PARA UMBILICAL HERNIAS

COMPARATIVE EFFECTIVENESS OF MESH VERSUS MAYO’S REPAIR

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.