Clinical Profile and Management of Incisional Hernia with Special Reference to Use of Polypropylene Mesh: A Case Series
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 1
Abstract
Incisional hernia represents the defect in the parietal abdominal wall fascia through which intra-abdominal or pre-peritoneal contents can protrude due to architectural deterioration of muscular aponeurosis or they may develop from failed healing of anterior abdominal wall incision. It is a common complication of abdominal surgery and an important source of morbidity. It may be repaired using either anatomical, mesh or laparoscopic methods. This is a clinical study done to understand the relative importance of various factors and predisposing to incisional hernia, the occurrence with relation to the factors and selecting the most optimum technique which has least recurrence rate especially the use of Polypropylene Mesh. This study was conducted in patients who were admitted at our institution over a period of 2 years with complain of incisional hernia. 30 patients were analyzed for factors resulting in occurrence of incisional hernia & selecting the most optimum technique of repair, which has least recurrence rate specially the use of polypropylene mesh repair. In this study majority of the patients presented within 6 months, with incidence more common in females, who underwent gynaecological procedures by lower and midline incisions. Its appearance was most common in the age group of 31-40 years. The predominant risk factors being wound infection and lax abdomen. The most common post-operative complications were mainly fever, pain and wound infection. Mesh repair is superior to anatomical suture repair with regard to recurrence of hernia. Polypropylene Mesh is one of the best synthetic materials for repair and “INLAY” mesh repair is the best technique for repair of incisional hernia.
Authors and Affiliations
Umeshchandra D. G. , Ankur Bhatia, Varun Patnam
Keywords
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