STUDY OF CLINICAL PATTERN AND EFFECT OF COMORBIDITIES ON INCISIONAL HERNIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 56
Abstract
BACKGROUND Incisional hernia is very common problem in post-laparotomy patient. It increases morbidity and also affects quality of life in longterm. Countless procedures have been advocated for their cure. Numerous suggestions have been offered to prevent them. In spite of all precautions during surgery and meticulous repairs to cure them, we still come across a number of cases with incisional hernias and failure to repair of incisional hernias leading to “recurrent incisional hernia.” MATERIALS AND METHODS This case series of incisional hernia, which was comprising of 38 patients over a period of two years in which the demographic profile, clinical presentation, comorbid conditions and outcome of repair was studied and the collected data analysed statistically. RESULTS Study showed that morbid obesity is the most important contributing factor in the causation of a “recurrent incisional hernia.” Incisional hernia is a common iatrogenic complication of abdominal surgery and is cause of unwanted morbidity. Study showed that incisional hernia is a common problem in females after gynaecological operations. Obesity was found to be the most important factor when the effect of comorbidities was studied. Fifteen out of the thirty eight (39.47%) patients came under the category of morbidly obese. CONCLUSION In this study, there was a group of 11 patients with history of unsuccessful repair of their incisional hernias for more than once leading to “recurrent incisional hernias.” Out of these 11 patients, 6 were with a Body Mass Index (BMI) of more than 40 (morbid obesity, grade III).
Authors and Affiliations
Sanjay M Datey, Nilesh Thakare, Abhishek Gurjar, Anshuman Bajpai, Anique Gajdhar, Mohit Goyal, Sneha Ninama, Vipul Golcha
Keywords
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- EP ID EP226137
- DOI 10.14260/Jemds/2017/909
- Views 92
- Downloads 0
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