Title: Clinical study of Incisional Hernia
Authors: Amarendra Prasad, Saikrishna, Srujan Jehna
DOI: http://dx.doi.org/10.18535/jmscr/v4i4.44
Incisional hernia is considered as one of the most common complication after an abdominal surgery postoperatively and an important source of morbidity. This study analyses the various modes of presentation, etiopathogenesis, modalities of treatment and its outcome. It usually requires repair by using mesh; either open or laparoscopic methods. This study is carried out between September 2013 and September 2015; 50 patients with incisional hernia who admitted at our hospital to Department of general surgery are subjected to mesh repair or anatomical repair depending on surgeon choice and size of the defect. Data is collected and analysis is done by using statistical methods. Incisional hernia is found to be the second most common type of hernias next to inguinal hernia. Incidence of hernia is more common in females who underwent gynaecological procedures by lower or midline incisions. Incidence of incisional hernia is found to be more common between 30-50 years; with predominant risk factors being obesity, wound infection and wound disruption. Most of the patients presented with swelling within 5 years of previous surgery. Most common complications noted post operatively are being wound infection and seroma. Mesh repair results in less recurrence than anatomical repair for incisional hernia.
Abstract
