Influência de diferentes técnicas de reparo na recorrência de hérnias umbilicais: uma revisão sistemática / Influence of different repair techniques on the recurrence of umbilical hernias: a systematic review

Authors

  • Kamyla Mascena Teixeira
  • Lorena Rocha Lebourg
  • Miguel Miranda Vicentini
  • Thiago Nogueira Faria
  • Artur Laizo

DOI:

https://doi.org/10.34119/bjhrv5n4-096

Keywords:

umbilical, hérnia, recurrence.

Abstract

Introdução: Hérnia umbilical é uma protuberância anormal na região do umbigo devido a um defeito no fechamento da cicatriz umbilical ou por fatores adquiridos durante a vida. O tratamento cirúrgico da hérnia umbilical envolve uma vasta gama de opções existentes. Revisão da literatura: Os números relatados foram encontrados nos 30 artigos lidos nas plataformas PubMed, Medline e Lilacs dos últimos 6 anos. No total, 1785 pacientes foram submetidos ao reparo com malha, ocorrendo recidiva em 72 casos (4,03%). Já o reparo primário simples foi realizado em um total de 2739 pacientes analisados, sendo a recidiva presente em 196 casos (7,16%). O uso laparoscópico no reparo de hérnias umbilicais compreendeu um total de 337 cirurgias e 10 recorrências (2,97%). A prótese de duas camadas foi realizada em 1720 pacientes com 62 recorrências (3,6%). Discussão: A técnica mais indicada é o reparo com malha em controvérsia com o de sutura que apresentou maior número de recidivas, a posição da malha não apresentou diferença nesse quesito. Em cirróticos, a Button Hole se mostrou bastante eficaz. Conclusão: Portanto, o reparo com malha é a técnica mais recomendada e com baixo índice de recorrências.

 

References

Townsend CM et al. Sabiston Tratado de Cirurgia: a Base Biológica da Prática Cirúrgica Moderna. 19. ed. Rio de Janeiro: Elsevier; 2014.

Sociedade Brasileira de Hérnia e Parede Abdominal [homepage na internet]. O que é uma hérnia da parede abdominal [acesso em 20 de mar 2020]. Disponível em: https://sbhernia.org.br/hernia/.

Shrestha D, Shrestha A, Shrestha B. (2019). Open mesh versus suture repair of umbilical hernia: Meta-analysis of randomized controlled trials. International Journal of Surgery. 2019; 62: 62–66.

Chatzizacharias NA et al. Successful surgical management of ruptured umbilical hernias in cirrhotic patients. World J Gastroenterol. 2015 Mar 14;21(10):3109-13.

Greco D P et al. Feasibility and Effectiveness of Primary Umbilical Hernia Repair with Biologic Graft: Preliminary Study. Acta Chir Belg. 2014; 114(2): 125-130.

Shankar D, Itani K, O’Brien W, Sanchez V. Factors Associated With Long-term Outcomes of Umbilical Hernia Repair. JAMA Surgery. 2017;152(5):461.

Kurpiewski, W, Kilianczyk, M, Szynkarczuk, R, Tenderenda, M. Mesh repair of umbilical hernia without a visible abdominal scar. Pol Przegl Chir, 2014;86(2): 68-72.

Winsnes A, Haapamäki M, Gunnarsson U, Strigård K. Surgical outcome of mesh and suture repair in primary umbilical hernia: postoperative complications and recurrence. Hernia. 2016;20(4):509-516.

Kang E, Collins JC. Primary Umbilical Hernia Repair: A Large-Volume Single-Surgeon Study. Am Surg. 2019;85(10):1159‐1161.

Heise JW, Ewodo Beyeme JM, Tomczak J, Tosuncuk Ari N. Die doppelreihig fortlaufende Nahtversorgung von primären Nabelhernien – Analyse eines Versorgungskonzeptes nach 282 Fällen [Double Running Suture Line Repair in Primary Umbilical Hernias - Analysis after 282 Cases]. Zentralbl Chir. 2019;144(1):44‐49.

Xie Y, Song Y, Ma D, Jian F, Zhang S, Lu A et al. Retrospective analysis of smaller than 3-cm umbilical hernia repair with the lightweight macroporous mesh. Medicine. 2018;97(36):e12245.

Colavita PD, Belyansky I, Walters AL, et al. Umbilical hernia repair with mesh: identifying effectors of ideal outcomes. Am J Surg. 2014;208(3):342‐349.

