EFFECTIVENESS OF PREPERITONEAL HERNIORRHAPHY WITH Ultrapro Plug MESH FOR UMBILICAL HERNIA REPAIR IN ADULTS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

XIEYanyan ¹ , MADongyang ¹ , SONGYinghan ¹ , LUAnqing ¹ , WANGMenghong ² ,  LEIWenzhang ¹

1. Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China;
2. Department of Outpatient Operating Room, Maternal and Child Health Care Hospital of Sichuan Province;

Corresponding author：

LEIWenzhang, Email: leiwz9@163.com

Keywords：

Umbilical hernia; Tension-free herniorrhaphy; Ultrapro Plug mesh; Adult

DOI：

10.7507/1002-1892.20160151

Video：

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Objective To explore the effectiveness of preperitoneal herniorrhaphy with Ultrapro Plug (UPP) mesh for umbilical hernia repair in adults. Methods Between September 2011 and June 2015, 71 patients with umbilical hernia underwent preperitoneal herniorrhaphy with UPP mesh. There were 26 males and 45 females, aged 19-92 years (mean, 54.3 years). The disease duration was 45 days to 30 years (median, 18 months). Umbilical hernia was diagnosed through physical examination, ultrasound, and other relevant auxiliary examination. According to American Society of Anesthesiologists (ASA) classification, 12 cases were rated as grade Ⅰ, 34 cases as grade Ⅱ, 21 cases as grade Ⅲ, and 4 cases as grade Ⅳ. The operation time, postoperative hospitalization time, complication, and recurrence were recorded. Results The diameter of hernia ring ranged 0.5-3.0 cm (mean, 1.8 cm). There was no vessel or intestine injury. The operation time was 12-35 minutes (mean, 22.4 minutes); postoperative hospitalization time was 12-48 hours (mean, 16.3 hours). Fat liquefaction of incision occurred in 2 cases, and primary healing of incision was obtained in the other cases. Sixty-nine patients were followed up 8-51 months (median, 28 months). Hernia recurrence and patch infection occurred in 1 case respectively during follow-up. No postoperative foreign body sensation and chronic pain occurred. Conclusion Repairing umbilical hernia in adults with UPP mesh should be safe and reliable, because it has the advantages of short operation time, short hospital stay, less complication, and lower incidence of recurrence.

Citation： XIEYanyan, MADongyang, SONGYinghan, LUAnqing, WANGMenghong, LEIWenzhang. EFFECTIVENESS OF PREPERITONEAL HERNIORRHAPHY WITH Ultrapro Plug MESH FOR UMBILICAL HERNIA REPAIR IN ADULTS. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(6): 739-741. doi: 10.7507/1002-1892.20160151 Copy

1.	Brancato G, Privitera A, Gandolfo L, et al. Plug-technique for umbilical hernia repair in the adult. Minerva Chir, 2002, 57(1): 13-16.
2.	Dabić D, Cerović S, Azanjaç B, et al. Prolene hernia system, ultrapro hernia system and 3D patch devices in the treatment of inguinal, femoral, umbilical and small incisional hernias in outpatient surgery. Acta Chir Iugosl, 2011, 57(2): 49-54.
3.	Doerhof C. Technique: Plug and Patch//The SAGES Manual of Hernia Repair. New York: Springer, 2013: 55-70.
4.	Song Y, Lu A, Ma D, et al. Long-term results of femoral hernia repair with ULTRAPRO Plug. J Surg Res, 2015, 194(2): 383-387.
5.	Salameh JR. Primary and unusual abdominal wall hernias. Surgical Clinics of North America, 2008, 88(1): 45-60.
6.	Kulah B, Kulacoglu IH, Oruc MT, et al. Presentation and outcome of incarcerated external hernias in adults. Am J Surg, 2001, 181(2): 101-104.
7.	Belghiti J, Gillet M. La chirurgie digestive chez le cirrhotique. Paris: Springer Verlag, 1993: 53-60.
8.	Kurzer M, Belsham PA, Kark AE. Tension-free mesh repair of umbilical hernia as a day case using local anaesthesia. Hernia, 2004, 8(2): 104-107.
9.	Muschaweck U. Umbilical and epigastric hernia repair. Surg Clin North Am, 2003, 83(5): 1207-1221.
10.	Arroyo A, García P, Pérez F, et al. Randomized clinical trail comparing suture and mesh repair of umbilical hernia in adults. Br J Surg, 2001, 88(3): 1321-1323.
11.	Zhong C, Wu B, Yang Z, et al. A meta-analysis comparing lightweight meshes with heavyweight meshes in Lichtenstein inguinal hernia repair. Surg Innov, 2013, 20(1): 24-31.
12.	Li J, Ji Z, Cheng T. Lightweight versus heavyweight in inguinal hernia repair: a meta-analysis. Hernia, 2012, 16(5): 529-539.
13.	Klinge U, Park JK, Klosterhalfen B. The ideal mesh? Pathobiology, 2013, 80(4): 169-175.
14.	Berrevoet F, D’Hont F, Rogiers X, et al. Open intraperitoneal versus retromuscular mesh repair for umbilical hernias less than 3 cm diameter. Am J Surg, 2011, 201(1): 85-90.
15.	Porrero JL, Cano-Valderrama O, Marcos A, et al. Umbilical hernia repair: analysis after 934 procedures. Am Surg, 2015, 81(9): 899-903.
16.	de Vries Reilingh TS, van Geldere D, Langenhorst B, et al. Repair of large midline incisional hernias with polypropylene mesh: comparison of three operative techniques. Hernia, 2004, 8(1): 56-59.
17.	张巍, 申英末. 聚丙烯平片腹膜前修补法在成人脐疝手术治疗中的应用. 中华疝和腹壁外科杂志(电子版), 2011, 5(3): 325-328.
18.	姚胜, 李基业, 刘飞德, 等. 改良Kugel和CK补片修补成人脐疝23例报告. 中华普外科手术学杂志(电子版), 2007, 1(2): 85-86.
19.	Perrakis E, Velimezis G, Vezakis A, et al. A new tension-free technique for the repair of umbilical hernia, using the Prolene Hernia System—early results from 48 cases. Hernia, 2003, 7(4): 178-180.

