Introduction: Umbilical hernia in adults poses a challenge to the surgeon. Understanding the anatomical
and pathological intricacies of the hernia is pivotal in evolving a good repair. A multitude
of repairs have been tried for repair of umbilical hernias. However none of them have withstood
the test of time. Objective: The study aims at evolving a technique which provides mesh reinforced
anatomical reconstruction of the defect. Materials and Methods: 20 patients underwent a combination
repair for umbilical hernia. The results were tabulated and analysed. Results: None of the
20 patients developed any recurrence. Conclusion: A combined mesh reinforcement of tissue repair
is advocated for umbilical hernias in adults.