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How to hit a hole in one. Fixing small umbilical hernias correctly, the first time

Published:November 07, 2022DOI:https://doi.org/10.1016/j.amjsurg.2022.10.025
      Most general surgeons, and many surgical subspecialists, access the abdominal cavity via a periumbilical incision for minimally invasive procedures. A well planned entry, an expertly performed surgical intervention, and a thoughtful exit are all hallmarks of an appendectomy/cholecystectomy/colectomy well done. Katzen and colleagues presented a review of their single-center's experience with primary suture repair of small <1cm umbilical hernias. They analyzed 332 patients in total, 226 had primary hernias and 106 were incisional hernias.
      • Katzen M.M.
      • Sacco J.
      • Ku D.
      • Scarola G.T.
      • Colavita P.D.
      • Heniford B.T.
      • Augenstein V.A.
      Hernia recurrence after primary repair of small umbilical hernia defects.
      While the patient groups were clinically similar, the recurrence rates were statistically different with 1.8% recurrence in the primary group and 7.5% in the incisional hernia group.
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      References

        • Katzen M.M.
        • Sacco J.
        • Ku D.
        • Scarola G.T.
        • Colavita P.D.
        • Heniford B.T.
        • Augenstein V.A.
        Hernia recurrence after primary repair of small umbilical hernia defects.
        Am J Surg. 2022; 224: 1357-1361