Comparison of Mayo’s Repair with Mesh Repair for Paraumbilical Hernia in Adults

Paraumbilical hernia is an uncharacteristic protrusion of abdominal contents that pushes through the abdominal wall surrounding the umbilicus.1 Strenuous activities usually cause the bulge to appear around the umbilicus. 2 Paraumbilical hernia is routinely seen in our patients. The recommended treatment for this condition is undoubtedly surgery. The choice of appropriate surgical procedure is still subject to debate. In adults the surgery for paraumbilical hernia is associated with a high recurrence rates of 10 – 30%.3 Obesity and multiparity are important predisposing factors not only for primary but also for recurrent cases.4 The simplest and the most established method is Mayo’s overlap technique using non-absorbable suture material with or without a drain but unfortunately is troubled with high recurrence.5 The use of mesh regarding treatment strategy is not new and has been reported to cause reduction in recurrence rates.6 In this study an attempt was made to compare the results of mayo’s repair with onlay mesh repair in patients presenting with this problem.