A Prospective Study of Incisional Hernia with An Evaluation of Factors In Developing Post-Operative Complications
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Incisional hernia is the most common long term complication associated with abdominal surgery. Repairing an incisional hernia is even more challenging to a surgeon as they tend to develop post operative complications such as wound infection and dehiscence quite easily which contributes to a dreadful event in the form of recurrence. Risk factors for incisional hernia formation and preventive strategies are not clearly defined. 37 patients who presented with incisional hernia were studied clinically and categorized according to various factors associated with it and the results obtained in each category were correlated and cross tabulated with a constant parameter in post operative complications by using fishers exact test and chi square test. P value <0.05 was considered to be significant. Predisposing factors (P value 0.006), associated diseases (P value 0.007), size of the defect (P value 0.004) and incisions used in previous surgeries (P value 0.036) showed a highly significant value in relation to developing postoperative complications. It was concluded that some factors included in this study are responsible in developing complications after an incisional hernia repair namely predisposing factors (wound infection, repeat surgeries), associated diseases(diabetes mellitus), size of the defect and incisions used for previous surgeries(midline laparotomy).
Authors and Affiliations
Dr. Vibeesh Narayanan, Dr. K. R. Bhagavan
Keywords
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- EP ID EP591269
- DOI 10.9790/0853-1603012529
- Views 94
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