Abstract
The surgeon should appropriately anesthetize the periumbilical area. An infraumbilical incision is made and the subcutaneous fat is dissected down to the linea alba and umbilical stalk below. The umbilical stalk is encircled and divided to free the hernial sac from the skin, with care to avoid injuring the skin. The hernial contents are dissected free from the fascia and hernial defect reduced and the hernial defect is closed either primarily or with mesh. Mesh has the advantage of decreased recurrence, but with the disadvantage of an increased rate of infection [1, 2].
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Arroyo A, Garcia P, Perez F, Andreu J, Candela F, Calpena R. Randomized clinical trial comparing suture and mesh repair of umbilical hernia in adults. Br J Surg. 2001;88(10):1321-3.
Farrow B, Awad S, Berger DH, et al. More than 150 consecutive open umbilical hernia repairs in a major Veterans Administration Medical Center. Am J Surg. 2008;196(5):647-51.
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© 2009 Springer-Verlag London Limited
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Melnick, D.M., Arbuckle, J.D. (2009). Umbilical Hernia. In: Chen, H. (eds) Illustrative Handbook of General Surgery. Springer, London. https://doi.org/10.1007/978-1-84882-089-0_31
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DOI: https://doi.org/10.1007/978-1-84882-089-0_31
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