Mesh repair of umbilical hernia without a visible abdominal scar

• Authors: Waldemar Kurpiewski , Michał Kiliańczyk , Rafał Szynkarczuk , Michał Tenderenda
• Languages of publication: EN

Abstracts

EN

Experience in the use of Single Incision Laparoscopic Surgery procedures and the persistent urge to improve the cosmetic effect have contributed to the introduction of mesh repair of an umbilical hernia by means of a small incision in the natural position of the umbilicus. The aim of the study was to present the surgical technique and assess its postoperative results. Material and methods. During the period between 24.08.2011 and 01.01.2013, twenty-three umbilical hernia repair operations with the use of a polypropylene mesh by means of a small incision in the natural position of the umbilicus were performed. The synthetic material was placed in the preperitoneal space. The wound was closed and the umbilicus was reconstructed simultaneously, in order to make the scar invisible. Cutaneous stitches were not used. Results. The average duration of the operation was 49 minutes. In one case of an obese patient with coexisting linea alba dehiscence, hernia recurrence was observed. All wounds healed without complications. The cosmetic effect was very good. Conclusions. Based on the presented experience mesh repair of the umbilical hernia by means of a small incision in the natural position of the umbilicus contributes essential benefits, such as a very good cosmetic effect without consecutive increasing costs, as compared to standard treatment by means of an infraumbilical incision.

Keywords

EN

umbilical hernia; mesh repair; invisible scar

• Journal: Polish Journal of Surgery
• Year: 2015
• Volume: 86
• Issue: 2
• Pages: 68-72

Dates

published

1 - 02 - 2014

online

25 - 03 - 2014

Contributors

author

Waldemar Kurpiewski

• Department of General and Minimally Invasive Surgery, University Clinical Hospital in Olsztyn,

author

Michał Kiliańczyk

• Department of General and Minimally Invasive Surgery, University Clinical Hospital in Olsztyn

author

Rafał Szynkarczuk

• Department of General and Minimally Invasive Surgery, University Clinical Hospital in Olsztyn

author

Michał Tenderenda

• Department of Oncological and General Surgery, University Clinical Hospital in Olsztyn

References

• 1. Szmidt J: Podstawy Chirurgii, Wyd. 1. Medycyna Praktyczna. Kraków 2003.
• 2. Trojanowski P, Kwiatkowski A, Paśnik K i wsp.: Współczesne metody leczenia przepuklin brzusznych.Pol Merk Lek 2009; XXVI(155): 569-71.
• 3. Kurpiewski W, Pesta W, Kowalczyk M et al.: SILS cholecystectomy - our first experiences. Videosurgery and other miniinvasive techniques 2009; 4(3): 1-4.
• 4. Kurpiewski W, Pesta W, Kowalczyk M et al.: The outcomes of SILS cholecystectomy in comparison with classic four-trocar laparoscopic cholecystectomy.Videosurgery and other miniinvasive techniques 2012; 7(4): 286-93.[PubMed]
• 5. Arroyo A, Garcia P, Perez F et al.: Randomized clinical trial comparing suture and mesh repair of umbilical hernia in adults. Br J Surg 2001; 88: 1321-23.[PubMed]
• 6. Ballem N, Parikh R, Berber E et al.: Laparoscopic versus open ventral hernia repairs: 5 year recurrence rates. Surg Endosc 2008; 22: 1935-40.[WoS][PubMed]
• 7. Erdas E, Dazzi C, Secchi F et al.: Incidence and risk factors for trocar site hernia following laparoscopic cholecystectomy: A long-term follow-up study. Hernia 2012; 16: 431-37.[PubMed][WoS][Crossref]
• 8. Helgstand F, Rosenberg J, Bisgaard T: Trocar site hernia after laparoscopic surgery: a qualitative systematic review. Hernia 2011; 15: 113-21.[WoS][Crossref]
• 9. Martin D.F, Wiliams RF , Mulrooney T et al.: Ventralex mesh in umbilical/epigastric hernia repairs: clinical outcomes and complications. Hernia 2008; 12: 379-83.[Crossref][PubMed][WoS]

Identifiers

DOI

10.2478/pjs-2014-0012