Comparison of Mayo’s Repair with Mesh Repair for Paraumbilical Hernia in Adults

Abstract

Paraumbilical hernia is an uncharacteristic protrusion of abdominal contents that pushes through the abdo-minal wall surrounding the umbilicus.¹ Strenuous acti-vities usually cause the bulge to appear around the um-bilicus.² Paraumbilical hernia is routinely seen in our patients. The recommended treatment for this condi-tion is undoubtedly surgery. The choice of appropriate surgical procedure is still subject to debate. In adults the surgery for paraumbilical hernia is associated with a high recurrence rates of 10 – 30%.³ Obesity and mul-tiparity are important predisposing factors not only for primary but also for recurrent cases.⁴ The simplest and the most established method is Mayo’s overlap techni-que using non-absorbable suture material with or with-out a drain but unfortunately is troubled with high recurrence.⁵ The use of mesh regarding treatment stra-tegy is not new and has been reported to cause reduc-tion in recurrence rates.⁶ In this study an attempt was made to compare the results of mayo’s repair with on-lay mesh repair in patients presenting with this problem.