[Long-term results after Spitzy's umbilical hernia repair]

Area of Science:

• General Surgery
• Abdominal Wall Reconstruction
• Hernia Repair

Background:

• Umbilical hernia repair is a common surgical procedure.
• Recurrence rates and risk factors require ongoing investigation.

Purpose of the Study:

• To analyze the recurrence rate of umbilical hernia repair using Spitzy's operation.
• To identify patient-specific factors influencing recurrence risk.

Main Methods:

• Retrospective study of 140 patients undergoing Spitzy's operation for umbilical hernia.
• Follow-up included questionnaires and physical examinations with ultrasound.
• Analysis of recurrence rates based on body mass index (BMI) and hernia orifice size.

Main Results:

• Overall recurrence rate was 13.0%.
• Higher recurrence rates were observed in patients with a BMI > 30 (31.8%) and larger hernia orifices.
• Recurrence rates increased significantly with hernia orifice size, reaching 54.5% for gaps > 4 cm.

Conclusions:

• Alloplastic material (mesh) is recommended for umbilical hernia repair in patients with BMI > 30 and hernia orifice > 3 cm.
• Mesh use for 2-3 cm orifices should be individualized.
• Spitzy's operation recurrence is linked to patient BMI and hernia defect size.