A Clinical Study on Epidemiology and Management of Incisional Hernia.
Loading...
Date
2020-02
Journal Title
Journal ISSN
Volume Title
Publisher
Akshantala Enterprises Private Limited
Abstract
Incisional hernia is one of the common complications encountered following abdominal surgery and is an important cause of morbidity. It can be repaired by following anatomical, mesh or laparoscopic methods. The incidence of these hernias is high even with recent advances in surgery, anaesthesiology, antibiotics, and suture materials used. We wanted to study the epidemiology, aetiology, mode of presentations, modalities of treatment and its outcome, of incisional hernia.METHODSThis study was done from July 2017 and June 2019, 50 patients with incisional hernia who got admitted in the Department of Surgery at Sri Venkateshwaraa Medical College and Research Center, Ariyur were subjected to anatomical or mesh repair depending on the surgeon’s choice and size of defect. A total of 50 cases were studied and followed for a period of 6- to 18-months. Patients of age 12 years and above of both sexes who presented with incisional hernia post abdominal surgery were included in this study. Age below 12 years and those presented with other hernias like inguinal/ventral hernias were excluded. Data was collected and analysed by various statistical methods. RESULTSIncisional hernia was found to be the second most common type of hernia. The incidence was more common in females, who underwent gynaecological procedures by lower midline incisions. It was found to be more common in the age group 30-60 years. Predominant risk factors being wound infection and obesity. Infraumbilical midline incision (50%) was found to be more common compared to other incisions. Majority of patients who underwent emergency surgery developed incisional hernia. Postoperative complications noted were mainly due to wound infections and seroma.CONCLUSIONSMesh repair results in less recurrence than anatomical repair for incisional hernia. The incidence of incisional hernia is more common in women than men due to abdominal wall weakness secondary to multiple pregnancies, increased number of caesarean sections and gynaecological surgeries. Sterile aseptic technique and appropriate use of pre-operative antibiotics is necessary to reduce the occurrence of incisional hernia.
Description
Keywords
Incisional Hernia, Anatomical Repair, Mesh Repair, Hernia Defect, Complications.
Citation
Kunche Sanjeeva Raju, A. Chetan Kumar. A Clinical Study on Epidemiology and Management of Incisional Hernia.. Journal of Evolution of Medical and Dental Sciences. 2020 Feb; 9(7): 433-436