الفهرس 
ANATOMY OF THE ANTERIOR ABDOMINAL WALLOnly 14 pages are availabe for public view
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Abstract
U
mbilical hernia are in general more common in women than men and are associated with high morbidity and mortality. There is a high tendency of incarceration and strangulation and emergency repair is often necessary. The neck of the hernia is usually quite narrow compared with the size of the herniated mass, and strangulation is therefore, common. Immediate repair after diagnosis is advised and should be done expeditiously.
The repair of umbilical hernia still represents a challenge to surgeon. Although a common and relatively simple procedure, there is no exact protocol today on how the repair should be done. The Mayo technique and its alterations could not stand the test of time: a recurrence rate of 20% and higher is not acceptable for any surgical procedure.
Although there is no consensus opinion, one thing is clear: the importance of an anatomic repair without tension and without an artificial enlargement of the defect.
The aim of this study was to study and evaluate the use of mesh plug for repair of small PUH.
Fifty patients with mean age at presentation 42.6, they were included in this study with hernial defect less than 3 cm. we analyzed the clinical data relevant to age, sex, specific risk factors, length of the operation, postoperative pain assessment, hospital stay, postoperative complication, follow up evaluation and hernia recurrence.
Our results recommend the use of mesh plug repair for umbilical hernial defects < 3 cm the advantages should be obvious: no artificial creation of an even bigger than original defect, a completely tension-free repair, and little to no recurrence of hernia. Moreover, the procedure is extremely safe and complication are very rare and minor with excellent patient satisfaction.