A STUDY ON INCISIONAL HERNIA- CLINICAL PROFILE AND MANAGEMENT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 38
Abstract
BACKGROUND Incisional hernia after abdominal surgery is a well-known complication and an important source of morbidity. It may be repaired either open/laparoscopically by anatomical or mesh repair. This study analyses the various aetiopathogenesis, mode of presentation, modalities of treatment and its outcome. MATERIALS AND METHODS Descriptive Study-The patients clinically diagnosed as incisional hernia were admitted to surgical wards in Govt. T. D. Medical College, Alappuzha, from 1st January 2013 to 30th June 2014 were subjected to anatomical or mesh repair depending upon the surgeon’s choice and size of the hernia defect. Data was collected and analysed by various statistical methods. RESULTS Incisional 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 and midline incisions. It was found to be more common in the age group of 30-50 years. Predominant risk factors being wound infection and obesity. Majority of patients presented with swelling and within 5 years of previous surgery. The postoperative complications noted were mainly wound infections and seroma complication. Mesh repair results in less recurrence than anatomical repair for incisional hernia. CONCLUSION It is not uncommon, an avoidable iatrogenic malady. Proper pre-operative preparations and efficient surgical techniques can prevent incisional hernia recurrence. Various methods of surgery adopted, among which Mesh repair is the best either open or lap method.
Authors and Affiliations
Shajahan Y, Arun S
Keywords
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- DOI 10.14260/Jemds/2017/670
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