Background
Umbilical hernia repair is one of the most commonly performed surgical procedures with a reported recurrence rate from 1 to 54%. Laparoscopic repair of recurrent umbilical hernia offers better choice of hernia repair while the cost can be optimized by different types of mesh and optimal uses of transabdominal suture and various fixation devices.
Aim
Our aim is to evaluate the outcomes of laparoscopic repair of recurrent paraumbilical hernia (PUH) and to determine the feasibility, safety, and efficacy of the procedures.
Patients and methods
This study was a prospective, noncomparative, nonrandomized study of laparoscopic repair of recurrent umbilical hernia that was conducted at the General Surgery Department of Ain Shams University Hospitals from October 2018 to December 2020. It included 20 patients with recurrent PUH who underwent laparoscopic repair. Patients study included operative time, postoperative pain, hospital stay, conversion to open, visceral injury, surgical site infection, seroma, hematoma, and recurrence.
Results
In our study, we had 20 patients, nine males and 11 females, with a mean age of 45.45 ± 8.56 years. The mean BMI in all patients was 30.1 ± 3.61 kg/m. Also, the mean defect size was 3.35 ± 1.09 cm and number of patients who had previous repair with mesh was 18 (90%) and without mesh was two (10%). The mean operative time was 118.5 ± 20.14 min, with three (15%) patients converted to open due to extensive adhesions, with no reported intraoperative visceral injury, mean blood loss was 92 ml, and mean hospital stay was 1.40 days. Regarding postoperative complications, two (10%) patients had seroma, one (5%) had hematoma, one (5%) had surgical site infection, and thus recurrence with no port site hernia and failure was 20% due to conversion to open or wound infection.
Conclusion
Laparoscopic repair of recurrent PUH is a feasible and safe technique with accepted morbidity.