Ismaeil Deari Ahmed
University of Sulaimani, College of Medicine, Sulaimani, Iraq.
Ann Med Surg (Lond). 2018 Apr 13;30:28-31. doi: 10.1016/j.amsu.2018.04.028. eCollection 2018 Jun.
According to the literature, defects in para-umbilical hernias up to 2 cm in diameter could be sutured primarily. For defects larger than 2 cm in dimeters, mesh repair is recommended. The aim of this study is to evaluate the outcome of para-umbilical hernia repair with proline mesh regardless of its size.
In this retrospective study, patients with para-umbilical hernia, who were managed by onlay mesh placement were presented, and followed for 1-6 years. Several variables were studied including patients' socio-demographic data, post-operative complications, morbidity and mortality.
The series includes 58 patients, the age ranged from 18 to 85 years with median age of 44 years and inter-quartile range of 13.5 years. Mean body mass index was (30.9 ± 4.2). From 49 female patients; 43 (87.8%) were multipara. Forty seven cases (81%) presented for the first time, and 11 cases (19%) had recurrent hernias. Twenty patients (34.5%) had hernia defect ≤2 cm, while 38 patients (65.5%) had hernia size >2 cm. Superficial surgical site infection was found in 6 patients (10.34%). Seroma was found in one female patient (1.72%). One patient (1.72%) had recurrent hernia after 19 months.
Mesh onlay repair by open surgery can be applied to all sizes of para umbilical hernias, it has low recurrence rate and the rates of morbidity and recurrence are comparable with international standard.
根据文献，直径达2厘米的脐旁疝缺损可进行一期缝合。对于直径大于2厘米的缺损，建议采用补片修补。本研究的目的是评估使用脯氨酸补片修补脐旁疝的效果，无论其大小如何。
在这项回顾性研究中，纳入了采用补片外置法治疗的脐旁疝患者，并对其进行了1至6年的随访。研究了几个变量，包括患者的社会人口统计学数据、术后并发症、发病率和死亡率。
该系列包括58例患者，年龄范围为18至85岁，中位年龄为44岁，四分位间距为13.5岁。平均体重指数为（30.9±4.2）。49例女性患者中，43例（87.8%）为经产妇。47例（81%）为首次发病，11例（19%）为复发性疝。20例患者（34.5%）疝缺损≤2厘米，而38例患者（65.5%）疝大小>2厘米。6例患者（10.34%）发生浅表手术部位感染。1例女性患者（1.72%）出现血清肿。1例患者（1.72%）在19个月后复发疝。
开放手术补片外置修补可应用于各种大小的脐旁疝，复发率低，发病率和复发率与国际标准相当。
