الفهرس 
Comparative study of the biometric changes in anterior abdominal wall morphology after different modalities of mesh hernioplasty for paraumbilical hernia
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Abstract
Studies of the mechanics of the anterolateral abdominal wall musculoaponeurotic apparatus in healthy individuals are basic to appreciate the Pathophysiology of ventral hernia, its pathological consequences and their impact on the functions of the abdominal wall. Functional impairment of the abdominal wall can cause serious discomfort in patients even during daily activity.This study included forty patients twenty patients randomly selected to repair by modified prolene mesh plug and other twenty patients repaired by onlay mesh, by using of multislice CT scan to study dynamics of the abdominal wall during rest and straining in both groups pre and post-operative.The current study sum up both operations through impeeding gliding in the split rectus sheath. The mesh plug technique has a theoretical advantage of less tension in the umbilical area. The undisputed advantage of this technique is the better postoperative contraction of the lateral muscles in these patients back to the normal patterns observed in controls