Paraumbilical Hernia in Adults: Clinical Study and Management
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 6280-6289
Abstract
Background: One of the more typical hernias in adults is the paraumbilical hernia. Since paraumbilical hernias are more common in women (sex ratio F:M = 3:1), this study evaluating risk factors and management of paraumbilical hernias is well justified. Paraumbilical hernias might disturb these patients not only because of their problems but also because of the cosmetic viewpoint. This clinical study assesses the clinical characteristics, risk factors, surgical approaches, and postoperative results of adult paraumbilical hernias.Material and Methods: From 1st December 2021 to 30th August 2022, the study was carried out at theDept of General Surgery, KIMS, Narkatpally. The study involved 45 instances. Vertical anatomical repair was performed on 9 patients, open prosthetic mesh repair on 18 patients, and laparoscopic mesh repair on 18 patients.
Results: Between the third and fifth decade of life, 8.3% of people had paraumbilical hernias. more prevalent in women (73.3%) than in men (26.6%). Males have an age distribution of 43.079.7 years, while females have one of 47.20 9.1 years. Infraumbilicaledoema occurred in 77.7% of cases. Obesity, which affects 54.5% of females and 66.6% of males, and multiparity, which affects 25.0% of males, are common precipitating factors. Postoperative complications in open mesh repair included seroma (16.6%) and wound infection (5.5%). 11.1% of patients who had vertical anatomical repair developed seroma. Other issues cropped up during laparoscopic mesh repair (27.7%). Between Open and Laparoscopic Mesh repair, there is a statistically significant difference in postoperative hospital stay (t=3.232, p=0.0026) and pain level (p0.05). In open mesh repair, anatomical repair, and laparoscopic mesh repair, no disease recurrence is seen.
Conclusion: Although no recurrence was found in either patient group, there are statistical differences between open mesh surgery and laparoscopic mesh repair in terms of postoperative complications, postoperative hospital stay, resuming daily activities, and postoperative discomfort.
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