Forbes J Med. 2023; 4(1): 62-67 | DOI: 10.4274/forbes.galenos.2022.27132

Comparison of Suture Repair and Mesh Repair in Repair of Small Umbilical Hernias: Retrospective Cohort Study

Mehmet KUBAT¹, Serkan ÞENGÜL^2
1Department Of General Surgery, AlanyaTraining and Research Hospital, Antalya, Turkey
²Department Of General Surgery, Alanya Alaaddin Keykubat University School Of Medicine, Antalya, Türkiye

Objective: The necessity of using mesh to repair small-diameter umbilical hernias is still controversial in clinical practice. In our study, mesh and suture repair techniques, which are frequently used in the repair, of umbilical hernias with a diameter of ≤3 cm; it was aimed to compare in terms of recurrence, postoperative pain, and patient satisfaction.
Methods: Records of umbilical hernias with a diameter of ≤3 cm, which were operated in our center for over 3 years, were evaluated retrospectively. Two hundred-eighteen patients were included in the study; the mesh repair and suture repair groups were separated. The development of relapse, pain at rest and with physical activity, and satisfaction with the treatment were evaluated.
Results: Among the mesh repair and suture repair groups: There was no significant difference in terms of recurrence (p=0.662). In the mesh repair group, pain at rest (p=0.002) and pain with physical activity (p=0.003) were significantly higher, but these results did not result in a significant difference in patient satisfaction (p=0.928).
Conclusion: Suture repair can be safely preferred in the repair of small-diameter umbilical hernias (≤3 cm diameter), because it causes less postoperative pain, and there is a difference compared to mesh repair in terms of recurrence and patient satisfaction.

Keywords: Umbilical hernia, surgical mesh, sutured repair, pain, recurrence

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Küçük Umbilikal Hernilerin Onarýmýnda Sütür Onarým ile Meþ Onarýmýnýn Karþýlaþtýrýlmasý: Retrospektif Kohort Çalýþmasý

Mehmet KUBAT¹, Serkan ÞENGÜL^2
1Alanya Alaaddin Keykubat Üniversitesi Eðitim ve Araþtýrma Hastanesi, Genel Cerrahi Anabilim Dalý, Antalya, Türkiye
²Alanya Alaaddin Keykubat Üniversitesi Týp Fakültesi, Genel Cerrahi Anabilim Dalý, Antalya, Türkiye

Amaç: Küçük çaplý umbilikal hernilerin onarýmýnda meþ kullanýmý gerekliliði klinik pratikte halen tartýþmalý bir konudur. Çalýþmamýzda onarýmýnda sýk kullanýlan meþ ve sütür onarýmý tekniklerinin ≤3 cm çaplý umbilikal hernilerin; nüks, postoperatif aðrý ve hasta memnuniyeti açýsýndan karþýlaþtýrýlmasý amaçlandý.
Yöntem: Merkezimizde 3 yýllýk süre içerisinde ameliyat edilen ≤3 cm çaplý umbilikal hernilerin kayýtlarý retrospektif olarak deðerlendirildi. Çalýþmaya dahil edilen 218 hasta; meþ onarýmý ve sütür onarýmý gruplarý ayrýldý. Nüks geliþmesi, dinlenirken ve fiziksel aktiviteyle aðrý, tedaviden memnuniyet açýsýndan deðerlendirildi.
Bulgular: Meþ onarýmý ve sütür onarýmý gruplarý arasýnda; nüks açsýndan anlamlý fark görülmedi (p=0,662). Meþ onarýmý grubunda, dinlenirken aðrý (p=0,002) ve fiziksel aktiviteyle aðrý (p=0,003) anlamlý daha fazla görülürken bu sonuçlar hasta memnuniyetinde anlamlý farklýlýk ile sonuçlanmadý (p=0,928).
Sonuç: Küçük çaplý umbilikal hernilerin (≤3 cm çap) onarýmýnda sütür onarýmý, daha az postoperatif aðrýya neden olmasý, nüks ve hasta memnuniyeti açýsýndan meþ onarýmýna göre fark görülmesi nedeniyle güvenle tercih edilebilir bulunmuþtur.

Anahtar Kelimeler: Umbilikal herni, cerrahi meþ, sütür onarým, aðrý, nüks

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