A scarless technique of umbilical hernia repair in the adult population.
BACKGROUND
Umbilical hernias are common in adults during their 30s-60s. Most umbilical hernias result in increased intraabdominal pressure and prompt repair is advised. The technique described here involves dissection of the hernia sac from the subcutaneous tissue with a horizontal fascial closure in a tension-free procedure.


METHODS
Records of 57 patients treated for umbilical hernia in a 7-year period were reviewed retrospectively. Data were collected regarding sex, age, follow up, and complications.


RESULTS
All patients were treated successfully. Postoperatively, eight complications were noted (one wound infection, three seromas, and four cases of cellulitis). Follow up ranged from 1 week to 3 months.


CONCLUSIONS
The technique described here is based on one used in the pediatric population. Our repair is applied to adults with hernias of less than 2 cm in diameter. At the final follow up no scar can be seen as it has been buried within the umbilicus.
Mislowsky
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Department of General Surgery, Union Memorial Hospital, The Johnston Professional Building, Suite 655B, 3333 North Calvert Street, Baltimore, MD 21218, USA.
Hemphill
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Nasrallah
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D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006554:Hernia, Umbilical / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D013514:Surgical Procedures, Operative / Q000379:methods