TRANSUMBILICAL (OPEN) REPAIR OF UMBILICAL AND PARAUMBILICAL HERNIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 6
Abstract
BACKGROUND The conventional open repair of umbilical and paraumbilical hernias have been mostly replaced by laparoscopic repair1 and this has become almost the rule of the day. The conventional open repairs of umbilical and paraumbilical hernias namely Mayo’s repair or other types of repair2 with or without mesh are still in vogue in different centres. These are carried out through a subumbilical or circumumbilical incision. A novel idea of access through the umbilicus is made in this study. The purpose of this study is to assess the functional and cosmetic outcome of transumbilical repair of umbilical and paraumbilical hernias. MATERIALS AND METHODS The study was an observational one carried out successfully on 64 patients in the Department of General Surgery, SUT Hospital, Pattom, Thiruvananthapuram from April 2014 to October 2015. In all the patients, a transumbilical repair was carried out by a single surgeon (myself). The functional and cosmetic outcome was assessed by absence of complications and recurrence of hernia and the cosmetic outcome measured by visual analogue score at 6 months, 12 months and 18 months. RESULTS Among the 64 patients who underwent the transumbilical repair, 12 were males and 52 were females. No patient had recurrence of hernia on follow-up at 6, 12 and 18 months. The visual analogue score after repair assessed by the patient was a score of 1 and that of a blinded peer was 0 - 1 with practically no discrepancy from the normally looking umbilicus. CONCLUSION The transumbilical repair gives an opportunity not only for the surgical correction of the hernia with or without a mesh, but also it gives room for reconstructing the umbilicus. There is no significant scar in the vicinity of the umbilicus, thus making this technique superior to the conventional surgery or even laparoscopic surgery
Authors and Affiliations
Ramraj R, Vishnu M. L
Keywords
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- EP ID EP399006
- DOI 10.14260/jemds/2018/164
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