Approach in an Open Incisional Hernia Mesh Repair - Transverse or Vertical Incision: A Prospective Analysis
Journal Title: New Indian Journal of Surgery - Year 2017, Vol 8, Issue 4
Abstract
Background: Incisional hernia is a common surgical condition with a reported incidence of 2-11% of patients subjected to abdominal operations. Aim: This is a prospective study which was under taken to study the differences in the post-operative events of the onlay mesh repair between the transverse and the midline vertical incision approach in our setup. Methods: This is a prospective study of 55 cases of incisional hernia that were operated in the department of general surgery, Govt. medical college, Omandurar govt. estate, Chennai, India from Nov 2016 to June 2017. Patient’s history, clinical finding, investigations, operative findings, operative procedures and postoperative complications were all recorded in a proforma specially prepared. All patients underwent onlay mesh repair. The approach of the repair was based on the preference of the operating surgeon & the ease to proceed with surgery. Patients were followed up for immediate post-operative complications. The two groups were compared using appropriate statistical tests. Results: Most of the patients presented with incisional hernia in the infraumbilical region. 30 patients were approached with transverse incision & 25 patients with midline vertical incision. Pain score & duration of drainage were significantly higher in the transverse approach group. Postoperative complications were also higher among the transverse group than in the midline vertical incision group, but none of them were statistically significant. Conclusion: The study showed that the post-operative complications were higher in the transverse incision group, but none of them were statistically significant, for onlay mesh repair of incisional hernia.
Authors and Affiliations
Vidyanendh Vijayalakshmia
Keywords
Related Articles
- EP ID EP473488
- DOI 10.21088/nijs.0976.4747.8417.18
- Views 93
- Downloads 0
A Case Report of Giant Inguinoscrotal Hernia Managed by Modified Iliopubic Tract Repair
Introduction: Inguinal hernia is one of the commonest cases to be dealt with in surgical practice. Giant inguinal hernia on the other hand is a rather distinct and rare entity. Not only they pose special problems in mana...
Obstuctive Uropathy in Germ Cell Tumor of Test is Masquerading as Spontaneous Tumor Lysis Syndrome
Tumor lysis syndrome (TLS) is characterized by hyperkalemia, hyperuricemia, hyperphosphatemia and hypocalcemia. TLS can be Spontaneous TLS, Lab TLS, and Clinical TLS.Germ cell tumors presenting with spontaneous TLS is un...
Foot Care Practices in Patients with Diabetic Foot Ulcers: A Study in MVJMC & RH
Introduction: Diabetic foot ulcers are the most common cause for prolonged hospitalizations. Though preventable by effective identification, education and preventive foot care practice, we come across plenty cases of dia...
A Study to Determine the First Line Treatment in Pleural Empyema
Introduction: Pleural empyema is a collection of pus in the area between the lungs and the inner surface of the chest wall that is caused by microorganisms, usually bacteria. Prompt evacuation of the infected fluid along...
Comparing Collagen Dressing with the Vaseline Gauze Dressing Over Split Skin Graft Donor Site
Background: The issues in the management of the donor site after harvesting a spilt thickness skin graft are taking care of discomfort and pain prevent sepsis, and promote primary healing with minimal scarring. The purp...