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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. 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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