Abstract: Introduction: Para Umbilical hernia is the commonest of all the abdominal hernias. It constitutes about 6% of all abdominal hernias in adults. Mesh onlay repair by open surgery can be applied to all sizes of para umbilical hernias, it has low recurrence rate and the rates of morbidity and recurrence are comparable with international standards.
Aim and Objectives: To compare the surgical outcome of anatomical repair versus meshplasty in the treatment of uncomplicated para umbilical hernias in context of post-operative pain, wound infection, hospital stay, post-operative complications, cost of treatment and recurrence rate.
Material and Methods: A total of 50 patients attending the general surgery department for para-umbilical hernia with defect of less than 3cms were included in the study. The surgical outcome of anatomical repair versus meshplasty in the treatment of uncomplicated para umbilical hernias with respect to post-operative pain, wound infection, hospital stay, postoperative complications (seroma, hematoma), and cost of treatment and recurrence rate was compared.
Results: The mean age of the patients was 44.4±9.67 yrs of age. There was equal distribution of gender with 48% male and 52% female patients with male to female ratio of approximately 1:1. Significant lower mean pain score was seen among the patients who underwent meshplasty. Incidence of SSI, seroma and hematoma was present in 8% among the anatomical repair. Significant higher duration of hospital stay was seen among the patients who underwent anatomical repair (6.24±0.72 days) as compared to meshplasty (5.64±0.7 days). The cost of treatment was higher among the patients of meshplasty, whereas the rate of recurrence was higher among the patients with anatomical repair (12%) as compared to meshplasty.
Conclusion: We found significant better outcome in patients who underwent meshplasty as compared to anatomical repair.
