title: Hernioplasty: Tension free mesh repair versus Mayos repair for umbilical hernias.
abstract: OBJECTIVE
  To compare two different techniques of repairing umbilical hernia.
  
  
  METHODS
  The comparative study was conducted from April 2009 to December 2011 at the Gambat Institute of Medical Sciences, Gambat, Pakistan, and comprised hernia patients who were randomly allocated to group A and group B. In group A, repair was carried with tension free hernioplasty, while group B underwent Mayo's repair. All patients were operated by the same consultant surgeon. All patients were followed up for 36 months.
  
  
  RESULTS
  The 86 patients were divided into two groups of 43(50%) each. There were 18(20.9%) males and 68(79%) females. Patients in group A needed less post-operative analgesics 4.3±7.49 (p<0.05) and short hospital stay 6.14±1.3 days (p<0.05). Postoperative complications were more in group B (p<0.05). There was 1(2.3%) recurrence in group A and 3(7%) in group B over the 36-month follow-up.
  
  
  CONCLUSIONS
  Tension free mesh repair was found to be a better technique than Mayo's repair for umbilical hernia.
authors.affiliation: Surgical Department Gambat Institute of Medical Science, Gambat (G.I.M.S), Sindh.
authors.forename: Nazir Ahmed
authors.initials: NA
authors.lastname: Tunio
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006554:Hernia, Umbilical / Q000453:epidemiology / Q000601:surgery*; D059685:Herniorrhaphy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods / Q000706:statistics & numerical data; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D010154:Pakistan; D011183:Postoperative Complications / Q000453:epidemiology; D013526:Surgical Mesh / Q000009:adverse effects / Q000706:statistics & numerical data; D016896:Treatment Outcome; D055815:Young Adult
keywords: Hernioplasty, Mayo's repair, Umbilical hernias. 