SS  Vol.5 No.9 , September 2014
Novel Technique Combining Tissue and Mesh Repair for Umbilical Hernia in Adults
Introduction: Umbilical hernia in adults poses a challenge to the surgeon. Understanding the anatomical and pathological intricacies of the hernia is pivotal in evolving a good repair. A multitude of repairs have been tried for repair of umbilical hernias. However none of them have withstood the test of time. Objective: The study aims at evolving a technique which provides mesh reinforced anatomical reconstruction of the defect. Materials and Methods: 20 patients underwent a combination repair for umbilical hernia. The results were tabulated and analysed. Results: None of the 20 patients developed any recurrence. Conclusion: A combined mesh reinforcement of tissue repair is advocated for umbilical hernias in adults.

Cite this paper
Vagholkar, K. and Vagholkar, S. (2014) Novel Technique Combining Tissue and Mesh Repair for Umbilical Hernia in Adults. Surgical Science, 5, 369-375. doi: 10.4236/ss.2014.59060.

[1]   Lau, H. and Patil, M.G. (2003) Umbilical Hernia in Adults. Surgical Endoscopy, 17, 2016-2020.

[2]   Ponten, J.E., lenders, B.J., Charbon, J.A., Van de Poll, T.L., Heemskerk, J., Martinse, I.S., Konsten, J.L. and Mienhuis, S.W. (2014) Mesh or Patch for Hernia on Epigastric and Umbilical Sites (MORPHEUS Trial): Study Protocol for a Multicentre Patient Blinded Randomized Controlled Trial. BMC Surgery, 14, 33.

[3]   Christofferson, M.W., Helgstrand, F., Rosenberg, J., Kehlet, H. and Bisgaard, T. (2013) Lower Reoperation Rate for Recurrence after Mesh versus Sutured Elective Repair in Small Umbilical and Epigastric Hernias. A Nationwide Register Study. World Journal of Surgery, 37, 2548-2552.

[4]   Read, R.C. (2002) Ventral Herniation in Adults. In: Zuidema, G.D. and Yeo, C.J. Eds., Shakelford’s Surgery of the Alimentary Tract. 5th Edition, W.B. Sauders Company, Philadelphia, 150-164.

[5]   Eryilmez, R., Sahin, M. and Tekelioglu, H. (2006) Which Repair in Umbilical Hernia of Adults: Primary or Mesh? International Surgery, 91, 258-261.

[6]   Gonzalez, R., Mason, E., Duncan, J., Wilson, R. and Ramshaw, B.J. (2003) Laparoscopic versus Open Umbilical Hernia Repair. Journal of the Society of Laparoendoscopic Surgeons, 7, 323-328.

[7]   Mason, R.J., Moazzez, A., Sohn, H.J., Berne, T.V. and Katkhouda, N. (2011) Laparoscopic versus Open Anterior Abdominal Wall Hernia Repair: 30 Day Morbidity and Mortality Using the ACS-NSQIP Database. Annals of Surgery, 254, 641-652.

[8]   Berger, R.L., Li, L.T., Hicks, S.C. and Liang, M.K. (2014) Suture versus Preperitoneal Polypropylene Mesh for Elective Umbilical Hernia Repair. Journal of Surgical Research. (Epub ahead of print).

[9]   Nguyen, M.T., Berger, R.L., Hicks, S.C., Davila, J.A., Li, L.T., Kao, L.S. and Liang, M.K. (2014) Comparison of Outcome of Synthetic Mesh vs. Suture Repair of Elective Primary Ventral Herniorrhaphy: A Systematic Review and Meta-Analysis. JAMA Surgery, Epub ahead of print.

[10]   Aslani, N. and Brown, C.J. (2010) Does Mesh Offer an Advantage over Tissue in the Open Repair of Umbilical Hernias? A Systematic Review and Meta-Analysis. Hernia, 14, 455-462.

[11]   Vychnevskaia, K., Mucci-Hennekinne, S., Casa, C., Brachet, D., Meunier, K., Briennon, X., Hammy, A. and Arnand, J.P. (2010) Intraperitoneal Mesh Repair of Small Ventral Abdominal Wall Hernias with a Ventralex Hernia Patch. Digestive Surgery, 27, 433-435.

[12]   Berrevoet, F., D’Hont, F., Rogiers, X., Troisi, R. and de Hemptinne, B. (2011) Open Intraperitoneal versus Retromuscular Mesh Repair for Umbilical Hernia Less than 3 cm Diameter. American Journal of Surgery, 201, 85-90.

[13]   Tollens, T., Den Hondt, M., Devroe, K., Terry, C., Speybroeck, S., Aeloet, C. and Vanrykel, J.P. (2011) Retrospective Analysis of Umbilical, Epigastric and Small Incisional Hernia Repair Using Ventralex Hernia Patch. Hernia, 15, 531-540.

[14]   Martin, D.F., Williams, R.F., Moolroney, T. and Voeller, G.R. (2008) Ventralex Mesh in Umbilical/Epigastric Hernia Repairs: Clinical Outcomes and Complications. Hernia, 12, 379-383.

[15]   Vagholkar, K. and Budhkar, A. (2014) Combined Tissue and Mesh Repair for Midline Incisional Hernia (A Study of 15 Cases). Journal of Medical Science and Clinical Research, 2, 1890-1900.

[16]   Li, J., Ji, Z. and Zhang, Y. (2010) Open Ventral Hernia Repair with Kugel Patch. Saudi Medical Journal, 31, 668-671.

[17]   Erritzee-Jervild, L., Christofferson, M.W., Helgstrand, F. and Bisgard, T. (2013) Long-Term Complaints after Elective Repair for Umbilical or Epigastric Hernias. Hernia, 17, 211-215.

[18]   Bisgaard, T., Kehlet, H., Bay-Nielsen, M., Iversen, M.G., Rosenberg, J. and Jorgensen, L.N. (2011) A Nationwide Study on Readmission, Morbidity and Mortality after Umbilical and Epigastric Hernia Repair. Hernia, 15, 541-546.

[19]   Maly, O. and Sotona, O. (2014) Long-Term Follow-Up Results after Open Small Umbilical Hernia Repairs. Rozhledy v Chirurgii, 93, 208-211.

[20]   Venclausken, L., Silanskaite, J. and Kiudelis, M. (2008) Umbilical Hernia: Factors Indicative of Recurrence. Medicina (Kaunas, Lithuania), 44, 855-859.