Assessment of Laparoscopic Hernial Repair of Primary Paraumbilical Hernia Through Transabdominal Preperitoneal Technique

Abstract

ara-Umbilical Hernia (PUH) is one of the most common surgical problems with rise in the repair rate annually. Previously PUHs were repaired by tension-free suture technique. Due to a high unacceptable recurrence rate this procedure lost popularity. A real change in view of PUH repair came with the introduction of meshplasty. An increased incidence of wound infection and wound-related complications in open mesh repair lead to continuing research into the optimal method of treatment of PUH which lead the surgeons to adopt laparoscopic approach. Conventionally, smaller PUH (<3 cms) has been repaired by open suture technique such as MAYO repair and its modifications but with a high recurrence rate of more than 20%.