Bessa SS, El-Gendi AM, Ghazal AHA, Al-Fayoumi TA. Comparison between the short-term results of onlay and sublay mesh placement in the management of uncomplicated para-umbilical hernia: a prospective randomized study. Hernia, 2013; 19(1): 141–146.

Kaufmann R et al. Mesh versus suture repair of umbilical hernia in adults: a randomised, double-blind, controlled, multicentre trial. The Lancet. 2018; 391(10123): 860–869.

Malý, O, Sotona O. Dlouhodobé výsledky po klasických plastikách malých pupečních kýl. Rozhledy v chirurgii, 2014;93(4): 208-211.

Yao J, Pham T, Mokdad A, Huerta S. Predictors of recurrence of umbilical hernias following primary tissue repair in obese veterans. The American Journal of Surgery. 2016;211(1):18-23.

Berger RL. Suture versus preperitoneal polypropylene mesh for elective umbilical hernia repairs. J Surg Res. 2014 Dec;192(2):426-31.

Ambe, P., Meyer, A., & Köhler, L. Repair of small and medium size ventral hernias with a Proceed Ventral Patch: a single center retrospective analysis. Surgery Today. 2012; 43(4): 381–385.

Köhler G, Luketina R, Emmanuel K. Sutured Repair of Primary Small Umbilical and Epigastric Hernias: Concomitant Rectus Diastasis Is a Significant Risk Factor for Recurrence. World Journal of Surgery. 2014;39(1):121-126.

Bell-Allen N, O’Rourke H, Hong L, O’Rourke N. Laparoscopic ventral hernia repair using only 5-mm ports. ANZ Journal of Surgery. 2017; 88(7-8): 718–722.

Groene, Steven A.; Heniford, Davis W.; Prasad, Tanushree; Lincourt, Amy E.; Augenstein, Vedra A. Identifying Effectors of Outcomes in Patients with Large Umbilical Hernias. The American Surgeon. Volume 82, Number 7, July 2016, pp. 613-621(9).

Banshodani M, Kawanishi H, Moriishi M, Shintaku S, Ago R, Hashimoto S et al. Umbilical Hernia in Peritoneal Dialysis Patients: Surgical Treatment and Risk Factors. Therapeutic Apheresis and Dialysis. 2015;19(6):606-610.

Van Besien J, Vindevoghel K, Sommeling C. Central mesh failure after laparoscopic IPOM procedure. Acta Chirurgica Belgica. 2016;116(5):313-315.

Kotb MBM, Abdel-Malek MO, Eltayeb AA, Makhlouf GA, Makhlouf NA. Button hole hernioplasty: A new technique for treatment of umblical hernia in cirrhotic patients. A prospective follow up study. International Journal of Surgery. 2015; 24: 64–69.

Hew S et al. Safety and effectiveness of umbilical hernia repair in patients with cirrhosis. Hernia. 2018 Oct;22(5):759-765.

Hassan AM, Salama AF, Hamdy H, Elsebae MM, Abdelaziz AM, Elzayat WA. Outcome of sublay mesh repair in non-complicated umbilical hernia with liver cirrhosis and ascites. Int J Surg. 2014;12(2):181‐185.

Privett, B. J., & Ghusn, M. Proposed technique for open repair of a small umbilical hernia and rectus divarication with self-gripping mesh. Hernia, 2016 Fev;20(4), 527–530.

Zarmpis N, Wassenberg D, Ambe PC. Repair of Small and Medium Size Umbilical Hernias with the "Proceed Ventral Patch" in the Preperitoneal Position. 2015 Nov;81(11):1144-8.

Yıldız I, Koca YS. A new approach to umbilical hernia repair: the circular suture technique for defects less than 2 cm. Ann Ital Chir. 2017; 6:449-453.

Porrero J, Cano-Valderrama O, Castillo M, Marcos A, Tejerina G, Cendrero M et al. Importance of mesh overlap on hernia recurrence after open umbilical hernia repair with bilayer prosthesis. The American Journal of Surgery. 2018;216(5):919-922.

Kuck L, Seitz F, Wiegering A, Dietz U, Meyer T. Without Net and Double Floor: Comparison of Umbilical Hernia Repair by Spitzy in Children and Adults. Zentralbl Chir. 2019 Feb;144(1):32-37.

Tunio NA. Hernioplasty: Tension free mesh repair versus Mayos repair for umbilical hernias. J Pak Med Assoc. 2017 Jan;67(1):24-26.

Published

2022-07-22

Issue

Section

Original Papers