Application of prolene hernia system in the management of adult umbilical hernia

Abstract EN

This study included 20 patients with adult umbilical hernia, admitted in the surgery department Assiut University Hospital in the period between September 2002 and September 2004, 19 females and one male, their ages ranged from 29 to 54 years with mean age 44.6, their average weight was 65.2kg (range from 52kg to 80kg), and the average height was 158cm (range from 154 to 163cm).

Through sub-umbilical smile incision, the sac and the contents were dissected and then restorted into the abdominal cavity, the peritoneum was dissected off posterior rectus sheath to accommodate the Oval layer of the Prolene Hernia System without suturing, the defect was narrowed snugly around the connecting cylinder by absorbable interrupted sutures, the circular layer was then fixed to the anterior rectus sheath as onlay mesh by 4 to 6 prolene No (0) stitches.

Closure of the skin and subcutaneous tissue with suction drain was done.

Prophylactic antibiotic was instituted (3 doses only).

Suction drain was removed after 1-2 days.

Patient was discharged 3-6 days after the operation.

After a mean period offollow up of one year, no recurrence was recorded.

We concluded that prosthetic hernioplasty in the treatment of adult umbilical hernia is satisfactory and we recommend the use of Prolene Hernia System "PHS" as it has no recurrence (0%) with low morbidity.