A retrospective study of predisposing factors and management of incisional hernia in a tertiary care hospital

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dc.contributor.authorYarra, Pen_US
dc.contributor.authorGogineni, RCen_US
dc.contributor.authorKanuru, Cen_US
dc.contributor.authorKolli, Hen_US
dc.contributor.authorThota, MKen_US
dc.contributor.authorPolisetty, S.en_US
dc.date.accessioned2024-11-30T05:56:11Z
dc.date.available2024-11-30T05:56:11Z
dc.date.issued2024-08
dc.description.abstractBackground: An incisional hernia is characterized as any defect in the abdominal wall, with or without a noticeable bulge, in the region of a postoperative scar, identifiable through clinical examination or imaging. This condition can be detected through clinical examination or imaging and affects approximately 10-20% of patients who undergo abdominal operations. Aims and objectives of the study was to evaluate various precipitating factors, clinical presentations, management and post-operative complications in patients with incisional hernia. Methods: A retrospective study of 150 patients conducted at a tertiary care teaching hospital. Results: In this study, incisional hernia was more common in obese, elderly, and female patients. The incidence was higher with Pfannenstiel incision followed by lower midline incisions. Incisional hernia was common between 1-5 years of index surgery and it was observed that more the risk factors and complications associated with index surgery, earlier was the onset of incisional hernia. Patients had a defect of size <4x4 cm were 58.66%. Open onlay mesh repair was done in 36.66% patients, preperitoneal mesh repair in 13.33%, retro rectus mesh repair in 13.33%, laparoscopic mesh repair in 28.66% and anatomical repair alone in 7.99% patients. Duration of laparoscopic surgery was longer compared to open. Most common post- operative complication was seroma (4.66%) followed by wound infection (2.66%). Conclusions: Incisional hernias occur more in females as they commonly undergo lower abdominal surgeries. Subcutaneous suction drain decreased the incidence of post-operative wound complications.en_US
dc.identifier.affiliationsDepartment of General Surgery, Dr. PSIMS and RF, Chinnaoutapalli, Gannavaram, Andhra Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of General Surgery, Dr. PSIMS and RF, Chinnaoutapalli, Gannavaram, Andhra Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of General Surgery, Dr. PSIMS and RF, Chinnaoutapalli, Gannavaram, Andhra Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of General Surgery, Dr. PSIMS and RF, Chinnaoutapalli, Gannavaram, Andhra Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of General Surgery, Dr. PSIMS and RF, Chinnaoutapalli, Gannavaram, Andhra Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of General Surgery, Dr. PSIMS and RF, Chinnaoutapalli, Gannavaram, Andhra Pradesh, Indiaen_US
dc.identifier.citationYarra P, Gogineni RC, Kanuru C, Kolli H, Thota MK, Polisetty S.. A retrospective study of predisposing factors and management of incisional hernia in a tertiary care hospital . International Surgery Journal. 2024 Aug; 11(8): 1297-1301en_US
dc.identifier.issn2349-3305
dc.identifier.issn2349-2902
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/236385
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber8en_US
dc.relation.volume11en_US
dc.source.urihttps://doi.org/10.18203/2349-2902.isj20242122en_US
dc.subjectIncisional herniaen_US
dc.subjectPost-operative herniaen_US
dc.subjectScar herniaen_US
dc.titleA retrospective study of predisposing factors and management of incisional hernia in a tertiary care hospitalen_US
dc.typeJournal Articleen_US
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