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Related Experiment Video

Updated: Apr 4, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Umbilical Hernia Repair: Analysis After 934 Procedures.

José L Porrero1, Oscar Cano-Valderrama, Alberto Marcos

  • 1Department of Surgery, Hospital Universitario Santa Cristina, Madrid, Spain.

The American Surgeon
|September 10, 2015
PubMed
Summary

Surgical repair of umbilical hernias shows low complication rates. Mesh reinforcement may be better for larger hernias, while suture repair is suitable for smaller ones, impacting recurrence rates.

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Area of Science:

  • Abdominal Surgery
  • Hernia Repair
  • Surgical Outcomes

Background:

  • Consensus on surgical management for umbilical hernias remains unclear.
  • Umbilical hernias affect a significant patient population, necessitating effective surgical strategies.

Purpose of the Study:

  • To evaluate medium-term outcomes of 934 umbilical hernia repairs.
  • To compare complication, recurrence, and reoperation rates between mesh reinforcement and suture repair.

Main Methods:

  • Retrospective analysis of 934 patients undergoing umbilical hernia repair (2004-2010).
  • Follow-up evaluation of 599 patients at least one year post-surgery.
  • Analysis of complications, recurrence, and reoperation rates.

Main Results:

  • Overall complication rate was 5.7%.
  • Mean follow-up was 35.5 months, with recurrence at 3.8% and reoperation at 4.7%.
  • Female patients and longer follow-up correlated with higher recurrence rates. Suture repair showed a trend towards higher recurrence (6.5% vs 3.2% for mesh).

Conclusions:

  • Suture repair is effective for umbilical hernias <1 cm.
  • Mesh reinforcement should be considered for larger umbilical hernias to potentially reduce recurrence.
  • Both mesh and suture repair demonstrated comparable complication and reoperation rates in this cohort.