Outcomes of 52 cases of surgical mesh repair for paraumbilical hernias

Abstract

Background: The literature stated that para-umbilical hernias of less than 2cm in diameter could undergo primary suture closure. Mesh repair is preferred for defects greater than 2 cm in diameter. The objective of the study was to assess the result of para-umbilical hernia repair with proline mesh regardless of the size. Patient and Methods: We present a retrospective study of patients with para-umbilical hernia treated with onlay mesh placement and followed for 1–4years. Various factors including sociodemographic data of patients, post-operative complications, morbidity and mortality were examined. Results: The median age of the 52 patients in the series was 46 years old, with ages ranging from 23 to 77. (28.7) was the mean body mass index. Of the 44 female patients, 35 (79.5%) were multipara. Nine cases (17.3%) had recurrent hernias, while 43 cases (82.6%) presented for the first time. 35 patients (67.3%) had a hernia size > 2 cm, while 17 patients (32.6%) had a hernia defect ≤2 cm. Five patients (9.6%) had superficial surgical site infections. Two female patients (3.8%) had seroma. After two years, one patient (1.9%) had a recurrence hernia. Conclusion: All sizes of paraumbilical hernias can be repaired using mesh onlay surgery, which also has a low recurrence rate and equivalent rates of morbidity and recurrence to international standards.