Case Series � Onlay mesh repair of Large Ventral hernia: A perspective study in rural setup

Dr. Arif E. Kaderi; Dr. Sachin Jain; Dr. Pravin Nikhade; Dr. Aditya A. Manekar

Volume : VI, Issue : VI, June - 2016

Case Series � Onlay mesh repair of Large Ventral hernia: A perspective study in rural setup

Dr. Arif E. Kaderi, Dr. Sachin Jain, Dr. Pravin Nikhade, Dr. Aditya A. Manekar

Abstract :

 Objective: Large ventral hernias especially recurrent incisional hernia carries a significant post–operative morbidity and complications. This retrospective study is done to determine the outcomes of large ventral hernia repair in rural setup in developing country. Methodology: This case series included 26 patients, operated from 2011 to 2014 for large ventral hernia at our institute with follow up of at least 12 months. The variables studied consisted of age, sex, BMI, Type of hernia, Type of incision in previous surgery in case of incisional hernia, risk factors, duration for onset of incisional hernia after previous surgery, and hospital stay post surgery. But particular attention was given to surgery by onlay mesh repair and complications in perioperative period. Results: Total 26 patients of large ventral hernia found to be eligible were included in the study. Mean age of patients was 46.2 + 9.4 yrs with clear female preponderance (male to female ratio is 1:2.7). Most common type of hernia was incisional (77%) and previous abdominal surgery (77%) was the major risk factor followed by obesity (53.8%). Lower midline incision was the most common incision (45%) predisposing to development of incisional hernia. 26.9% patients developed complications in the form of Surgical Site Infection (SSI), seroma formation and recurrence. With a mean follow up of 18+9 months 7.7% patients had recurrence of hernia in this study. Conclusions: Repair of large ventral hernia with onlay mesh repair has shown promising results with reasonably good outcome, acceptable rates of recurrence and lesser technical difficulties