Volume : VI, Issue : XII, December - 2017

The Awareness of Incisional Hernia in Patients with Respect to Body Image and Cosmetic Score.

Mirat Dholakia, Iqbal Ali, Kshitij Manerikar, Digvijay Jadhav

Abstract :

 Incisional hernia is defined as any abdominal wall gap with or without a bulge in the area of post–operative scar perceptible or palpable by clinical examination or imaging. One third of the patients with incisional hernia doesn’t present with any symptoms .Many of them present with complaints of  bulge over abdominal wall, cosmetic complaints, loss of body image, pain, functional disability. Little has been published on patients‘ awareness of incisional hernia following open abdominal surgery.The present study was undertaken to study the awareness of patients with incisional hernia. We also assessed the impact of incisional hernia on body image and cosmetic score.

Materials and Methods: A prospective study of 60 patients conducted in our hospital between July 2014 to September 2016. A detailed case history was taken to identify aetiological causes and precipitating factor, which included the awareness about the incisional hernia, clinical examination done to assess the anatomical defects and clinical diagnosis was established and necessary investigations were done to confirm and questionnaire was carried out according to pro–forma. Body Image Questionnaire (BIQ) consisted of a body image score and a cosmetic score. All statistical analyses were performed using Microsoft Excel software.

Results: Majority of the cases were females (61.7%). Thirty five patients were with body mass index (BMI) of 25 to 29.9.The most common symptom was pain (50%) followed by discomfort (45%).According to the body image score 55% patients were partially satisfied and 45% were not satisfied. Cosmetic score amongst patients was 58.3% average, followed by 38.3% poor and 3.3% good. Mean body image score was 10.97 (S.D.±2.41) in < 5 year duration. Mean cosmetic score was 12 (S.D.±2.85) in < 5 year duration, 12.04 (S.D.±2.16) in duration 6 to 10 years.Mean difference in both score was analyzed using F test and F value was 0.10 and 0.27 for body image and cosmetic score respectively which was statistically significant. Mean body image score was 9.82(S.D.±1.83) in patients with awareness and 11.14 (S.D.±2.50) in patients without awareness of incisional hernia. Mean cosmetic score was 12.27 (S.D.±2.19) in patients with awareness group and 12.06 (S.D.±2.64) in patients without awareness group.  Mean difference in both score was analyzed using MW test and Z value was 1.62 and 0.49 for body image and cosmetic score respectively which was statistically significant.

Conclusion: Majority of patients with incisional hernia were not aware of their disease.Body image score and Cosmetic score was less in younger patients who presented earlier than older patient with more Body image and Cosmetic score with complaints of incisional hernia. Patients with less BMI had poor Body image and Cosmetic score than those with BMI of more than 25 kg/m2. 

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Mirat Dholakia, Iqbal Ali, Kshitij Manerikar, Digvijay Jadhav, The Awareness of Incisional Hernia in Patients with Respect to Body Image and Cosmetic Score., INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-6 | Issue-12 | December-2017

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