Effect of Laparoscopic Total Extraperitoneal Umbilical Hernia Repair on Incision Infection, Complication Rate, and Recurrence Rate in Patients with Umbilical Hernia.

Zhao Zhang,Bo Liu,Fengen Wang,Xian Liu,Yanmei Ju,Li Li,Wenli Wang,Bhagyaveni M.A

doi:10.1155/2022/7055045

Abstract

The aim of this study is to clarify the influence of laparoscopic total extraperitoneal umbilical hernia repair on incision infection, complication rate, and recurrence rate in patients with an umbilical hernia (UH). Sixty-seven UH patients referred to our hospital from June 2017 to June 2019 were selected as the research participants. Thirty-six patients in the research group (RG) were treated with laparoscopic total extraperitoneal umbilical hernia repair, and the other 31 cases in the control group (CG) were treated with traditional umbilical hernia repair. The two cohorts of patients were compared with respect to the curative effect after treatment; intraoperative blood loss, operation time, postoperative pain time, ambulation time, and hospital stay; incidence of complications; pain severity (VAS) before and after operation; sleep quality (PSQI) before and after operation; patient satisfaction after treatment; and recurrence half a year after discharge. The RG presented a higher effective treatment rate (P < 0.05), less intraoperative blood loss, operation time, postoperative pain time, ambulation time, and hospital stay, as well as lower incidence of complications than the CG (P < 0.05). VAS and PSQI scores differed insignificantly between the two cohorts of patients before treatment (P > 0.05) but reduced after treatment, with lower VAS and PSQI scores in the RG than in the CG (P < 0.05). The number of people who were highly satisfied, as investigated by the satisfaction survey, was higher in the RG than in the CG, while the recurrence rate of prognosis was lower than that in the CG (P < 0.05). Laparoscopic total extraperitoneal umbilical hernia repair is effective for UH patients and can validly reduce the incidence of complications and recurrence rate, which has huge clinical application value.

Highlights

Umbilical hernia (UH) refers to an abdominal external hernia in which the contents of the abdominal cavity protrude outward through the weak area of the umbilical region, which is mainly characterized by soft protuberance or protrusion of the umbilicus and is more common in infants while less prevalent in adults [1]
Adult umbilical hernia (AUH) is defined as the extra-abdominal hernia occurring in the umbilical region of adults, which usually occurs in adults aged 35–50, with the ratio of female to male of about 3 : 1 [2]
Sixty-seven patients with UH admitted to our hospital from June 2017 to June 2019 were selected as the research participants, among which 36 patients were treated with laparoscopic total extraperitoneal umbilical hernia repair as the research group (RG), and 31 patients were treated with traditional umbilical hernia repair as the control group (CG). e baseline data such as age and BMI were similar in the two cohorts (P > 0.05; Table 1). e internal ethics committee approved this study protocol, and all the enrolled participants have signed the informed consent

Summary

Introduction

Umbilical hernia (UH) refers to an abdominal external hernia in which the contents of the abdominal cavity protrude outward through the weak area of the umbilical region, which is mainly characterized by soft protuberance or protrusion of the umbilicus and is more common in infants while less prevalent in adults [1]. Adult umbilical hernia (AUH) is defined as the extra-abdominal hernia occurring in the umbilical region of adults, which usually occurs in adults aged 35–50, with the ratio of female to male of about 3 : 1 [2]. E pathogenesis of AUH is due to the increase of intraabdominal pressure and the gradual expansion of abdominal organs after the closure of the umbilical ring, resulting in the formation of hernia [3]. AUH cannot heal by itself, and surgical treatment is the only and most effective method for a cure [5]. Surgical treatment as soon as possible is of utmost importance for patients. Traditional umbilical hernia repair is often used in early clinical treatment, but it predisposes patients to complications and poor prognosis [7]. Traditional umbilical hernia repair is often used in early clinical treatment, but it predisposes patients to complications and poor prognosis [7]. erefore, the clinic has been trying to find a more effective treatment

Methods

Results

Conclusion