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SIMULTANEOUS OPERATIONS DURING UMBILICAL AND PARAUMBILICAL HERNIA REPAIR: POSSIBLE OR NECESSARY?
Valeriy V Boiko1, Kyrylo Yu Parkhomenko2, Kostyantyn L Gaft1
1STATE INSTITUTION «INSTITUTE OF GENERAL AND EMERGENCY SURGERY NAMED AFTER V.T. ZAITSEV OF THE NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE», KHARKIV, UKRAINE.
Wiadomosci Lekarskie (Warsaw, Poland : 1960)
|April 4, 2021
Summary
Simultaneous umbilical and paraumbilical hernia repair is effective and safe when combined with other surgeries. Laparoscopic techniques offer better outcomes than open repairs, reducing complications.
Area of Science:
- Abdominal surgery
- Hernia repair
- Minimally invasive surgery
Background:
- Umbilical and paraumbilical hernias are common surgical conditions.
- Simultaneous surgical interventions are increasingly considered for efficiency.
Purpose of the Study:
- To evaluate the possibility and effectiveness of simultaneous surgical interventions for umbilical and paraumbilical hernia repair.
- To compare outcomes of simultaneous versus isolated hernia repair.
Main Methods:
- Analysis of 148 patient case histories from 2017-2019.
- Comparison of patients undergoing simultaneous repair with those having isolated repair.
- Evaluation of surgical outcomes based on repair method (open vs. laparoscopic).
Main Results:
- Simultaneous operations were performed for various comorbid conditions, including cholecystolithiasis and uterine diseases.
- No significant difference in complication or recurrence rates between simultaneous and isolated hernia repair.
- Laparoscopic repair showed no postoperative complications, unlike open sutures.
Conclusions:
- Modern endovideoscopic techniques enable and necessitate simultaneous surgical interventions for abdominal pathologies.
- Laparoscopic approach is crucial for successful simultaneous hernia repair, minimizing complications.
