Clinical Study and Changing Trends in the Management of Incisional Hernia
Journal Title: New Indian Journal of Surgery - Year 2018, Vol 9, Issue 5
Abstract
Background: Incisional hernia repair especially large ones still remains a challenge to the surgeons even today. With the advent of minimal invasive surgery, rapid advances had taken place in the working concept of incisional hernia. It is a long-term and common complication following abdominal surgery especially in females and estimated to occur in 03 to 13% following laprotomy incisions. At present, no consensus exist on the ideal placement of mesh in open hernia repair.But for laproscopic repair,mesh is always placed in Under-lay position.Repair of incisional hernia with mesh either by open or laproscopic repair is now well accepted as gold-standard treatment worldwide. Here, in open hernia repair,we aim to identify the ideal position for mesh placement to assess complications like recurrence rate and surgical site infections. Materials and Methods: The study was carried out in the department of General surgery, Gems and Hospital, Srikakulam, Andhra pradesh. A total of 60 patients were enrolled for the study from among admitted cases.A thorough clinical assessment, laboratory investigations and radio-imaging studies were performed in all cases. Later the patients were categorized for open and laproscopic repair as per suitability. Results: Incisional hernia was found most commonly in the age group of 30-50 years [46.6%]. Females constitute about 61.7%. Middle aged females undergoing laprotomy with midline vertical incision with wound dehiscence are more prone to develop incisional hernia with in a period of 01-03 years. Conclusion: Sub-lay mesh placement in open hernia repair and Underlay in laproscopic repair were found to be ideal and yielded good results.
Authors and Affiliations
Sarangam Venkata Satya Narayana Rao
Keywords
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- EP ID EP548524
- DOI 10.21088/nijs.0976.4747.9518.15
- Views 79
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