Laparoscopic Surgical Treatment of Umbilical Hernia and Small Eventrations with Prosthetic Mesh using Omentum Overlay

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Laparoscopic Surgical Treatment of Umbilical Hernia and Small Eventrations with Prosthetic Mesh using Omentum Overlay

D. Bratu, A. Sabău, A. Dumitra, D. Sabău, A. Miheţiu, L. Beli, R. Hulpuş
Original article, no. 5, 2014
Introduction: Umbilical hernias and abdominal incisional hernias represent current pathologies which require numeroussurgical alternative ways of treatment in prosthetic or nonprosthetic,open or minimally invasive surgery. The methodproposed by us is a less expensive option with no additionalrisks compared to other similar procedures as surgicaltechnique.
Materials and methods. We conducted a retrospective study between 01.01.2008 - 01.06.2013 in which we considered anumber of 23 patients with umbilical hernia and eventration, patients who received laparoscopic intraperitoneal polyestermesh covered with omentum, procedure applied at the IIndSurgery Clinic, Clinical County Emergency Hospital Sibiu.
Results: Out of 23 patients with postoperative umbilical herniaand eventration cases in which we used this surgical technique,16 were umbilical hernias and 7 post incisional hernias. Theaverage time of surgery was 1 hour and 40 minutes, recording4 postoperative complications remitted under conservativetreatment, with a mean hospitalization of 4.1 days.
Conclusions: Proepiploic laparoscopic treatment using omentumis a reliable alternative to a more expensive and difficultprocedure involving Dual Mesh.