Comparative Study between Drained and Drainless Sub-rectal Mesh Hernioplasty in Paraumbilical Hernia

Abstract

Background: The evolution of para-umbilical hernia repair has a very long history, from the Recognition of para-umbilical hernias to its current management, with significant contributions from different authors. Advances in surgery have led to more cases of para-umbilical hernia formation, and this has required the development of new techniques and new materials for para-umbilical hernia management. Objectives: To compare between the results of drained and drainless sub-rectal mesh hernioplasty in paraumbilical hernia (PUH), to achieve the most accepted post-operative condition. Patient and methods: This comparative prospective study included a total of 50 patients with a follow up of 6-month time interval who were all complaining of an uncomplicated para-umbilical hernia and all are treated with the sub-lay repair technique with 25 patients with suction drain placement and 25 patients with no suction drain placement, attending at Al-Azhar University Hospitals. Results: Sub lay (sub-rectal) mesh repair is a good alternative to other traditional repairs, this study advocates this method of Para-umbilical hernia repair as it is applicable type of repair, the complication rate is low and there is a no recurrence rate or seroma formation and suction drain usage on hazardous patients are beneficial to avoid fluid accumulation or further complication to occur. Conclusion: Placing mesh in the sub-muscular or sublay position is claimed to be more challenging but not beyond the competence of a trained general surgeon. Placing mesh in this plane has mechanical and physiologic advantages. The sub-lay technique proves itself as one of the best surgical technique in management of para-umbilical hernia.