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.