Comparative Study of Anatomical Repair versus Mesh Repair in Para Umbilical Hernia
Keywords:
Paraumbilical Hernia, Anatomical Repair, Mesh Repair, Recurrence, Surgical Outcomes, Postoperative Complications, Comparative Study.Abstract
Background: Para umbilical hernia is a widespread abdominal wall flaw, which is often observed in adults. Surgery is still the biggest form of treatment and there are two very popular forms of Massive Hemocele Surgery, namely; anatomical and mesh. Whereas anatomical repair uses stitches directly to close the defect, mesh repair supports the abdominal wall by a prosthetic mesh. The argument over which of these techniques is superior when it comes to recurrence, post-surgical complications and general outcomes has persisted in the surgical practice.
Objective: The objective of the study was to compare the results of anatomical repair and mesh repair in cases of paraumbilical hernia mainly based on the rates of recurrence, post-operative complication, length of hospital stay, and recovery period.
Methods: This study is a comparative confirmatory one, which was done at a Tertiary Care Hospital of Pakistan between February 2025 and August 2025. Ninety-four patients with the diagnosis of paraumbilical hernia were recruited. The patients have been randomly assigned to two groups, Group A (n=47) was treated using anatomical repair and Group B (n=47) with mesh repair. After the surgery, the patients are trailed within a span of six months to manage surgical outcomes, such as wound infections, development of seroma, surgical recurrence, and length of stay. The statistical analysis tools would be applied on data to draw significance.
Results: Mesh repair resulted in better results than those of anatomical repair. The rate of recurrence was considerably lower after Group B (4.3%) as compared to Group A (17 %). Wound infection and seroma were common but not in statistically significant percentage in the mesh group (8.5%) than the anatomical one (6.4%). The standard hospital stay was lower in the mesh group (2.3 days) as compared to the anatomical group (3.1 days). It was reported that recovery time also took less time in the mesh group.
Conclusion: Results of the study have shown that mesh repair had better repair than anatomical repair to reduce the recurrence and help the Para umbilical hernia patient recover faster. Even though there were slightly increased cases of postoperative complications when using mesh repair, the advantages of a mesh repair exceeded the disadvantages. Mesh repair could hence be regarded as the desirable operative procedure of paraumbilical hernia.
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