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F. Müller-Riemenschneider, S. Roll, M. Friedrich, J. Zieren, T. .Reinhold, J. M. von der Schulenburg, W. Greiner and S. N. Willich, “Medical Effectiveness and Safety of Conventional Compared to Laparoscopic Incisional Hernia Repair: A Systematic Review,” Surgical Endoscopy, Vol. 21, No. 12, 2007, pp. 2127-2136. doi:10.1007/s00464-007-9513-4

has been cited by the following article:

• TITLE: A Long-term Follow-up: Suture versus Mesh Repair for Adult Umbilical Hernia in Saudi Patients. A Single Center Prospective Study

  AUTHORS: Ahmed M. Kensarah

  KEYWORDS: Umbilical Hernia; Paraumbilical; Mesh Repair; Suture Repair

  JOURNAL NAME: Surgical Science, Vol.2 No.3, May 18, 2011

  ABSTRACT: Objective: To report results of mesh repair vs. the modified Mayo’s suture overlap in the surgical treatment of adult umbilical and paraumbilcal hernias in our medical center. Patients & Methods: The study is a Saudi single center single surgeon trial composed of sixty two patients. It was performed in the Surgical Department of King Abdul-Aziz University Hospital at Jeddah. The patients were randomly assigned into 2 groups. Group A patients underwent onlay mesh repair while modified Mayo’s repair was used in group B patients. Median follow-up was 28 months, and data were collected regarding size of hernia, type of the operation, complications, length of follow-up and the recurrence rate. Chi square test was used to compare results at 0.05 levels. Results: Complication was reported in 17% in group A and 8% in group B .There was no difference in scar pain, cosmetic result, and overall patient satisfaction between both groups. The recurrence rate was 10% for mesh repair and 18.8% for suture repair. Conclusions: Despite higher complication rate, mesh repair is superior to suture repair due to lower recurrence rate. Suture repair still has a place under certain circumstances, also it is simple less costly and has insignificant infection rate.