Title: Adult umbilical hernia. Study of a series of 56 cases at the CHU in Libreville, Gabon
Authors: L S Bayonne Manou, F K Diallo, K Dyatta Mayombo
DOI: https://dx.doi.org/10.18535/jmscr/v8i4.43
Abstract
Purpose: to report epidemiological, clinical and therapeutic results.
Material and Methods: It was a retrospective and descriptive study carried out in the visceral surgery department in 5 years (January 2015 to December 2019), on umbilical hernias in adults.
Results: Fifty-six patients underwent herniorraphy. The average age was 50 years old. The female gender was dominant (58.9%). Physical work, multiparity, overweight were the predisposing factors. The aesthetics of the abdominal wall, mimic abdominal pain, hernial infatuation were the reasons for consultation. The dimensions of the collar were classified into 3 types: Small hernia: diameter of the collar <2 cm (n = 26; 46.5%); medium hernia: diameter between 2 and 4 cm (n = 20; 35.7%); bulky hernia: diameter> 4 cm (n = 10; 17.8%).
The approach was a laparotomy. The herniorraphy by simple suture (n = 22), the herniorraphy by plasty according to Mayo (n = 5) and prosthetic hernioplasty (n = 29) were the operating techniques. The polypropylene prosthesis was placed in 26 patients with retro aponeurotic pre-peritoneal. The results were excellent in 48 patients. The morbidity was 7 cases (12.5%) including: 3 parietal infections, 2 seromas, 1 hematoma and 1 recurrence. There has been one death from a pulmonary embolism.
Conclusion: It is important to decide on a wall repair before complications arise. We support prosthetic hernioplasty in adult umbilical hernias.
Keywords: umbilical hernia, herniorraphy, hernioplasty, prosthesis.
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