Effectiveness of simultaneous umbilical hernia primary repair with laparoscopic cholecystectomy

OBJECTIVE: Umbilical hernia repair can be easily performed simultaneously with laparoscopic cholecystectomy. The use of mesh is recommended for hernias larger than 1 cm. In this study, patients with primary repair of umbilical hernia simultaneously with laparoscopic cholecystectomy were evaluated. I...

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Bibliographic Details
Published in:Northern Clinics of Istanbul 2023-01, Vol.10 (5), p.556-559
Main Authors: Gundogdu, Ramazan, Erkan, Serkan, Kus, Murat, Aytac, Huseyin Ozgur, Yabanoglu, Hakan
Format: Article
Language:English
Subjects:
Analysis
Body mass index
Cholecystectomy
General Surgery
Hernia
Hernias
Laparoscopic surgery
Laparoscopy
Length of stay
Medical research
Medicine, Experimental
Navel
Original
Patients
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Summary:OBJECTIVE: Umbilical hernia repair can be easily performed simultaneously with laparoscopic cholecystectomy. The use of mesh is recommended for hernias larger than 1 cm. In this study, patients with primary repair of umbilical hernia simultaneously with laparoscopic cholecystectomy were evaluated. It aimed to present the effectiveness of this method and the effect of body mass index (BMI) on treatment results. METHODS: The records of patients who underwent primary repair of umbilical hernia simultaneously with laparoscopic cholecystectomy between 2014 and 2021 were reviewed retrospectively. Patients' age, gender, BMI, length of hospital stay, recurrence and reoperation information, and follow-up times were analyzed. The patients were examined in three groups according to their BMI, and the effect of BMI on treatment was investigated. RESULTS: patients were included in the study. Median values of the patients for age, BMI, hospitalization, and follow-up were 63 (28-94), 31 (20-51) kg/[m.sup.2], 1 (1-25) days, and 23 (0.6-76) months, respectively. Recurrence was detected in 8 patients. BMI was 30 in 5 patients. There was no significant correlation between length of stay, number of relapse and reoperation, and BMI (p>0.05). CONCLUSION: In our study, the recurrence rate was found to be higher than the studies reported with the use of mesh, and most of the patients with recurrence are obese, although it is not statistically significant. If the recurrence rate is acceptable, we believe that repair with primary suture is feasible in umbilical hernia. Keywords: Cholelithiasis; mesh; primary repair; umbilical hernia.
ISSN:2148-4902
2536-4553
DOI:10.14744/nci.2022.02700