Abstract:
This prospective study included 60 patients with umbilical and para-umbilical herniae who had operation with two different techniques. The purpose was to compare the merits and demerits of Mayo`s repair and tension free mesh repair. Inclusion criteria was, patients above 12 years of age, of both sex groups. Patients having diabetes mellitus, hypertension, huge hernias (i.e. diameter more than 7cm) recurrent hernias, cirrhosis of liver and chronic illness and below 12 years were excluded. The casual relationship of age and sex was studied which showed the maximum age incidence in 31-45 years of age, the male to female ratio remained 1:3.6 and majority of cases 78.33% were of para-umbilical hernia. The need for post operative analgesia was higher in Mayo`s repair ranged between 3-16 doses(mean 6.64) as compared to mesh repair which ranged between 0-4 doses(mean 2.5). There was fixed protocol for analgesic requirement. The period of post operative hospital stay was observed to be higher in Mayo`s repair (mean 1.8 days) as compared to mesh repair (mean 0.33 day). The complication rate in Mayo`s repair was 70% as compared to mesh repair which was observed 30%. In this study there was single recurrence in Mayo`s repair which was observed at ninth month of follow up, while no recurrence was seen in mesh repair.
Page(s):
62-65
DOI:
DOI not available
Published:
Journal: Pakistan Journal of Medical and Health Sciences, Volume: 2, Issue: 2, Year: 2008