Comparison between Mesh Hernioplasty and Simple Suture Repair in the treatment of Paraumbilical Hernias at Bahawalpur Hospitals

Abstract

To compare the rate of recurrence between mesh hernioplasty and simple suture repair in the management of paraumbilical hernias. Total 215 patients were selected in medical ward of Bahawal Victoria Hospital Bahawalpur. They were subdivided into three groups. Group A 112 patients were repaired in traditional way and group B 88 patients underwent mesh repair and the in third group C 15 patients undergone other ways of repair which we did not covered in our study. And the patients who showed the recurrence of hernia were selected and those were subject of interest. A comparison was made between two groups in terms of, complications and rate of recurrence. In Group A, 12(10.71%) patients had recurrence which was quite high compared to the group B which had only 2(2.27%) patients. Rate of infection was higher in group B (12%). There were incidences of postoperative hematomas and seromas formation in group A but none in group B. Mesh hernioplasty significantly reduced the recurrence rate as compared to the traditional suture repair. Unlike results of the other studies, infection rate was not high in mesh group.

Keywords: Paraumbilical hernia, Mesh repair, Simple suture repair.