![]() This cross-sectional study aims to look at the practice pattern of umbilical hernia repair in the United States. Of these, only hernia size has been widely studied. Patient factors including patient age and sex had no impact on operative approach or use of mesh.Ībstract = "Purpose: The approach to repairing an initial umbilical hernia (IUH) varies substantially, and this likely depends on hernia size, patient age, sex, BMI, comorbidities including diabetes mellitus, and surgeon preference. The use of mesh in 33% of hernias below 1 cm demonstrates a gap between evidence and practice. ![]() Patient BMI and hernia defect size contribute to choice of surgical technique including use of mesh. Conclusion: The majority of IUH are performed open. However, on multivariate analysis, mesh use was associated with increasing hernia width (OR 5.474, 95% CI 4.7–6.3) as well as BMI (OR 1.8, 95% CI 1.5–2.1) but not with age or sex. Mesh use was more common in men (67% vs 60%, P 1 cm (P 35, P < 0.001). Multivariate logistic regression was performed to assess the independent effect of age, sex, hernia width, BMI, smoking status, and diabetes on use of mesh and approach to repair. Outcomes were use of mesh for repair, as well as surgical approach (open vs minimally invasive). Patient characteristics included age, sex, hernia width, BMI, smoking status, and diabetes. Methods: A retrospective study was performed using data from the America Hernia Society Quality Collaborative. ![]() ![]() Purpose: The approach to repairing an initial umbilical hernia (IUH) varies substantially, and this likely depends on hernia size, patient age, sex, BMI, comorbidities including diabetes mellitus, and surgeon preference. ![]()
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