Title: Our Experience in Incisional Hernia Repair with Polypropylene mesh at VIMSAR, Burla
Authors: P. Hembram, B.C. Pal
DOI: https://dx.doi.org/10.18535/jmscr/v8i1.47
Abstract
Introduction: A patient with Incisional hernia is a living document of failure of surgical skill. . They continue to be one of the more common complications of abdominal surgeries and a significant source of morbidity and loss of time from productive employment. The incidence of Incisional hernia varies from 2-11%. Most studies suggest that polypropylene mesh is still the most widely used prosthetic material for repair of incision hernias with satisfactory results and least recurrence. The present study on incisional hernia repair using polypropylene mesh was conducted in our institution and postoperative results are observed.
Aims and Objective
- To perform repair of incisional hernia using polypropylene mesh.
- To compile the results of the repair in terms of postoperative morbidity, wound infection, mesh rejection, return to normal activities, recurrence and patient compliance.
Materials and Methods: The present work was conducted in the Department of General Surgery VSSIMSAR, BURLA, Odisha during period from November 2016 to October 2019. Total 25 cases of incisional hernia were included in this study out of which 20 polypropylene mesh repair were done. In the 2 years study period patients were asked to report at 1st month, 6th month, 1st year and 2nd year to assess wound infection, status of ambulation, residual pain, mesh rejection and recurrence.
Observations: Out of total 25 patients 12 (48%) patients were male and 13 (52%) were female. Maximum no of incisional hernia cases were found in more than 50 years age (36%). We found large hernia 7 (28%), medium 10 (40%) and small in 5 (20%) of cases, 19 (76%) cases were symptomatic and 6 (24%) asymptomatic. In our series 50% patients could do their routine activity on the 2nd day of operation and only 4 (20%) patients required 4 days to resume their routine activities. 50 % of our patients resume full activities by the end of 3rd week., the post-operative complications have remained very low. Post-operative wound infection was 10%. Fifteen per cent patients had residual pain in the 1st month. Residual pain was controlled conservatively and none required removal of mesh. We have not encountered a single instance of mesh rejection.
Conclusion: It can be concluded that use of polypropylene mesh is a fairly easy procedure. Wound defects of different sizes could be properly patched. Tissue acceptance and pressure endurance of the graft is very good. Patient compliance is satisfactory. This procedure is complication free technically easy and recurrence free procedure hence is surely recommended for repair of incisional hernia.
