Laparoscopic Umbilical Hernia Repair by Modified 2 Port Techniques

Abstract

Background: Laparoscopic umbilical hernia repair has largely replaced open method and is gaining increasing popularity due to its various advantages. Hence the present research was undertaken to study the feasibility, efficiency, and safety of the laparoscopic umbilical hernia repair technique using modified two ports, combined with Herniorraphy and intraabdominal mesh fixation by trans- abdominal non-absorbable suture technique.

Methodology: In this study, total 100 patients, including non-emergency and emergency underwent laparoscopic repair by combined Herniorraphy and intraabdominal mesh were studied. Two-port technique was used and the umbilical defect was closed using trans-abdominal suture, composite polypropylene, and PTFE mesh was placed intra abdominally and fixed to abdominal wall using trans abdominal  polypropylene sutures at 4 corners of mesh and with absorbable fixation device.

Result: The average operative time for laparoscopic repair was 60?min, ranged from 45-100?min. The average hospital stay was 2.5 days (range 1 to 4 days). Early complications was seen in 13 patients who developed urinary retention requiring catheterization, 04 patients developed ileus which resolved spontaneously by 3^rd day, including 02 emergency patients. Late postoperative complications occurred in six patients, complaining of abdominal pain which resolved over 6 months without further treatment. No patients presented with chronic pain or recurrence over the follow-up period of more than one year. None of the patient developed seroma at umbilicus or discharge from suture site.

Conclusion: The modified 2 port laparoscopic umbilical hernia repair with combined Herniorraphy and intraabdominal mesh fixation has good clinical outcomes, less post-operative morbidity and offers an efficient, safe, and effective repair for umbilical hernia.