Clinical study of incidence and surgical management of iincisional hernia

Abstract

Background: Incisional hernia a common surgical problem, and uncommon sequel of surgical intervention. It occurs as a result of excessive tension and inadequate healing of previous incision, which is often associated with surgical site infection. We have studied here the etiology and risk factor for the development of incisional hernia. Various clinical presentations, incidence of incisional hernia and different therapeutic modalities of treatment and the post-operative complications . The main aim of the study was to identify the etiological factor to highlight the strategies for prevention of incisional hernias, to find the best management procedures for the incisional hernias. Methods: The study is a perspective study was conducted in Meenakshi medical college and research institute, Kanchipuram for the period 2010-2012. 87 patients were included for the study. Patients who had herniation at site of previous surgery through the previous surgical scar were chosen for the study. Observations were made with regard to duration and ease of operation, wound complications, mesh infections, hospital stay, morbidity and recurrence. Results: In our study 83% patients were women may be because of high incidence of caesarean section performed. As LSCS done through the lower midline incision was the commonest cause of incision hernias. The commonest age group was 4th decade that is from 30 - 40 years. Conclusions: Incisional hernia is more seen in female, housewife who are multiparous, it is mostly presents with swelling and pain abdomen. Previous elective and emergency surgeries in lower midline have higher percentage of incisional hernia.