Umbilical hernia: Factors indicative of recurrence

Venclauskas, Linas; Šilanskaitė, Jolita; Kiudelis, Mindaugas

doi:10.3390/medicina44110108

Cited by 52 publications

(48 citation statements)

References 11 publications

(27 reference statements)

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“…Although obesity and larger defects have not generally been found to be related to recurrence [16,17], some authors have accused higher BMI and larger defects to be factors for recurrence after umbilical hernia repairs [18,19]. In the present series, it was not possible to analyze these two factors regarding recurrence.…”

Section: Discussionmentioning

confidence: 81%

Prosthetic repair of umbilical hernias in adults with local anesthesia in a day-case setting: a comprehensive report from a specialized hernia center

Kulaçoğlu¹,

Yazicioglu²,

Ozyaylali³

2011

Hernia

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The repair of umbilical hernias with local anesthesia in a day-case setting is a good option, with low infection and recurrence rates. Most patients can be discharged early as planned. Separate doses and total volume of local anesthetic agents needed for umbilical hernia repair are clearly higher than those used in inguinal hernia repair. Patients with higher BMI, recurrent hernia, and defects larger than 3 cm may require higher local analgesic doses. The patient satisfaction is very good when the patients are provided with detailed information about day-surgery and local anesthesia.

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Section: Discussionmentioning

confidence: 81%

Prosthetic repair of umbilical hernias in adults with local anesthesia in a day-case setting: a comprehensive report from a specialized hernia center

Kulaçoğlu¹,

Yazicioglu²,

Ozyaylali³

2011

Hernia

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“…Surprisingly, few studies have addressed the long-term results after the procedure. Short and medium follow-up term retrospective series have, however, shown that the recurrence rates after suture-based repairs in many cases are disappointingly high [2], ranging from 8-9 % [3,4] to a soaring 54 % [5]. These results have lead to the today widespread routine use of mesh reinforcement of all AUH, without any consideration, for example, of the size of the defect.…”

Section: Introductionmentioning

confidence: 97%

Long-term follow-up after elective adult umbilical hernia repair: low recurrence rates also after non-mesh repairs

Dalenbäck

Andersson

Ribokas

et al. 2012

Hernia

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AUH repair could be performed with low early and long-term complication rates, with low recurrence rates also after non-mesh repairs. A substantial cohort of patients will unnecessary be implanted with meshes if mesh-reinforced repairs should be used on a routine basis, that is, 16 surplus meshes to prevent one recurrence in the present study. We recommend a tailored approach to AUH repair: suture-based methods with defects smaller than 2 cm and mesh-based repairs considered if larger than that.

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“…Obesity and excessive weight gain following repair are obviously potential risk factors. The patient's BMI >30 kg/m 2 and defects >2 cm have been reported as possible factors for surgical failure (45). Moreover, smoking may create a risk for recurrence (46).…”

Section: Factors Influencing Recurrencementioning

confidence: 99%

Current options in umbilical hernia repair in adult patients

Kulaçoğlu¹

2015

UCD

103

126

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Umbilical hernia is a rather common surgical problem. Elective repair after diagnosis is advised. Suture repairs have high recurrence rates; therefore, mesh reinforcement is recommended. Mesh can be placed through either an open or laparoscopic approach with good clinical results. Standard polypropylene mesh is suitable for the open onlay technique; however, composite meshes are required for laparoscopic repairs. Large seromas and surgical site infection are rather common complications that may result in recurrence. Obesity, ascites, and excessive weight gain following repair are obviously potential risk factors. Moreover, smoking may create a risk for recurrence.

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Umbilical hernia: Factors indicative of recurrence

Abstract: Summary. Umbilical hernia has gained little attention from surgeons in comparison with other types of abdominal wall hernias (inguinal, postoperative)

Cited by 52 publications

References 11 publications

Prosthetic repair of umbilical hernias in adults with local anesthesia in a day-case setting: a comprehensive report from a specialized hernia center

Prosthetic repair of umbilical hernias in adults with local anesthesia in a day-case setting: a comprehensive report from a specialized hernia center

Long-term follow-up after elective adult umbilical hernia repair: low recurrence rates also after non-mesh repairs

Current options in umbilical hernia repair in adult patients

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