BACKGROUND: Prosthetic repair has become the standard method for inguinal @entity547 and has excellent results. The question remains of whether the mesh technique could also improve results for umbilical defects. METHODS: The study was a randomized clinical trial comparing herniorrhaphy (primary suture) with hernioplasty ( @entity7502 mesh or plug) in 200 adult @entity1 with a primary @entity14147 . @entity1 at high anaesthetic risk (American Society of Anesthesiologists (ASA) grade IV) or those who needed emergency surgery were excluded. The mean postoperative follow-up was 64 months. The population studied included 118 @entity1 and 82 @entity1 with a mean age at presentation of 57 years. Some 173 @entity1 were ASA grade I-II and 27 were ASA III. The anaesthetic technique of choice was local anaesthetic infiltration plus sedation (98 per cent). RESULTS: There were no significant anaesthetic complications or surgical @entity204 . The mean duration of surgery was greater for mesh than for suture repair (45 versus 38 min). Rates of early complications such as @entity2080 , haematoma or @entity2737 were similar in the two groups. The @entity547 recurrence rate was higher after suture repair (11 per cent) than after mesh repair (1 per cent) (P = 0.0015). CONCLUSION: Prosthetic repair could become the standard treatment for primary @entity14147 in adults.

Randomized clinical trial comparing suture and mesh repair of XXXX in adults.

@entity1 :: ('9606', 'Species') :: ['women', 'Patients', 'patients', 'men'] @entity7502 :: ('MESH:D011126', 'Chemical') :: ['polypropylene'] @entity2080 :: ('MESH:D049291', 'Disease') :: ['seroma'] @entity2737 :: ('MESH:D014946', 'Disease') :: ['wound infection'] @entity547 :: ('MESH:D006547', 'Disease') :: ['hernia'] @entity204 :: ('MESH:D003643', 'Disease') :: ['deaths'] @entity14147 :: ('MESH:D006554', 'Disease') :: ['umbilical hernia']
@entity14147 :: (MESH:D006554,Disease) :: ['umbilical hernia']
