Hernia Surgery pp 195-206 | Cite as

Umbilical Hernia Repair: The Spectrum of Management Options

  • Kent W. KercherEmail author


Umbilical hernias are frequently encountered in surgical practice. While umbilical hernias are very common, they represent a spectrum of abdominal wall disease for which debate persists regarding the ideal repair. This chapter describes the various strategies available for repair, including laparoscopic and open techniques as well as primary repair and tension-free techniques using mesh reinforcement, taking into consideration a multitude of patient factors that influence surgical decision-making. Data are also provided to assist the surgeon in tailoring his or her approach to the individual patient.


Umbilical hernia Laparoscopic umbilical hernia repair Primary repair Pre-peritoneal mesh reinforcement 


  1. 1.
    Arroyo A, Garcia P, Perez F, Anrdreu J, Candela F, Calpena R. Randomized clinical trial comparing suture and mesh repair of umbilical hernia in adults. Br J Surg. 2001;88:1321–3.CrossRefPubMedGoogle Scholar
  2. 2.
    Abdel-Baki NA, Bessa SS, Abdel-Razek AH. Comparison of prosthetic mesh repair and tissue repair in the emergency management of incarcerated para-umbilical hernia: a prospective randomized study. Hernia. 2007;11:163–7.CrossRefPubMedGoogle Scholar
  3. 3.
    Ammar SA. Management of complicated umbilical hernias in cirrhotic patients using permanent mesh: randomized clinical trial. Hernia. 2010;14:35–8.CrossRefPubMedGoogle Scholar
  4. 4.
    Polat C, Dervisoglu A, Senyurek G, et al. Umbilical hernia repair with the prolene hernia system. Am J Surg. 2005;190:61–4.CrossRefPubMedGoogle Scholar
  5. 5.
    Asolati M, Huerta S, Sarosi G, et al. Predictors of recurrence in veteran patients with umbilical hernia: single center experience. Am J Surg. 2006;192:627–30.CrossRefPubMedGoogle Scholar
  6. 6.
    Sanjay P, Reid TD, Davies EL, Arumugam PJ, Woodward A. Retrospective comparison of mesh and sutured repair for adult umbilical hernias. Hernia. 2005;9:248–51.CrossRefPubMedGoogle Scholar
  7. 7.
    Berger RL, Li LT, Hicks SC, Liang MK. Suture versus preperitoneal polypropylene mesh for elective umbilical hernia repairs. J Surg Res. 2014;192(2):426–31.CrossRefPubMedGoogle Scholar
  8. 8.
    Aslani N, Brown CJ. Does mesh offer an advantage over tissue in the open repair of umbilical hernias? A systematic review and meta-analysis. Hernia. 2010;14:455–62.CrossRefPubMedGoogle Scholar
  9. 9.
    Halm JA, Heisterkamp J, Veen HF, Weidema WF. Long-term follow-up after umbilical hernia repair: are there risk factors for recurrence after simple and mesh repair. Hernia. 2005;9:334–7.CrossRefPubMedGoogle Scholar
  10. 10.
    Erilymaz R, Sahin M, Tekelioglu MH. Which repair in umbilical hernia of adults: primary or mesh? Int Surg. 2006;91(5):258–61.Google Scholar
  11. 11.
    Mayo WJ. An operation for the radical cure of umbilical hernia. Ann Surg. 1901;34:276–80.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Division of Gastrointestinal and Minimally Invasive SurgeryCarolinas Medical CenterCharlotteUSA

Personalised recommendations