Mesh repair of paraumblical hernia, outcome of 58 cases
| Autor: | Deari Ahmed Ismaeil |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Mesh repair business.industry medicine.medical_treatment Open surgery Retrospective cohort study General Medicine medicine.disease Hernia repair Para umbilical hernia Surgery 03 medical and health sciences 0302 clinical medicine Size 030220 oncology & carcinogenesis Seroma medicine 030211 gastroenterology & hepatology Hernia business Body mass index Surgical site infection Original Research |
| Zdroj: | Annals of Medicine and Surgery |
| ISSN: | 2049-0801 |
| DOI: | 10.1016/j.amsu.2018.04.028 |
| Popis: | Background According to the literature, defects in para-umbilical hernias up to 2 cm in diameter could be sutured primarily. For defects larger than 2 cm in dimeters, mesh repair is recommended. The aim of this study is to evaluate the outcome of para-umbilical hernia repair with proline mesh regardless of its size. Methods In this retrospective study, patients with para-umbilical hernia, who were managed by onlay mesh placement were presented, and followed for 1–6 years. Several variables were studied including patients' socio-demographic data, post-operative complications, morbidity and mortality. Results The series includes 58 patients, the age ranged from 18 to 85 years with median age of 44 years and inter-quartile range of 13.5 years. Mean body mass index was (30.9 ± 4.2). From 49 female patients; 43 (87.8%) were multipara. Forty seven cases (81%) presented for the first time, and 11 cases (19%) had recurrent hernias. Twenty patients (34.5%) had hernia defect ≤2 cm, while 38 patients (65.5%) had hernia size >2 cm. Superficial surgical site infection was found in 6 patients (10.34%). Seroma was found in one female patient (1.72%). One patient (1.72%) had recurrent hernia after 19 months. Conclusion Mesh onlay repair by open surgery can be applied to all sizes of para umbilical hernias, it has low recurrence rate and the rates of morbidity and recurrence are comparable with international standard. Highlights • Defect in para-umbilical hernias up to 2 cm in diameter may be sutured primarily. For defects larger than 2 cm, mesh repair is recommended. • A retrospective study of 58 paraumblical hernias that were treated with onlay mesh. • The aim of this study is to confirm the outcome of para-umbilical hernia repair with proline mesh regardless of its size. |
| Databáze: | OpenAIRE |
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