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- Title
Umbilical Hernia Repair: Analysis After 934 Procedures.
- Authors
PORRERO, JOSÉ L.; CANO-VALDERRAMA, OSCAR; MARCOS, ALBERTO; BONACHIA, OSCAR; RAMOS, BEATRIZ; ALCAIDE, BENITO; VILLAR, SOL; SÁNCHEZ-CABEZUDO, CARLOS; QUIRÓS, ESTHER; ALONSO, MARÍA T.; CASTILLO, MARÍA J.
- Abstract
There is a lack of consensus about the surgical management of umbilical hernias. The aim of this study is to analyze the medium-term results of 934 umbilical hernia repairs. In this study, 934 patients with an umbilical hernia underwent surgery between 2004 and 2010, 599 (64.1%) of which were evaluated at least one year after the surgery. Complications, recurrence, and the reoperation rate were analyzed. Complications were observed in 5.7 per cent of the patients. With a mean follow-up time of 35.5 months, recurrence and reoperation rates were 3.8 per cent and 4.7 per cent, respectively. A higher percentage of female patients (60.9 % vs 29 %, P = 0.001) and a longer follow-up time (47.4 vs 35 months, P = 0.037) were observed in patients who developed a recurrence. No significant differences were observed between complications and the reoperation rate in patients who underwent VentralexK preperitoneal mesh reinforcement and suture repair; however, a trend toward a higher recurrence rate was observed in patients with suture repair (6.5 % vs 3.2 %, P = 0.082). Suture repair had lower recurrence and reoperation rates in patients with umbilical hernias less than 1 cm. Suture repair is an appropriate procedure for small umbilical hernias; however, for larger umbilical hernias, mesh reinforcement should be considered.
- Subjects
HERNIA surgery; UMBILICAL hernia; SURGICAL complications; DISEASE relapse; OPERATIVE surgery
- Publication
American Surgeon, 2015, Vol 81, Issue 9, p899
- ISSN
0003-1348
- Publication type
Article
- DOI
10.1177/000313481508100925