Dual Polyurethan Mesh Repair of Umbilical Hernia
This video demonstrates Laparoscopic Dual 3D Provisc Mesh Repair of Umbilical Hernia by Dr. R.K. Mishra at World Laparoscopy Hospital. An umbilical hernia is a rather common surgical problem. Elective repair after diagnosis is advised. Suture repairs have high recurrence rates; therefore, mesh reinforcement is recommended. Mesh can be placed in either by robotic or laparoscopic approach with good clinical results. Standard polypropylene mesh is suitable for the open onlay technique; however, composite meshes are required for laparoscopic repairs. Large seromas and surgical site infections are rather common complications that may result in recurrence. Obesity, ascites, and excessive weight gain following a repair are obviously potential risk factors. Moreover, smoking may create a risk for recurrence.
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