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Mesh plug repair for paraumbilical hernia
1Department of Surgery, University of Tasmania & Royal Hobart Hospital, Tasmania, Australia.
Summary
Paraumbilical hernia (PUH) repair using a Prolene mesh plug offers a safe and effective alternative to traditional methods. This technique demonstrates minimal complications, low recurrence, and high patient satisfaction, suggesting it could become a new standard for PUH treatment.
Area of Science:
- Surgical Innovation
- Hernia Repair Techniques
- Prosthetic Materials in Surgery
Background:
- The Mayo technique for paraumbilical hernia (PUH) repair, using a double-breasted rectus sheath flap, exhibits variable reproducibility.
- The efficacy of mesh plugs in repairing femoral and inguinal hernias is well-established.
Purpose of the Study:
- To describe and evaluate the application of a Prolene mesh plug for paraumbilical hernia (PUH) repair.
- To assess the outcomes of mesh plug repair in terms of complications, recurrence, and patient satisfaction.
Main Methods:
- Retrospective analysis of 34 patients (20 males, 14 females) undergoing PUH repair with a mesh plug (March 1998-May 2002).
- Median age of 53 years; 76% were obese (median BMI 33).
- Local anesthesia was used when feasible; outcomes included complications, recurrence, hospital stay, pain, drain duration, return to activity, and satisfaction.
Main Results:
- One case of seroma and one wound infection with recurrence were observed.
- Ninety-seven percent (32/34) of patients reported satisfaction with the procedure.
Conclusions:
- Mesh plug repair for PUH is associated with minimal postoperative complications and a low recurrence rate.
- Excellent patient satisfaction and minimal postoperative pain were achieved.
- Prosthetic mesh plug repair, particularly under local anesthesia, shows potential as a standard treatment for adult PUH.