Online ISSN: 2515-8260

Keywords : Onlay


Comparison of Treatment Modalities for the Management of Umbilical Hernia in Pregnancy

Jagadish Kumar CD, Supritha J, Manjunath G N, Haritha C, R C Krishna Kumar

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 2075-2079

Background: To compare treatment modalities for the management of umbilical hernia in pregnancy.
Materials and Methods: 90 pregnant female patients with umbilical hernias were divided into 3 groups of 30 each. Group I were undergoing para-umbilical hernia repair by pre-peritoneal mesh insertion through CS incision, group II were undergoing paraumbilical hernia repair by infra- or supra-umbilical incision during CS incision and group III were undergoing paraumbilical hernia repair by infra- or supra-umbilical incision later on after healing of the CS wound. Each group had 30 patients. Complications were recorded in each group.
Results: Location was infraumbilical in 45%, 52% and 57% and supraumbilical in 55%, 48% and 43%. Surgical operative time (min) was 60 seen in 40%, 55% and 55%, 90 in 35%, 25% and 25%, 120 in 25%, 20% and 20%. Location of mesh was sublay in 100%, 42% and 25% and onlay in 0, 58% and 75%. Duration of hospital stay was 2 days in 30%, 35% and 38%, 3 days in 48%, 40% and 36% and 4 days in 22%, 25% and 26%. The difference was significant (P< 0.05). Complications in group I, group II and group III was wound infection in 1, 4 and 3, wound dehiscence in 1, 3 and 2, skin flaps ischemia  in 0, 1 and 2 and seroma in 0, 2 and 1 respectively. The difference was significant (P< 0.05) (Table II).
Conclusion: Performing para-umbilical hernia repair by insertion of a pre-peritoneal mesh simultaneously during performing CS through the same skin incision is the best method of management of para-umbilical hernia in pregnant woman

A comparative study of onlay and pre-peritoneal open mesh repair in the management of umbilical hernia in adults

Dr. Sreekaraswamy R, Dr. HC Chaluvanarayana, Dr. Sujay C, Dr. Varun Byrappa

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 1655-1659

Introduction: Umbilical hernias in adults are commonly acquired hernias. These are more common in women, and in conditions like pregnancy, ascites, obesity etc. More than 1 million hernia surgeries are done annually in India. Suture repair techniques have dominated ventral and incisional hernia repair over a century. The most popular of these techniques was the Mayo duplication. In larger hernias, suture repair requires the application of tension to the fascia in order to close the orifice.
Objectives of the study: To evaluate the outcome of onlay and pre-peritoneal open mesh repair in umbilical hernias in adults regarding operative time, ease of procedure, hospital stay, complications and recurrence if any.