Online ISSN: 2515-8260

Keywords : supraumbilical

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