<abstract xmlns="http://www.w3.org/1999/xhtml"><bold>Introduction:</bold> Minimally invasive surgical procedures have become routine interventions nowadays and represent an effective therapeutic option even for small umbilical hernias, providing favorable postoperative and aesthetic results.<bold>Aim of study:</bold> To determine the most appropriate minimally invasive treatment option for small and medium size umbilical hernias.<bold>Materials and methods:</bold> We conducted a prospective study on 50 patients with small or medium umbilical hernia (&lt;4 cm). All patients benefited of minimal invasive surgery with mesh implantation. Depending on the surgical procedure, two major groups were defined: group A – patients with open surgical approach (n = 24) and group B – patients undergoing laparoscopic surgery (n = 26). Clinical, surgical, postoperative, and follow-up data were analyzed.<bold>Results:</bold> Mesh replacement via open approach through the umbilicus was associated with significantly reduced surgical time (p = 0.0359), administration of painkillers (p = 0.0461), and use of anticoagulants (p = 0.0404). Hospital stays (p = 0.0001) and costs (p = 0.0005) were also significantly lower in this group. After 6 months of follow-up, no recurrence was observed, and no significant differences were detected regarding postoperative pain and the patients’ professional reintegration. Patient satisfaction regarding postoperative scar was superior in the open group.<bold>Conclusion:</bold> The present study indicates that the ventral patch technique is a safe and effective method for the treatment of small and medium size umbilical hernias.</abstract>

Introduction: Minimally invasive surgical procedures have become routine interventions nowadays and represent an effective therapeutic option even for small umbilical hernias, providing favorable postoperative and aesthetic results.Aim of study: To determine the most appropriate minimally invasive treatment option for small and medium size umbilical hernias.Materials and methods: We conducted a prospective study on 50 patients with small or medium umbilical hernia (<4 cm). All patients benefited of minimal invasive surgery with mesh implantation. Depending on the surgical procedure, two major groups were defined: group A – patients with open surgical approach (n = 24) and group B – patients undergoing laparoscopic surgery (n = 26). Clinical, surgical, postoperative, and follow-up data were analyzed.Results: Mesh replacement via open approach through the umbilicus was associated with significantly reduced surgical time (p = 0.0359), administration of painkillers (p = 0.0461), and use of anticoagulants (p = 0.0404). Hospital stays (p = 0.0001) and costs (p = 0.0005) were also significantly lower in this group. After 6 months of follow-up, no recurrence was observed, and no significant differences were detected regarding postoperative pain and the patients’ professional reintegration. Patient satisfaction regarding postoperative scar was superior in the open group.Conclusion: The present study indicates that the ventral patch technique is a safe and effective method for the treatment of small and medium size umbilical hernias.

Proper Surgical Treatment of Small and Medium Size Umbilical Hernias. A Single Surgeon Experience

“George Emil Palade” University of Medicine, Pharmacy, Science and Technology

Journal of Interdisciplinary Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Introduction: Minimally invasive surgical procedures have become routine interventions nowadays and represent an effective therapeutic option even for small...

Proper Surgical Treatment of Small and Medium Size Umbilical Hernias. A Single Surgeon Experience

Published Online: Jul 06, 2020

Page range: 56 - 63

Received: Apr 19, 2020

Accepted: May 20, 2020

DOI: https://doi.org/10.2478/jim-2020-0007

Keywords
small umbilical hernia, ventral patch, minimally invasive, esthetics

© 2020 Etele Élthes et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Proper Surgical Treatment of Small and Medium Size Umbilical Hernias. A Single Surgeon Experience

Published Online: Jul 06, 2020

Page range: 56 - 63

Received: Apr 19, 2020

Accepted: May 20, 2020

DOI: https://doi.org/10.2478/jim-2020-0007

Keywordssmall umbilical hernia, ventral patch, minimally invasive, esthetics

© 2020 Etele Élthes et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
small umbilical hernia, ventral patch, minimally invasive, esthetics