Transumbilical Repair for Umbilical Hernia: A New Technique

Area of Science:

• Pediatric Surgery
• Abdominal Wall Reconstruction
• Hernia Repair

Background:

• Umbilical hernia repair lacks a standardized surgical approach.
• Transumbilical repair offers a minimally invasive option for pediatric cases.

Purpose of the Study:

• To evaluate the safety and efficacy of an original transumbilical repair procedure for pediatric umbilical hernia.
• To assess postoperative complications and cosmetic outcomes.

Main Methods:

• A retrospective review of 424 pediatric patients undergoing transumbilical hernia repair between 2012 and 2020.
• Procedure involves a longitudinal umbilical incision, fascial defect closure, and vertical fascial-dermal suturing.
• Mean operative time was 52 minutes with a 6-month follow-up.

Main Results:

• Postoperative infection occurred in 15 patients and wound granulation in 5 patients.
• The procedure demonstrated a natural and satisfying umbilical morphology.
• No major complications were reported, indicating a favorable safety profile.

Conclusions:

• The original transumbilical repair procedure is safe, simple, and effective for pediatric umbilical hernia.
• Satisfactory cosmetic and functional results support its clinical application.
• Further research may establish this technique as a standard procedure.