Volume : IX, Issue : II, February - 2020

A RETROSPECTIVE STUDY OF INCISIONAL HERNIA

Dr Sadasivam Samikannu, Dr Sivamanthiraraj Sivaraju

Abstract :

Objectives: The aim of the study is to analyse the age/sex incidence, the duration following previous surgery and the type of incision resulting in incisional hernia. It is also done to study the predisposing factors and postoperative complications of the incisional hernia surgery. Materials and methods: This is a retrospective study done in Department of general surgery in Government Dharmapuri Medical college and Hospital, Dharmapuri. The period of study is from July 2017 to July 2018. All patient records who underwent surgery for incisional hernia from July 2017 to July 2018 were collected from medical records department and registers maintained in General surgery department and taken for the study. Patients under exclusion criteria were not taken for the study. As a result 120 patients were selected for the study. Results: Incisional hernia was more common in the fifth decade with 80.9% occurring in female population. Around 75% of incisional hernias occurred within five years of previous surgery with maximum number of cases occurring in the vertical incision. The incidence of incisional hernia after Obstetrics & Gynecological procedures were seen in 72% cases. Wound infection and diabetes mellitus are the dominant predisposing factors. Conclusion: Incisional hernia occurs in up to 20% of patients after laparotomy. It is the common complication after abdominal surgery. There is increase in the incidence of the recurrence rates of incisional hernia. To reduce the recurrence, prevention of incisional hernias by using non–absorbable suture materials for closure of the abdomen, proper suture techniques( mass closure,tension free), good post operative care and avoiding the wound infection are warranted.

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Article: Download PDF    DOI : 10.36106/ijsr  

Cite This Article:

A RETROSPECTIVE STUDY OF INCISIONAL HERNIA, DR SADASIVAM SAMIKANNU, DR SIVAMANTHIRARAJ SIVARAJU INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-9 | Issue-2 | February-2020

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