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Open Hernia Repair. An incision is made near the site. Your surgeon will repair the hernia with mesh or by suturing (sewing) the muscle layer closed. Laparoscopic Hernia Repair. The hernia is repaired with mesh or sutures inserted through instruments placed into small incisions in the abdomen. Watchful Waiting.
Elective repair after diagnosis is advised. Suture repairs have high recurrence rates; therefore, mesh reinforcement is recommended. Mesh can be placed through either an open or laparoscopic approach with good clinical results.
In this study we aimed to investigate whether use of a mesh was better in reducing recurrence compared with suture repair for smaller umbilical hernias. We did a randomised, double-blind, controlled multicentre trial in 12 hospitals (nine in the Netherlands, two in Germany, and one in Italy).
This systematic review and meta‐analysis comparing the outcomes of elective open mesh and suture repair for umbilical hernia found that mesh repair was associated with a decreased risk of recurrence at the expense of an increased risk of seroma formation.
Open mesh repair of umbilical hernia appears to be associated with significantly lower recurrence rates than suture repair in adults. [ 20 ] Laparoscopic repair should be considered for obese...
Umbilical hernia repair is a common surgical procedure without a universally accepted means of repair. We introduce a novel surgical technique for open primary umbilical hernia repair, using strips of polypropylene mesh as sutures to achieve a repair.
With an estimated 1 million groin hernia repairs and 400,000 ventral hernia repairs (VHR) each year in the United States, the benefits of elective repair are well established. 1 A significant body of literature supports the routine use of mesh for elective abdominal wall hernia repair.
Two published meta-analyses, including RCTs and retrospective cohort studies, have compared the outcomes of open mesh versus suture repair of umbilical hernia in adult, which were flawed since they included both elective and emergency repairs of umbilical hernias.
Open umbilical hernia repair using a sublay mesh technique begins as described for a primary suture repair. The patient is prepped/draped and preoperative preparation is per standard abdominal surgery.
In the following chapter, we will review the open repair of umbilical hernias with and without mesh reinforcement. The procedure can be performed under general anesthesia with an endotracheal tube or a laryngeal mask airway, or utilizing local anesthetics and sedation.