Nur Saeed, Muhammad Sohail Khan, Shahab A Syed.
Comparison of complications between Mayo`s repair and Mesh repair (pre-peritoneal approach) for para-umbilical hernia.
J Surg Pak Jan ;10(4):38-40.

Objective: To compare the complications of Mayo`s technique of repair of pars umbilical hernia with mesh repair. Patients and Methods: This study was conducted in the Department of Surgery at Nishtar Hospital, Multan. Fifty patients were recruited into study randomly. Two groups of 25 each, were made. Routine investigations were performed. All patients underwent surgery under general anaesthesia. Standard technique of repair was used in either groups. Complications were noted on a proforma designed for that purpose. Spearman`s rank correlation coefficient test. A p` value of <0.05 was considered significant. Results: Ten (20%) complications were observed. The main complications were wound haematoma in four patients (8.0%), wound infection in two patients (4.0%), seroma formation in two patients (4%), sinus formation in one patient (2.0%), mesh infection in one patients (2.0%) and no recurrence in any patients. Out of these 10 patients who developed complications, eight (I6.0%) were in group-I (Mayo`s technique) and two (4.0%) were in group-II (Mesh repair). All were managed conservatively. Conclusion: Mesh repair found to be superior to the Mayo`s technique in terms of complications.

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