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A Study to Evaluate the Outcome of Umbilical Hernia Anatomical Repair with both Intermittent and Continuous Polypropylene Suture

Madhukar Naidu, Senior Resient, Department of General Surgery, Subbiah Medical College and Research Institute, Shimoga, Karnataka 577222, India. , Suresh B.P.1 , Madhukar Naidu2 , Sachin H.G.3 , Lakshminarayan4

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New Indian Journal of Surgery 9(3):p 362-365, May-June 2018. | DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9318.22

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Abstract

Background: About 10% of all the abdominal primary hernias consists of umbilical and para umbilical hernia [1]. Earliest literature of umbilical hernia with its complication dates back to 1500 BC. In 1915, Dr.Moschcowitzauthored an article regarding the aetiology of development of umbilical hernias, in which he suggested the pathogenesis related to the anatomical weakness at umbilicus [2]. Predisposing factors include obesity, multiplepregnancies, ascites, abdominal tumours, smoking [3]. Umbilical hernias have tendency to be associated with risk of incarceration and strangulation. Umbilical hernias can be repaired anatomically or using mesh repair, either with open repair or laparoscopic repair. In the present study we used anatomical repair method to close the defect using polypropylene suture material using both intermittent and continuous sutures.

Methods: Study included 25 patients with primary uncomplicated umbilical hernia who underwent anatomical hernia repair using polypropylene suture with intermittent and continuous suturing technique in all the patients .Patients followed up for a period of August 2012-August 2017.

Results: Patients were followed up at 1 week, 1 month and 6 months period. We found success rate of 100% with no recurrence in 6 months follow up period.12% of patients had wound seroma formation (3/25), and 8% of patients had wound infection (2/25). Mild pain was seen in 16% of patients till period of 1 month (4/2).

Conclusion: The method we followed to close the umbilical hernia defect by anatomical repair with horizontal closure using polypropylene suture with both
continuous and intermittent suturing technique had a double surety of the secured closure and the outcome had almost similar results as mesh closure technique with 100% success rate.

Keywords: Umbilical hernia; Polypropylene; Primary repair

 

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9318.22

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