Study of Clinical Profile and Management of Incisional Hernia
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 4
Abstract
Introduction: Incisional hernia is a serious postoperative complication of surgical intervention. Incisional hernia is diffuse extrusion of peritoneum and abdominal contents through the weak scar of an operation of abdominal wall. We have studied here the etiology and risk factor for the development of incisional hernia. The aim of present study was to evaluate the incidence, clinical presentation, causal factors, mode of prevention and proper management of incisional hernia. Material and methods: This was a prospective and observational study conducted on 60 patients in Rajendra Institute of Medical Sciences, Ranchi, Jharkhand during the period January 2015 to June 2016. Patients who had herniation at the site of previous surgery through the previous surgical scar were chosen for study. Observations were made with regard incidence, time interval between first appearance and treatment, type of operation and incision, etiological factors and postoperative wound complications. Results: In our study 90% patients were women because of high incidence of gynaecological operations. As caesarean section is done through lower midline incision, was the commonest cause of incisional hernia. The commonest age group was from 30 to 40 years. Maximum cases (40%) of incisional hernia occurred between 1 to 2 years after surgical intervention. Most common method of treatment applied was polypropylene mesh repair. Conclusion: Incisional hernia commonly seen in females and affect 30-40 years of age group preferably housewives. It is mostly presents with intermittent swelling and pain. Previous elective and emergency surgery in lower midline has high chances of incisional hernia. Polypropylene mesh repair has been found to give best result with nil recurrence.
Authors and Affiliations
Md. Mukhtar Naved, Shital Malua, Pankaj Bodra, Priya Shalini Lakra, Nishant A, Anup Kumar Tirkey
Keywords
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