PARA UMBILICAL HERNIAS

COMPARATIVE EFFECTIVENESS OF MESH VERSUS MAYO’S REPAIR

  • Muhammad Kalim Hayatabad Medical Complex, Peshawar.
  • Saeed Khan Hayatabad Medical Complex, Peshawar.
  • Asad Ali Hayatabad Medical Complex, Peshawar.
  • Rafi Ullah Hayatabad Medical Complex, Peshawar.
  • Mazhar Khan Hayatabad Medical Complex, Peshawar.
Keywords: Para Umbilical Hernias, Mesh Repair, Mayo’s Repair, Post-Operative Pain

Abstract

Background: Para-umbilical hernias are the common hernias among ventral
abdominal hernias constituting about 85% of the overall abdominal wall hernias. Due to their
high risk of complications, adult paraumbilical hernias needs surgical repair. Objectives: To
compare effectiveness of mesh versus mayo’s repair of para umbilical hernias in terms of postoperative
pain. Study Design: Randomized controlled trial. Setting: Surgical Department,
Hayatabad Medical Complex, Peshawar. Period: 12 months. Materials and Methods: A total
of 162 patients with paraumblical hernia were repaired. They were equally divided into 2 groups
with mesh repair (group A) and Mayo’s repair (Group B). The intervention effectiveness of mesh
versus mayo’s repair of para umbilical hernias was measured in terms of post-operative pain
by Visual Analogue Scale at the end of 3rd month. Data was analyzed by using SPSS version
17. Chi Square Test was used p Value < 0.05 was significant. All the results were presented
in the form of tables and charts. Results: Mean age in (Mesh repair) was 30 years ± 2.1SD
whereas mean age in (Mayos repair) was 28 years ± 1.71SD. In Group A (Mesh repair), 73(90%)
patients had mild pain (VAS 0-3), 8(10%) patients had moderate pain (VAS 4-6). In Group B
(Mayos repair), 63(78%) patients had mild pain (VAS 0-3), 16(20%) patients had moderate pain
score (VAS 4-6), 2(2%) patients had severe pain score (VAS 7-10). Mesh repair was effective in
73(90%) patients whereas Mayos repair was effective in 63 (78%) patients. Conclusion: Mesh
repair is more effective in terms of post-operative pain than Mayos repair.

Author Biographies

Muhammad Kalim, Hayatabad Medical Complex, Peshawar.

MBBS, FCPS
Registrar

Saeed Khan, Hayatabad Medical Complex, Peshawar.

MBBS, FCPS
Senior Registrar

Asad Ali, Hayatabad Medical Complex, Peshawar.

MBBS
Medical Officer

Rafi Ullah, Hayatabad Medical Complex, Peshawar.

MBBS, FCPS
Medical Officer

Mazhar Khan, Hayatabad Medical Complex, Peshawar.

MBBS, FtRCS,
Diploma in Urology London
Professor

Published
2018-01-10