Hernioplasty: Tension freemesh repair versus mayo’s repair for umbilical hernias

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. © 2017,pakistan medical association. all rights reserved.