Revista chilena de cirugía
versión On-line ISSN 0718-4026
VISCIDO, GERMÁN et al. Umbilical mesh hernia repair. Experience in 60 patients. Rev Chil Cir [online]. 2009, vol.61, n.1, pp. 44-47. ISSN 0718-4026. http://dx.doi.org/10.4067/S0718-40262009000100008.
Background: There is a lack of consensus on the best technique umbilical for hernia repair and several options have been use. The systematic use of prostheses is currently recommended. Aim: To evalúate the treatment of umbilical hernias with a mesh and assess the placement of a prosthetic cone as an alternative. Materials and Methods: We evaluated prospectively the surgical procedures in 60 patients with umbilical hernia aged 30 to 86 years (40 females). We excluded surgical procedures in which a mesh was not used and those performed as emergencies. When the hernia ring was of less than 3 cm in diameter, a polypropylene cone or plug was placed. A preperitoneal mesh technique was used when rings were larger. Results: Forty five patients had a ring of less than 3 cm. Among these, a polypropylene cone or plug was placed in 30 and 15 patients, respectively. A mesh was placed in the remaining patients. As surgical complications, one patient had a hematoma (1.6%) and three patients had seromas (5%). There were no surgical site infections or hernia relapse. Conclusions: Umbilical hernia repair using with polypropylene prostheses is a safe and easy to implement technique.
Palabras clave : Umbilical hernia; mesh; polypropylene plug; cone.