Comprehensive Outcome of Repair of Small Paraumbilical Hernias by Onlay Mesh Hernioplasty under Local Anesthesia

Abstract

Umbilical and para-umbilical hernia is becoming a relatively common surgical issue. Studies have shown the rising trend in UK [1] i.e. from 5% to 14% as well as in Turkey [2]. Abnormal protrusion of abdominal contents, mesenteric fat, intestines through a weaker area in the anterior abdominal wall closes to umbilicus is called paraumbilical Hernia. Weak spot may result due to defect in the anterior abdominal muscles, rectus sheath or ligaments. The defect may be congenital or acquired [3]. Hernial contents squeeze through the weak spot in the form of protruding hernia sac. Its common complications are strangulation or intestinal obstruction. Commonly women are more prone to develop para umbilical hernias as compared to males. Patients usually present with a visible lump around navel.