Yıldız Ihsan, Koca Yavuz Savas
Ann Ital Chir. 2017;6:449-453.
Umbilical hernia, unlike other abdominal wall hernias, occurs when the umbilical ring opens and expands. Its' symptoms and complications show similarities with other hernias. Although there are various repair techniques, there is not a standard technique yet. This paper investigated the outcomes of double layer circular suture technique as a new approach in the repair of umbilical hernia.
A total number of 282 patients comprised of 102 males and 180 females with an age range of 18-89 whose umbilical hernias were repaired between 2002 and 2013, retrospectively studied in two groups group 1 (circular suture technique) and group 2 (open primary suture). The subjects were investigated with regards to age, sex, body mass index (BMI), accompanying disease, anesthesia method, surgical complications, hospital stay, total costs, mortality and recurrence.
The study participants were 282 patients with an age average of 49, 09 ± 16, 62 including 182 patients in group 1 (male/female ratio 76/106) and 100 patients in group 2 (26/74). There was a significant difference between the groups in terms of time and recurrence. During the follow-up period, 9 patients in group 1 (4.94%) and 16 patients in group 2 (16%) had a recurrence. This result was statistically significant (p=0.014) CONCLUSION: We believe that the double layer circular suture technique is practical, inexpensive and effective in the repair of umbilical hernia defects, which are smaller than 2 cm diameter. Key words: Hernia, Repair, Umbilical hernia.
脐疝与其他腹壁疝不同，是由于脐环开放和扩大所致。其症状和并发症与其他疝相似。尽管有多种修复技术，但尚无标准技术。本文研究了双层环形缝合法作为脐疝修复新方法的效果。
回顾性研究2002年至2013年间接受脐疝修复的282例患者，其中男性102例，女性180例，年龄在18 - 89岁之间，分为两组，第1组（环形缝合法）和第2组（开放一期缝合法）。对受试者的年龄、性别、体重指数（BMI）、伴发疾病、麻醉方法、手术并发症、住院时间、总费用、死亡率和复发情况进行调查。
研究参与者为282例患者，平均年龄49.09±16.62岁，其中第1组182例（男/女比例为76/106），第2组100例（26/74）。两组在时间和复发方面存在显著差异。随访期间，第1组9例（4.94%）复发，第2组16例（16%）复发。该结果具有统计学意义（p = 0.014）。结论：我们认为双层环形缝合法在修复直径小于2 cm的脐疝缺损方面实用、廉价且有效。关键词：疝；修复；脐疝