1. Brancato G, Privitera A, Gandolfo L, et al. Plug-technique for umbilical hernia repair in the adult. Minerva Chir, 2002, 57(1): 13-16.
2. Dabić D, Cerović S, Azanjaç B, et al. Prolene hernia system, ultrapro hernia system and 3D patch devices in the treatment of inguinal, femoral, umbilical and small incisional hernias in outpatient surgery. Acta Chir Iugosl, 2011, 57(2): 49-54.
3. Doerhof C. Technique: Plug and Patch//The SAGES Manual of Hernia Repair. New York: Springer, 2013: 55-70.
4. Song Y, Lu A, Ma D, et al. Long-term results of femoral hernia repair with ULTRAPRO Plug. J Surg Res, 2015, 194(2): 383-387.
5. Salameh JR. Primary and unusual abdominal wall hernias. Surgical Clinics of North America, 2008, 88(1): 45-60.
6. Kulah B, Kulacoglu IH, Oruc MT, et al. Presentation and outcome of incarcerated external hernias in adults. Am J Surg, 2001, 181(2): 101-104.
7. Belghiti J, Gillet M. La chirurgie digestive chez le cirrhotique. Paris: Springer Verlag, 1993: 53-60.
8. Kurzer M, Belsham PA, Kark AE. Tension-free mesh repair of umbilical hernia as a day case using local anaesthesia. Hernia, 2004, 8(2): 104-107.
9. Muschaweck U. Umbilical and epigastric hernia repair. Surg Clin North Am, 2003, 83(5): 1207-1221.
10. Arroyo A, García P, Pérez F, et al. Randomized clinical trail comparing suture and mesh repair of umbilical hernia in adults. Br J Surg, 2001, 88(3): 1321-1323.
11. Zhong C, Wu B, Yang Z, et al. A meta-analysis comparing lightweight meshes with heavyweight meshes in Lichtenstein inguinal hernia repair. Surg Innov, 2013, 20(1): 24-31.
12. Li J, Ji Z, Cheng T. Lightweight versus heavyweight in inguinal hernia repair: a meta-analysis. Hernia, 2012, 16(5): 529-539.
13. Klinge U, Park JK, Klosterhalfen B. The ideal mesh? Pathobiology, 2013, 80(4): 169-175.
14. Berrevoet F, D’Hont F, Rogiers X, et al. Open intraperitoneal versus retromuscular mesh repair for umbilical hernias less than 3 cm diameter. Am J Surg, 2011, 201(1): 85-90.
15. Porrero JL, Cano-Valderrama O, Marcos A, et al. Umbilical hernia repair: analysis after 934 procedures. Am Surg, 2015, 81(9): 899-903.
16. de Vries Reilingh TS, van Geldere D, Langenhorst B, et al. Repair of large midline incisional hernias with polypropylene mesh: comparison of three operative techniques. Hernia, 2004, 8(1): 56-59.
17. 张巍, 申英末. 聚丙烯平片腹膜前修补法在成人脐疝手术治疗中的应用. 中华疝和腹壁外科杂志(电子版), 2011, 5(3): 325-328.
18. 姚胜, 李基业, 刘飞德, 等. 改良Kugel和CK补片修补成人脐疝23例报告. 中华普外科手术学杂志(电子版), 2007, 1(2): 85-86.
19. Perrakis E, Velimezis G, Vezakis A, et al. A new tension-free technique for the repair of umbilical hernia, using the Prolene Hernia System—early results from 48 cases. Hernia, 2003, 7(4): 178-180.

Chinese Journal of Reparative and Reconstructive Surgery

EFFECTIVENESS OF PREPERITONEAL HERNIORRHAPHY WITH Ultrapro Plug MESH FOR UMBILICAL HERNIA REPAIR IN ADULTS

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