Prevalence of paraumbilical hernia and outcome at surgery inpatient department: A hospital based study
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 11
Abstract
Introduction: Para umbilical hernia described as a acquired defect through decussating fibers of line a alba either above or below the umbilicus. It is more common in female 2, abdominal pressure increases in multiparty and obese case, heavy work lifting are pre disposing factors to develop the para umbilical hernia. This is second most common variety of ventral hernias, overall 0.3% of all hernias operations performed in UK. Aims and Objective: To study Prevalence of Para umbilical Hernia and Outcome at Surgery Inpatient Department. Methodology: This was a hospital based, cross-sectional study during 3 years period from March 2011 to March 2014 at tertiary health care Centre; Patients with Diagnosis of Para umbilical Hernia confirmed by ultra-Sonography was studied. Out of the Total 229 all hernia patients during this period 63 patients were Para umbilical at tertiary health care Centre. All the hernia were repaired surgically and observed Post-Operatively for any further complications. All the information was recorded with using semi structured questionnaire. Result: Prevalence was highest in Age >50 i.e. (57.14%) followed by 40-50 17.46%; 30-40 (14.28%); 20-30 (7.9%); 10-20 (3.17%); <10 (4.76 %.). Para umbilical hernias found to be more prevalent in Females i.e. 63.49% than Male 36.51%. Most common associated factors were Female Sex (63.49%), Age ≥50 (57.14%), Obesity( BMI ≥30); H/O Chronic Cough/COPD (39.68%); Parity >5 (36.50%); H/O BPH (23.80%); H/O Constipation (22.22%); H/O Previous Caesarian Section (20.63%); Heavy Work Lifting (19.045); Previous H/O Abdominal Surgery (14.28%); Congenital H/O Umbilical Hernia (7.93%). 87.31% patients were recovered after surgeries, complications were observed in 8 patients i.e. 12.69% in most common complication was Recurrence (4.76%) followed by Hematoma 3.17% and Seroma (3.17%) and Wound infection (1.58%). Conclusions: Para umbilicalhgernia is highest prevalence after the age of 50yrs and more common in female sex and associated with the risk factors like Obesity, Chronic Cough, Previous Caesarian Section, Heavy Work Lifting etc.
Authors and Affiliations
Prasnna Gambhir Jawale, Yogesh Pralhad Chaudhari
Keywords
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