Evaluation of results of Mesh Repair Versus Non-Mesh Repair in the Treatment of Obstructed Para Umbilical Hernia

Background: One of the most prevalent hernias in adults is the umbilical hernia, which is caused by a weakening of the umbilical scar or a defect in the linea alba. Numerous reasons have been proposed as contributing to this hernia. Mesh repair and tissue suture repair are two surgical techniques that have developed over time.

Aim of study: to evaluate the results of mesh repair in treatment of obstructed para umbilical hernia in comparison to non-mesh repair and to determine the efficacy of mesh repair compared to simple repair regarding post-operative hematoma and recurrence.

Patients and method: fifty patients diagnosed with obstructed para umbilical hernia were treated surgically with either mesh (group 1)(25 cases) or simple tissue repair (group 2)(25 cases), patients post operatively were followed for 7 months for complication of surgery and mesh application.

Results: we found that 38 cases (76%) were females and 12 cases (24%) were males, the most common age of presentation was 30-49 year(38 cases) (76%), complications recorded and showed significant difference in hematoma and recurrence in favor of mesh repair, also duration of surgery and hospital stay recorded and compared between the two groups of repair.

Conclusion: mesh repair is superior to non- mesh repair in case of obstructed para umbilical hernia.