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The Outcomoe Of Suture Versus Mesh Repair Of Primary Small Umbilical Hernias In Adults | ||
| Mustansiriya Medical Journal | ||
| Article 1, Volume 16, Issue 1, 2017, Pages 45-48 | ||
| Author | ||
| Saad Ramadhan Jawad | ||
| Abstract | ||
| Background: There are a different methods of umbilical hernia repair and there is controversy about which repair is better for small umbilical hernias. Aim : Is to compare which method is superior the mesh or suture repair for small umbilical hernias in terms of clinical outcome and recurrence rate. Methods: In this study , 120 patients were treated surgically using either suture or mesh repair for their umblical hernias from march 2013 to march 2015 at Al Imam Ali hospital.In 67 patients, the hernia was repaired by prolene suture and 53 patients their hernias were repaired by mesh. Both groups were followed for complications and recurence rate. The data was analysed statistically for significance using Fishers exact test. Results: 89 patients (74.16%) were females,31 (25.84%) were males . ages of the patients were ranged between 21 to 67 years, mean age was (36.17).There was no significant difference statistically between two groups regading recurrence after one year follow up, 467 (6%)in suture repair and 153(1.9%)in the mesh repair.5patients(7.46%) got seroma in the suture repair group while 4 patients (7.54%) in the mesh repair.Hematoma developed in 2patients( 3%) in the suture repair group and nil in the mesh repair group.Regarding infection 3 (4.5%)in suture repair and 2patients (3.7%) in the mesh repair group .3patients (4.5%) treated by suture repair complained of chronic pain while only 2 (3.7%)in the mesh repair group. Conclusion: This study showed no significant difference between two methods of repair regarding short term complications and recurrence rates. | ||
| Keywords | ||
| umbilical hernia; Repair; suture; mesh; recurrence | ||
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