Comparative Study between Drained and Drainless Sub-rectal Mesh Hernioplasty in Paraumbilical Hernia
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 73, Issue 4
Abstract
<strong>Background: </strong>The evolution of para-umbilical hernia repair has a very long history, from the Recognition of para-umbilical hernias to its current management, with significant contributions from different authors. Advances in surgery have led to more cases of para-umbilical hernia formation, and this has required the development of new techniques and new materials for para-umbilical hernia management.<br /> <strong>Objectives:</strong> To compare between the results of drained and drainless sub-rectal mesh hernioplasty in paraumbilical hernia (PUH), to achieve the most accepted post-operative condition.<br /> <strong>Patient and methods: </strong>This comparative prospective study included a total of 50 patients with a follow up of 6-month time interval who were all complaining of an uncomplicated para-umbilical hernia and all are treated with the sub-lay repair technique with 25 patients with suction drain placement and 25 patients with no suction drain placement, attending at Al-Azhar University Hospitals.<br /> <strong>Results: </strong>Sub lay (sub-rectal) mesh repair is a good alternative to other traditional repairs, this study advocates this method of Para-umbilical hernia repair as it is applicable type of repair, the complication rate is low and there is a no recurrence rate or seroma formation and suction drain usage on hazardous patients are beneficial to avoid fluid accumulation or further complication to occur.<br /> <strong>Conclusion: </strong>Placing mesh in the sub-muscular or sublay position is claimed to be more challenging but not beyond the competence of a trained general surgeon. Placing mesh in this plane has mechanical and physiologic advantages. The sub-lay technique proves itself as one of the best surgical technique in management of para-umbilical hernia.
Authors and Affiliations
Eman Helal
Keywords
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- EP ID EP584496
- DOI 10.12816/ejhm.2018.15103
- Views 126
- Downloads 0
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