A Brief Overview on Surgical Management of Umbilical and Paraumbilical Hernias

Abstract

The present study evaluate several types of surgical repair and their morbidity and post-operative complications. The inguinal, femoral, and ventral hernias are the most typical types. The anterior abdominal defect characterises ventral hernias. This was a prospective observational surgical study conducted in 50 cases of umbilical and paraumbilical hernias were. the study was carried out by history, clinical examination, and appropriate investigations for operation were conducted. The patients were treated by either of the two surgical procedures Mayo’s repair or tension free repair using prolene mesh (mesh repair).

The prevalence of umbilical and paraumbilical hernias was higher in females. The age ranges of 30–40 and 50–60 years saw the highest occurrence. The most frequent ailment was abdominal swelling, followed by pain. Both procedures have post-operative problems such seroma and wound infection. These hernias were treated using tension-free hernioplasty and anatomical repair techniques (Mayo's repair). Patients who had Mayo's repair experienced two recurrences. After mesh repair, there was no recurrence.

Surgery was the main modality of treatment. Fewer complications like wound infection and seroma formation which can be managed conservatively by antibiotics, drainage of the seroma and pus with regular dressings were done. Study emphasizes tension free hernioplasty (mesh repair) to be the procedure of choice for the treatment of umbilical and paraumbilical hernias. Considering the advantage of no recurrence tension free mesh repair should be the procedure of choice in operating umbilical and paraumbilical hernias.