In open onlay mesh repair, under regional anesthesia, the sacs of the UH and PUH were dissected all around, and the defect was closed using 1.0 Prolene.
There were 69.8% cases of PUH (n=30) and 30.2% cases of UH (n=13) that were operated with different types of meshes.
The open repair of PUH was also done under general anaesthesia with a transverse skin incision over the bulge near the umbilicus.
The cosmetic results of surgery in Group A were very promising in patients who were operated for primary PUH. Cosmetically, the results of open surgery were not encouraging compared to Group A patients.
Although the government in Costa Rica has implemented laws to protect the environment, many people refuse to observe them, and it's passionate custodians, such as Ricky and Puh
, who are really working hard to protect the country's greatest assets.