Abstract
Purpose: to report epidemiological, clinical and therapeutic results.
Material and Methods: It was a retrospective and descriptive study carried out in the visceral surgery department in 5 years (January 2015 to December 2019), on umbilical hernias in adults.
Results: Fifty-six patients underwent herniorraphy. The average age was 50 years old. The female gender was dominant (58.9%). Physical work, multiparity, overweight were the predisposing factors. The aesthetics of the abdominal wall, mimic abdominal pain, hernial infatuation were the reasons for consultation. The dimensions of the collar were classified into 3 types: Small hernia: diameter of the collar <2 cm (n = 26; 46.5%); medium hernia: diameter between 2 and 4 cm (n = 20; 35.7%); bulky hernia: diameter> 4 cm (n = 10; 17.8%).
The approach was a laparotomy. The herniorraphy by simple suture (n = 22), the herniorraphy by plasty according to Mayo (n = 5) and prosthetic hernioplasty (n = 29) were the operating techniques. The polypropylene prosthesis was placed in 26 patients with retro aponeurotic pre-peritoneal. The results were excellent in 48 patients. The morbidity was 7 cases (12.5%) including: 3 parietal infections, 2 seromas, 1 hematoma and 1 recurrence. There has been one death from a pulmonary embolism.
Conclusion: It is important to decide on a wall repair before complications arise. We support prosthetic hernioplasty in adult umbilical hernias.
Keywords: umbilical hernia, herniorraphy, hernioplasty, prosthesis.
References
- Delamare J, Garnier D. Dictionnaire des termes de médecine, 29ème édition, juillet 2006 Edition Maloine– ISBN
- Pélissier E., Armstrong O., Ngo P.. EMC (Elsevier Masson SAS, Paris), Techniques chirurgicales- Appareil digestif,40-145, 2011.
- Perrakis E, Velimezis G, Vezakis A et al . Une nouvelle technologie sans tension pour la réparation de la hernie ombilicale, en utilisant le Prolene Hernia Système –résultat précoce de 48 cas .Hernie 2003 ; 7 178-80.
- Jairam A P, Kaufmann R, Muysoms F, Jeekel J, Lange J F. La faisabilité de l’anesthésie locale pour le traitement chirurgical de la hernie ombilicale : une revue systématique de la littérature .Hernie 2017 ; 21 :223-31.
- Chung Lucia P. S. Abdominal wall hernias: symptoms and outcome. MD thesis 2014. University of Glasgow.
- Lau H, Patil N G. Hernie ombilicale chez l’adulte .Laparoscopique vs réparation Surg Endos 2003 ; 17 : 2016-20.
- Arroyo A., Garcia P, Pérez F., Andreu J. Randomized clinical trial comparing suture and mesh repair of umbilical hernia in adults. University hospital of Elche, Spain
- Muschaweck U, Reparation de hernie ombilicale et épigastrique .Surg Clin North Am 2003 ;83 : 1207-21.
- El Mourabit Hamza. La hernie ombilicale de l’adulte thèse N°015. Royaume du Maroc. 2019.
- Polat C, Dervisoglu A, Senyurek G et al. Umbilical hernia repair with prolene hernia system. Am J Surg 2005;190:61– 4.
- Manaouil H, Regimbeau J.-M, Loriau J., Verhaeghe P. Les hernies ombilicales : traitement par la technique de la prothèse ‘timbre-poste’. Annales de chirurgie 128 (2003) 563–66.
- Halm J A. Experimental and Clinical Approaches to Hernia Treatment and Prevention. Thesis Erasmus Universiteit 2007.
- Delaunay F et al. Staphylococcus lugdunensis necrotizing fasciitis after abdominal dermolipectomy: report of two cases and review of the literature. Ann Chir Plast Esthet 2014 ; 59(2): 136-39.
- Colavita P D., Belyansky I. Umbilical hernia repair with mesh: identifying effectors of ideal outcomes. Article. The american journal of surgery 2014.
- Brancato G, Privitera A, Gandolfo L, Donati M, Caglia P. Plug technique for umbilical hernia repair in the adults. Minerva Chir 2002;57:13–6.
- Sanajav P, Reid TD, Davies EL et al. Retrospective comparison of mesh and sutured repair for umbilical hernias. Hernia 2005;9:248 –51.
Corresponding Author
Doctor Bayonne Manou Louis Stanislas
BP: 5258 Libreville, Gabon
DOI: https://dx.doi.org/10.18535/jmscr/v8i4.43
