Eryilmaz Ramazan, Sahin Mustafa, Tekelioglu M Hakan
Department of Surgery, Vakif Gureba Training Hospital, Istanbul, Turkey.
Int Surg. 2006 Sep-Oct;91(5):258-61.
In classic literature, knowing that small defects can be repaired primarily in umbilical hernias of adults, mesh repair should be reserved for larger defects. Conventional repair methods have resulted in high rates of recurrence. Therefore, this prospective study investigated the repair techniques in umbilical hernias of adults. The patients who underwent primary umbilical hernia operation between 1998 and 2003 were reviewed. Primary repair was conducted in defects less than 3 cm, whereas larger defects were repaired with polypropylene mesh. Postoperative complications, the length of hospital stay, and recurrence in follow-up were recorded. Of 111 patients, primary repair was carried out on 63 patients, and 48 underwent polypropylene mesh repair. Recurrence rate was significantly higher in the primary repair group (14%) compared with polypropylene mesh repair group (2%). In conclusion, contrary to the general tendency that small defects can be repaired primarily, polypropylene mesh should be used in all umbilical hernias regardless of the size of the defect.
在经典文献中，鉴于已知成人脐疝的小缺损主要可通过一期修复，补片修补应留用于较大缺损。传统修复方法导致了较高的复发率。因此，这项前瞻性研究调查了成人脐疝的修复技术。对1998年至2003年间接受一期脐疝手术的患者进行了回顾。小于3厘米的缺损采用一期修复，而较大缺损则用聚丙烯补片修补。记录术后并发症、住院时间及随访中的复发情况。111例患者中，63例进行了一期修复，48例接受了聚丙烯补片修补。一期修复组的复发率（14%）显著高于聚丙烯补片修补组（2%）。总之，与小缺损主要可一期修复的一般趋势相反，无论缺损大小，所有脐疝均应使用聚丙烯补片。
