INCISIONAL HERNIA - A CLINICAL STUDY, OBESITY - A MAJOR RISK FACTOR
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 46
Abstract
BACKGROUND Incisional hernia is a common surgical problem with which a patient presents to the surgical OPD. There are certain modifiable risk factors, which if corrected can prevent incisional hernia. Among these risk factors, obesity is a major risk factor. Present study aims to prove that obesity is a major risk factor for incisional hernia. MATERIALS AND METHODS It is a prospective observational study conducted at a tertiary care centre from December 2014 to December 2017. RESULTS Obesity was a common risk factor in the study population. About 92% of them had a BMI >25, (74% being overweight and 18% falling under class I obesity) with a mean BMI of 28.1. Most of them (94%) had disease causing central abdominal obesity with waist hip ratio of more than 1 and (6%) are with waist hip ratio less than 1. CONCLUSION Obesity is a major risk factor in development as well as recurrence of incisional hernia and to take appropriate measures of weight reduction and proper surgical technique of mesh repair while managing a case of incisional hernia with obesity.
Authors and Affiliations
Ramesh Kota
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