scholarly journals Mesh Plug Technique for Umbilical and Paraumbilical Hernias Repair; A Novel Technique

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Muhammad Imran Khan ◽  
Jawad Khalil ◽  
Kaleemullah , ◽  
Athar Badshah ◽  
Zakaullah Jan ◽  
...  

Background: Umbilical and paraumbilical herniae are the most common ventral herniae occurring at or around the umbilical ring.Umbilical hernia accounts for almost 6-10% of all abdominal wall herniae. A ventral hernia is abnormal protrusion of peritoneal sacthrough the musculo-aponeurotic abdominal wall defect. Females are affected five times more as compared to males. The variousrisk factors include obesity, chronic cough and constipation, ascites and pregnancy in females.Objective: To determine the outcome of mesh plug repair of umbilical and paraumbilical hernias in terms of operative time andpostoperative complications.st Material and Methods: This study was conducted at surgical department of Khyber Teaching Hospital, Peshawar from 1 Januaryst 2012 to 31 December 2016. Total of 131 patients with umbilical and Para umbilical hernias were studied. Patients were operatedusing mesh plug technique and operative time and postoperative complications were recorded.Results: There were 91 female patients compared to 40 male patients (M/F ratio 2.2:1). The overall mean age was 41±19.3 years.The mean operative time was 23±9.2minutes. In the early postoperative period 3 patients had superficial surgical site infection.Seroma was observed in 2 patients. Mesh plug infection was observed in 1 patient while chronic pain was observed in 2 patients.None of the patients had recurrence on 24 months follow up.Conclusion: Mesh plug for small umbilical and paraumbilical hernias in adults is a safe, convenient, fast and minimally invasivetechnique with a lower rate of postoperative complications and recurrence.

1998 ◽  
Vol 78 (6) ◽  
pp. 1007-1023 ◽  
Author(s):  
Alan W. Robbins ◽  
Ira M. Rutkow

Hernia ◽  
1998 ◽  
Vol 2 (1) ◽  
pp. 31-34 ◽  
Author(s):  
J. P. Palot ◽  
C. Avisse ◽  
J. P. Cailliez-Tomasi ◽  
D. Greffier ◽  
J. B. Flament

2009 ◽  
Vol 70 (6) ◽  
pp. 1599-1603 ◽  
Author(s):  
Takeshi OKITA ◽  
Akio ODAKA ◽  
Keiichiro ISHIBASHI ◽  
Toshitake MITSUHASHI ◽  
Tooru ISHIGURO ◽  
...  

2015 ◽  
Vol 37 (2) ◽  
Author(s):  
Mirko Bertozzi ◽  
Laura Marchesini ◽  
Simonetta Tesoro ◽  
Antonino Appignani

The authors report their experience in laparoscopic repair of inguinal hernias in children. From May 2010 to November 2013, 122 patients with inguinal hernia underwent laparoscopic herniorrhaphy (92 males and 30 females). Telescope used was 5 mm, while trocars for the operative instruments were 3 or 2 mm. After introducing the camera at the umbilical level and trocars in triangulation, a 4-0 nonabsorbable monofilament suture was inserted directly through the abdominal wall. The internal inguinal ring was then closed by N or double N suture. All operations were performed in one-day surgery setting. In the case of association of inguinal and umbilical hernia an original technique was performed for positioning and fixing the umbilical trocar and for the primary closure of the abdominal wall defect. The postoperative follow-up consisted of outpatient visits at 1 week and 1, 3, and 6 months. The mean age of patients was 38.5 months. Of all patients, 26 were also suffering from umbilical hernia (19 males and 7 females). A total of 160 herniorrhaphies were performed; 84 were unilateral (66 inguinal hernia, 18 inguinal hernia associated with umbilical hernia), 38 bilateral (30 inguinal hernia, 8 inguinal hernia associated with umbilical hernia). Nine of 122 patients (6 males and 3 females) were operated in emergency for incarcerated hernia. A pre-operative diagnosis of unilateral inguinal hernia was performed in 106 cases. Of these patients, laparoscopy revealed a controlateral open internal inguinal ring in 22 cases (20.7%). The mean operative time was 29.9±15.9 min for the monolateral herniorrhaphies, while in case of bilateral repair the mean operative time was 41.5±10.4 min. The mean operative time for the repair of unilateral inguinal hernia associated with umbilical hernia was 30.1±7.4 while for the correction of bilateral inguinal hernia associated with umbilical hernia 39.5±10.6 min. There were 3 recurrences (1.8%): 2 cases in unilateral repair and 1 case a unilateral recurrence in a bilateral repair. No other complications were seen. Laparoscopic repair of inguinal hernia in children performed in this experience resulted a safe and effective procedure.


Hernia ◽  
2009 ◽  
Vol 14 (2) ◽  
pp. 223-224 ◽  
Author(s):  
P. Negro ◽  
L. D’Amore ◽  
F. Gossetti

Hernia ◽  
1999 ◽  
Vol 3 (2) ◽  
pp. 57-63 ◽  
Author(s):  
A. Coda ◽  
F. Ferri ◽  
C. Filippa ◽  
R. Mattio ◽  
A. Bona ◽  
...  

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