Quick Repair of Medium Sized Umbilical Hernias with a Self Gripping Preperitoneal Mesh

Introduction: Mesh repair is indicated for medium sized umbilical hernias (larger than 2 – 4 cm). Preperitoneal placement of self gripping mesh would be expected to be difficult due to its self gripping property and the small working space. Method: The author evaluated the time taken to place CovidienParietexProGrip mesh in the preperitoneal plane during adult medium sized umbilical hernia repair. Results: 13 primary umbilical hernias were repaired. Defects ranged between 3 cm and 4 cm. Median mesh diameter was 7 cm. Median time taken to place the mesh was 180 seconds. There have been no recurrences or surgical site complications. Conclusion: With good outcomes, a short learning curve and easy placement, ParietexProGrip mesh is well suited to preperitoneal repair of adult medium sized primary umbilical hernias.