Comparative Study between H Shape Mesh Repair and Standard Tummy Tuck Procedure in Small Paraumblical Hernia with Diastasis of the Rectus Muscles

Abstract

Assess results of small ventral hernia (UH, PUH) and diastasis recti repair during H shape mesh hernioplasty and Tummy Tuck "abdominoplasty" regarding operative duration, intraoperative blood loss, length of hospital stay, length time return to work and post-operative complications. The present prospective study included 60 patients with UH, PUH hernia and diastasis recti. A mean Age of 50.77 ± 9.504 years. 30 patients underwent H shape mesh hernioplasty Group 'A' and 30 underwent standard Tummy Tuck "abdominoplasty" Group 'B'. From 2019 to 2020. And the patients followed for 8_14 months. In group 'A' the main operative time 45.17 ± 3.592 min, main intraoperative blood loss 75ml, insert SC drain in 93% removed after mainly 1.2 day, main postoperative pain 2.9 ± 0.923, length of hospital stay 1.07 ± 0.365 days and main time till return to work 7.33 ± 1.373 days. Post-operative Complications included seroma formation (3.3%), hematoma (6.7%), wound infection (6.7%), recurrence (3.3%) to date and 100% of patient was satisfied. In group 'B' the main operative time 88.5 ± 8.823 min, main intraoperative blood loss 250 ml, insert SC drain in 100% removed after mainly 14.93 ± 2.42 day, main postoperative pain 5.4 ± 0.648, length of hospital stay 3.4 ± 1.221 days and main time till return to work 23.1 ± 3.872 days. Post-operative Complications included seroma formation (20%), hematoma (10%), wound infection (6.7%), recurrent hernia (3.3%) and divarication recurrence (10%) to date and 63% of patient was satisfied. H shape mesh repair technique was safe, easy, fast and early return to work and superior to tummy tuck technique in small PUH with diastasis recti repair at less operative (time, blood loss) and less Post-operative (pain, infection, hematoma, seroma, hospital stay and return to work).