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Novel Approach for Umbilical Hernia Repair Using Mesh Strips

Umbilical hernia repair is a common surgical procedure without a universally accepted means of repair. We introduce a novel surgical technique for open primary umbilical hernia repair, using strips of polypropylene mesh as sutures to achieve a repair. METHODS: Two-centimeter-wide strips of macroporo...

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Autores principales: Moradian, Simon, Klosowiak, Julian L., Boctor, Michael J., Issa, Tariq, Park, Seong, Dumanian, Gregory A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10129195/
https://www.ncbi.nlm.nih.gov/pubmed/37113310
http://dx.doi.org/10.1097/GOX.0000000000004947
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author Moradian, Simon
Klosowiak, Julian L.
Boctor, Michael J.
Issa, Tariq
Park, Seong
Dumanian, Gregory A.
author_facet Moradian, Simon
Klosowiak, Julian L.
Boctor, Michael J.
Issa, Tariq
Park, Seong
Dumanian, Gregory A.
author_sort Moradian, Simon
collection PubMed
description Umbilical hernia repair is a common surgical procedure without a universally accepted means of repair. We introduce a novel surgical technique for open primary umbilical hernia repair, using strips of polypropylene mesh as sutures to achieve a repair. METHODS: Two-centimeter-wide strips of macroporous polypropylene mesh were passed through the abdominal wall and tied as simple interrupted sutures to achieve umbilical hernia repair. A retrospective review of all elective umbilical hernia repairs performed by a single surgeon using the mesh strip technique between 2016 and 2021 was conducted, and patient-reported outcomes were assessed via a telephonic survey. RESULTS: Thirty-three patients underwent an elective, open mesh strip repair of a primary umbilical hernia and met criteria for inclusion in the study. Of these patients, 60% responded to a patient-reported outcomes telephone survey. Ninety percent of survey responders reported a pain score of 0 of 10. Additionally, 90% reported being unable to feel or palpate the knot, and 80% reported an improvement in quality of life. Mean follow-up at 3 years revealed one recurrence in the setting of ascites, yielding a recurrence rate of 3%. CONCLUSION: Primary mesh strip repair of umbilical hernias combines the simplicity of suture repair with the advantageous force distribution properties of mesh, and constitutes a safe, efficient, and effective method of repair with a low recurrence rate at long-term follow-up that is comparable to planar mesh repair.
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spelling pubmed-101291952023-04-26 Novel Approach for Umbilical Hernia Repair Using Mesh Strips Moradian, Simon Klosowiak, Julian L. Boctor, Michael J. Issa, Tariq Park, Seong Dumanian, Gregory A. Plast Reconstr Surg Glob Open Reconstructive Umbilical hernia repair is a common surgical procedure without a universally accepted means of repair. We introduce a novel surgical technique for open primary umbilical hernia repair, using strips of polypropylene mesh as sutures to achieve a repair. METHODS: Two-centimeter-wide strips of macroporous polypropylene mesh were passed through the abdominal wall and tied as simple interrupted sutures to achieve umbilical hernia repair. A retrospective review of all elective umbilical hernia repairs performed by a single surgeon using the mesh strip technique between 2016 and 2021 was conducted, and patient-reported outcomes were assessed via a telephonic survey. RESULTS: Thirty-three patients underwent an elective, open mesh strip repair of a primary umbilical hernia and met criteria for inclusion in the study. Of these patients, 60% responded to a patient-reported outcomes telephone survey. Ninety percent of survey responders reported a pain score of 0 of 10. Additionally, 90% reported being unable to feel or palpate the knot, and 80% reported an improvement in quality of life. Mean follow-up at 3 years revealed one recurrence in the setting of ascites, yielding a recurrence rate of 3%. CONCLUSION: Primary mesh strip repair of umbilical hernias combines the simplicity of suture repair with the advantageous force distribution properties of mesh, and constitutes a safe, efficient, and effective method of repair with a low recurrence rate at long-term follow-up that is comparable to planar mesh repair. Lippincott Williams & Wilkins 2023-04-25 /pmc/articles/PMC10129195/ /pubmed/37113310 http://dx.doi.org/10.1097/GOX.0000000000004947 Text en Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Reconstructive
Moradian, Simon
Klosowiak, Julian L.
Boctor, Michael J.
Issa, Tariq
Park, Seong
Dumanian, Gregory A.
Novel Approach for Umbilical Hernia Repair Using Mesh Strips
title Novel Approach for Umbilical Hernia Repair Using Mesh Strips
title_full Novel Approach for Umbilical Hernia Repair Using Mesh Strips
title_fullStr Novel Approach for Umbilical Hernia Repair Using Mesh Strips
title_full_unstemmed Novel Approach for Umbilical Hernia Repair Using Mesh Strips
title_short Novel Approach for Umbilical Hernia Repair Using Mesh Strips
title_sort novel approach for umbilical hernia repair using mesh strips
topic Reconstructive
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10129195/
https://www.ncbi.nlm.nih.gov/pubmed/37113310
http://dx.doi.org/10.1097/GOX.0000000000004947
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