Open anatomical repair v/s laparoscopic repair of umbilical hernia using no. 1 polydioxanone suture (pds), randomized control trial

Abstract

Umbilical hernia can be described as an abnormal protrusion of a viscus, or part of a viscus through a congenital or acquired defect via umbilical cicatrix. Almost, 90% of umbilical hernia in adults are acquired. Only about 10% of adult umbilical hernia are found since childhood. Umbilical hernia has an incidence of 2% in adult population. The observed male: female ratio is 1:3. Development of umbilical hernia occurs as a result of possible weakness either through exit site of umbilical vessels or weakened umbilical fascia (Richet’s fascia). Contents of umbilical hernia could be preperitoneal pad of fat, omentum, and intestine (small or large). Treatment options range from observation to surgery. Surgery may be performed open or laparoscopically. Narrow neck in umbilical hernia as compared to inguinal hernia sac explains pathogenesis of strangulation and incarceration. Hence, surgical repair even for small hernias is advisable. Use of mesh prophylactically in these small hernia’s may be an overtreatment and may not be cost effective. Few studies are available comparing the open versus laparoscopic suture umbilical repair (mostly retrospective). Present study is a prospective randomised control trial comparing Open anatomical repair v/s Laparoscopic suture repair of umbilical hernia