Comparative Study between Mesh Repair Versus Mayo’s Repair in Surgical Treatment of Paraumblical Hernia

Background: Para umbilical hernia has many causes and it is a complex process, they are most commonly found along the midline. This study aims to assess the efficacy of mesh repair in comparison toMayo’sRepair and toanalyse the complications associated with the management.

Method: The study was done in Samarra general hospital, with clinical features suggestive of Paraumbilical hernia (Minimum 30 cases each) from October 2014 to October 2016. This study not include Paediatric age group and those patients requiring emergency surgery. 30 patients underwent Mayo’s repair and 30 patients underwent Mesh repair. Follow up period ranged from 2 months to 24 months.

Results: Paraumbilical hernia was found more commonly between the age of 30 years to 50 years with female: male 3:1. Most common presenting symptom was swelling with cough impulse (36 %) and reducibility present. Commonest predisposing factors were multiparty and obesity. Percentage of early postoperative complications in Mayo’s repair was 18% and in Mesh repairs 6%. Percentage of recurrence following Mayo’s repair was 13.3% and following mesh repair was 0%. Postoperative complications like seroma, infections were similar in both procedures (Mayo’s repair and Mesh repair).

Conclusions: Prosthetic mesh repair is a technique with good post-operative outcome, low recurrent rate and Good patient satisfaction.