Umbilical Hernia Repair: Overview of Approaches and Review of Literature

Paul W Appleby; Tasha A Martin; William W Hope

doi:10.1016/j.suc.2018.02.001

Umbilical Hernia Repair: Overview of Approaches and Review of Literature

Surg Clin North Am. 2018 Jun;98(3):561-576. doi: 10.1016/j.suc.2018.02.001. Epub 2018 Mar 12.

Authors

Paul W Appleby¹, Tasha A Martin¹, William W Hope²

Affiliations

¹ Department of Surgery, New Hanover Regional Medical Center, South East Area Health Education Center, 2131 South 17th Street, PO Box 9025, Wilmington, NC 28401, USA.
² Department of Surgery, New Hanover Regional Medical Center, South East Area Health Education Center, 2131 South 17th Street, PO Box 9025, Wilmington, NC 28401, USA. Electronic address: William.Hope@nhrmc.org.

PMID: 29754622
DOI: 10.1016/j.suc.2018.02.001

Abstract

Umbilical hernias are ubiquitous, and surgery is indicated in symptomatic patients. Umbilical hernia defects can range from small (<1 cm) to very large/complex hernias, and treatment options should be tailored to the clinical situation. Open, laparoscopic, and robotic options exist for repair, with each having its advantages and disadvantages. In general, mesh should be used for repair, because it has been shown to decrease recurrence rates, even in small hernias. Although outcomes are generally favorable after umbilical hernia repairs, some patients have chronic complaints that are mostly related to recurrences.

Keywords: Hernia; Laparoscopic; Mesh; Open; Primary; Repair; Robotic; Umbilical.

Publication types

Review

MeSH terms

Hernia, Umbilical / surgery*
Herniorrhaphy / methods*
Humans
Laparoscopy*
Robotic Surgical Procedures*
Surgical Mesh