Laparoscopic surgical treatment of umbilical hernia and small eventrations with prosthetic mesh using omentum overlay

Chirurgia (Bucur). 2014 Sep-Oct;109(5):655-9.

Abstract

Introduction: Umbilical hernias and abdominal incisional hernias represent current pathologies which require numerous surgical alternative ways of treatment in prosthetic or non prosthetic,open or minimally invasive surgery. The method proposed by us is a less expensive option with no additional risks compared to other similar procedures as surgical technique.

Materials and methods: We conducted a retrospective study between 01.01.2008 - 01.06.2013 in which we considered a number of 23 patients with umbilical hernia and eventration, patients who received laparoscopic intraperitoneal polyester mesh covered with omentum, procedure applied at the IInd Surgery Clinic, Clinical County Emergency Hospital Sibiu.

Results: Out of 23 patients with postoperative umbilical hernia and eventration cases in which we used this surgical technique,16 were umbilical hernias and 7 post incisional hernias. The average time of surgery was 1 hour and 40 minutes, recording 4 postoperative complications remitted under conservative treatment, with a mean hospitalization of 4.1 days.

Conclusions: Proepiploic laparoscopic treatment using omentum is a reliable alternative to a more expensive and difficult procedure involving Dual Mesh.

Publication types

  • Comparative Study

MeSH terms

  • Follow-Up Studies
  • Hernia, Umbilical / surgery*
  • Hernia, Ventral / surgery*
  • Humans
  • Laparoscopy* / methods
  • Length of Stay*
  • Omentum / transplantation*
  • Operative Time*
  • Polypropylenes
  • Recurrence
  • Retrospective Studies
  • Surgical Mesh*
  • Treatment Outcome

Substances

  • Polypropylenes