Volumen 80, Número 2, Marzo-Abril 2012
Emilio Prieto-Díaz Chávez, José Luis Medina-Chávez, Luis Omar Ávalos-Cortes, Andrea Atilano-Coral, Benjamín Trujillo-Hernández
Background: Surgical management of umbilical hernias is proposed in the vast majority of cases. The typical approaches make a semilunar incision above the umbilicus.
The aim of this study is evaluate the surgical approach with two different incisions, the transumbilical approach and the infra-umbilical approach.
Methods: Included in the study were 82 consecutive patients with diagnosis of umbilical hernia. Variables related to demographic characteristics, surgical operation, and cosmetic results were evaluated. Patients were randomized into two groups; transumbilical or infra-umbilical approach.
Statistical analysis was carried out to evaluate complications, recurrences and aspects of the surgical scar.
Results: The study included group A (42 patients) and group B (40 patients). The most frequent symptom was pain in both groups. Complications were similar in both groups with four (9.5%) in group A and eight (19%) in group B (RR 0.53, 95% CI 0.17–1.61, p = 0.24). Cosmetic results were classified as good in the vast majority of patients in group A (p 0.001). No recurrences or mortality have been reported so far in both studied groups.
Conclusion: We described an uncommon technique of incision with the aim of improving cosmetic results. Our results are in concordance with randomized clinical trials with the same technique with no recurrence or mortality to date. Cosmetic results in our patients using the transumbilical approach were clearly superior.
Key words: umbilical hernia, transumbilical approach, complications, recurrence, cosmetic results.