Study Of Incisional Hernia At A Tertiary Care Teaching Hospital

Abstract

Incisional hernia affects all age groups and involve both male and females. It can be defined as hernia which protrudes through surgical wound which was healed incompletely. Management of incisional hernia requires operative intervention most of the times it may laparoscopic repair with synthetic non-absorbable mesh or open anatomical repair.In partnership with Jawaharlal Nehru Medical College AVBR Hospital (Datta Meghe Institute of Medical Sciences) Sawangi (Meghe), Wardha, Maharashtra, this work was performed in the Department of General Surgery at Datta Meghe Medical College and Shalinitai Meghe Hospital and Research Centre ,Hingna , Nagpur. Over a period of 1 year 59 cases of diagnosed incisional hernia were included.33 males and 26 females were included. The mean age was years. Most common cause of Incisional Hernia (IH) post-operative wound infection(49.15%). In maximum cases history suggestive of emergency surgery(86.44%).Type of incision suggests maximum cases in midline incision (55.93%) followed by Pffanensteils incision (28.81%).Open mesh hernioplasty was the common procedure (57.62%) ,Lap mesh hernioplasty done in (25.42%)cases and (16.94%) cases were treated by suture repair. There was no evidence of recurrence in laparoscopic repair as open mesh hernioplasty has a recurrence rate of 03.57% and suture repair cases showed 33.33% recurrence.Incisional Hernia and its occurrence can be taken care of by implementing all standard aseptic precautions thereby avoiding chances of infection at the time of primary surgery wherein thorough peritoneal wash, proper techniques of wound closure and use of appropriate antibiotics is recommended. Management of IH with Laparoscopic mesh repair has its own advantage in terms of less hospital stay, negligible rate of recurrence though it is not cost effective at present scenario.