Nazir Ahmed Tunio.
Hernioplasty: Tension free mesh repair versus Mayos repair for umbilical hernias.
J Pak Med Assoc Jan ;67(1):24-6.

Objectives: To compare two different techniques of repairing umbilical hernia. Methods: The comparative study was conducted from April 2009 to December 2011 at the Gambat Institute of Medical Sciences, Gambat, Pakistan, and comprised hernia patients who were randomly allocated to group A and group B. In group A, repair was carried with tension free hernioplasty, while group B underwent Mayo's repair. All patients were operated by the same consultant surgeon. All patients were followed up for 36 months. Results: The 86 patients were divided into two groups of 43(50%) each. There were 18(20.9%) males and 68(79%) females. Patients in group A needed less post-operative analgesics 4.3±7.49 (p<0.05) and short hospital stay 6.14±1.3 days (p<0.05). Postoperative complications were more in group B (p<0.05). There was 1(2.3%) recurrence in group A and 3(7%) in group B over the 36-month follow-up. Conclusion: Tension free mesh repair was found to be a better technique than Mayo's repair for umbilical hernia.

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