Title: Study of Postoperative Complications of Mesh Repair in Ventral Hernia in Obese and non Obese Patients
Authors: Dr D. Nagarajan MS., Dr Mathan Sankar. S MS, Dr T. Ajay Kumar
DOI: https://dx.doi.org/10.18535/jmscr/v7i7.64
Abstract
Aim and Objectives: To analyse the short-term post operative complications following repair of ventral hernia using two different materials for mesh fixation among obese and non-obese patients and to identify the risk factor for the complications between obese and non-obese cases.
Materials and Methods: This Prospective, randomized, comparative study was conducted in the Department of Surgery, in Chettinad Hospital and Research Institute. Patients scheduled for umbilical hernias and previous midline incision who met the inclusion criteria. 40 subjects from the sample are divided into four groups of ten by means of a computer generated randomization code.The data collection for the study was done over a period in the year of 2017-2018. All went hernia repair based following suture material in two different groups. Non - obese - Group A1 - Vicryl Group A2 – Prolene and in Obese group - Group B1 – Vicryl, Group B2 – Prolene.
Results: This study shows most common age group distribution is less than 50 yrs (60%) with male preponderance. The complication seroma is (15%) more common in Obese Vicryl patients, sinus formation (12.5%) seen in obese prolene patients, Chronic pain is (22.5%) more common in both obese and non obese prolene patients.
Conclusion: Obesity plays a major role in Ventral hernia and its complication shows vast variation between Obese and non-obese patients. Among the two different suture materials are Vicryl and prolene, vicryl shows more complications especially in obese patients than prolene. . In future this study helpful in reduce the risk of postoperative complications and recurrence of hernia among the patients.
Keywords: Hernia, Prolene, Vicryl, Obese, Seroma.
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