direct

The direct suture repair is a very simple suture repair of the hernia defect. This is most commonly performed when the hernia is discovered as a small part of a larger abdominal surgical wound and is simply included in the direct suture of the midline as part of a routine closure at the completion of the exploratory laparotomy. Another frequent occurrence for the direct repair is the small umbilical hernia or small Spigelian hernia defect only 1cm across, which is easily closed with a single stitch or two. And of course the direct suture repair is utilized when the more complex mesh reinforced repairs are contraindicated due to a contaminated field or other reason.

The recurrence rates of these simple repairs seems to be higher than the reinforced repairs, but the operating room times are much shorter.

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