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

Muhammad Imran Khan, Jawad Khalil, Kaleemullah ,, Athar Badshah, Zakaullah Jan, Azam Shoaib

Abstract


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 sac
through the musculo-aponeurotic abdominal wall defect. Females are affected five times more as compared to males. The various
risk 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 and
postoperative complications.
st Material and Methods: This study was conducted at surgical department of Khyber Teaching Hospital, Peshawar from 1 January
st 2012 to 31 December 2016. Total of 131 patients with umbilical and Para umbilical hernias were studied. Patients were operated
using 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 invasive
technique with a lower rate of postoperative complications and recurrence.


Keywords


Mesh plug, umbilical hernia, paraumbilical hernia, recurrence.

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