Simultaneous Operations During Umbilical and Paraumbilical Hernia Repair: Possible or Necessary?

Abstract

The aim of the study was to determine the possibility and effectiveness of simultaneous surgical interventions in umbilical and paraumbilical hernia repair. Material and methods: 148 case histories were analyzed concerning patients who were routinely admitted to the surgical department of the Kharkiv Regional Council’s Municipal Non-Profit Enterprise «Regional Clinical Hospital» between 2017 and 2019, and who underwent umbilical and paraumbilical hernia repair simultaneously with operations related to some other surgical pathology (group 1, n = 67) or in separate interventions (group 2, n = 81). All patients were routinely operated after a set of mandatory and additional general clinical, laboratory and instrumental research conducted in accordance with the existing guidelines. The structure and results of surgical interventions related to the underlying disease and simultaneous operations were studied. Results: Simultaneous operations were performed for comorbid cholecystolithiasis, diaphragmatic esophageal hernia with gastroesophageal reflux, inguinal hernia, white line hernia, benign diseases of the uterus and uterine appendages et al. The frequency of complications and recurrences of hernia in patients with simultaneous and isolated of umbilical hernia repair did not differ significantly. The outcome of the operation mostly depended on the method of operation (postoperative complications were most often observed in open sutures repair and were absent in laparoscopic hernia repair). Additional risk factors were weight gain and diabetes. Conclusions: Summarizing the data obtained, it can be concluded that application of modern endovideoscopic techniques in surgery makes simultaneous surgical interventions not only possible but also necessary in the presence of concomitant abdominal pathology that requires surgical treatment.

Effect of Microscope Combined with Wechat Smart Platform on Clinical Efficacy and Gastrointestinal Function of Patients with Cholecystolithiasis Combined with Common Bile Duct Stones

“…Boiko, V. V. and others performed duodenoscopy, choledochoscopy, and laparoscopy combined with cholelithotomy for the patients in the observation group. Different endoscopes can give full play to their own advantages and improve the stone clearance rate, and the clinical effect is definite [ 10 ]. Osuch, C. and others believe that after cholecystectomy, although the recurrence of gallstones can be avoided, there is compensatory expansion of common bile duct, resulting in narrow opening of duodenal papilla, resulting in the change of bile flow characteristics of common bile duct, and increasing the recurrence rate of common bile duct stones [ 11 ].…”

What is the ideal repair technique for triple hernia accompanied by umbilical and bilateral inguinal hernias?

“…UH and other surgical pathologies that require intervention in the abdomen can be treated separately in the same session. However, the widespread application of modern endoscopic techniques in surgery enabled other surgical abdominal interventions to be performed simultaneously with UH repair with fewer incisions (7).…”