الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 130 |  |  |
| | | from | 130 | | |
Abstract
Umbilical hernia repair is one of the most commonly performed surgical procedures with reported recurrence rate from 1% to 54%. Laparoscopic repair of recurrent umbilical hernia offers better choice of hernia repair while the cost can be optimized by different types of mesh and optimal uses of trans abdominal suture and various fixation devices.
Our aim is to evaluate the outcomes of Laparoscopic repair of recurrent para- umbilical hernia and to determine feasibility, safety and efficacy of the procedures.
This study was prospective study that conducted at the General Surgery Department of Ain shams University Hospitals from December 2018 to December 2020. It included 20 patients with recurrent Para umbilical hernia who underwent laparoscopic repair. Patient study regarding operative time, postoperative pain, hospital stay, conversion to open, visceral injury, surgical site infection, seroma, hematoma, and recurrence.
In our study we had 20 patients 9 male and 11 females with mean age of 45years, mean BMI in all patients was 30 kg/m2, also mean defect size was 3.35cm and number of patients had previous repair with mesh 18(90%) and without mesh 2(10%). The mean operative time was 118.5 minutes, with 3 patients converted to open due to extensive adhesions, with no reported intraoperative visceral injury, mean blood loss was 92ml and mean hospital stay was 1.40 day. Regarding postoperative complications, 2 (10%) patients had seroma, 1(5%) of patient had hematoma, 1 (5%) patients had surgical site infection with no reported recurrence or port site hernia and Failure was 20% due to conversion to open or wound infection.
TAPP laparoscopic repair of recurrent PUH offers the advantages of the laparoscopic approach (i.e., short hospital stay and brief convalescence) also reduced morbidity, earlier recovery. An additional benefit of the laparoscopic approach is that a single procedure allows large or multiple hernias to be repaired without extending the incision and also allows identification and repair of previously clinically silent defects. Even for the repair of large complex hernias, can help to reduce the abdominal wall complications associated with the open technique; also it has low cost in comparison with IPOM which use composite expensive mesh. For all these reasons, Laparoscopic hernia repair is used with increasing frequency in everyday surgical practice.