A short term analysis of surgical management of umbilical and paraumbilical hernia

Özet

Objective: Umbilical hernia and paraumbilical hernia are ventral herniae that occur in infants and adults. Accordingto current evidence, mesh repair is the treatment of choice to avoid recurrence. The aim of this study is to analyzethe surgical methods, the types of meshes used, and their benefits.Material and Methods: A retrospective analysis of patients diagnosed with umbilical hernia and paraumbilicalhernia was performed. The patients’ consent was obtained retrospectively. The various surgical techniques and differentmeshes used were analyzed. Forty-three patients were selected for the study. Of these, 23 patients underwentopen mesh repair, 12 patients underwent laparoscopic intraperitoneal onlay mesh repair repair, and eight patientsunderwent open intraperitoneal onlay mesh repair repair. The duration of the surgery, mesh used, number of daysof hospital stay, type of anesthesia, and postoperative complications were analyzed.Results: Of the 43 patients, the patients who underwent open intraperitoneal onlay mesh repair had shorter postoperativehospital stays compared to other methods (median=1 day; range=1 to 2 days). The duration of surgery waslonger for laparoscopic intraperitoneal onlay mesh repair and open mesh repair compared to the open intraperitonealonlay mesh repair technique (p<0.05).Conclusion: The open intraperitoneal onlay mesh repair technique had advantages over the other methods forsmall-defect umbilical hernia and paraumbilical hernia. The duration of surgery was long for laparoscopic intraperitonealonlay mesh repair compared to open mesh repair and the open intraperitoneal onlay mesh repair technique.Postoperative complications were insignificant for all three methods. Another advantage of the open intraperitonealonlay mesh repair technique was a shorter postoperative hospital stay.