Mesh plug repair for umbilical and paraumbilical hernias

ABSTRACT

The use of a mesh plug in hernia repair is not a new concept This study describes and evaluates the application of a prolene mesh plug in the repair of umbilical and para-umbilical hernias. Thirty-two patients with umbilical and paraumbilical hernias were subjected for operative intervention using mesh plug technique under spinal general or local anaesthesia. After dissection of hernial sacs and reduction of contents, a prolene mesh plug was inserted in to the defect and fixed with 2/0 prolene sutures in four quadrants. Operative time, complications, length of hospital stay, anaesthetic used, analgesia required, duration of drain, patient's return to activity and satisfaction were recorded. Mean operative time was 36 +/- 7 min and mean hospital stay was 20 +/- 4.5 hours. The patients regained their normal activities after 9 to 16 days. Seven patients [21.9%] received non-narcotic analgesics [Di-clofenac], all of them were of general anaesthesia group, no haematoma formation, no wound dehiscence. Seromas formed after removal of drains in 2 patients [6.3%] and aspirated once. Twenty-five patients [78.1%] were satisfied and 7 patients [21.9%] were dissatisfied because of pain [2[6.25%]], infection [1 [3.125%]] and recurrence [2 [6.25%]].Mesh plug repair of umbilical and PUH is a simple, easy and satisfactory technique with short convalescence, less recurrence and good patients satisfaction