Page 37 - World Journal of Laparoscopic Surgery

ORIGINAL ARTICLE
A Study of Clinical Profile and Outcome of Open Mesh Repair

vs Laparoscopic Mesh Repair of Umbilical Hernia in Public

Sector Hospital

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Aeiman Saniya , Manikanta KS , Mir Md Noorul Hassan 3
AbstrAct
Background: When a viscus or part of a viscus protrudes through the umbilicus, it is known as umbilical hernia. These hernias constitute as one
of the common hernias of adults. Umbilical hernias are common in individuals with increased intra-abdominal pressure such as obesity, ascites,
or chronic abdominal distension including malignancy. Mesh repair in umbilical hernia can be open mesh repair or laparoscopic mesh repair
with each having their own advantages and disadvantages. This study attempts to evaluate various operative procedures and postoperative
results of umbilical hernia in public sector hospital.
Methods: Study was an interventional study with a total sample size of 80. Study population were all the patients admitted with umbilical
hernia to the surgical wards of hospitals associated with Bangalore Medical College and Research Institute. The study was conducted from
November 2018 to May 2020. After admission, patients fulfilling the inclusion criteria were enrolled into the study and informed written consent
was obtained. All the details and investigations of each patient were recorded in the case record form at the baseline visit. In 40 patients, open
mesh repair of umbilical hernia was done, and in another 40 patients, laparoscopic mesh repair of umbilical hernia was done. The duration of
surgery and various other postoperative complications were recorded.
Results: Eighty cases of umbilical hernia were operated, out of which, in 40 patients, open mesh repair was done and, in another 40 patients,
laparoscopic mesh repair was done. Thirty-six of 40 patients were females, and 4 of 40 patients were males in the laparoscopic mesh group.
Thirty-two of 40 patients were females, and 8 of 40 patients were males who underwent open mesh repair. Mean age was 45.0 years, and mean
operating time was 64.75 minutes for open mesh repair group, whereas mean age was 42.37 years and mean operating time was 50.38 minutes
for laparoscopic mesh repair group. Operating time showed statistical significance.
Conclusion: Laparoscopic mesh repair of umbilical hernia is becoming the procedure of choice in public sector hospitals in terms of decrease
operating time, early recovery, less pain and less complications in postoperative period, and reduced duration of hospital stay as compared to
open mesh repair of umbilical hernia.
Keywords: Laparoscopic mesh repair, Open mesh repair, Umbilical hernia.
World Journal of Laparoscopic Surgery (2022): 10.5005/jp-journals-10033-1501

IntroductIon 1–3 Department of General Surgery, Bangalore Medical College and
In Latin, the word hernia means rupture. An abnormal protrusion Research Institute, Bengaluru, Karnataka, India
of an organ or tissue through a defect in its surrounding walls Corresponding Author: Manikanta KS, Department of General
defines hernia. When a viscus or part of a viscus protrudes through Surgery, Bangalore Medical College and Research Institute, Bengaluru,
the umbilicus, it is known as umbilical hernia. It is a full thickness Karnataka, India, e-mail: dr.manisurg@gmail.com
protrusion of the umbilicus with an underlying fascial defect and How to cite this article: Saniya A, Manikanta KS, Hassan MMN. A Study
may contain peritoneal fluid, preperitoneal fat, intestine, or omentum of Clinical Profile and Outcome of Open Mesh Repair vs Laparoscopic
as the content. 1 Mesh Repair of Umbilical Hernia in Public Sector Hospital. World J Lap
Umbilical hernia in infants is common and congenital, whereas Surg 2022;15(1):35–39.
in adults, it is largely acquired. Umbilical hernia is commonly seen Source of support: Nil
in females and in patients with conditions that result in increased Conflict of interest: None
intra-abdominal pressure such as obesity, pregnancy, ascites, or
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chronic abdominal distension.
The physical examination or ultrasound has identified up to 50% for surgery are incarcerated hernia requiring reduction, strangulated
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of all individuals having fascial defect of umbilical ring. Patients hernia, perforation, and evisceration. The persistence and
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with umbilical hernia usually present as a soft bulge located anterior appearance of hernia are relative indications for operative repair.
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or adjacent to the umbilicus. This study is done to estimate the prevalence, clinical findings,
Umbilical hernia is the second commonest type of hernia. The and risk factors associated with the umbilical hernia in adults and also
surgical management of umbilical hernia has developed over the compare the operative techniques of umbilical hernia repair. This
years, and umbilical hernia can be treated by anatomical repair, open study also compares the postoperative outcomes of the umbilical
mesh repair, or laparoscopic mesh repair. The absolute indications hernia repair by open mesh repair and laparoscopic mesh repair.

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