Análisis prospectivo de hernioplastías umbilicales en adultos

Abstract

Abstract Umbilical mesh hernia repair. Experience in 60 patients Background: There is a lack of consensus on the best technique umbilical for hernia repair andseveral options have been use. The systematic use of prostheses is currently recommended. Aim: Toevaluate the treatment of umbilical hernias with a mesh and assess the placement of a prosthetic cone as analternative. Materials and Methods: We evaluated prospectively the surgical procedures in 60 patientswith umbilical hernia aged 30 to 86 years (40 females). We excluded surgical procedures in which a meshwas 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 werelarger. Results: Forty five patients had a ring of less than 3 cm. Among these, a polypropylene cone orplug was placed in 30 and 15 patients, respectively. A mesh was placed in the remaining patients. Assurgical complications, one patient had a hematoma (1.6%) and three patients had seromas (5%). Therewere no surgical site infections or hernia relapse.