Evaluation of management of paraumbilical hernias in a tertiary care centre

Abstract

Background: Umbilical hernia (UH) and paraumbilical hernia (PUH) are ventral herniae that occur in the region of the umbilicus or around the umbilicus. The present study compared different approaches in the management of paraumbilical hernias. Materials & Methods: 60 patients of paraumbilical hernias of both genders were divided into 2 groups. In group I, mesh was then inserted and fixed with interrupted polypropylene sutures, and in group II and only anatomical suture repair was done without mesh use. Both groups were compared according: size of incision, time of operation and complications. Results: There were 16 males and 14 females in group I and 15 males and 15 females in group II. Incision size was 11.5 cm in group I and 9.1 cm in group II, time of operation was 42.6 minutes in group I and 31.2 minutes in group II. Complications recorded were wound dehiscence in 4 in group I and 2 in group II, infection 3 in group I and 1 in group II and seroma 1 in group I. The difference was significant (P< 0.05). The recurrence rate was seen in 1 at 3rd month in group II and 1 and 4 at 6tth months in group I and II respectively. The difference was significant (P