Original Article Management of Incisional Hernia - An observational study
Management of incisional hernia
Abstract
ABSTRACT
Background: With the increase in the number of abdominal operations, the number of incisional
hernias has also increased considerably. This study was done to assess the magnitude of this
problem, various factors leading to development of this condition and to identify the best method
for incisional hernia repair with least recurrence rate.
Method: This prospective study was conducted at a tertiary care hospital in Pune over a period
of 19 months. A total of 50 cases of incisional hernia were studied with follow up period of 6
months. Patients were evaluated for risk factors causing incisional hernia. All the cases were
operated and procedure adopted was anatomical repair or mesh repair. The immediate
postoperative complications, recurrence was recorded and analysed.
Result: Incisional hernia was seen in 6.8% of all hernias operated. It was found to occur more
often in females of 41-50 years age group (61%). Most of the cases (68%) presented with
abdominal swelling with previous history of gynecological surgeries (84%). Incisional hernia
was common in the infraumbilical, region with a defect of 5-Scm in 68% cases. Wound
infection, obesity, multiparity and respiratory diseases were the commonest risk factors. No
postoperative complications were noted with anatomical repair. Seroma was most common
postoperative complication (9%) in mesh repair group. There is no recurrence or mortality in the
present study.
Conclusion: If defect is small, there is place for anatomical repair in absence of predisposing
factors like obesity, bronchitis, etc. Also onlay meshplasty is a safe and equally good method of
incisional hernia repair with minor complications.
Keywords: Anatomical repair, Incisional Hernia, mesh repair
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