BACKGROUND: There is no consensus on the best technique for the repair of @entity14147 in adults. The role of laparoscopic hernioplasty of @entity14147 remains controversial. This study was undertaken to compare the outcomes of open and laparoscopic onlay patch repair of @entity14147 in adults. METHODS: From January 1996 to December 2002, 102 @entity1 underwent elective repair of @entity14147 . Operative techniques included Mayo repair ( n = 43), laparoscopic onlay Gore-Tex patch hernioplasty ( n = 26), suture herniorrhaphy ( n = 24), and mesh hernioplasty ( n = 9). RESULTS: Demographic features and risk factors were similar among the four groups. The operative time of laparoscopic hernioplasty (median, 66 min) was significantly longer than those for @entity1 who underwent Mayo repair (60 min) or sutured herniorrhaphy (50 min) ( p < 0.05). None of the @entity1 who underwent laparoscopic patch repairs required conversion to open repair. The median @entity158 score at rest on postoperative day 1 was significantly lower in @entity1 who underwent laparoscopic repair compared to those who had Mayo repair. A significantly shorter hospital stay and a lower wound morbidity rate were also observed in @entity1 who underwent laparoscopic repair. With a mean follow-up of 2 years, suture herniorrhaphy had a relatively high recurrence rate (8.7%), whereas no recurrence was documented for the other techniques. CONCLUSIONS: Laparoscopic onlay patch hernioplasty is a safe and efficacious technique for the repair of @entity14147 . Compared to Mayo repair, the laparoscopic approach confers the advantages of reduced @entity282 , shorter hospital stay, and a diminished morbidity rate.

XXXX in adults.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity282 :: ('MESH:D010149', 'Disease') :: ['postoperative pain'] @entity14147 :: ('MESH:D006554', 'Disease') :: ['umbilical hernia'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain']
@entity14147 :: (MESH:D006554,Disease) :: ['Umbilical hernia']
