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Mesh Plug Repair for Paraumbilical Hernia

Citation

Sinha, SN and Keith, T, Mesh Plug Repair for Paraumbilical Hernia, The Surgeon, 2, (2) pp. 99-102. ISSN 1479-666X (2004) [Refereed Article]

DOI: doi:10.1016/S1479-666X(04)80052-0

Abstract

Background: The standard method of repair of paraumbilical hernia (PUH) is by the Mayo technique, using a double-breasted flap of the rectus sheath. The reproducibility of this technique in the hands of others is highly variable. The present study describes and evaluates the application of a Prolene mesh plug in the repair of PUH. The use of a mesh plug in hernia repair is not a new concept with previous investigators yielding consistently excellent results in the repair of femoral and inguinal hernias. Methods: The study is a retrospective analysis of hospital records and telephone interviews of 34 patients having undergone PUH repair using the mesh plug technique in the period March 1998-May 2002. There were 20 males and 14 females with a median age of 53 years (range 34-86 years). Seventy-six percent (26) of the patient sample was obese (median BMI 33). Whenever possible local anaesthetic was used. Principal outcome measures studied were post-operative complications, recurrences, length of stay in hospital, post-operative analgesia, duration of drain, return to normal activities and patient satisfaction. Results: Post-operative complications encountered included one case of seroma and a single wound infection with recurrence. Ninety-seven percent (32) of patients were satisfied with the procedure. Conclusion: Mesh plug repair can be performed with minimal post-operative complications, low recurrence rate, minimal post-operative pain and achieving excellent patient satisfaction. Prosthetic mesh plug repair under local anaesthetic could become the standard treatment for PUH in adults. © 2004 Surg J R Coll Surg Edinb Irel.

Item Details

Item Type:Refereed Article
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Surgery
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Surgical Methods and Procedures
Author:Sinha, SN (Professor Sankar Sinha)
ID Code:32063
Year Published:2004
Web of Science® Times Cited:6
Deposited By:Surgery
Deposited On:2004-08-01
Last Modified:2005-06-22
Downloads:0

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