Pre-peritoneal versus subcutaneous mesh repair for adult para-umbilical hernia

ABSTRACT

This study was a randomized clinical trial comparing pre-peritoneal versus subcutaneous mesh repair for adult para-umbilical hernia [P.U.H] in 40 patients, The outcome was carried over a period of 2 years between March 2002 to March 2004, in El-Minia university hospital, the patients were classified randomly into two groups; 20 patients in each. The first group underwent pre-peritoneal mesh repair for P.U.H and the second group underwent subcutaneous placement of the mesh for hernial repair. The operation was done under general or spinal anaesthesia. All patients received standardized pre-operative prophylactic antibiotic. The mean age of patients in both groups was [45.1] years, the majority of patients were females [30] representing about [75%]. we compared between the two groups as regard many, factors such as, difficulty of the technique, operative time, post-operative complications [seroma and wound infection, recurrence, and removal of mesh in the subcutaneous group]. The mean duration of surgery was longer in the lst group [45 min.] than in the 2nd group [35 min], hospital stay was longer in the 2nd group, postoperative complications were developed in 3 patients in the 2nd group [15%] while in one patient in the 1st group [5%]. In pre-peritoneal mesh repair although it is to some extent more difficult and more lengthy but it is more better with less complications and less hospital stay than the subcutaneous placed mesh repair for P.U.H and it is more satisfactory in males