEP), and intraperitoneal onlay mesh repair (IPOM). This study aims to evaluate the outcomes of different surgical modalities for umbilical and paraumbilical hernias in adults.
Materials and Methods:
The present study was conducted on 32 patients in a tertiary care hospital who were operated for umbilical and paraumbilical hernias in the given study period of 1 year, from November 2022 to October 2023. All patients fulfilling the inclusion criteria were taken up for the study.
Results:
In the present study, the common type of hernia was umbilical in 22 (68.75%) cases and paraumbilical only in 10 (31.25%) cases. 43.76% surgical modality of treatment was sublay mesh repair by followed by onlay mesh repair (28.13%), ETEP (15.62%), primary hernial defect repair (09.37%), and IPOM (03.12%). Eighty percent cases had moderate pain, 6% had mild pain, while 14% did not have any pain. We also did not find any recurrence in this study.
Conclusions:
Sublay and onlay mesh repairs are safe operative techniques for umbilical and paraumbilical hernias associated with minimal postoperative complications and an early return to normal life.