Abstract
Background: Abdominal incision hernia is a common complication of abdominal surgery. Despite significant improvements in medical technology and healthcare, an increasing number of patients are also benefiting from complex surgical procedures. The objective of this study was to analyze the risk factors for incisional abdominal hernias and to identify measures that could reduce the incidence of this complication.
 Material and methods: All patients included in the study are from the University Hospital of Trauma for a period of 3 years, from January 1, 2015, to December 31, 2017.
 Eighty-seven adult patients who underwent surgical repair of incisional abdominal wall hernia were enrolled.
 Variables that are compared in this study include the type of suture material, type of suture technique and concomitant diseases .etc.
 Results: According to our study the risk factors for incisional hernia are related to patients and the abdominal surgery used, the size of the abdominal wall defects.
 Conclusions: Risk factors such as the size of the defect, wound infection, obesity, use of steroids and chronic constipation have great importance and have to be strictly evaluated as they have more chances to lead to a possible recurrence…
Highlights
Incisional hernia refers to abdominal wall hernias at the site of a previous surgical incision
In according to the risk factors for incisional abdominal hernia (IAH) we have found these data as below; diabetes 11(12.6%), COPD (Chronic Obstructive Pulmonary Disease) in 16 (18.3%), chronic constipation in 8(9.1%), postoperative wound infection are the main risk factors which are found to be the most frequent with 24 (27.6%), followed by obesity 13(14.9%) and use of corticosteroids in 8(9.1%)
Despite the fact that numerous studies have shown that incisional hernia and wound dehiscence are not inevitable complications following abdominal surgery, they still continue to occur after colorectal surgery
Summary
Incisional hernia refers to abdominal wall hernias at the site of a previous surgical incision. Medium incision hernias are more common than other sites, which are with all the components of the hernia such as the presence of defect, hernial sac, and herniated contents, or may be a weakness of the abdominal wall with a shallow herniated sac, and occasional bounce of content. Causes of failure to close properly include: patient-related factors, disease-related factors, and technical factors [3]. The objective of this study was to analyze the risk factors for incisional abdominal hernias and to identify measures that could reduce the incidence of this complication. Results: According to our study the risk factors for incisional hernia are related to patients and the abdominal surgery used the size of the abdominal wall defects. Conclusions: Risk factors such as the size of the defect, wound infection, obesity, use of steroids and chronic constipation have great importance and have to be strictly evaluated as they have more chances to lead to a possible recurrence
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