[Double Running Suture Line Repair in Primary Umbilical Hernias - Analysis after 282 Cases]

Area of Science:

• General Surgery
• Abdominal Wall Reconstruction

Background:

• Debate exists on optimal surgical repair for umbilical hernias: suture vs. mesh.
• A double running suture line technique has been used for many patients.
• This study evaluates the efficacy of this suture technique, particularly for larger defects.

Purpose of the Study:

• To assess the performance of the double running suture line technique for umbilical hernia repair.
• To compare outcomes for smaller (≤2 cm) versus larger (>2 cm) umbilical defects.
• To evaluate the long-term success of this method in diverse patient populations.

Main Methods:

• Retrospective analysis of adult patients (≥18 years) undergoing umbilical hernia repair from 2004-2017.
• Patients were categorized by defect size: ≤2 cm (size 1) and >2 cm (size 2).
• Long-term outcomes were collected via hospital records, follow-up investigations, questionnaires, and interviews.

Main Results:

• 282 primary umbilical hernia repairs with double running suture were analyzed.
• No significant difference in complication rates (5% vs. 6%) between size 1 and size 2 defects.
• Similar recurrence rates (4% vs. 6%) after a median follow-up of 4.6 years for both defect sizes.

Conclusions:

• The double running suture line technique with non-absorbable material yields good results for umbilical hernia repair.
• The technique is effective for primary umbilical hernias of various sizes.
• Successful repair is achievable irrespective of patient age and body weight.