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New Indian Journal of Surgery

Volume  11, Issue 2, April-June 2020, Pages 219-223
 

Original Article

Comparative Study of Various Surgical Techniques (Anatomical Repair, On-Lay Mesh Plasty, Ultra Pro Hernia System) of Umbilical Hernia Repair

Nishith A Chaudhary1, Rajan B Somani2, Sameer M Shah3, Deepak Rathva4

1,4Resident, 2Professor, 3Professor & Head, Department of Surgery, Sir Takhatsinhji General Hospital, Government Medical College, Bhavnagar, Gujarat 364001, India.

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.11220.23

Abstract

 

Context: Umbilical hernia is treated by conventional anatomical suture method, mesh and suture repair. Ultra Pro-hernia System is recently introduced for umbilical hernia treatment. Present study was
aimed to compare all three methods in treatment of umbilical hernia.
Aims: In this study we aimed to investigate whether use of a UHS was better in reducing recurrence, postoperative pain compared with suture repair and on-lay mesh repair for umbilical hernias. Settings and Design: Prospective randomized clinical trial Methods and Material: Sixty consecutive patients diagnosed with a primary umbilical hernia were enrolled for the study. They were randomized and underwent elective repair of umbilical hernia using the UHS, anatomical repair, or on-lay repair with mesh. Data for the time required for the surgical
repair methods, length of hospital stay, postoperative pain, analgesic necessity, and return to work, and early and late complications were recorded, and compared with respect to the repair procedure. Statistical Analyzis used: All data are compared by ANOVA followed by post hoc Analyzis either tukey method for parametric or kruskal –Wallis. Results: The mean operating time, VAS score, were higher in the anatomical repair and on-lay mesh method as compare to UHS. Patient in UHS
have significant less requirement of analgesics, less hospital stay and less recurrence as compared to anatomical repair and on-lay mesh repair. Conclusions: UHS have better advantage in terms of less post-operative pain, low rate of recurrence, less hospital stay and early return to normal activity over the traditional anatomical method and on-lay
repair with mesh.
Keywords: Ultrapro Hernia System; Umbilical hernia; Anatomical repair; On-lay mesh rpair.


Corresponding Author : Rajan B Somani