Clinical Analysis and Management of Umbilical and Paraumbilical Hernias in Adults: A Comparative Study of Surgical Techniques and Outcomes

Abstract

This study examines the comparative effectiveness, complications, and recovery outcomes of different surgical techniques for the management of umbilical and paraumbilical hernias, including open mesh repair (onlay and sublay), laparoscopic intraperitoneal onlay mesh (IPOM) repair, and Mayo’s repair. Data from 74 adult patients were analyzed to assess demographic factors, surgical outcomes, complication rates, and postoperative recovery times. Findings indicate that sublay mesh repair was the most commonly used technique, offering a low recurrence rate and favorable safety profile. Laparoscopic IPOM, while less frequent, resulted in the shortest recovery times, demonstrating benefits for suitable candidates. The most common complications were seroma formation and suture line infection, particularly with onlay mesh repairs. This study supports individualized treatment selection, where open sublay mesh repair is effective for a broad range of patients, and laparoscopic IPOM may be advantageous for those prioritizing faster recovery. These insights contribute to optimizing clinical decision-making in umbilical and paraumbilical hernia management.