Two Different Approaches in the Management of Small Paraumbilical Hernias

Abstract

Background:Para-Umbilical Hernia (PUH) is one of the most common surgical problems with rise in the repair rate annually. The present study two different approaches in the management of small paraumbilical hernias.

Materials & Methods:80 patients of paraumbilical hernias were divided into 2 groups. In group I (Hernioplasty), mesh was then inserted and fixed with interrupted polypropylene sutures and in group II (Herniorrhaphy) only anatomical suture repair was done without mesh use. Both groups were compared according: size of incision, time of operation, occurrence of wound complications were compared.

Results: Group I had 24 males and 16 females and group II had 18 males and 22 females. Operation time (min) time was 42.7 in group I and 31.6 in group II, incision size (cm) was 11.2 in group I and 8.2 in group II, recurrence rates at 3rd month was none and at 6th months was 4 in group I and II respectively. Complications were infection in 2 in group I and 4 in group II, seroma seen in 1 in group I and 3 in group II and wound dehiscence in 3 in group I and 5 in group II. The difference was significant (P< 0.05).

Conclusion: Anatomical non-mesh repair of minor paraumbilical hernias found to be better in paraumbilical hernias repair.