• Users Online: 196
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2020  |  Volume : 5  |  Issue : 4  |  Page : 412-416

Mesh plug versus onlay mesh repair of umbilical and paraumbilical hernia


Department of General Surgery, Faculty of Medicine, Assiut University, Assiut, Egypt

Correspondence Address:
Amgad A Bakhet
Department of General Surgery, Faculty of Medicine, Assiut University, Assiut
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JCMRP.JCMRP_118_18

Rights and Permissions

Objectives The aim of the study was to compare between two techniques of mesh placement in umbilical and paraumbilical hernias, that is, onlay (mesh on external oblique) versus mesh plug (in the defect), to establish the standard technique for treatment of such cases. Background Hernias through the umbilical ring (umbilical hernia) and hernias adjacent to the umbilical ring (paraumbilical hernia) are common in the adult population, accounting for ~10–14% of all hernias. In spite of that, the optimal approach for umbilical and paraumbilical hernias is still under discussion. Patients and methods This prospective study included 40 consecutive adult patients with uncomplicated umbilical and paraumbilical hernias. The patients were divided into two groups. Group A (n = 20) was operated upon following the onlay mesh repair technique, and group B (n = 20) was operated upon by means of the mesh plug technique. All patients were evaluated regarding operative time and postoperative complications. Results were documented and statistically analyzed. Results In this study, mesh plug technique in the treatment of umbilical and paraumbilical hernias reduced seroma formation after drain removal (which was higher in the onlay mesh group; P = 1.000), and postoperative recurrence (which was higher in the onlay mesh group; P = 1.000) in comparison with onlay mesh repair. Conclusion Mesh plug repair is better than onlay hernioplasty according to the postoperative complications.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed50    
    Printed6    
    Emailed0    
    PDF Downloaded8    
    Comments [Add]    

Recommend this journal