STUDY OF EPIDEMIOLOGICAL, CLINICAL AND THERAPEUTIC ASPECTS OF ADULT UMBILICAL HERNIA IN RAMADI CITY/IRAQ
*Dr. Mohammed Abdullah Mohammed, Dr. Thaker Thiab Hmoo and Dr. Allawi Muhi Jasim
ABSTRACT
The current retrospective and descriptive study was carried out in the visceral surgery department during 3 years (January 2017 to December 2019) on umbilical hernias in adults. The study aimed to report epidemiological, clinical and therapeutic results. In this study, (50) patients underwent herniorraphy. The average age was 50 years. The female gender was dominant (60.0%). 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 = 22; 44%), medium hernia: diameter between 2 and 4 cm (n = 18; 36%) and bulky hernia: diameter > 4 cm (n = 10; 20%). The approach was a laparotomy. The herniorraphy by simple suture (n = 20), the herniorraphy by plasty according to Mayo (n = 5) and prosthetic hernioplasty (n = 25) were the operating techniques. The polypropylene prosthesis was placed in 23 patients with retro aponeurotic pre-peritoneal and 2 in pre-aponeurotic retro muscle in case of laborious dissection. The results were excellent in 45 (90%) patients. The morbidity was 5 cases (10%) including: 2 parietal infections, 1 seromas, 1 hematoma and 1 recurrence. It can be concluded that it is important to decide on a wall repair before complications arise, and we support prosthetic hernioplasty in adult umbilical hernias.
Keywords: Umbilical hernia, Herniorraphy, Hernioplasty, Prosthesis.
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